JP2016512122A - 腹臥位におけるトモシンセシス誘導生検 - Google Patents
腹臥位におけるトモシンセシス誘導生検 Download PDFInfo
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- 238000001574 biopsy Methods 0.000 title claims abstract description 70
- 238000003384 imaging method Methods 0.000 claims abstract description 53
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- NJPPVKZQTLUDBO-UHFFFAOYSA-N novaluron Chemical compound C1=C(Cl)C(OC(F)(F)C(OC(F)(F)F)F)=CC=C1NC(=O)NC(=O)C1=C(F)C=CC=C1F NJPPVKZQTLUDBO-UHFFFAOYSA-N 0.000 claims description 3
- 210000000038 chest Anatomy 0.000 description 42
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- 210000000481 breast Anatomy 0.000 description 7
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- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
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- 206010028980 Neoplasm Diseases 0.000 description 1
- 208000006994 Precancerous Conditions Diseases 0.000 description 1
- 241001201483 Selenia <moth> Species 0.000 description 1
- 238000004458 analytical method Methods 0.000 description 1
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- 238000013421 nuclear magnetic resonance imaging Methods 0.000 description 1
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- 238000002355 open surgical procedure Methods 0.000 description 1
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- 238000002604 ultrasonography Methods 0.000 description 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N5/00—Radiation therapy
- A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
- A61N5/103—Treatment planning systems
- A61N5/1039—Treatment planning systems using functional images, e.g. PET or MRI
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- 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
- A61B90/10—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 for stereotaxic surgery, e.g. frame-based stereotaxis
- A61B90/11—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 for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
- A61B6/02—Arrangements for diagnosis sequentially in different planes; Stereoscopic radiation diagnosis
- A61B6/025—Tomosynthesis
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- A—HUMAN NECESSITIES
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
- A61B6/04—Positioning of patients; Tiltable beds or the like
- A61B6/0407—Supports, e.g. tables or beds, for the body or parts of the body
- A61B6/0414—Supports, e.g. tables or beds, for the body or parts of the body with compression means
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
- A61B6/04—Positioning of patients; Tiltable beds or the like
- A61B6/0407—Supports, e.g. tables or beds, for the body or parts of the body
- A61B6/0435—Supports, e.g. tables or beds, for the body or parts of the body with means for imaging suspended breasts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
- A61B6/50—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment specially adapted for specific body parts; specially adapted for specific clinical applications
- A61B6/502—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment specially adapted for specific body parts; specially adapted for specific clinical applications for diagnosis of breast, i.e. mammography
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
- A61B10/02—Instruments for taking cell samples or for biopsy
- A61B10/0233—Pointed or sharp biopsy instruments
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
- A61B10/02—Instruments for taking cell samples or for biopsy
- A61B10/04—Endoscopic instruments
- A61B2010/045—Needles
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- A—HUMAN NECESSITIES
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
