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CN100536770C - A surgical system and surgical navigation method guided by magnetic resonance images - Google Patents

A surgical system and surgical navigation method guided by magnetic resonance images Download PDF

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CN100536770C
CN100536770C CNB2007100649303A CN200710064930A CN100536770C CN 100536770 C CN100536770 C CN 100536770C CN B2007100649303 A CNB2007100649303 A CN B2007100649303A CN 200710064930 A CN200710064930 A CN 200710064930A CN 100536770 C CN100536770 C CN 100536770C
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lesion
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赵磊
韦巍
刘华根
徐进
汤青
魏晓健
吴水华
甘中学
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SYMBOW MEDICAL TECHNOLOGY Co Ltd
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Abstract

The present invention is surgical operation system under the guide of magnetic resonant image and the operation navigating method. The surgical operation system includes magnetic resonant imaging equipment, a tracking system, a surgical instrument, a sick bed, a control and display device, a computer with relevant software. It features the calibrating pin and calibrating mode, and the tracer with different coordinate systems for measuring pose and calibrating. The present invention can realize the precise location of the operational equipment relative to the magnetic resonant image and operation navigation.

Description

一种磁共振图像引导下的手术系统及手术导航方法 A surgical system and surgical navigation method guided by magnetic resonance images

技术领域 technical field

本发明涉及一种手术系统及控制方法,特别是关于一种磁共振图像引导下的手术系统及手术导航方法。The invention relates to a surgical system and a control method, in particular to a magnetic resonance image-guided surgical system and a surgical navigation method.

背景技术 Background technique

介入手术是现代外科手术的一大发展方向,介入手术或介入治疗与传统外科手术的区别是它不需要开刀,只需要一个很小的创口即可将特制的导管、冷冻针、射频消融针、导丝等手术器械刺入到人体内的病灶部位或者手术靶点位置上,然后通过各种物理/化学作用达到治疗的目的,从而解决过去需要开放式手术才能解决的肿瘤切除、组织活检、人工器材放置等问题。介入手术具有不开刀、精确毁损、创伤小、恢复快等特点,被认为是未来很多传统开放式手术的理想替代方案。Interventional surgery is a major development direction of modern surgery. The difference between interventional surgery or interventional therapy and traditional surgery is that it does not require surgery, and only requires a small incision to insert special catheters, cryo-needles, radiofrequency ablation needles, Surgical instruments such as guide wires penetrate into the lesion or surgical target in the human body, and then achieve the purpose of treatment through various physical/chemical effects, so as to solve the tumor resection, tissue biopsy, artificial equipment placement etc. Interventional surgery has the characteristics of no surgery, precise damage, small trauma, and fast recovery. It is considered to be an ideal alternative to many traditional open surgeries in the future.

在介入手术过程中,医生无法直接观察到病人体内的治疗部位或者病灶。为了保证手术过程的安全性和有效性,一种有效的方法是应用医学成像手段来进行介入手术规划、导航、治疗过程观察和治疗效果评估,实现手术全过程的图像引导和监控。根据不同疾病、不同部位、不同类型的介入治疗的特点,有不同的图像监控需求。其中磁共振成像因其图像分辨率高、软组织成像能力强、图像扫描方位可自由选择、可以检测组织温度、能清楚显示骨骼遮挡的病灶等多个优势,成为较为理想的介入治疗的图像引导和监控手段。磁共振引导介入手术治疗也是目前国际上科研和临床中的热点研发方向。而在现有技术中存在以下问题:During the interventional operation, doctors cannot directly observe the treatment site or lesion in the patient's body. In order to ensure the safety and effectiveness of the surgical process, an effective method is to use medical imaging methods for interventional surgery planning, navigation, treatment process observation, and treatment effect evaluation, so as to realize image guidance and monitoring of the entire surgical process. According to the characteristics of different diseases, different parts, and different types of interventional therapy, there are different image monitoring requirements. Among them, magnetic resonance imaging has become an ideal image-guided and imaging tool for interventional therapy because of its high image resolution, strong soft tissue imaging capabilities, free choice of image scanning orientation, ability to detect tissue temperature, and clear display of lesions occluded by bones. means of monitoring. Magnetic resonance-guided interventional surgery is also a hot research and development direction in international scientific research and clinical practice. And there is following problem in prior art:

