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WO2015067018A1 - Système d'ablation d'intervention ultrasonore et procédé de fonctionnement de celui-ci - Google Patents

Système d'ablation d'intervention ultrasonore et procédé de fonctionnement de celui-ci Download PDF

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Publication number
WO2015067018A1
WO2015067018A1 PCT/CN2014/077322 CN2014077322W WO2015067018A1 WO 2015067018 A1 WO2015067018 A1 WO 2015067018A1 CN 2014077322 W CN2014077322 W CN 2014077322W WO 2015067018 A1 WO2015067018 A1 WO 2015067018A1
Authority
WO
WIPO (PCT)
Prior art keywords
module
ablation
interventional
interventional ablation
ultrasound
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/CN2014/077322
Other languages
English (en)
Chinese (zh)
Inventor
丛龙飞
许龙
李勇
朱磊
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Shenzhen Mindray Bio Medical Electronics Co Ltd
Original Assignee
Shenzhen Mindray Bio Medical Electronics Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Shenzhen Mindray Bio Medical Electronics Co Ltd filed Critical Shenzhen Mindray Bio Medical Electronics Co Ltd
Publication of WO2015067018A1 publication Critical patent/WO2015067018A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/08—Clinical applications
    • A61B8/0833—Clinical applications involving detecting or locating foreign bodies or organic structures
    • A61B8/085—Clinical applications involving detecting or locating foreign bodies or organic structures for locating body or organic structures, e.g. tumours, calculi, blood vessels, nodules
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B2018/1405—Electrodes having a specific shape
    • A61B2018/1425—Needle
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/378—Surgical systems with images on a monitor during operation using ultrasound
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/12—Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters

