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CN105448170B - A kind of imitative body Model including tree-shaped pipeline configuration - Google Patents

A kind of imitative body Model including tree-shaped pipeline configuration Download PDF

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CN105448170B
CN105448170B CN201410409173.9A CN201410409173A CN105448170B CN 105448170 B CN105448170 B CN 105448170B CN 201410409173 A CN201410409173 A CN 201410409173A CN 105448170 B CN105448170 B CN 105448170B
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贺需旗
李凯
郑荣琴
李柳军
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Third Affiliated Hospital Sun Yat Sen University
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Abstract

本发明属于医疗卫生领域,涉及一种仿体模型,尤其涉及一种内含树状管道结构的仿体模型,本发明的仿体模型,包括周边组织胶体模型和空心管道模型,所述的空心管道模型为直接形成于周边组织胶体模型内部的管道,与周边组织胶之间不存在分隔膜或分隔壁。该模型具有透声性好的优点,有效保证了声像图的质量,可有效模拟人体内(例如肝脏)的重要管道结构,获取更好的仿真性,使模型的使用范围更广,可作为消融技术计划时的标志结构,还可用于腔道造影技术的训练与培训。

The invention belongs to the field of medical and health care, and relates to a phantom model, in particular to a phantom model containing a tree-like pipe structure. The phantom model of the present invention includes a colloidal model of surrounding tissues and a hollow pipe model. The pipeline model is a pipeline formed directly inside the surrounding tissue colloid model, and there is no separation membrane or partition wall between it and the surrounding tissue glue. The model has the advantage of good sound permeability, effectively guarantees the quality of the sonogram, can effectively simulate the important pipeline structure in the human body (such as the liver), obtains better simulation performance, and makes the model more widely used, and can be used as The landmark structure during the planning of the ablation technique can also be used for the training and training of the cavity radiography technique.

Description

一种内含树状管道结构的仿体模型A phantom model with a tree-like pipeline structure

技术领域technical field

本发明属于医疗卫生领域,涉及一种仿体模型,具体地说,涉及一种用以模拟人体血管树状结构的仿体模型。The invention belongs to the medical and health field, and relates to a phantom model, in particular to a phantom model for simulating the tree structure of human blood vessels.

背景技术Background technique

仿组织模型是介入超声技术的学习与训练中关键而常用的工具。然而,目前用于模仿人体血管树结构的仿体模型及其实现技术仍非常有限。在模仿人体血管周边组织方面,由于超声在卡拉胶胶体中的传播速度较为接近人体真实情况,因此常采用卡拉胶作为模型材料。而在模仿人体血管方面,由于人体血管内的声像图表现为无回声,因此可以采用无回声的实体材料包埋于周边组织胶之内,然而,此时的血管模型实际上是实心的,与人体实际情况不符,也难以在必要时于血管模型中进行填充特定物质进行研究。另一种方式是将空心管道包埋于周边组织胶之内,此时模拟血管内部的空心管道与周边组织胶之间有一层管道壁,虽然这样的模型更接近于实际情况(人体也存在血管壁),然而,发明人发现目前所采用的材料所模拟的管道壁会影响超声穿透性,影响管道内的声像图质量。The imitation tissue model is a key and commonly used tool in the learning and training of interventional ultrasound technology. However, the phantom model and its realization technology for imitating the human vascular tree structure are still very limited. In terms of imitating the surrounding tissues of human blood vessels, because the propagation speed of ultrasound in carrageenan colloid is closer to the real situation of the human body, carrageenan is often used as a model material. In terms of imitating human blood vessels, since the sonogram in the human blood vessels is anechoic, an anechoic solid material can be used to embed in the surrounding tissue glue. However, the blood vessel model at this time is actually solid. It is inconsistent with the actual situation of the human body, and it is also difficult to fill specific substances in the blood vessel model for research when necessary. Another way is to embed the hollow pipe in the surrounding tissue glue. At this time, there is a layer of pipe wall between the hollow pipe inside the simulated blood vessel and the surrounding tissue glue, although this model is closer to the actual situation (there are also blood vessels in the human body. wall), however, the inventors found that the pipe wall simulated by the currently used materials will affect the ultrasound penetration and affect the quality of the acoustic image in the pipe.

发明内容Contents of the invention

本发明目的之一在于提供一种新型的模拟人体血管或胆管的仿体模型。One of the objects of the present invention is to provide a novel phantom model for simulating human blood vessels or bile ducts.

本发明目的之二在于提供一种新型的模拟人体血管树状结构的仿体模型。The second object of the present invention is to provide a novel phantom model for simulating the tree structure of human blood vessels.

本发明目的之三在于提供上述仿体模型的制备方法。The third object of the present invention is to provide a method for preparing the above phantom model.

发明通过以下技术实现上述目的:The invention achieves the above object through the following technologies:

发明提供了一种仿体模型,包括周边组织胶体模型和空心管道模型,所述的空心管道模型为直接形成于周边组织胶体模型内部的管道,与周边组织胶之间不存在分隔膜或分隔壁。The invention provides a phantom model, including a peripheral tissue colloid model and a hollow pipe model, the hollow pipe model is a pipe directly formed inside the surrounding tissue colloid model, and there is no separation membrane or partition wall between the surrounding tissue glue .

周边组织胶(基质材料)含有琼脂糖、琼脂、魔芋胶、卡拉胶、明胶中的一种或多种。Peripheral tissue glue (matrix material) contains one or more of agarose, agar, konjac gum, carrageenan, and gelatin.

发明人发现,该种模型尽管不存在模仿血管壁的管道壁/膜,但是该模型在超声训练中能清晰显示管道内部情况,不会产生管道壁材料所引起的超声衰减现象。The inventors found that although the model does not have the pipe wall/membrane imitating the blood vessel wall, the model can clearly display the internal conditions of the pipe during ultrasound training, and will not produce ultrasonic attenuation caused by the pipe wall material.