1、在进行磁共振成像过程中,梯度场的非线性会引起图像的几何变形,在不同的磁共振成像设备上以及同样的磁共振成像设备而不同的视野内图像的几何变形是不同的,因此需要对磁共振图像梯度变形进行校正,现有位置偏移量的校正方法可以分为两种:一种是根据三维立体标定模的磁共振成像,通过图像分析的方法直接计算校正参数;另一种是应用磁场的描述函数—球谐函数计算成像空间内有限个控制点的偏移量。前一种方法计算过程复杂标定模制作成本高,而且需要对三维标定模摆放在不同位置反复成像和分析才能获得控制点的位置偏移量,实际操作困难。后一种方法中梯度线圈的设计参数只是图像变形的一个主要因素,并没有考虑磁共振系统的其他硬件和软件模块对图像变形所产生的影响,所以图像校正的结果往往达不到要求。1. In the process of magnetic resonance imaging, the nonlinearity of the gradient field will cause the geometric deformation of the image. The geometric deformation of the image is different on different magnetic resonance imaging equipment and in different fields of view of the same magnetic resonance imaging equipment. Therefore, it is necessary to correct the gradient deformation of the magnetic resonance image. The existing correction methods for the position offset can be divided into two types: one is to directly calculate the correction parameters through the method of image analysis based on the magnetic resonance imaging of the three-dimensional calibration model; One is to use the description function of the magnetic field—spherical harmonic function to calculate the offset of a limited number of control points in the imaging space. The calculation process of the former method is complex and the production cost of the calibration model is high, and it is necessary to repeatedly image and analyze the three-dimensional calibration model in different positions to obtain the position offset of the control point, which is difficult in practice. In the latter method, the design parameters of gradient coils are only a major factor of image deformation, and the influence of other hardware and software modules of the magnetic resonance system on image deformation is not considered, so the results of image correction often fail to meet the requirements.

2、医生在进行磁共振介入治疗时,一般是凭借肉眼观察病灶的磁共振图像,凭经验将手术器械放置到目标位置,这种方式无法实时地观察到手术过程中介入手术器械和病灶部位或靶点之间的实际误差,会影响手术的质量,造成手术效果难以保证,甚至一旦误差较大,还要重复进行介入操作,使病人遭受较大的痛苦。因此,如何在磁共振图像引导的介入治疗中,引入空间定位精度很高的手术器械跟踪系统进行手术器械的三维空间定位,并将定位信息与磁共振图像进行准确的融合,是必须要解决的问题。2. When doctors perform magnetic resonance interventional therapy, they usually observe the magnetic resonance images of the lesion with the naked eye, and place the surgical instruments at the target position based on experience. This method cannot observe the interventional surgical instruments and the lesion site or location during the operation in real time. The actual error between the target points will affect the quality of the operation, making it difficult to guarantee the effect of the operation. Even if the error is large, the intervention operation must be repeated, causing the patient to suffer greater pain. Therefore, how to introduce a surgical instrument tracking system with high spatial positioning accuracy for three-dimensional space positioning of surgical instruments in the interventional therapy guided by magnetic resonance images, and how to accurately fuse the positioning information with magnetic resonance images must be solved. question.

3、由于医生是手持手术器械,在将手术器械与病灶转换到同一个坐标系的导航模式中,手的抖动会带来误差,因此需要一台可以灵活调整手术器械夹持位置和方向的设备,而现有技术中没有现成的设备可以使用。3. Since the doctor is holding the surgical instrument, in the navigation mode of converting the surgical instrument and the lesion into the same coordinate system, the shaking of the hand will cause errors, so a device that can flexibly adjust the clamping position and direction of the surgical instrument is needed , and there is no off-the-shelf device in the prior art that can be used.

4、在将手术器械和病灶变化到同一系统中观察时,需要对系统中的各坐标系之间的关系进行变换,因此需要提供一个用于标定的立体标定模。4. When changing the surgical instrument and lesion into the same system for observation, it is necessary to transform the relationship between the coordinate systems in the system, so it is necessary to provide a three-dimensional calibration model for calibration.

