JP2015528342A - アブレーション治療のための超音波体積流量測定 - Google Patents
アブレーション治療のための超音波体積流量測定 Download PDFInfo
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/46—Ultrasonic, sonic or infrasonic diagnostic devices with special arrangements for interfacing with the operator or the patient
- A61B8/467—Ultrasonic, sonic or infrasonic diagnostic devices with special arrangements for interfacing with the operator or the patient characterised by special input means
- A61B8/469—Ultrasonic, sonic or infrasonic diagnostic devices with special arrangements for interfacing with the operator or the patient characterised by special input means for selection of a region of interest
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/06—Measuring blood flow
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/08—Detecting organic movements or changes, e.g. tumours, cysts, swellings
- A61B8/0891—Detecting organic movements or changes, e.g. tumours, cysts, swellings for diagnosis of blood vessels
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B8/48—Diagnostic techniques
- A61B8/488—Diagnostic techniques involving Doppler signals
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- 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
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- 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
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00529—Liver
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- 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
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00577—Ablation
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
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- 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
- A61B2090/364—Correlation of different images or relation of image positions in respect to the body
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/13—Tomography
- A61B8/14—Echo-tomography
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- A—HUMAN NECESSITIES
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- A61B8/52—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/5215—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves involving processing of medical diagnostic data
- A61B8/5238—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves involving processing of medical diagnostic data for combining image data of patient, e.g. merging several images from different acquisition modes into one image
- A61B8/5261—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves involving processing of medical diagnostic data for combining image data of patient, e.g. merging several images from different acquisition modes into one image combining images from different diagnostic modalities, e.g. ultrasound and X-ray
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Abstract
Description
Claims (15)
- 病変部位のアブレーション治療に超音波情報を使用する方法であって、
アブレーションによって治療される病変部位と、病変部位に近接する1つ以上の血管との治療計画画像を取得するステップと、
超音波画像において、アブレーションによって治療される病変部位を特定するステップと、
前記超音波画像内の関心領域に面形状部を置くことによって、病変部位にごく近接する1つ以上の血管を特定するステップと、
前記1つ以上の血管の血流と前記面形状部との交差部分における超音波ドップラーデータを取得することによって、特定された血管の血流から3次元超音波ドップラーデータを取得するステップと、
前記超音波ドップラーデータを使用して、特定された血管内を流れる血液の量を計算するステップと、
特定された血管内を流れる血液の量の熱輸送特性を考慮するアブレーション治療計画を立てるステップと、
を含み、
前記面形状部を置くステップは、前記超音波画像の前記治療計画画像との位置合わせによって得られる血管の位置の知識を使用して、自動的に行われる、方法。 - 3次元超音波ドップラーデータを取得する前記ステップは、特定された血管の血流から3次元超音波ドップラー速度データを取得するステップを更に含む、請求項1に記載の方法。
- 特定された血管内を流れる血液の量を計算する前記ステップは、血管の血流を通る面を描くステップと、前記面の面積全体に亘って流速データを積分するステップと、を更に含む、請求項2に記載の方法。
- 1つ以上の血管を特定する前記ステップは、3次元超音波画像において1つ以上の血管を特定するステップを更に含む、請求項1に記載の方法。
- 1つ以上の血管を特定する前記ステップは、2次元バイプレーン超音波画像において1つ以上の血管を特定するステップを更に含む、請求項1に記載の方法。
- 治療計画画像を取得する前記ステップは、病変部位と病変部位に近接する1つ以上の血管の構造体とのCT画像を取得するステップを更に含み、
面形状部を自動的に置く前記ステップは、超音波基準画像を前記CT画像と自動的に位置合わせするステップを更に含む、請求項1に記載の方法。 - 面形状部を置く前記ステップは、1つ以上の血管を3次元形状と交差させるステップを更に含む、請求項1に記載の方法。
- 面形状部を置く前記ステップは、1つ以上の血管を2次元形状と交差させるステップを更に含む、請求項1に記載の方法。
- アブレーション治療計画を立てる前記ステップは、血管の体積血流量と、特定された病変部位までの血管の近接性とを考慮するアブレーション治療計画を立てるステップを更に含む、請求項1に記載の方法。
- 病変部位のアブレーション治療に超音波情報を使用する方法であって、
超音波画像において、アブレーションによって治療される病変部位を特定するステップと、
病変部位にごく近接する1つ以上の血管を特定するステップと、
特定された血管の血流から3次元超音波ドップラーデータを取得するステップと、
前記3次元超音波ドップラーデータを使用して、特定された血管内を流れる血液の量を計算するステップと、
治療部位のグラフィックディスプレイを修正するために、特定された血管内を流れる血液の量の熱輸送特性を使用するステップと、
を含む、方法。 - 熱輸送特性を使用する前記ステップは、アブレーションデバイスとの関連で、治療部位の前記グラフィックディスプレイを修正するために、特定された血管内を流れる血液の量の前記熱輸送特性を使用するステップを更に含む、請求項10に記載の方法。
- 治療処置の間に前記アブレーションデバイスを追跡するステップを更に含み、
前記アブレーションデバイスとの関連で、治療部位の前記グラフィックディスプレイを修正する前記ステップは、前記アブレーションデバイスが追跡され撮像されるのにつれて、前記アブレーションデバイスの周りの治療部位の前記グラフィックディスプレイを表示するステップを更に含む、請求項11に記載の方法。 - グラフィックディスプレイを修正する前記ステップは、前記熱輸送特性との関連で、治療部位のサイズのグラフィックディスプレイを修正するステップを更に含む、請求項12に記載の方法。
- 非超音波診断画像において、アブレーションによって治療される病変部位を特定するステップと、
前記非超音波診断画像を前記超音波画像と解剖学的に位置合わせするステップと、
を更に含む、請求項10に記載の方法。 - アブレーション治療は、RFアブレーション治療、マイクロ波アブレーション治療、高密度焦点式超音波治療又は冷凍アブレーション治療を更に含む、請求項10に記載の方法。
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US201261696156P | 2012-09-01 | 2012-09-01 | |
US61/696,156 | 2012-09-01 | ||
PCT/IB2013/056585 WO2014033577A1 (en) | 2012-09-01 | 2013-08-12 | Ultrasonic volume flow measurement for ablation therapy |
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JP2015528342A true JP2015528342A (ja) | 2015-09-28 |
JP2015528342A5 JP2015528342A5 (ja) | 2016-06-30 |
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US (1) | US10070846B2 (ja) |
EP (1) | EP2890302B1 (ja) |
JP (1) | JP6088653B2 (ja) |
CN (1) | CN104822326B (ja) |
BR (1) | BR112015004443A2 (ja) |
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CN115944392A (zh) * | 2017-11-21 | 2023-04-11 | 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***及方法 |
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BR112015004443A2 (pt) | 2017-07-04 |
CN104822326A (zh) | 2015-08-05 |
WO2014033577A1 (en) | 2014-03-06 |
EP2890302B1 (en) | 2016-08-10 |
RU2015111740A (ru) | 2016-10-20 |
EP2890302A1 (en) | 2015-07-08 |
US20150223779A1 (en) | 2015-08-13 |
US10070846B2 (en) | 2018-09-11 |
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