优选地,所述的仿体模型中的空心管道为两级或多级分支的空心管道。此时仿体模型内含树状空腔管道,可用于模拟人体(肝脏)血管或胆管,目前市面上尚未发现内含树状空腔管道的仿体模型,人体血管的模拟多采用实心管状物质,仿真度不高,应用范围窄。本仿体模型内含树状空腔管道结构,超声表现为树状的无回声结构,具有透声性好的优点,有效保证了声像图的质量,可有效模拟人体内(肝脏)的重要管道结构,可作为消融技术计划时的标志结构,还可用于腔道造影技术的训练与培训。也可作为图像配准时的配准标志,特别适用于最近出现的基于三维超声-超声的图像配准的新技术(该技术通过提取模型内的无回声管道结构进行图像配准,其他仿体模型难以取代)。Preferably, the hollow pipe in the phantom model is a hollow pipe with two or more branches. At this time, the phantom model contains tree-shaped cavity pipes, which can be used to simulate human (liver) blood vessels or bile ducts. At present, no phantom model containing tree-like cavity pipes has been found on the market. The simulation of human blood vessels mostly uses solid tubular substances , the degree of simulation is not high, and the application range is narrow. This phantom model contains a tree-like cavity pipe structure, and the ultrasonic performance is a tree-like anechoic structure, which has the advantages of good sound permeability, effectively guarantees the quality of the sonogram, and can effectively simulate the important organs in the human body (liver). The pipeline structure can be used as a landmark structure during ablation technique planning, and can also be used for training and training of cavity angiography techniques. It can also be used as a registration mark in image registration, especially suitable for the recent new technology of image registration based on three-dimensional ultrasound-ultrasound (this technology performs image registration by extracting the anechoic pipeline structure in the model, other phantom models difficult to replace).

优选地,本发明的周边组织胶采用琼脂糖或琼脂为主要原料。尽管目前的超声仿体模型的基质材料通常采用卡拉胶作为主要原料,然而,在本发明中,发明人发现最优的材料为琼脂糖或琼脂。Preferably, the peripheral tissue glue of the present invention uses agarose or agar as the main raw material. Although the matrix material of the current ultrasonic phantom model usually uses carrageenan as the main raw material, however, in the present invention, the inventors found that the optimal material is agarose or agar.

尽管作为可选的材料,魔芋胶、卡拉胶、明胶可用来作为基质材料。然而,在本发明中,发明人尝试了多种基质材料,除了琼脂糖和琼脂在各方面性能均适用之外,魔芋胶、卡拉胶、明胶的效果则差强人意。这是因为:Although as optional materials, konjac gum, carrageenan, gelatin can be used as matrix material. However, in the present invention, the inventor has tried a variety of matrix materials, except that agarose and agar are applicable in all aspects, but the effects of konjac gum, carrageenan, and gelatin are not satisfactory. This is because:

本发明模拟血管/胆管等管道的模型是空心的且与基质胶(周边组织胶)之间没有分隔材料,因此,要求改模型的制作优选至少符合两个条件:1.基质胶具有合适的硬度/边缘完整性,易于制成空心管道模型;2.模型置于水体中时,基质胶具有较高的稳定性,保持边缘的完整性,不易变钝。在对比了多种材料之后,发明人发现采用琼脂糖或琼脂作为原料制作周边组织胶时,效果远远优越于其他材料。其可以有利于制作过程的顺利操作以形成表面光滑的空心管道,同时所成型的模型在置于水中较长时间后仍能保持稳定性,空心管道不变形,边缘不易变钝。而魔芋胶、卡拉胶、明胶效果次之,或者存在不能稳定获得表面光滑的空心管道问题(管道模具在抽离时粘附了部分基质胶);或者模型浸泡于水中时稳定性不高,浸泡水后胶体膨胀变形;或者放置于空气中水份析出较快,使胶体变形。The present invention simulates the model of pipelines such as blood vessels/bile ducts to be hollow and has no separating material between the matrigel (peripheral tissue glue). Therefore, it is required that the making of the modified model preferably meets two conditions at least: 1. the matrigel has suitable hardness /Edge integrity, easy to make hollow pipe model; 2. When the model is placed in water body, Matrigel has high stability, maintains the integrity of the edge, and is not easy to become blunt. After comparing various materials, the inventors found that when agarose or agar was used as raw material to make peripheral tissue glue, the effect was far superior to other materials. It can facilitate the smooth operation of the manufacturing process to form a hollow pipe with a smooth surface. At the same time, the formed model can still maintain stability after being placed in water for a long time, the hollow pipe is not deformed, and the edges are not easy to become blunt. However, konjac gum, carrageenan, and gelatin are less effective, or there is a problem that the hollow pipe with a smooth surface cannot be obtained stably (part of the matrix gel is adhered to the pipe mold when it is pulled out); or the stability of the model is not high when soaked in water. The colloid swells and deforms after being exposed to water; or the moisture precipitates out quickly when placed in the air, causing the colloid to deform.

通过图5的管道剖面照片反光效果可以较为直观地看出这种区别,图5A为基质材料选用琼脂时的管道照片,由反光效果可知表面光滑,琼脂糖的效果与其类似,而图5B则是采用了其他基质材料的效果,由反光效果可知管道表面凹凸不光滑。This difference can be seen more intuitively through the reflective effect of the pipeline section photo in Figure 5. Figure 5A is the pipeline photo when agar is used as the matrix material. It can be seen from the reflective effect that the surface is smooth, and the effect of agarose is similar to it. The effect of other matrix materials is used, and the reflection effect shows that the surface of the pipe is not smooth.

而耐水稳定性的效果可以通过浸泡后的管道剖面照片体现。图6显示了浸泡之后的管道剖面照片,A为琼脂基质,在浸泡24小时之后,管道各段的直径仍然很好的均匀度,管道表面光滑;B为卡拉胶基质,浸泡6小时之后,管道各段的直径不均匀,表面欠光滑;图C为琼脂糖基质,浸泡24小时候,表面仍保持光滑,管道直径均匀度基本保持。The effect of water resistance and stability can be reflected by the section photos of the pipeline after soaking. Figure 6 shows the cross-sectional photos of the pipeline after soaking. A is the agar matrix. After soaking for 24 hours, the diameter of each section of the pipeline is still very good, and the surface of the pipeline is smooth; B is the carrageenan matrix. After soaking for 6 hours, the pipeline The diameter of each section is uneven, and the surface is not smooth; Figure C is the agarose matrix, after soaking for 24 hours, the surface is still smooth, and the uniformity of the pipe diameter is basically maintained.

更优选地,所述的周边组织胶由琼脂糖-盐水溶液或琼脂-盐水溶液制成,所述的琼脂糖/琼脂与盐水溶液的质量比2:66~110。盐水溶液可以优选为0.1-3.0%w/w盐水溶液;更优选为0.9%生理盐水。More preferably, the peripheral tissue glue is made of agarose-saline solution or agar-saline solution, and the mass ratio of agarose/agar to saline solution is 2:66-110. The saline solution may preferably be 0.1-3.0% w/w saline solution; more preferably 0.9% physiological saline.