5、由于标定模中的特征点是一个球体,而磁共振成像设备所成的图像由于是积分得到的,同时由于有空间分辨率造成的成像体素大小的限制,另外部分容积效应等原因,造成得到特征点的图像产生失真,因此如何确定特征点的中心,也是需要解决的问题。5. Since the feature point in the calibration model is a sphere, and the image formed by the magnetic resonance imaging equipment is obtained by integration, at the same time, due to the limitation of the imaging voxel size caused by the spatial resolution, and some other reasons such as volume effect, As a result, the image of the obtained feature points is distorted, so how to determine the center of the feature points is also a problem that needs to be solved.

发明内容 Contents of the invention

针对上述问题,本发明的目的是提供一种在介入手术中能够实现磁共振图像引导下的手术系统及手术导航方法。In view of the above problems, the object of the present invention is to provide a surgical system and a surgical navigation method that can be guided by magnetic resonance images in interventional surgery.

为实现上述目的,本发明采取以下技术方案:一种磁共振图像引导下的手术系统,硬件部分包括磁共振成像设备,跟踪系统,手术器械,设置在所述磁共振成像设备上的病床,控制和显示设备,以及与各系统相连接的计算机及控制软件部分;其特征在于:还设置有标定针和标定模,所述磁共振成像设备坐标系的位姿可被跟踪系统测量;与所述磁共振成像设备位置对应设置有至少一套构成世界坐标系的示踪器,所述世界坐标系的位姿可以被所述跟踪系统测量;所述手术器械上设置有作为手术器械坐标系的手术器械示踪器,所述手术器械坐标系的位姿可被跟踪系统测量;所述病床上设置有构成病床坐标系的病床示踪器,所述病床坐标系可被所述跟踪系统测量;所述标定针由一根具有一定长度的针和示踪器共同构成,其经过标定后的针尖接触某点,即可测量此点的位置;所述标定模内部和表面分别设置了一组不对称分布的特征点集I和特征点集II,所述特征点集I的特征点可被所述磁共振成像设备成像,所述特征点集II的特征点可被所述跟踪系统测量;特征点集I和特征点集II的相对位置关系已知;经标定后,可通过各坐标系之间的相互变换关系,将所述病灶坐标和手术器械坐标变换到同一个坐标系中。In order to achieve the above object, the present invention adopts the following technical solutions: a surgical system guided by magnetic resonance images, the hardware part includes magnetic resonance imaging equipment, a tracking system, surgical instruments, a hospital bed set on the magnetic resonance imaging equipment, control and a display device, as well as a computer and a control software part connected with each system; it is characterized in that: a calibration needle and a calibration module are also provided, and the pose of the magnetic resonance imaging equipment coordinate system can be measured by a tracking system; and the said The position of the magnetic resonance imaging equipment is correspondingly provided with at least one set of tracers constituting the world coordinate system, and the pose of the world coordinate system can be measured by the tracking system; An instrument tracker, the pose of the surgical instrument coordinate system can be measured by the tracking system; the bed tracker that constitutes the bed coordinate system is set on the hospital bed, and the hospital bed coordinate system can be measured by the tracking system; The calibration needle is composed of a needle with a certain length and a tracer. After the needle tip touches a certain point after calibration, the position of this point can be measured; the inside and surface of the calibration mold are respectively provided with a set of asymmetric Distributed feature point set I and feature point set II, the feature points of the feature point set I can be imaged by the magnetic resonance imaging device, and the feature points of the feature point set II can be measured by the tracking system; feature points The relative positional relationship between set I and feature point set II is known; after calibration, the lesion coordinates and surgical instrument coordinates can be transformed into the same coordinate system through the mutual transformation relationship between each coordinate system.

