CN1853737A - Method for positioning radioactive treatment - Google Patents

Method for positioning radioactive treatment Download PDF

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Publication number
CN1853737A
CN1853737A CNA2005100646005A CN200510064600A CN1853737A CN 1853737 A CN1853737 A CN 1853737A CN A2005100646005 A CNA2005100646005 A CN A2005100646005A CN 200510064600 A CN200510064600 A CN 200510064600A CN 1853737 A CN1853737 A CN 1853737A
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China
Prior art keywords
image
positioner
center
focus
radiocurable
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CNA2005100646005A
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CN100484591C (en
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史荣
谢虎臣
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BEIJING DAHENG MEDICAL EQUIPMENT Co Ltd
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Individual
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Publication of CN100484591C publication Critical patent/CN100484591C/en
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  • Radiation-Therapy Devices (AREA)
  • Magnetic Resonance Imaging Apparatus (AREA)

Abstract

A location method for the radiotherapy includes such steps as arranging a locator able to generate image marker close to the focus to be treated, image scanning to obtain the focus image sequence on each layer, judging the center of said locator according to the image markers of focus, determining the position difference between the centers of locator and focus, and moving the body of patient for aligning the laser beam center of therapeutic apparatus with the center of locator.

Description

A kind of radiocurable localization method
Technical field
The present invention relates to a kind of radiocurable localization method, be meant a kind of radiocurable localization method that is used for tumor especially.
Background technology
The stage that tumour radiotherapy has developed into accurate radiotherapy by common radiotherapy or conventional radiotheraphy.Accurate radiotherapy comprises three aspect implications: (1) is the location accurately; (2) accurately plan; (3) accurate treatment, basis wherein are accurate location.Location technology is exactly accurately to determine the position such as centre coordinate such as grade of irradiation tumor, by setting up three-dimensional cartesian coordinate system on one's body the patient, thereby reach the isocentric purpose of accurately determining and represent the plan of the big or small spatial distribution of tumor and irradiation tumor with rectangular coordinate, thereby realize that according to the centre coordinate that waits that calculates tumor irradiation plan reaches the purpose of accurate treatment.Positioning accuracy is 1 millimeter, i.e. the precision of medical image (as CT).
Localization method adopts the framework location usually at present, determines patient's knub position with a framework with fixed coordinates initial point mark three dimensional space coordinate, thereby realizes the accurate irradiation treatment of tumor; Weak point is: (1) can not make full use of the scanning area of medical imaging device (as CT), and its consequence is that the bigger and fat patient of some bodily forms can not locate with the method; (2) cost of positioning framework is higher relatively; (3) operation relatively bothers.
Summary of the invention
Technical problem to be solved by this invention is to avoid above-mentioned deficiency of the prior art, and proposes a kind of frameless accurate location, radiocurable localization method simple to operate.
Technical scheme provided by the present invention is: a kind of radiocurable localization method, and this localization method includes following steps:
Near need radiotherapy lesions position, the positioner that can form the image labelling is set;
Carry out image scan, obtain corresponding each layer focus image sequence;
According to focus image labelling, in each image bearing layer, judge the center of positioner:
When a. showing two labelling bright spots, the centre that is centered close to image bearing layer of positioner;
When b. showing a labelling bright spot, being centered close on the image bearing layer of positioner;
Determine the potential difference in the center and the focus centre of positioner;
Utilize the laser rays centrally aligned positioner center of therapeutic equipments, come mobile patient according to above-mentioned potential difference again, make the laser rays center overlap with the focus centre, promptly determining needs radiocurable position.
Further, described positioner is three transposition boards, is separately positioned on lesions position neighbouring both sides and top.
Further, described image scan is CT image or nuclear magnetic resonance image.
Further, described therapeutic equipments be linear accelerator or 60The Co therapy apparatus.