此时,为了调节周边组织胶的超声的回声强度,可以优选在周边组织胶中添加胃窗超声造影剂;所述的琼脂糖和胃窗超声造影剂的质量比为4:1~3。At this time, in order to adjust the ultrasound echo intensity of the peripheral tissue glue, it is preferable to add a gastric window ultrasound contrast agent to the peripheral tissue glue; the mass ratio of the agarose to the gastric window ultrasound contrast agent is 4:1-3.

作为一种可选的方案,仿体模型还可进一步包括肿瘤胶体模型和/或水囊模型。仿体模型内含肿瘤胶体模型,肿瘤胶体可以含有胶体原料(可选自琼脂、琼脂糖、卡拉胶、魔芋胶、明胶中的一种或多种)和胃窗超声造影剂,质量比为2:3~5,在超声上表现为高回声,易于分辨。在超声介入技术训练时可作为一种介入穿刺目标;在肿瘤热消融技术训练时,可作为消融或计划目标;在图像配准技术培训时,可作为一种标志结构。仿体模型内含的水囊模型,超声表现为无回声,可用于模拟人体胆囊,或胃肠道等重要结构。在肿瘤热消融计划制定时应避免损伤肿瘤周边重要结构,仿体模型内的水囊即起到模拟肿瘤周边重要结构的作用。在进行图像配准技术培训时,还可作为图像配准时的标志结构。As an optional solution, the phantom model may further include a tumor colloid model and/or a water sac model. The phantom model contains a tumor colloid model, and the tumor colloid can contain colloid raw materials (one or more of agar, agarose, carrageenan, konjac gum, and gelatin) and gastric window ultrasound contrast agent, with a mass ratio of 2 : 3-5, hyperechoic on ultrasound, easy to distinguish. It can be used as an interventional puncture target in the training of ultrasonic interventional technology; it can be used as an ablation or planning target in the training of tumor thermal ablation technology; it can be used as a landmark structure in the training of image registration technology. The water bladder model contained in the phantom model has no echo in ultrasound, and can be used to simulate important structures such as human gallbladder or gastrointestinal tract. When formulating a tumor thermal ablation plan, damage to important structures around the tumor should be avoided. The water bladder in the phantom model can simulate the important structures around the tumor. It can also be used as a landmark structure for image registration during image registration technical training.

发明同时提供了仿体模型的制备方法,其特征在于包括以下步骤:The invention also provides a method for preparing a phantom model, which is characterized in that it includes the following steps:

(1)选用硬度50~80,回弹性48~55的棒状或管状材料作为管道模具;(1) Select a rod-shaped or tubular material with a hardness of 50-80 and a resilience of 48-55 as the pipe mold;

(2)将琼脂糖、琼脂、魔芋粉、卡拉胶、明胶中的一种或多种与0.1~3.0%w/w盐水溶液按质量比2:66~110加热混合溶解,成为周边组织胶溶液;(2) Heat, mix and dissolve one or more of agarose, agar, konjac flour, carrageenan, and gelatin with 0.1-3.0% w/w saline solution at a mass ratio of 2:66-110 to form a peripheral tissue gel solution ;

(3)周边组织胶溶液包埋管道模具并冷却凝固,成为包埋有管道模具的周边组织胶;(3) The surrounding tissue glue solution embeds the pipeline mold and cools and solidifies to become the surrounding tissue glue embedded with the pipeline mold;

(4)将管道模具从周边组织胶中抽离出来,成为内含有空心管道的仿体模型。(4) The pipeline mold is pulled out from the surrounding tissue glue to become a phantom model containing a hollow pipeline.

上述步骤(2)中,更优选的基质胶材料选择为琼脂糖或琼脂。In the above step (2), the more preferred Matrigel material is agarose or agar.

发明人发现,周边组织胶溶液(例如琼脂糖溶液、琼脂溶液)的浓度对制备过程及所成型的模型也有较为重要的影响,周边组织胶溶液会影响模型的硬度和胶体凝固速度,从而影响成型效果和回声均匀性。以琼脂糖为例,琼脂糖与盐水的比例小于2:110时,凝固后胶体的硬度过软,在后续之作过程中(管道模具的抽离过程中)模型容易磨碎或形成不光滑的管道弧面;当琼脂糖与盐水的比例大于2:66时,凝固后胶体的硬度较硬,同时凝固速度较快,不仅浪费胶体,且在模型浇铸过程中有可能导致模型的回声不均匀。发明人发现琼脂糖与盐水质量比2:66~110时,胶体硬度适中,凝固速度适中,有利于保持模型回声的均匀性,管道模型易于顺利地抽离出来,且保持所形成的空心管道具有光滑的弧面。The inventors have found that the concentration of the surrounding tissue glue solution (such as agarose solution, agar solution) also has a relatively important impact on the preparation process and the formed model, and the surrounding tissue glue solution will affect the hardness and colloidal solidification speed of the model, thereby affecting the molding process. Effects and echo uniformity. Taking agarose as an example, when the ratio of agarose to saline is less than 2:110, the hardness of the colloid after solidification is too soft, and the model is easy to grind or form a rough surface in the subsequent process (during the extraction process of the pipeline mold). Pipe curved surface; when the ratio of agarose to saline is greater than 2:66, the hardness of the colloid after solidification is relatively hard, and at the same time the solidification speed is fast, which not only wastes the colloid, but also may cause uneven echoes of the model during the casting process. The inventor found that when the mass ratio of agarose to saline is 2:66-110, the hardness of the colloid is moderate and the solidification speed is moderate, which is conducive to maintaining the uniformity of the model echo, the pipeline model is easy to be pulled out smoothly, and the formed hollow pipeline has Smooth camber.