一种采用上述磁共振图像引导下手术系统的手术导航方法,其包括以下步骤:(1)在由磁共振成像设备、跟踪系统、手术器械和病床组成的系统中,磁共振成像设备自身具有磁共振成像设备坐标系,在位置不发生移动的地方安装示踪器构成世界坐标系,在所述手术器械上设置手术器械示踪器构成手术器械坐标系;(2)用磁共振成像设备测量标定模特征点集I的坐标,用跟踪系统测量特征点集II的坐标,通过这两组坐标数据标定出磁共振成像设备坐标系和世界坐标系之间的变换关系;(3)将载有患者的病床推入磁共振成像设备的成像区域,由磁共振成像设备提供病灶的图像数据和磁共振成像设备坐标系的位姿,由跟踪系统提供跟踪系统坐标系、手术器械坐标系的位姿,结合步骤2的标定结果建立各坐标系之间的变换关系;(4)利用坐标系的变换,将所述病灶与手术器械放到同一坐标系下观测;(5)根据病灶与手术器械相对位置的图像,移动手术器械,将其放置目标位置,进行手术治疗操作。A surgical navigation method using the above-mentioned magnetic resonance image-guided surgical system, which includes the following steps: (1) in the system consisting of magnetic resonance imaging equipment, a tracking system, surgical instruments and a hospital bed, the magnetic resonance imaging equipment itself has magnetic The coordinate system of the resonance imaging equipment, the tracer is installed in the place where the position does not move to form the world coordinate system, and the surgical instrument tracer is set on the surgical instrument to form the coordinate system of the surgical instrument; (2) measuring and calibrating with the magnetic resonance imaging equipment The coordinates of the model feature point set I are measured by the tracking system, and the transformation relationship between the magnetic resonance imaging equipment coordinate system and the world coordinate system is calibrated through these two sets of coordinate data; (3) will carry the patient The hospital bed is pushed into the imaging area of the magnetic resonance imaging equipment, and the magnetic resonance imaging equipment provides the image data of the lesion and the pose of the coordinate system of the magnetic resonance imaging equipment, and the tracking system provides the pose of the coordinate system of the tracking system and the coordinate system of the surgical instrument. Combining the calibration results of step 2 to establish the transformation relationship between the coordinate systems; (4) using the transformation of the coordinate system, the lesion and the surgical instrument are placed in the same coordinate system for observation; (5) according to the relative position of the lesion and the surgical instrument image, move the surgical instrument, place it at the target position, and perform surgical treatment.

另一种采用上述磁共振图像引导下手术系统的手术导航方法,其包括以下步骤:(1)在由磁共振成像设备、跟踪系统、手术器械和病床组成的系统中,磁共振成像设备自身具有磁共振成像设备坐标系,在位置不发生移动的地方安装示踪器构成世界坐标系,在所述手术器械上设置手术器械示踪器构成手术器械坐标系,在所述病床上或者与病灶相对位置不变处设置病床示踪器构成病床坐标系;(2)用磁共振成像设备测量标定模特征点集I的坐标,用跟踪系统测量特征点集II的坐标,通过这两组坐标数据标定出磁共振成像设备坐标系和世界坐标系之间的变换关系;(3)将载有患者的病床推入磁共振成像设备的成像区域,由磁共振成像设备提供病灶的图像数据,由跟踪系统提供病床坐标系的位姿信息;(4)将病床拖出磁共振成像设备的成像区域,移动至手术区域,由跟踪系统提供跟踪系统坐标系、病床坐标系和手术器械坐标系的位姿,由磁共振成像设备提供磁共振成像设备坐标系,结合步骤2的标定结果建立各坐标系之间的变换关系;(5)利用坐标系的变换,将所述病灶与手术器械放到同一坐标系下观测;(6)根据病灶与手术器械相对位置的图像,移动手术器械,将其放置目标位置,进行手术治疗操作。Another surgical navigation method using the above-mentioned magnetic resonance image-guided surgical system includes the following steps: (1) in the system consisting of magnetic resonance imaging equipment, tracking systems, surgical instruments and sick beds, the magnetic resonance imaging equipment itself has The magnetic resonance imaging equipment coordinate system, the tracer is installed in the place where the position does not move to form the world coordinate system, the surgical instrument tracer is set on the surgical instrument to form the surgical instrument coordinate system, on the hospital bed or opposite to the lesion Set the bed tracker at the same position to form the bed coordinate system; (2) Use the magnetic resonance imaging equipment to measure the coordinates of the feature point set I of the calibration model, and use the tracking system to measure the coordinates of the feature point set II, and use these two sets of coordinate data to calibrate The transformation relationship between the coordinate system of the magnetic resonance imaging equipment and the world coordinate system; (3) push the patient bed into the imaging area of the magnetic resonance imaging equipment, and the imaging data of the lesion will be provided by the magnetic resonance imaging equipment. Provide the pose information of the bed coordinate system; (4) drag the bed out of the imaging area of the MRI equipment and move it to the operation area, and the tracking system provides the pose of the tracking system coordinate system, the bed coordinate system and the surgical instrument coordinate system, The magnetic resonance imaging equipment coordinate system is provided by the magnetic resonance imaging equipment, and the transformation relationship between the coordinate systems is established in combination with the calibration results in step 2; (5) using the transformation of the coordinate system, the lesion and the surgical instrument are placed in the same coordinate system (6) According to the image of the relative position of the lesion and the surgical instrument, move the surgical instrument, place it at the target position, and perform surgical treatment.