Definitions

  • the present invention relates to the field of ultrasound guided ablation, and more particularly to an ultrasound interventional ablation system and a method of operation thereof. Background technique
  • liver cancer is one of the most common malignant tumors.
  • the annual death rate of liver cancer is 300,000, and the mortality rate of liver cancer accounts for the second place in malignant tumors.
  • liver cancer Among the many therapies for treating liver cancer, surgical resection is still the first. 80% of patients with liver cancer have poor liver function and coagulation mechanism due to cirrhosis, or cannot be surgically removed due to constraints such as mass and poor heart and kidney function. The remaining 20% of patients with liver cancer are resected even after surgery. Up to 70%. Liver cancer cells are usually not sensitive to chemotherapy and radiation. Therefore, various non-surgical interventional treatments have become an important means of clinical treatment of liver cancer.
  • Tumor thermal ablation based on microwave tumor ablation devices and radiofrequency tumor ablation devices is one of the most widely used tumor interventional ablation techniques.
  • the basic principle of the above two kinds of thermal ablation is that the ablation needle is ultrasonically guided to the target tumor area, and the ablation needle is used to heat the target area to a certain temperature to achieve inactivation of the tumor area.
  • radiofrequency ablation equipment microwave ablation equipment
  • ultrasound design All are independently controlled.
  • the doctor When the doctor is in clinical use, he cannot see the ultrasound-guided image information and the working parameter information of the interventional ablation device at the same time. It is necessary for several relevant personnel to separately control the relevant ablation device and the ultrasound device, and have higher requirements for the relevant personnel.
  • the ultrasound equipment and ablation equipment need to be placed next to the hospital bed, occupying a large amount of ward space.
  • the ultrasound equipment has no special intervention ablation procedure, and the operation process is complicated.
  • the clinician In the process of interventional ablation, the clinician needs to take care of the manipulation of the two devices. During the operation, it is necessary to interact with different devices through multiple human interactions, which may lead to misoperation or untimely response. Summary of the invention
  • the invention provides an ultrasonic interventional ablation system and a working method thereof, which enable a doctor to completely grasp relevant information in each ablation process and independently control relevant equipment in the process of interventional ablation, thereby improving the quality of ablation.
  • the present invention provides an ultrasonic interventional ablation system, comprising: an ultrasound imaging module for transmitting and receiving a specific ultrasonic shape, and performing processing to obtain image data of a target tissue;
  • An interventional ablation module for interventional ablation of the target tissue for interventional ablation of the target tissue
  • a human-computer interaction module configured to perform manipulation on the ultrasound imaging module and the interventional ablation module
  • an image display module configured to display image data of a target tissue obtained by the ultrasound imaging module in real time, and operating parameters of the interventional ablation module .
  • the invention also provides a working method of an ultrasound interventional ablation system, comprising:
  • the invention integrates the operation and display of the ultrasound imaging module and the interventional ablation module by integrating the ultrasound imaging module and the interventional ablation module, so that the doctor can simultaneously observe the working state of the ultrasound image data and the interventional ablation module, which is extremely Facilitate the operation of the clinician, reducing the chance of clinical misuse.
  • FIG. 1 is a schematic diagram of an ultrasound interventional ablation system according to an embodiment of the present invention.
  • FIG. 2 is a flow chart of a working method of an ultrasound interventional ablation system according to an embodiment of the present invention.
  • FIG. 3 is a display distribution diagram of ultrasonic image data and ablation parameters in an image display module of an ultrasound interventional ablation system according to an embodiment of the present invention.
  • FIG. 4 is another display distribution diagram of ultrasound image data and ablation parameters in an image display module of an ultrasound interventional ablation system according to an embodiment of the present invention.
  • Tumor thermal ablation based on microwave tumor ablation devices and radiofrequency tumor ablation devices is one of the most widely used tumor interventional ablation techniques.
  • the basic principle of the above two kinds of thermal ablation is that the ablation needle is ultrasonically guided to the target tumor area, and the ablation needle is used to heat the target area to a certain temperature to achieve inactivation of the tumor area.
  • ultrasound equipment and ablation equipment need to be placed next to the hospital bed, occupying a large amount of ward space, and the ultrasound system has no special interventional ablation.
  • Process, operational process is complex.
  • the clinician needs to take care of the manipulation of the two devices. During the operation, it is necessary to interact with different devices through multiple human interactions, which may lead to misoperation or untimely response.
  • This embodiment designs an ultrasonic interventional ablation system for the above problems, and provides a working method of the system.
  • an ultrasound interventional ablation system includes:
  • the ultrasound imaging module 104 is configured to transmit and receive a specific ultrasonic shape and perform processing to obtain image data of the target tissue.
  • the interventional ablation module 100 is configured to perform interventional ablation of the target tissue.
  • the interventional ablation module 100 includes, but is not limited to, the following devices: an ablation host (a radio frequency ablation device or a microwave ablation device), a cooling system, and a '% melt needle, etc.: '% fusion related device.
  • the human-computer interaction module 102 is configured to manipulate the ultrasound imaging module 104 and the interventional ablation module 100.
  • the human-computer interaction module 102 includes but is not limited to the following devices: a hardware device such as a foot switch, a keyboard, a mouse, a trackball, a manual switch, a touch screen, etc., and the human-computer interaction module 102 can access the ablation module 100 through the ultrasound imaging system. Control and operate.
  • a typical foot switch has two control buttons for controlling the opening and closing of the ablation module 100 through the switch control button.
  • the control of the process can be added to the foot switch, that is, the switch control key is stepped on to indicate that the device is turned on and off, and the step is halfway (not stepping on the bottom) to indicate the interventional ablation.
  • Addition and subtraction control of module 100 power The power increase/decrease control can be performed each time, and the continuous addition and subtraction control of the power can be formed by the number of times of stepping down or the duration of stepping on the half.
  • the ultrasound interventional ablation system further includes: a control module 108, configured to perform manipulation on the interventional ablation module 100.
  • the switch and power of the interventional ablation module 100 can be adjusted based on a button or a knob on the control panel of the ultrasound system, or can be based on an ultrasound imaging module.
  • the touch button of the touch screen of 104 realizes the above function control.
  • the above control of the ablation module can also be achieved by a manual switch comprising a switch button and a slide (or scroll) module.
  • the above manual control switch can be attached to the ultrasonic probe as an accessory.
  • the ultrasound imaging module 104 and the interventional ablation module 100 are connected by a data line.
  • the data line is for: bidirectional transfer of data between the ultrasound imaging module 104 and the interventional ablation module 100.
  • the ultrasound imaging module 104 can manipulate the interventional ablation module 100 via a data line and obtain operational parameters of the interventional ablation module 100.
  • the data line can be any device that supports data transfer between the two modules, such as a serial port, a USB, a data bus, and the like.
  • serial port a serial port
  • USB Universal Serial Bus
  • the image display module 106 is configured to display image data of the target tissue obtained by the ultrasound imaging module 104 in real time, and operating parameters of the interventional ablation module 100.
  • the image display module 106 includes: an ultrasound image data display window for displaying image data of the target tissue obtained by the ultrasound imaging module 104 in real time; and an interventional ablation display window for displaying the working parameters of the interventional ablation module 100 in real time, such as The voltage, current, power, type of puncture needle, temperature of the puncture needle, etc., may be displayed in the form of numbers or curves that change with time.
  • the ultrasound image data display window and the interventional ablation display window may be two mutually parallel and independent display windows, that is, one window (ie, ultrasound image data display window 304) displays an ultrasound image.
  • the data in another window (ie, the interventional ablation display window 302), displays the operational parameters of the interventional ablation module 100; as shown in FIG. 4, the interventional ablation display window 302 may also be located in the ultrasound image data display window 304, ie The ablation device related parameters and parameter curves are displayed in the interventional ablation display window 302 as part of the ultrasound image display window 304.
  • the ultrasound image data display window 304 is at least one
  • the interventional ablation display window 302 is at least one.
  • the above display manner is two forms of fusion display of the ultrasound image data and the operational parameters of the interventional ablation module 100.
  • data transmission between the ultrasound imaging module 104 and the ablation device ie, the interventional ablation module 100
  • the ablation operation parameter is displayed on the ultrasound device (ie, the ultrasound imaging module 104), and the specific display manner is not limited to the above two.
  • the image display module 106 not only supports the state display of one ablation needle, but also supports multiple needles to work simultaneously, and displays the working parameters of different ablation needles.
  • This embodiment also provides a working method of an ultrasound interventional ablation system, as shown in FIG. 2, which is specifically as follows:
  • a working method of an ultrasound interventional ablation system comprising:
  • the ultrasound imaging module 104 is turned on by the human-computer interaction module 102.
  • the interventional ablation module 100 is activated by the ultrasound imaging module 104.
  • the embodiment further provides: S6.
  • the interventional ablation module 100 is controlled by the control module 108.
  • the S4 includes: starting an interventional ablation mode; guiding the interventional puncture based on the target tissue-based ultrasound image data, and the user may utilize the ultrasound imaging module 104 to correlate
  • the probe, the puncture rack and the like guide the interventional device such as the puncture needle (ablation needle) to the target area of the tissue; the interventional ablation of the target tissue, the touch screen, the foot switch, the manual switch included by the user through the human-computer interaction module 102,
  • An accessory device such as a control panel, begins to intervene in the ablation module 100 for ablation.
  • radio frequency or microwave ablation devices perform thermal ablation of the target through a puncture that has entered the target tissue region.
  • the ablation effect is tracked during the ablation process, and the ablation performance parameters such as the power of the ablation device can be adjusted through an accessory device such as a touch screen, a foot switch, a manual switch, a control panel, or the like, or the current ablation operation can be ended.
  • the image data of the target tissue and the operational parameters of the interventional ablation module 100 are displayed in real time by the image display module 106.
  • the corresponding ablation process and the manipulation result of the interventional ablation module 100 are displayed on the image display module 106; preferably, the acquired target tissue image data is displayed in real time in the ultrasound image data display window 304; the interventional ablation is displayed in the interventional ablation display window 302 in real time.
  • the operating parameters of module 100 are displayed in real time by the image display module 106.
  • the embodiment provides an ultrasonic interventional ablation system and a working method thereof through an ultrasonic device
  • the data transmission between the ablation devices realizes the control of the ablation device based on the device such as the foot switch and the touch screen, and the related work information of the ablation device and the ultrasonic image information of the target tissue are displayed on the same image display module 106, and unified
  • the manipulation of the ultrasound imaging module 104 and the interventional ablation module enables the doctor to simultaneously observe the working state of the ultrasound image and the ablation device, greatly facilitating the operation of the clinician, and reducing the probability of clinical misoperation.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • General Health & Medical Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Otolaryngology (AREA)
  • Electromagnetism (AREA)
  • Vascular Medicine (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
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Abstract