- A61B6/44—Constructional features of apparatus for radiation diagnosis
- A61B6/4429—Constructional features of apparatus for radiation diagnosis related to the mounting of source units and detector units
- A61B6/4452—Constructional features of apparatus for radiation diagnosis related to the mounting of source units and detector units the source unit and the detector unit being able to move relative to each other
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Abstract
Description
本願は、2014年3月13日にPCT国際出願として出願され、米国仮特許出願第61/787,825号(2013年3月15日出願)に対する優先権を主張し、上記出願は、その全体が参照により本明細書に引用される。
Claims (20)
- 腹臥位における患者を支持するための台と、
前記患者の胸部を撮像するために、台の下方に配置されているトモシンセシス撮像システムと、
前記トモシンセシス撮像システムによって撮像される前記患者の胸部から組織サンプルを得るための生検針を位置付けるステージアームアセンブリと
を備えている、装置。 - 前記トモシンセシス撮像システムおよびステージアームアセンブリは、共通回転軸の周りを独立して回転可能である、請求項1に記載の装置。
- 前記トモシンセシス撮像システムおよびステージアームアセンブリは、前記共通回転軸に直交する少なくとも1つの次元において、線形に位置変更可能である、請求項1−2のいずれかに記載の装置。
- 前記トモシンセシス撮像システムおよびステージアームアセンブリは、前記共通回転軸において線形に位置変更可能である、請求項3に記載の装置。
- 台は、開口を含み、前記開口を通して、前記トモシンセシス撮像システムによって撮像される胸部が延びる、請求項4に記載の装置。
- 前記共通回転軸は、前記トモシンセシス撮像システムによって撮像される胸部の中心と整列させられる、請求項5に記載の装置。
- 前記トモシンセシス撮像システムは、少なくとも180度にわたり、前記共通軸の周りを回転可能である、請求項2に記載の装置。
- 前記ステージアームアセンブリは、少なくとも180度にわたり、前記共通軸の周りを独立して回転可能である、請求項7に記載の装置。
- 前記台は、前記共通軸の周りに180度オフセットされた少なくとも2つの位置で前記患者を支持する、請求項8に記載の装置。
- 前記撮像システムは、走査または掃引の間、弧状に移動するレセプターを含む、請求項1に記載の装置。
- 台上に患者を腹臥位に位置付けることと、
前記台の下方に配置されているトモシンセシス撮像システムを用いて、前記患者の胸部を撮像することと、
前記トモシンセシス撮像システムからの情報を使用してステージアームアセンブリを構成することによって、生検針を位置付けることと、
前記トモシンセシス撮像システムによって撮像される前記患者の胸部から組織サンプルを得ることと
を含む、方法。 - 前記トモシンセシス撮像システムおよびステージアームアセンブリは、共通軸の周りを独立して回転可能であり、前記方法は、前記共通軸を前記患者の胸部と整列させることを含む、請求項11に記載の方法。
- 前記撮像システムを撮像のための所定の位置に回転させることを含む、請求項12に記載の方法。
- 前記患者の胸部を圧迫下に置くことを含む、請求項13に記載の方法。
- 撮像情報から着目特徴を識別することを含む、請求項14に記載の方法。
- 前記ステージアームアセンブリを前記組織サンプルを得るための所定の位置に回転させることを含む、請求項15に記載の方法。
- 少なくとも180度にわたり、前記共通軸の周りに前記トモシンセシス撮像システムを回転させることを含む、請求項12に記載の方法。
- 少なくとも180度にわたり、前記共通軸の周りに前記ステージアームアセンブリを回転させることを含む、請求項17に記載の方法。
- 前記台上の前記共通軸の周りに180度オフセットされた少なくとも2つの位置に前記患者を位置付けることを含む、請求項8に記載の方法。
- 走査または掃引の間、前記撮像システムのレセプターを弧状に移動させることを含む、請求項11に記載の方法。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201361787825P | 2013-03-15 | 2013-03-15 | |
US61/787,825 | 2013-03-15 | ||
PCT/US2014/026164 WO2014151646A1 (en) | 2013-03-15 | 2014-03-13 | Tomosynthesis-guided biopsy in prone |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2016512122A true JP2016512122A (ja) | 2016-04-25 |
JP2016512122A5 JP2016512122A5 (ja) | 2017-03-02 |
JP6388347B2 JP6388347B2 (ja) | 2018-09-12 |
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JP2016502068A Active JP6388347B2 (ja) | 2013-03-15 | 2014-03-13 | 腹臥位におけるトモシンセシス誘導生検 |
Country Status (5)
Country | Link |
---|---|
US (4) | US10092358B2 (ja) |
EP (2) | EP2967479B1 (ja) |
JP (1) | JP6388347B2 (ja) |
AU (1) | AU2014233687B2 (ja) |
WO (1) | WO2014151646A1 (ja) |
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JP5554927B2 (ja) | 2006-02-15 | 2014-07-23 | ホロジック, インコーポレイテッド | トモシンセシスシステムを使用した***バイオプシおよびニードル位置特定 |
CN106420066B (zh) | 2009-10-08 | 2020-08-25 | 霍罗吉克公司 | 将穿刺活检组件引导到目标位置的方法及x射线成像*** |
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JP6057922B2 (ja) | 2011-03-08 | 2017-01-11 | ホロジック, インコーポレイテッドHologic, Inc. | スクリーニング、診断及び生検のための二重エネルギー及び/又は造影強化***撮像のためのシステム及び方法 |
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KR101588574B1 (ko) * | 2013-11-06 | 2016-01-26 | 주식회사 레이언스 | 입체정위 생검을 위한 생검 니들 가이딩 장치, 이를 구비한 영상 촬영 장치 및 이를 이용한 생검 채취 방법 |
CN106061389B (zh) | 2014-02-28 | 2019-11-12 | 霍罗吉克公司 | 用于生成和显示断层合成图像板块的***和方法 |
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JP7277053B2 (ja) | 2017-03-30 | 2023-05-18 | ホロジック, インコーポレイテッド | 階層式マルチレベル特徴画像合成および提示のためのシステムおよび方法 |
JP7174710B2 (ja) | 2017-03-30 | 2022-11-17 | ホロジック, インコーポレイテッド | 合成***組織画像を生成するための標的オブジェクト増強のためのシステムおよび方法 |
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