上述各步骤(2)中用标定模对各坐标系标定时,采用了旋转量和平移量分开标定的方法,其步骤如下:(a)利用磁共振成像设备1测量特征点集I各点在磁共振成像设备坐标系里的坐标

Figure C200710064930D0015184823QIETU
(i=1,2,...,nph),由坐标
Figure C200710064930D00152
生成L个向量
Figure C200710064930D00153
这L个向量
Figure C200710064930D00154
分布在不同的方向;(b)利用跟踪系统2测量特征点集II各点在跟踪系统坐标系里的坐标,从而得到特征点集I各点在跟踪系统坐标系里的坐标
Figure C200710064930D0015184849QIETU
(i=1,2,...,nph),在跟踪系统坐标系生成和向量
Figure C200710064930D00156
一一对应的向量
Figure C200710064930D00157
(c)这两组向量满足变换关系为: R scan track D i scan = D i track ( i = 1,2 , . . . , n ph ) ; (d)由方程组 R scan track D i scan = D i track ( i = 1,2 , . . . , n ph ) 可解出旋转矩阵
Figure C200710064930D001510
然后将它代入方程组 R scan track X i scan + T scan track = X i track ( i = 1,2 , . . . , n ph ) , 可解出
Figure C200710064930D00162
得到变换关系
Figure C200710064930D00163
进而得到磁共振成像设备坐标系和跟踪坐标系之间的变换关系 When each coordinate system is calibrated with the calibration module in the above-mentioned steps (2), the method of separately demarcating the rotation amount and the translation amount is adopted, and the steps are as follows: (a) Utilize the magnetic resonance imaging device 1 to measure each point of the feature point set I at Coordinates in the MRI equipment coordinate system
Figure C200710064930D0015184823QIETU
(i=1, 2, . . . , n ph ), by coordinates
Figure C200710064930D00152
generate L vectors
Figure C200710064930D00153
The L vectors
Figure C200710064930D00154
distributed in different directions; (b) use tracking system 2 to measure the coordinates of each point of feature point set II in the tracking system coordinate system, so as to obtain the coordinates of each point of feature point set I in the tracking system coordinate system
Figure C200710064930D0015184849QIETU
(i=1, 2, ..., n ph ), the sum vector is generated in the tracking system coordinate system
Figure C200710064930D00156
one-to-one vector
Figure C200710064930D00157
(c) These two sets of vectors satisfy the transformation relationship as follows: R scan track D. i scan = D. i track ( i = 1,2 , . . . , no pH ) ; (d) by the equation R scan track D. i scan = D. i track ( i = 1,2 , . . . , no pH ) The rotation matrix can be solved
Figure C200710064930D001510
and then substitute it into the equation R scan track x i scan + T scan track = x i track ( i = 1,2 , . . . , no pH ) , Solvable
Figure C200710064930D00162
get transformation relationship
Figure C200710064930D00163
Then the transformation relationship between the MRI equipment coordinate system and the tracking coordinate system is obtained