优选地,步骤(4)所述的冷却是周边组织胶溶液的温度由60-70℃开始冷却。之所以优选地控制冷却的起始温度,是因为模型灌注成型阶段温度的控制,在将各结构固定在浇铸模具后,灌注周边组织胶溶液时,温度不宜过高(过高导致仿体模型成型慢,进一步导致仿体模型的回声均匀性难以保障,且肿瘤模型融化风险高),也不宜过低,过低导致基质胶在灌注时成结块状,仿体模型均匀性不能保障,宜维持温度在60-70℃左右。Preferably, the cooling described in step (4) is that the temperature of the peripheral tissue glue solution starts to cool from 60-70°C. The reason why the initial temperature of cooling is preferably controlled is because of the control of the temperature in the model perfusion molding stage. After each structure is fixed on the casting mold, when the surrounding tissue glue solution is poured, the temperature should not be too high (too high will cause the phantom model to be formed. slow, which will further lead to difficulty in guaranteeing the homogeneity of the echo of the phantom model, and the risk of tumor model melting is high), and it should not be too low. Too low will cause the matrigel to agglomerate during perfusion. The temperature is around 60-70°C.

模型浇铸时,尽量排除模具内空气后密封,防止成型后的仿体模型内含有气体,影响模型的声像图质量。模型冷却成型过程中,注意翻转浇铸模具,以保证模型的回声均匀一致。When the model is cast, try to remove the air in the mold and then seal it to prevent the formed phantom model from containing gas, which will affect the quality of the acoustic image of the model. During the cooling and molding process of the model, pay attention to turning over the casting mold to ensure that the echo of the model is uniform.

优选地,管道模具具有两级或多级可拆卸/组装的分支结构。Preferably, the pipe mold has a two-stage or multi-stage detachable/assembled branch structure.

作为一种优选的方案,树状结构的制作方面,本发明采用可拆卸的树状模具制作空腔管道,可有效保护仿体模型的完整性,防止仿体模型在制作过程中损坏(区别于不可拆卸式树状模具制作的空腔管道),在可拆卸式树状模具的连接方法方面,采用不破坏主干外形的连接原则进行连接,在拆卸时也防止了模型的损坏。树状模具固定时应将树状模具的游离端轻轻固定在浇铸容器壁上,保持游离端接触容器壁。主干位置的游离端固定在容器底部中央位置,属枝游离端接触侧壁或者顶部壁,以便仿体模型冷却成型后,树状模具易于找到游离端。树状模具的拔除时,考虑到树状模具的连接方式,应按先拔除末级分支、再主干的顺序依次拔除,以免损坏仿体模型。As a preferred solution, in the production of the tree structure, the present invention adopts a detachable tree mold to make the cavity pipeline, which can effectively protect the integrity of the phantom model and prevent the phantom model from being damaged during the production process (different from Cavity pipes made of non-detachable tree-shaped molds), in terms of the connection method of the detachable tree-shaped molds, the connection principle of not destroying the shape of the trunk is used for connection, and the damage of the model is also prevented during disassembly. When the tree mold is fixed, the free end of the tree mold should be gently fixed on the wall of the casting container, and the free end should be kept in contact with the container wall. The free end at the trunk position is fixed at the center of the bottom of the container, and the free end of the branch is in contact with the side wall or top wall, so that after the phantom model is cooled and formed, the tree mold can easily find the free end. When pulling out the tree-shaped mold, considering the connection method of the tree-shaped mold, the last branch should be pulled out first, and then the main trunk should be pulled out in order to avoid damage to the phantom model.

优选地,步骤(2)所述的溶液中添加有胃窗超声造影剂,琼脂糖和胃窗超声造影剂的质量比为4:1~3;优选地,步骤(2)所述的盐水为生理盐水。Preferably, a gastric window ultrasound contrast agent is added to the solution described in step (2), and the mass ratio of agarose and gastric window ultrasound contrast agent is 4:1 to 3; preferably, the saline described in step (2) is saline.

可选的步骤还包括肿瘤胶体的制备,和/或水囊的制备;在步骤(3)中,周边组织胶溶液还同时包埋了肿瘤胶体和水囊,而后再凝固成型。The optional step also includes the preparation of tumor colloid and/or water sac; in step (3), the surrounding tissue glue solution also embeds the tumor colloid and water sac at the same time, and then solidifies and forms.

所述肿瘤胶的制备方法为:将琼脂糖、胃窗超声造影剂及盐水按照质量比2:3~5:66~110的比例加热混合,再冷却凝固成肿瘤胶体模型。肿瘤胶体模型的固定,可采用丝线十字交叉固定肿瘤模型在浇铸容器内,以保证浇铸后肿瘤不移位。The preparation method of the tumor gel is as follows: heating and mixing agarose, gastric window ultrasound contrast agent and saline according to the mass ratio of 2:3-5:66-110, and then cooling and solidifying to form a tumor colloid model. For the fixation of the tumor colloid model, the tumor model can be fixed in the casting container with a cross of silk thread to ensure that the tumor does not shift after casting.

优选地,水囊为注满水的膜套/塑料套/橡胶套。水囊制作时应尽量排除水囊内空气,以保证超声的声像图质量。Preferably, the water bladder is a membrane/plastic/rubber sleeve filled with water. The air in the water bladder should be excluded as much as possible when making the water bladder to ensure the quality of the ultrasonic image.

与现有技术相比,本发明具有以下有益效果:Compared with the prior art, the present invention has the following beneficial effects:

1.本发明制作出一种内含树状管道结构的仿组织模型,用于基于血管树3D超声/超声图像配准技术的验证与培训,消融计划的实验研究,腔道造影技术培训及超声手法、介入超声技术的学习与训练等。用于体外评价造影剂的仿肝脏超声体模装置及评价方法,用于体外评价造影剂的仿肝脏超声体模,具有与人体肝脏相似的声学特性,用于体外评价造影剂时,可以提供模拟在体的背景超声图像。1. The present invention produces a tissue imitation model containing a tree-like pipeline structure, which is used for verification and training of 3D ultrasound/ultrasound image registration technology based on vascular tree, experimental research of ablation plan, training of tunnel imaging technology and ultrasound Manipulation, interventional ultrasound technology learning and training, etc. The liver-like ultrasonic phantom device and evaluation method for evaluating contrast agents in vitro, the liver-like ultrasonic phantom for evaluating contrast agents in vitro, has acoustic characteristics similar to human liver, and can provide simulation when used for evaluating contrast agents in vitro In vivo background ultrasound image.

