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    • 6. 发明申请
    • ELECTROMAGNETIC POSE SENSING OF HDR BRACHYTHERAPY APPLICATOR
    • HDR无线电应用器的电磁感测
    • WO2009053897A1
    • 2009-04-30
    • PCT/IB2008/054318
    • 2008-10-20
    • KONINKLIJKE PHILIPS ELECTRONICS, N.V.SHECHTER, Guy
    • SHECHTER, Guy
    • A61N5/10
    • A61N5/1015
    • An implantable applicator (10) has at least one guide channel (12) for guiding a radioactive seed or source (66) to a target region. A plurality of imageable fiducials (40) are configured for attachment to the patient adjacent the target region. Electromagnetic sensors (18, 20, 22, 20', 42) are mounted to the applicator and the imageable fiducials. An electromagnetic tracking system determines the relative position of the applicator mounted sensors (18, 20, 22, 20') and the fiducial mounted sensors (42). A localizing processor (52) generates a map of the sensors which is combined (56) with a high resolution image (46). A comparing processor (70) monitors for changes in sensor positions, generates a movement correction transform (72) which transforms (74) the planning image into a transformed planning image (76). A brachytherapy treatment processor (60) generates a treatment plan (60a) from the planning image or the transformed planning image for controlling an auto-loader (64) which moves the radioactive source or seed (66) through the channels (12) of the applicator (10).
    • 可植入施用器(10)具有用于将放射性种子或源(66)引导到目标区域的至少一个引导通道(12)。 多个可成像的基准(40)被配置为附接到邻近目标区域的患者。 电磁传感器(18,20,22,20',42)安装到施加器和可成像的基准点上。 电磁跟踪系统确定施加器安装的传感器(18,20,22,20')和基准安装的传感器(42)的相对位置。 本地化处理器(52)生成与高分辨率图像(46)组合(56)的传感器的图。 比较处理器(70)监视传感器位置的变化,生成将规划图像变换为变换后的规划图像(76)的运动校正变换(72)。 近程放射治疗处理器(60)从规划图像或变换后的规划图像生成治疗计划(60a),用于控制自动装载器(64),该自动装载机(64)通过所述放射源或种子(66)的通道(12)移动放射源或种子 涂抹器(10)。
    • 9. 发明申请
    • METHOD AND APPARATUS FOR POSITIONAL TRACKING OF A THERAPEUTIC ULTRASOUND TRANSDUCER
    • 用于治疗超声波传感器的位置跟踪的方法和装置
    • WO2009063421A1
    • 2009-05-22
    • PCT/IB2008/054767
    • 2008-11-13
    • KONINKLIJKE PHILIPS ELECTRONICS, N.V.HALL, Christopher, StephenCHIN, Chien, TingRAJU, BalasundaraSHI, William, TaoSHECHTER, Guy
    • HALL, Christopher, StephenCHIN, Chien, TingRAJU, BalasundaraSHI, William, TaoSHECHTER, Guy
    • A61N7/02A61B19/00
    • A61N7/02A61B34/20A61B34/25A61B2017/00123A61B2090/372A61M37/0092A61N2007/0008
    • A therapeutic ultrasound tracking system (10) includes a first and second plurality of tracking elements ((14, 16, 18),(20,22,24)), a tracking generator (26), and a system controller (28). The first plurality of tracking elements (14, 16, 18) is disposed in a first position and orientation with respect to each another and with respect to an energy emission surface (30) of a therapeutic ultrasound probe (12). The second plurality of tracking elements (20,22,24) is adapted to be coupled to a patient (42) in a second position and orientation with respect to each other and with respect to a target region of the patient which is to receive a therapeutic treatment. The tracking generator (26) emits tracking energy for use in connection with the first and second plurality of tracking elements. The system controller (28) detects whether the probe (12) is positioned within an allowable position and orientation with respect to the target region, and (i) responsive to detecting the probe being within the allowable position and orientation, the system controller enables an energization of the probe to perform one of (i)(a) commence the therapeutic treatment and (i)(b) continue the therapeutic treatment, and (ii) responsive to not detecting the probe being within the allowable position and orientation, the system controller disables the energization of the probe for the therapeutic treatment.
    • 治疗性超声跟踪系统(10)包括第一和第二多个跟踪元件((14,16,18),(20,22,24)),跟踪发生器(26)和系统控制器(28)。 第一组多个跟踪元件(14,16,18)相对于彼此并且相对于治疗性超声波探头(12)的能量发射表面(30)设置在第一位置和方向上。 第二组多个跟踪元件(20,22,24)适于以相对于彼此并且相对于要接收患者的目标区域的第二位置和取向联接到患者(42) 治疗方法。 跟踪发生器(26)发射用于与第一和第二多个跟踪元件结合使用的跟踪能量。 系统控制器(28)检测探头(12)是否位于相对于目标区域的允许位置和方位之内,以及(i)响应于探测器在允许的位置和方向上的检测,系统控制器 (i)(a)中的一个的通电开始治疗处理,(i)(b)继续治疗,以及(ii)响应于不检测探针在允许的位置和方向内,系统 控制器禁用用于治疗治疗的探针通电。