La présente invention concerne un système d'ablation d'intervention ultrasonore, comprenant : un module d'imagerie ultrasonore (104) pour émettre et recevoir des formes d'onde ultrasonore particulières, traiter pour obtenir des données d'images de tissu cible ; un module d'ablation d'intervention (100) pour effectuer une manipulation d'intervention sur le tissu cible ; un module d'interaction humain-ordinateur (102) pour manipuler le module d'imagerie ultrasonore (104) et le module d'ablation d'intervention (100) ; et un module d'affichage d'image (106) pour l'affichage en temps réel des données d'images du tissu cible obtenues dans le module d'imagerie ultrasonore (104), et les paramètres de fonctionnement du module d'ablation d'intervention (100). En utilisant le système d'ablation d'intervention ultrasonore, les médecins peuvent pleinement tirer profit d'informations associées pendant chaque processus d'ablation dans le processus d'ablation d'intervention et manipuler indépendamment l'équipement associé, de manière à améliorer la qualité d'ablation.
PCT/CN2014/077322 2013-11-05 2014-05-13 Système d'ablation d'intervention ultrasonore et procédé de fonctionnement de celui-ci Ceased WO2015067018A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
CN201310542798.8 2013-11-05
CN201310542798.8A CN104605926A (zh) 2013-11-05 2013-11-05 一种超声介入消融系统及其工作方法