2.仿体模型内含树状空腔管道结构,超声表现为树状的无回声结构,类似于人体肝脏血管,目前市面上尚未发现内含树状空腔管道的仿体模型,树状空腔管道结构作为该模型的主要结构之一,具有透声性好的优点,有效保证了声像图的质量,可有效模拟人体内(例如肝脏)的重要管道结构,获取更好的仿真性,使模型的使用范围更广,可作为消融技术计划时的标志结构,还可用于腔道造影技术的训练与培训。也可作为图像配准时的配准标志,特别适用于最近出现的基于三维超声-超声的图像配准的新技术(该技术通过提取模型内的无回声管道结构进行图像配准)。2. The phantom model contains a tree-like cavity pipe structure. Ultrasound shows a tree-like anechoic structure, which is similar to the blood vessels of the human liver. At present, no phantom model containing a tree-like cavity pipe has been found on the market. As one of the main structures of the model, the cavity and pipeline structure has the advantage of good sound permeability, which effectively ensures the quality of the sonogram, and can effectively simulate the important pipeline structure in the human body (such as the liver) to obtain better simulation. The model can be used in a wider range, and can be used as a landmark structure during ablation technology planning, and can also be used for training and training of cavity angiography technology. It can also be used as a registration mark in image registration, especially suitable for the recent new technology of image registration based on 3D ultrasound-ultrasound (this technology performs image registration by extracting the anechoic pipeline structure in the model).

3.模型的仿真性高,除了其内含人体常见的结构外,其超声特性非常接近人体组织,25℃,标准大气压下模型的超声传播速度为1514±5m/s,且声像图表现的回声强度非常接近人体肝脏。3. The simulation of the model is high. In addition to the common structure of the human body, its ultrasonic characteristics are very close to human tissue. At 25°C, the ultrasonic propagation speed of the model is 1514±5m/s under standard atmospheric pressure, and the acoustic image shows The echo intensity is very close to the human liver.

4.模型制作成本低、制作环境要求低,且稳定性好,在一个优选实施例中,由琼脂糖制得的仿体模型放置在2-25℃水浴中96小时及6个月后,形状及内部各结构的回声特征均无明显改变。4. The cost of model making is low, the requirements for the manufacturing environment are low, and the stability is good. In a preferred embodiment, the phantom model made of agarose is placed in a water bath at 2-25°C for 96 hours and after 6 months, the shape There is no obvious change in the echo characteristics of the internal structures.

附图说明Description of drawings

图1为本发明一具体实施方案中所采用的树状模具示意图,树状模具的连接方式,原则上要求不影响主干或上一级分支的外形轮廓,且要求易于拆卸。Fig. 1 is a schematic diagram of a tree-shaped mold adopted in a specific embodiment of the present invention. The connection method of the tree-shaped mold should not affect the outline of the main trunk or the upper branch in principle, and should be easy to disassemble.

图2显示本发明一具体实施方案中的浇铸容器浇铸前的状态,浇铸容器内置有树状模具、肿瘤模型何水囊。肿瘤模型为黄色不透明胶体(灰色箭头所指);水囊为橡胶套灌水密封制成(黑色箭头所指);树状模具为黄色硅胶管连接制成(白色箭头所指),其主干固定在浇铸容器的底壁中间位置,一二级属枝游离端大部分固定在侧壁,少部分固定在顶壁。Fig. 2 shows the state of the casting container in a specific embodiment of the present invention before casting, and the casting container is built with a tree-shaped mold, a tumor model and a water bag. The tumor model is yellow opaque colloid (indicated by the gray arrow); the water bladder is made of a rubber sleeve filled with water and sealed (indicated by the black arrow); the tree-shaped mold is made of yellow silicone tubes (indicated by the white arrow), and its trunk is fixed on In the middle of the bottom wall of the casting container, most of the free ends of the first and second genus branches are fixed on the side wall, and a small part is fixed on the top wall.

图3为仿体模型的各结构的二维超声图:树状管道结构在超声图像上表现为无回声,显示连续性良好,类似于人体肝脏血管系统;水囊在超声图像上表现为椭圆形无回声(黑色箭头所指);肿瘤模型在超声图像上表现为高回声(灰色箭头所指);周边组织胶超声表面为等回声,回声强度类似于人体肝脏。Fig. 3 is the two-dimensional ultrasonic diagram of each structure of phantom model: The tree-like pipeline structure appears echo-free on the ultrasound image, showing good continuity, similar to the human liver vascular system; The water cyst appears oval-shaped and anechoic on the ultrasound image (pointed by the black arrow); The tumor model is hyperechoic on the ultrasound image (indicated by the gray arrow); the ultrasound surface of the surrounding tissue glue is isoechoic, and the echo intensity is similar to that of the human liver.

图4为仿体模型三维重建图:系统利用三维超声容积数据自动提取无回声区域并予以三维重建,图中深灰色部分为树状管道结构重建图及水囊模型重建图,浅灰色部分为肿瘤模型重建图。Figure 4 is the 3D reconstruction of the phantom model: the system uses the 3D ultrasound volume data to automatically extract the echo-free area and perform 3D reconstruction. The dark gray part in the figure is the reconstruction of the tree-like pipeline structure and the reconstruction of the water bladder model, and the light gray part is the tumor Model reconstruction diagram.

图5为不同基质材料的模型剖面照片;胶体由基质材料与0.9%生理盐水按照2:75的配比制成。Figure 5 is a cross-sectional photo of the model of different matrix materials; the colloid is made of the matrix material and 0.9% saline according to the ratio of 2:75.

图6为不同基质材料的模型在浸泡后的管道剖面照片;胶体由基质材料与0.9%生理盐水按照2:75的配比制成,模型成形后25℃环境下,泡在自来水中一定时间后取出。Figure 6 is the cross-sectional photo of the pipeline after immersion in the models of different matrix materials; the colloid is made of the matrix material and 0.9% saline according to the ratio of 2:75, after the model is formed, it is soaked in tap water for a certain period of time at 25°C take out.

具体实施方式Detailed ways

以下实施方式对本发明作进一步说明,但本发明的实施方式不局限于以下的实施例介绍,凡依照本发明的原理或理念所作的等同的变化或变通都应视为本发明保护的范畴。The following embodiments further illustrate the present invention, but the embodiments of the present invention are not limited to the following examples, and all equivalent changes or modifications made according to the principle or concept of the present invention should be regarded as the scope of protection of the present invention.

通过以下步骤作为示例,可制备本发明的含有树状结构的仿体模型。示例中的基质胶与周边组织胶的概念等同。Through the following steps as an example, the phantom model including the tree structure of the present invention can be prepared. Matrigel in the example is equivalent to the concept of peripheral tissue glue.