再一种采用上述磁共振图像引导下手术系统的手术导航方法,其包括以下步骤:(1)在病床上的患者体表设置至少三个与病灶之间无相对移动的导航标志,在所述手术器械上设置手术器械示踪器构成手术器械坐标系;(2)将载有患者的病床推入磁共振成像设备的成像区域,由磁共振成像设备提供病灶的图像数据和导航标志的图像数据;(3)将病床拖出磁共振成像设备的成像区域,移动至手术区域,首先用软件在病灶图像上提取导航标志在磁共振成像设备坐标系里的坐标,再用跟踪系统测量导航标志在跟踪系统坐标系里的坐标,根据这两组数据得到磁共振成像设备坐标系和跟踪系统坐标系之间的变换关系;(4)由跟踪系统提供跟踪系统坐标系、手术器械坐标系的位姿,由磁共振成像设备提供磁共振成像设备坐标系的位姿,结合步骤3的标定结果建立各坐标系之间的变换关系;(5)利用坐标系的变换,将所述病灶与手术器械放到同一坐标系下观测;(6)根据病灶与手术器械相对位置的图像,移动手术器械,将其放置目标位置,进行手术治疗操作。Another surgical navigation method using the above-mentioned magnetic resonance image-guided surgery system, which includes the following steps: (1) setting at least three navigation marks on the patient's body surface on the hospital bed that have no relative movement with the lesion, and A surgical instrument tracer is set on the surgical instrument to form a surgical instrument coordinate system; (2) The patient bed is pushed into the imaging area of the magnetic resonance imaging equipment, and the magnetic resonance imaging equipment provides the image data of the lesion and the image data of the navigation marks (3) Drag the hospital bed out of the imaging area of the MRI equipment, move to the operation area, first use software to extract the coordinates of the navigation markers in the coordinate system of the MRI equipment from the lesion image, and then use the tracking system to measure the coordinates of the navigation markers in the MRI equipment coordinate system. The coordinates in the coordinate system of the tracking system, according to these two sets of data, the transformation relationship between the coordinate system of the magnetic resonance imaging equipment and the coordinate system of the tracking system is obtained; (4) the pose of the coordinate system of the tracking system and the coordinate system of the surgical instrument is provided by the tracking system , the pose and orientation of the coordinate system of the magnetic resonance imaging equipment is provided by the magnetic resonance imaging equipment, and the transformation relationship between the coordinate systems is established in combination with the calibration results in step 3; (5) using the transformation of the coordinate system, the focus and the surgical instrument are placed Observing in the same coordinate system; (6) According to the image of the relative position of the lesion and the surgical instrument, move the surgical instrument, place it at the target position, and perform surgical treatment.

上述各步骤(2)中用标定模对各坐标系标定时,在所述导航系统的软件程序中设置有通过对特征点集I中特征点成像结果进行球心定位的程序,其包括以下步骤:(1)首先假设截面图上圆的面积S与截面在扫描方向上的坐标值之间满足正态分布;(2)沿球在同一轴向任意扫描三幅不同位置的截面圆图像,或扫描得到两幅不同位置的截面圆图像后,拟合出第三幅截面圆图像,由该截面圆面积与该截面圆在扫描方向的坐标值组成一组值;(3)将获得的三组值,拟合出一条高斯曲线,曲线上面积最大点对应的坐标值即为球心在该扫描方向上的坐标值;(4)按照同样的方法,得到球心在另外两个坐标轴方向的坐标值,将每一个轴向坐标值,组合在一起即为球心坐标。When each coordinate system is demarcated with a calibration module in the above-mentioned steps (2), the software program of the navigation system is provided with a program for locating the center of the sphere to the feature point imaging result in the feature point set 1, which includes the following steps : (1) First assume that the area S of the circle on the cross-sectional view satisfies a normal distribution with the coordinates of the cross-section in the scanning direction; (2) randomly scan three cross-sectional circle images at different positions along the same axis along the ball, or After scanning to obtain two cross-sectional circle images at different positions, fit the third cross-sectional circle image, and form a set of values by the area of the cross-sectional circle and the coordinate values of the cross-sectional circle in the scanning direction; (3) the three sets of obtained value, a Gaussian curve is fitted, and the coordinate value corresponding to the point with the largest area on the curve is the coordinate value of the center of the sphere in the scanning direction; Coordinate value, the combination of each axial coordinate value is the coordinate of the center of the sphere.