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CN115811961A (zh) * 2020-08-04 2023-03-17 深圳迈瑞生物医疗电子股份有限公司 三维显示方法和超声成像系统

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CN111093516B (zh) * 2017-11-21 2023-01-10 深圳迈瑞生物医疗电子股份有限公司 用于规划消融的超声系统及方法
CN111012484A (zh) * 2020-01-06 2020-04-17 南京康友医疗科技有限公司 一种实时消融区域成像系统
WO2022120836A1 (fr) * 2020-12-11 2022-06-16 深圳先进技术研究院 Procédé et appareil de sonoporation irréversible, et support d'enregistrement lisible par ordinateur
CN112631861A (zh) * 2020-12-22 2021-04-09 深圳开立生物医疗科技股份有限公司 一种消融仪监控方法、装置及超声设备和存储介质
CN113842208A (zh) * 2021-09-24 2021-12-28 杭州佳量医疗科技有限公司 一种用于激光消融的显示处理方法和系统
CN113796952B (zh) * 2021-11-18 2022-03-18 北京智愈医疗科技有限公司 一种组织切除系统及其切割参数确定方法
CN114176766A (zh) * 2021-12-30 2022-03-15 南京瑞波医学科技有限公司 一种智能微波消融仪
CN114504378A (zh) * 2022-01-04 2022-05-17 南京航空航天大学 一种集超声影像引导于一体微波消融治疗仪

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CN104605926A (zh) 2015-05-13

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