(1)制备树状结构模具。利用粗细不同的硅胶管(或硅胶棒)连接成树状结构,硅胶管直径范围3-15cm,连接原则:树状结构主干选择直径最大的硅胶管,一级属枝选择小一号硅胶管,二级属枝选更小一号硅胶管,直径依次递减。连接方式要求为可拆卸式,且不影响主干或上一级分支的外形轮廓(图1),一般连接至1-3级分支即可。(1) Prepare a tree structure mold. Use silicone tubes (or silicone rods) of different thicknesses to connect them into a tree structure. The diameter of the silicone tubes ranges from 3 to 15 cm. The connection principle: choose the silicone tube with the largest diameter for the trunk of the tree structure, and choose the smaller silicone tube for the first-level branches. For the secondary genus, choose the smaller No. 1 silicone tube, and the diameters decrease in turn. The connection method is required to be detachable, and does not affect the outline of the trunk or the upper level branch (Figure 1). Generally, it can be connected to the 1-3 level branch.

(2)制备肿瘤模型。将琼脂糖粉末、胃窗粉末及0.9%的常温生理盐水按照质量比2:3~5:66~110的比例混合搅拌,搅拌均匀后加热至70-90度后,灌注至铸型模具内冷却成型制成。(2) Preparation of tumor models. Mix agarose powder, stomach window powder and 0.9% normal temperature saline according to the mass ratio of 2:3~5:66~110, stir evenly, heat to 70-90 degrees, pour into the casting mold and cool Molded.

(3)制备水囊,利用橡胶套注满水后密封制成(注意排尽容器内的空气)。(3) Prepare the water bag, which is made by filling the rubber sleeve with water and then sealing it (note that the air in the container is exhausted).

(4)制备周边组织胶。将琼脂糖粉末、胃窗粉末及0.9%的常温生理盐水按照质量比4:1~3:132~220的比例混合搅拌,搅拌均匀后加热至70-90度,再维持温度在60度左右待用。(4) Preparation of peripheral tissue glue. Mix agarose powder, gastric window powder and 0.9% normal temperature saline according to the mass ratio of 4:1~3:132~220, stir evenly and heat to 70-90 degrees, then maintain the temperature at about 60 degrees and wait use.

(5)模型浇铸。将制作好的树状模具固定在浇铸容器内,要求树状模具的游离端轻轻固定在容器壁上,保持游离端接触容器壁。主干位置的游离端固定在容器底部中央位置,属枝游离端接触侧壁或者顶部壁,利用丝线较肿瘤模型及水囊固定在适当位置后,将搅拌均匀的液态基质胶灌注进容器内,灌注完后封闭浇铸容器(注意排尽容器内的空气)。(5) Model casting. To fix the prepared tree-shaped mold in the casting container, the free end of the tree-shaped mold is required to be gently fixed on the container wall, and the free end is kept in contact with the container wall. The free end of the trunk position is fixed at the center of the bottom of the container, and the free ends of the genus branches touch the side wall or the top wall. After the tumor model and the water bag are fixed in place by silk thread, the evenly stirred liquid Matrigel is poured into the container. Close the casting container after completion (note that the air in the container is exhausted).

(6)模型成型。将浇铸完的容器放置在冰水或冷水浴中冷却成形,在冷却过程中注意间断翻转容器,使模型成形后保持较好的回声均匀性。待完全冷却后将固态基质胶及内含物从浇铸容器内倒出,找到树状模具的各个游离端,按先末级分支再主干的顺序依次拔出树状模具,在拔出过程中硅胶管会依次在树状模具上自行脱落。找到固定肿瘤模型的丝线,逐一拔出。(6) Model forming. Place the casted container in ice water or a cold water bath to cool and shape it. During the cooling process, pay attention to turning the container intermittently to keep the echo uniformity after the model is formed. After cooling completely, pour out the solid Matrigel and its contents from the casting container, find each free end of the tree-shaped mold, and pull out the tree-shaped mold in the order of the last branch first and then the trunk. The tubes will fall off on their own in turn on the tree mold. Find the silk threads that fix the tumor model and pull them out one by one.

所成型的模型内部含有树状空心管道,管道表面光滑。The molded model contains tree-like hollow pipes inside, and the surface of the pipes is smooth.

实施例1Example 1

(1)制备树状结构模具。利用粗细不同的硅胶管连接成树状结构,硅胶管直径分别为4、6、10、15mm,连接原则:将两根直径10mm硅胶管连接至直径15mm上,再将4根直径6mm硅胶管分别连接至2根直径10mm的硅胶管上,形成具有二级属枝的树状模具,按照这种方法制作两套树状模具(图2)。(1) Prepare a tree structure mold. Use silicone tubes of different thicknesses to connect them into a tree structure. The diameters of the silicone tubes are 4, 6, 10, and 15 mm. Connect to two silicone tubes with a diameter of 10mm to form a tree-shaped mold with secondary branches, and make two sets of tree-shaped molds in this way (Figure 2).

(2)制备肿瘤模型。将琼脂糖粉末、胃窗粉末及0.9%的常温生理盐水按照质量比2:3:100的比例混合搅拌,搅拌均匀后加热至70-90度后,灌注至铸型模具内冷却成型制成。(2) Preparation of tumor models. Mix and stir agarose powder, stomach window powder and 0.9% normal temperature saline according to the mass ratio of 2:3:100, stir evenly, heat to 70-90 degrees, pour into the casting mold and cool to form.

(3)制备水囊,利用橡胶套注满水后密封制成(注意排尽容器内的空气)。(3) Prepare the water bag, which is made by filling the rubber sleeve with water and then sealing it (note that the air in the container is exhausted).

(4)制备基质胶。将琼脂糖粉末、胃窗粉末及0.9%的常温生理盐水按照质量比4:1:200的比例混合搅拌,搅拌均匀后加热至70-90度,再维持温度在60度左右待用。(4) Prepare Matrigel. Mix agarose powder, gastric window powder and 0.9% normal temperature saline according to the mass ratio of 4:1:200, stir well, heat to 70-90 degrees, and then maintain the temperature at about 60 degrees for use.

