A kind of positioning marked ruler for head positioning in radiation therapy
Technical field
The present invention relates to a kind of positioning marked ruler for head positioning in radiation therapy, belong to the medical instruments technical field.
Background technology
The CT/MRI positioning image merges for radiotherapy treatment planning system can significantly improve the identification of tumor target area and the accuracy of delineating, but because CT/MRI image scanning parameter is inconsistent, the repeatability of patient posture is difficult to grasp, the image that scanning obtains often is difficult to find consistent position, and this gives follow-up image registration and merge and has brought very large difficulty and uncertain.Study of Registration based on characteristic point adopts approximate position characteristic point to carry out registration mostly at present, and the image of approximate registration is used for merging, and its result will have a greatly reduced quality in clinical using value.In the research formerly, nearly all carry out the analysis of determining of position and fusion accuracy as the reference gauge point with the anatomical structure gauge point, the registration of image is accurate not, and fusion and evaluation procedure are comparatively numerous and diverse, thereby have limited fusion image in clinical practical application.External gauge point subplan can solve CT/MRI image volume bit integrity problem more effectively, but all video pictures on the CT/MRI image of handmarking's point.Under same tag point location condition, carry out MRI T1WI enhancement sequences and CT location scanning, obtain MRI image and CT image, then find the image of the same aspect of CT/MRI according to external markers, carry out rapid registering and fusion.But thisly only rely on limited external gauge point to have fatal weakness, namely be difficult to be implemented in and all be shown to a certain handmarking's point on the CT/MRI image, still there is uncertainty in the position concordance.Position and utilize foundation ring to be equipped with the plastics location-plate, preferably imaging when CT image scanning, but during MRI image scanning because the position line of foundation ring and plastics location-plate all is metal, and then pseudo-shadow is larger, positioning image can't use.
Summary of the invention
Problem for above-mentioned prior art exists the invention provides a kind of positioning marked ruler for head positioning in radiation therapy, can effectively solve position consistency problem in the CT/MRI image co-registration, improves registration accuracy.
To achieve these goals, the technical solution used in the present invention is: a kind of positioning marked ruler for head positioning in radiation therapy, comprise the telltale mark chi, the telltale mark chi comprises a cross bar and a brace, one end of cross bar and an end of brace are connected to form an integral body, at right angles triangular shaped, cross bar and brace inside all offer intercommunication between cavity and the cavity, implant is housed in the cavity, and the other end of cross bar and the other end of brace all seal, and the material of cross bar and brace is duroplasts, implant is Vegetable oil lipoprotein, the angular range of cross bar and brace is 30 °-45 °, and the diameter range of cross bar is 3mm-5mm, and the diameter range of brace is 3mm-5mm.
The invention has the beneficial effects as follows: the position accurate positioning, improved the degree of accuracy of CT/MRI image registration and fusion.
Description of drawings
Fig. 1 is structural representation of the present invention
Fig. 2 is CT/MRI scanning pendulum of the present invention position sketch map
Fig. 3 is CT/MRI location scanning image of the present invention
Among the figure: 1, telltale mark chi, 2, cross bar, 3, brace, 4, cavity, 5, head mould, 6, head, 71, CT location scanning figure, 72, MRI location scanning figure, 8, the tomoscan point, 9, a pendulum position cross laser line.
The specific embodiment
The invention will be further described below in conjunction with accompanying drawing.
Such as Fig. 1, Fig. 2, with shown in Figure 3, a kind of positioning marked ruler for head positioning in radiation therapy, comprise telltale mark chi 1, telltale mark chi 1 comprises a cross bar 2 and a brace 3, one end of cross bar 2 and an end of brace 3 are connected to form an integral body, at right angles triangular shaped, cross bar 2 and brace 3 inside all offer intercommunication between cavity 4 and the cavity 4, in the cavity 4 implant is housed, the other end of the other end of cross bar 2 and brace 3 all seals, and the material of cross bar 2 and brace 3 is duroplasts, implant is Vegetable oil lipoprotein, cross bar 2 is 30 °-45 ° with the angular range of brace 3, and the diameter range of cross bar 2 is 3mm-5mm, and the diameter range of brace 3 is 3mm-5mm.
Work process: the patient gets dorsal position, and thermoplastic head mould 5 is shaped and is fixed on patient's head 6 head mould 5 can not arbitrarily be moved, but whole head mould 5 need not to be fixed on the fixture such as foundation ring.Before the beginning of location, at first utilize pendulum position cross laser line 9 to determine position, head mould 5 left and right sides, then tightly paste respectively and place a telltale mark chi 1, concrete grammar is that the patient gets dorsal position and lies, pendulum position cross laser line 9 throws from patient's head left and right sides respectively, take pendulum position cross laser line 9 horizontal lines as benchmark, allow the cross bar 2 of telltale mark chi 1 overlap with it, and so that the drift angle of telltale mark chi 1 overlap with laser rays 9 decussation points.Radiotherapy prelocalization making ruler 1 will no longer move the position, also utilize this telltale mark chi 1 to put bit manipulation during radiotherapy.Under identical location condition, utilize magnetic resonance machine to carry out MRI T1WI enhancement sequences and CT location scanning, obtain CT location scanning Figure 71 and MRI location scanning Figure 72, magnetic resonance machine passes through network connection with the computer that image registration and fusion software are installed, telltale mark chi 1 can imaging when carrying out the CT/MRI location scanning, and in CT location scanning Figure 71 and MRI location scanning Figure 72, show with tomoscan point 8, CT location scanning Figure 71 and MRI location scanning Figure 72 directly offer image registration and fusion software by network, whether the relative distance between the tomoscan point 8 that image registration and fusion software show in CT location scanning Figure 71 and MRI location scanning Figure 72 according to telltale mark chi 1 is consistent, determine the concordance of position, thereby realize the autoregistration of CT/MRI positioning image, and on this basis registered images is merged.