The present invention has following advantage: make full use of the scanning area of medical imaging device (as CT, MRI), the position of accurately orienting focus; Do not adopt frame structure, reduced the cost of treatment, and the whole operation process is simple relatively, be convenient to grasp.
Description of drawings
Fig. 1 is a flow chart of the present invention.
The specific embodiment
Below in conjunction with description of drawings the specific embodiment of the present invention.
As scheme a kind of radiocurable localization method, this localization method includes following steps:
Near need radiotherapy lesions position, the positioner that can form the image labelling is set: three transposition boards are separately positioned on lesions position neighbouring both sides and top;
Carry out image (CT or nuclear magnetic resonance image) scanning, obtain corresponding each layer focus image sequence;
According to focus image labelling, in each image bearing layer, judge the center of positioner:
When a. showing two labelling bright spots, the centre that is centered close to image bearing layer of positioner;
When b. showing a labelling bright spot, being centered close on the image bearing layer of positioner;
Determine the potential difference in the center and the focus centre of positioner;
Utilize therapeutic equipments (linear accelerator or 60The Co therapy apparatus) mobile patient is come according to above-mentioned potential difference again in laser rays centrally aligned positioner center, makes the laser rays center overlap with the focus centre, and promptly determining needs radiocurable position.
Utilize three transposition boards of positioner to set up a rectangular coordinate system on one's body, reach pinpoint purpose the patient.Three transposition boards of positioner are laid one at the body surface overhead, and both sides are respectively placed one.(be called for short: three laser lighting lines MRI) (one of overhead, each one of both sides are in same vertical plane) central lines with CT or nuclear magnetic resonance image respectively in three cross points of three transposition boards.Have two cross-wires lines on each transposition board, be also referred to as magic cross hairs.This specification requirement intersects the center, the as close as possible target area of zero of magic cross.During the location, in the image chamber of CT or MRI by laser lamp, make an one metal wire or the thin plastic tube of each magic cross (use thin plastic tube among the MRI, irritate in it MRI imaging solution arranged) overlap with the one laser rays, another laser rays is crossed the intersection point of magic cross, be fixed on then on patient's film or the body film, also can directly place be fixed on the epidermis or the fixed body frame on.Note center, the as close as possible target area of the zero of magic cross.Next step is with the place origin position of special-purpose ink or greasepaint labelling evil spirit cross.Scan patient then.
On CT or MRI tomoscan image, each transposition board will show 1~2 bright spot.If each has only a bright spot to represent that this image bearing layer is crossed the center of magic cross on certain image bearing layer; Represent that the zero of magic cross navigation system is between two image bearing layers if there are two bright spots.
On image, lay a launched field, changing launched field centre coordinate z coordinate makes the bright spot of magic cross become one, revising launched field x makes the horizontal line of launched field overlap with the magic target cross point of left and right sides with the y coordinate, the 3rd magic cross of centrage overlaps, and at this moment the center of launched field is exactly the zero of magic cross navigation system.
Since magic cross coordinate system etc. the center with respect to coordinate systems in image, the plan that on image, is provided with etc. the center also with respect to the image coordinate system.Because they unite based on the same coordinate system, thus radiotherapy planning etc. the center be equivalent to magic cross positioning coordinate system and only need do the coordinate translation conversion and just can realize.Can obtain under magic cross navigation system, being equivalent to magic cross zero (x, y, the deviant of each coordinate z) thus.
As linear accelerator or 60Pendulum position in the therapeutic rooms such as Co therapy apparatus, at first find the initial point of magic cross navigation system: only need with linear accelerator or 60Laser center indicatrix on the Co therapy apparatus is aimed at magic cross (repeating image location work), and zero finds like this.Then by the side-play amount of center (focus center) such as irradiation in the treatment plan report and initial point, the bed at mobile patient or patient place.The isocentric position of therapeutic equipment is exactly the isocentric position of calculated irradiation like this.Checking then, treatment.