(5)模型浇铸。将制作好的两套树状模具固定在浇铸容器内,将树状模具的游离端轻轻固定在容器壁上,保持游离端接触容器壁。主干位置的游离端固定在容器底部中央位置,属枝游离端接触侧壁或者顶部壁(图2),然后将搅拌均匀的周边组织胶灌注进容器内,灌注完后封闭浇铸容器(注意排尽容器内的空气)。(5) Model casting. Fix the two sets of tree-shaped molds prepared in the casting container, and gently fix the free end of the tree-shaped mold on the container wall, keeping the free end in contact with the container wall. The free end of the trunk position is fixed at the center of the bottom of the container, and the free end of the genus branches touches the side wall or top wall (Figure 2). Then pour the surrounding tissue glue that is stirred evenly into the container, and close the casting container after pouring (note that it is drained out completely). air in the container).

(6)模型成型。将浇铸完的容器放置在冰水或冷水浴中冷却成形,在冷却过程中注意间断翻转容器,使模型成形后保持较好的回声均匀性。待完全冷却后将固态基质胶及其内的树状模具倒出,找到树状模具的各个游离端,拉住游离端按先拔出直径为4mm的硅胶管,再拔出直径6mm的硅胶管,再拔出直径10mm的硅胶管,最后拔出直径15mm硅胶管。在拔出过程中硅胶管会依次在树状模具上自行脱落。拔出硅胶管的过程顺利,没有出现黏连现象,所拔出的硅胶管上不附有任何周边组织胶成分。(6) Model forming. Place the casted container in ice water or a cold water bath to cool and shape it. During the cooling process, pay attention to turning the container intermittently to keep the echo uniformity after the model is formed. After cooling down completely, pour out the solid Matrigel and the tree-shaped mold inside, find each free end of the tree-shaped mold, pull out the free end and press to pull out the silicone tube with a diameter of 4mm first, and then pull out the silicone tube with a diameter of 6mm , and then pull out the silicone tube with a diameter of 10mm, and finally pull out the silicone tube with a diameter of 15mm. During the extraction process, the silicone tube will fall off on the tree-shaped mold in turn. The process of pulling out the silicone tube was smooth without any adhesion phenomenon, and the pulled out silicone tube did not have any surrounding tissue glue.

(7)仿体模型使用及检测。仿体模型的使用:将仿体模型放置在水槽中,排尽仿体模型内树状空腔结构内的空气,固定仿体后进行超声扫查或训练操作。(7) The use and testing of phantom models. Use of the phantom model: place the phantom model in the water tank, exhaust the air in the tree-like cavity structure in the phantom model, and perform ultrasonic scanning or training operations after fixing the phantom model.

仿体模型的检测:仿体模型内部含有树状空心管道,管道表面光滑,边界清晰。25℃,标准大气压下模型的超声传播速度为1514m/s,与人体软组织的超声平均传播速度非常接近。性质稳定,仿体模型在水浴环境中保持完好(时间点24H与6个月),管道各段直径均匀,边缘锐利,表面光滑,管道形状及内部各结构的回声特征无明显改变,树状空腔管道结构超声表现为树状无回声,且连续性良好(图3、4)。Detection of the phantom model: the phantom model contains tree-shaped hollow pipes with smooth surfaces and clear boundaries. At 25°C, the ultrasonic propagation velocity of the model under standard atmospheric pressure is 1514m/s, which is very close to the average ultrasonic propagation velocity of human soft tissue. The property is stable, the phantom model remains intact in the water bath environment (time point 24H and 6 months), the diameter of each section of the pipe is uniform, the edge is sharp, the surface is smooth, the shape of the pipe and the echo characteristics of the internal structures do not change significantly, and the tree-like space The ultrasonography of the lumen and duct structure showed a tree-like anechoic appearance with good continuity (Fig. 3, 4).

实施例2Example 2

同实施例1,但在制备基质胶时,将琼脂粉末、胃窗粉末及0.9%的常温生理盐水按照质量比4:1:140的比例混合搅拌。Same as Example 1, but when preparing Matrigel, agar powder, stomach window powder and 0.9% normal temperature saline were mixed and stirred according to the mass ratio of 4:1:140.

仿体模型的检测:仿体模型内部含有树状空心管道,管道表面光滑,边界清晰。25℃,标准大气压下模型的超声传播速度为1514m/s,与人体软组织的超声平均传播速度非常接近。性质稳定,仿体模型在水浴环境中保持完好(时间点24H与6个月),管道各段直径均匀,边缘锐利,表面光滑,管道形状及内部各结构的回声特征无明显改变,树状空腔管道结构超声表现为树状无回声,且连续性良好(图3、4)。Detection of the phantom model: the phantom model contains tree-shaped hollow pipes with smooth surfaces and clear boundaries. At 25°C, the ultrasonic propagation velocity of the model under standard atmospheric pressure is 1514m/s, which is very close to the average ultrasonic propagation velocity of human soft tissue. The property is stable, the phantom model remains intact in the water bath environment (time point 24H and 6 months), the diameter of each section of the pipe is uniform, the edge is sharp, the surface is smooth, the shape of the pipe and the echo characteristics of the internal structures do not change significantly, and the tree-like space The ultrasonography of the lumen and duct structure showed a tree-like anechoic appearance with good continuity (Fig. 3, 4).

实施例3Example 3

同实施例1,但在制备基质胶时,调节琼脂糖与盐水的质量比,进行结果对比。Same as Example 1, but when preparing Matrigel, adjust the mass ratio of agarose to saline, and compare the results.

实施例4Example 4

同实施例1,但在制备基质胶时,调整胃窗超声造影剂的添加比例。Same as Example 1, but when preparing matrigel, adjust the addition ratio of gastric window ultrasound contrast agent.

实施例5Example 5

同实施例1,但在肿瘤胶胶时,,调整胃窗超声造影剂的添加比例。Same as Example 1, but when the tumor is glued, the addition ratio of the gastric window ultrasound contrast agent is adjusted.

实施例6Example 6

同实施例1,但在制备基质胶时,采用卡拉胶代替琼脂糖。Same as Example 1, but when preparing Matrigel, carrageenan is used instead of agarose.

仿体模型的检测:仿体模型内部含有树状空心管道,触感及肉眼观察显示管道表面光滑度次于实施例1。25℃,标准大气压下模型的超声传播速度为1514m/s,与人体软组织的超声平均传播速度非常接近。仿体模型水浴环境中胶体表面易软化(时间点24h与72h),管道各段不均匀,边缘变钝,表面欠光滑。Detection of the phantom model: the phantom model contains a tree-like hollow pipe inside, and the surface smoothness of the pipe is inferior to that of Example 1 through tactile sensation and visual observation. At 25°C, the ultrasonic propagation speed of the model under standard atmospheric pressure is 1514m/s, which is consistent with the soft tissue of the human body. The average ultrasonic propagation velocity of is very close. In the phantom model water bath environment, the surface of the colloid is easy to soften (time point 24h and 72h), the sections of the pipeline are uneven, the edges become blunt, and the surface is not smooth.

Claims (13)

1.一种仿体模型,其特征在于所述的仿体模型包括周边组织胶体模型和空心管道模型,所述的空心管道模型为直接形成于周边组织胶体模型内部的管道,与周边组织胶体模型之间不存在分隔膜或分隔壁;1. A phantom body model, characterized in that the phantom body model comprises a peripheral tissue colloid model and a hollow pipe model, and the hollow pipe model is a pipeline directly formed inside the surrounding tissue colloid model, and the surrounding tissue colloid model There are no separating membranes or walls in between; 所述的周边组织胶体模型包含周边组织胶;The colloidal model of peripheral tissue comprises peripheral tissue glue; 所述的周边组织胶为琼脂糖、琼脂中的一种或两种;The peripheral tissue glue is one or both of agarose and agar; 所述的周边组织胶由琼脂糖/琼脂-盐水溶液制成,所述的琼脂糖/琼脂与盐水溶液的质量比2:66~110;The peripheral tissue glue is made of agarose/agar-saline solution, and the mass ratio of the agarose/agar to saline solution is 2:66~110; 所述的周边组织胶还含有胃窗超声造影剂;所述的琼脂糖和胃窗超声造影剂的质量比为4:1~3。The peripheral tissue glue also contains a gastric window ultrasound contrast agent; the mass ratio of the agarose to the gastric window ultrasound contrast agent is 4:1-3. 2.如权利要求1所述的仿体模型,其特征在于所述的仿体模型中的空心管道为多级分支的空心管道。2. The phantom model according to claim 1, characterized in that the hollow pipe in the phantom model is a multi-level branched hollow pipe. 3.如权利要求1所述的仿体模型,其特征在于所述的仿体模型还包括肿瘤胶体模型和/或水囊模型。3. The phantom model according to claim 1, characterized in that the phantom model further comprises a tumor colloid model and/or a water bladder model. 4.如权利要求3所述的仿体模型,其特征在于,所述的肿瘤胶体模型含有琼脂糖和胃窗超声造影剂,质量比为2:3~5。4 . The phantom model according to claim 3 , wherein the tumor colloid model contains agarose and a gastric window ultrasound contrast agent in a mass ratio of 2:3-5. 5.一种如权利要求1所述的仿体模型的制备方法,其特征在于包括以下步骤:5. A method for preparing a phantom model as claimed in claim 1, characterized in that it may further comprise the steps: (1)选用棒状或管状材料作为管道模具;(1) Select rod-shaped or tubular materials as pipe molds; (2)将琼脂糖、琼脂中的一种或两种与0.1-3.0%w/w盐水溶液按质量比2:66~110加热混合溶解,成为周边组织胶溶液;所述周边组织胶溶液中添加有胃窗超声造影剂,琼脂糖和胃窗超声造影剂的质量比为4:1~3;(2) heat, mix and dissolve one or both of agarose and agar with 0.1-3.0% w/w saline solution at a mass ratio of 2:66-110 to form a peripheral tissue glue solution; Gastric window ultrasound contrast agent is added, and the mass ratio of agarose and gastric window ultrasound contrast agent is 4:1-3; (3)周边组织胶溶液包埋管道模具并冷却凝固,成为包埋有管道模具的周边组织胶;(3) The surrounding tissue glue solution embeds the pipeline mold and cools and solidifies to become the surrounding tissue glue embedded with the pipeline mold; (4)将管道模具从周边组织胶中抽离出来,成为内含有空心管道的仿体模型,即空心管道模型。(4) Extract the pipe mold from the surrounding tissue glue to become a phantom model containing a hollow pipe, that is, a hollow pipe model. 6.如权利要求5所述的制备方法,其特征在于所述的管道模具具有多级可拆卸/组装的分支结构。6. The preparation method according to claim 5, characterized in that the pipe mold has a multi-stage detachable/assembled branch structure. 7.如权利要求5所述的制备方法,其特征在于所述的棒状或管状材料的硬度50~80,回弹性48~55。7. The preparation method according to claim 5, characterized in that the hardness of the rod-shaped or tubular material is 50-80, and the resilience is 48-55. 8.如权利要求5所述的制备方法,其特征在于,所述的棒状或管状材料为硅胶材料。8. The preparation method according to claim 5, characterized in that, the rod-shaped or tubular material is a silica gel material. 9.如权利要求5所述的制备方法,其特征在于步骤(2)所述的盐水溶液为浓度为0.9%生理盐水。9. The preparation method according to claim 5, characterized in that the saline solution described in step (2) is 0.9% physiological saline. 10.如权利要求5所述的制备方法,其特征在于所述周边组织胶溶液的温度由60-70℃开始冷却。10. The preparation method according to claim 5, characterized in that the temperature of the peripheral tissue glue solution starts to cool from 60-70°C. 11.如权利要求5所述的制备方法,其特征在于所述的步骤还包括肿瘤胶体的制备,和/或水囊的制备;在步骤(3)中,周边组织胶溶液还同时包埋了肿瘤胶体和水囊,而后再凝固成型;所述肿瘤胶体的制备方法为:将琼脂糖、胃窗超声造影剂及盐水按照质量比2:3~5:66~110的比例加热混合,再冷却凝固成肿瘤胶体模型。11. preparation method as claimed in claim 5 is characterized in that described step also comprises the preparation of tumor colloid, and/or the preparation of water bag; In step (3), peripheral tissue glue solution also embeds simultaneously Tumor colloid and water sac, and then solidified into shape; the preparation method of the tumor colloid is: heating and mixing agarose, gastric window ultrasound contrast agent and saline according to the mass ratio of 2:3~5:66~110, and then cooling Solidified into tumor colloid models. 12.如权利要求11所述的制备方法,其特征在于所述的水囊为注满水的膜套。12. The preparation method as claimed in claim 11, characterized in that the water bag is a membrane sleeve filled with water. 13.如权利要求12所述的制备方法,其特征在于所述的膜套为塑料套/橡胶套。13. The preparation method according to claim 12, characterized in that the film cover is a plastic cover/rubber cover.
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