Claims (4)

1, a kind of radiocurable localization method, this localization method includes following steps:
Near need radiotherapy lesions position, the positioner that can form the image labelling is set;
Carry out image scan, obtain corresponding each layer focus image sequence;
According to focus image labelling, in each image bearing layer, judge the center of positioner:
When a. showing two labelling bright spots, the centre that is centered close to image bearing layer of positioner;
When b. showing a labelling bright spot, being centered close on the image bearing layer of positioner;
Determine the potential difference in the center and the focus centre of positioner;
Utilize the laser rays centrally aligned positioner center of therapeutic equipments, come mobile patient according to above-mentioned potential difference again, make the laser rays center overlap with the focus centre, promptly determining needs radiocurable position.
2, radiocurable localization method according to claim 1 is characterized in that: described positioner is three transposition boards, is separately positioned on lesions position neighbouring both sides and top.
3, radiocurable localization method according to claim 1 is characterized in that: described image scan is CT image or nuclear magnetic resonance image.
4, radiocurable localization method according to claim 1 is characterized in that: described therapeutic equipments be linear accelerator or 60The Co therapy apparatus.
CNB2005100646005A 2005-04-18 2005-04-18 Method for positioning radioactive treatment Expired - Fee Related CN100484591C (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CNB2005100646005A CN100484591C (en) 2005-04-18 2005-04-18 Method for positioning radioactive treatment

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Application Number Priority Date Filing Date Title
CNB2005100646005A CN100484591C (en) 2005-04-18 2005-04-18 Method for positioning radioactive treatment

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CN1853737A true CN1853737A (en) 2006-11-01
CN100484591C CN100484591C (en) 2009-05-06

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Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102049106A (en) * 2010-12-14 2011-05-11 张岩 Precise image positioning system and method of radiotherapy system of interfractionated radiotherapy
CN102921114A (en) * 2012-10-09 2013-02-13 重庆同康骨科医院有限公司 Three-dimensional positioning method
CN104324447A (en) * 2013-07-23 2015-02-04 江苏富科思科技有限公司 Method for accurately locking isocenter
CN104349739A (en) * 2012-03-29 2015-02-11 菲亚戈股份有限公司 Medical navigation system with wirelessly connected, touch-sensitive screen
CN106621078A (en) * 2017-03-09 2017-05-10 苏州大学附属第二医院 Laser positioning system and system used for radiation therapy
CN108852400A (en) * 2018-07-02 2018-11-23 沈阳东软医疗***有限公司 A kind of method and device for realizing therapeutic community's location verification
WO2019019188A1 (en) * 2017-07-28 2019-01-31 西安大医集团有限公司 Tumor tracking method and device and storage medium

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE102011119073A1 (en) * 2011-11-15 2013-05-16 Fiagon Gmbh Registration method, position detection system and scanning instrument

Cited By (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102049106B (en) * 2010-12-14 2012-07-25 张岩 Precise image positioning system and method of radiotherapy system of interfractionated radiotherapy
CN102049106A (en) * 2010-12-14 2011-05-11 张岩 Precise image positioning system and method of radiotherapy system of interfractionated radiotherapy
CN104349739A (en) * 2012-03-29 2015-02-11 菲亚戈股份有限公司 Medical navigation system with wirelessly connected, touch-sensitive screen
CN102921114A (en) * 2012-10-09 2013-02-13 重庆同康骨科医院有限公司 Three-dimensional positioning method
CN102921114B (en) * 2012-10-09 2016-08-24 重庆同康骨科医院有限公司 A kind of 3-D positioning method
CN104324447B (en) * 2013-07-23 2017-10-20 江苏富科思科技有限公司 A kind of isocentric method of accurate lock
CN104324447A (en) * 2013-07-23 2015-02-04 江苏富科思科技有限公司 Method for accurately locking isocenter
CN106621078A (en) * 2017-03-09 2017-05-10 苏州大学附属第二医院 Laser positioning system and system used for radiation therapy
CN106621078B (en) * 2017-03-09 2023-05-23 苏州大学附属第二医院 Laser positioning system and positioning method for radiotherapy
WO2019019188A1 (en) * 2017-07-28 2019-01-31 西安大医集团有限公司 Tumor tracking method and device and storage medium
US11132798B2 (en) 2017-07-28 2021-09-28 Our United Corporation Tumor tracking method and device, and storage medium
CN108852400A (en) * 2018-07-02 2018-11-23 沈阳东软医疗***有限公司 A kind of method and device for realizing therapeutic community's location verification
CN108852400B (en) * 2018-07-02 2022-02-18 东软医疗***股份有限公司 Method and device for realizing position verification of treatment center

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