本发明由于采取以上技术方案,其具有以下优点:1本发明由于在磁共振系统中对手术器械、病床等分别设置了示踪器,还设置了标定用标定模、标定针和导航标志等,因此用标定模进行标定后,无论是在磁共振成像设备成像的同时,还是移动或变化手术器械,甚至移动病床到其它位置,都可以在本发明导航系统的控制下,进行在线或离线或半离线等多种模式的介入治疗手术,并保证导航精度。2、本发明针对标定模上的特征点在磁共振成像设备成像过程中出现的球心位置不确定的问题,在软件成像中预置了一种基于三维高精度成像的球心定位程序,因此可以在进行标定模标定时,从磁共振图像中得到精确的球心位置,使本发明导航系统导航效果更加精确。3、本发明针对磁共振成像过程中,梯度场的非线性引起图像的几何变形的问题,根据实际图像反求磁共振校正参数,克服了梯度线圈设计参数与真实的磁场梯度参数存在差异的缺点,而且在反求磁场梯度参数的过程中,采取依次反求三个方向的磁场梯度参数的方法,提高了算法的收敛速度。4、本发明提供了一个夹持手术器械的手术器械导引仪,其起码可以提供十个可以调节的自由度,因此可以非常方便准确地使将穿刺针对准患者的病灶,并方便地插入病灶部位,一方面排除了操作者手部抖动带来的影响,另一方面减小了穿刺过程中手术器械的弯曲现象。5、本发明由于在磁共振成像设备检查治疗空间的顶部和两侧分别设置了一个线性激光器,因此可以通过每个线性激光器发出扇形平面激光形成在一个方向的保护,三个激光发出的光束与病床一起构成一宽度和高度限制空间,使超出限制空间的任何物体在进入磁共振成像设备时均会引发警报器报警,从而有效地避免了超高、超宽物体与磁共振成像设备发生碰撞,造成的危险和损坏,保护了患者和磁共振成像设备安全。本发明可以在获得最大的介入手术治疗效果的同时保证对病人的损害最小化,本方法可适用于多种介入治疗方式,包括射频、微波、聚焦超声刀、粒子植入等;本发明还可适用于穿刺活检、肿瘤/组织消融等多种治疗目标。The present invention has the following advantages due to the adoption of the above technical scheme: 1. The present invention is provided with tracers for surgical instruments, sick beds, etc. in the magnetic resonance system, and also provided with calibration moulds, calibration needles and navigation marks for calibration, etc., Therefore, after calibration with the calibration model, whether it is during the imaging of the magnetic resonance imaging equipment, or moving or changing surgical instruments, or even moving the hospital bed to other positions, it can be performed online or offline or semi-automatically under the control of the navigation system of the present invention. Offline and other modes of interventional surgery, and ensure navigation accuracy. 2. The present invention aims at the problem that the position of the center of the sphere of the characteristic points on the calibration model is uncertain during the imaging process of the magnetic resonance imaging equipment, and a sphere center positioning program based on three-dimensional high-precision imaging is preset in the software imaging, so The precise center position of the sphere can be obtained from the magnetic resonance image when the calibration mode is calibrated, so that the navigation effect of the navigation system of the present invention is more accurate. 3. The present invention aims at the problem of the geometric deformation of the image caused by the nonlinearity of the gradient field in the process of magnetic resonance imaging, and reversely calculates the magnetic resonance correction parameters according to the actual image, which overcomes the disadvantage of the difference between the gradient coil design parameters and the real magnetic field gradient parameters , and in the process of reversing the magnetic field gradient parameters, the method of reversing the magnetic field gradient parameters in three directions is adopted in turn, which improves the convergence speed of the algorithm. 4. The present invention provides a surgical instrument guide for clamping surgical instruments, which can provide at least ten adjustable degrees of freedom, so it is very convenient and accurate to align the puncture needle at the lesion of the patient and insert it into the lesion conveniently On the one hand, it eliminates the influence of the operator's hand shake, and on the other hand, it reduces the bending phenomenon of surgical instruments during the puncture process. 5. In the present invention, since a linear laser is respectively arranged on the top and both sides of the examination and treatment space of the magnetic resonance imaging equipment, each linear laser can emit a fan-shaped plane laser to form protection in one direction, and the beams emitted by the three lasers are consistent with the The bed together forms a width and height restricted space, so that any object beyond the restricted space will trigger an alarm when it enters the magnetic resonance imaging equipment, thus effectively avoiding collisions between ultra-high and ultra-wide objects and the magnetic resonance imaging equipment. The danger and damage caused by the device protect the safety of the patient and the MRI equipment. The present invention can ensure the minimum damage to the patient while obtaining the maximum effect of interventional surgery. This method is applicable to various interventional treatment methods, including radio frequency, microwave, focused ultrasonic knife, particle implantation, etc.; the present invention can also It is suitable for various treatment targets such as needle biopsy and tumor/tissue ablation.

附图说明 Description of drawings

图1是本发明治疗系统硬件部分布置示意图Fig. 1 is a schematic diagram of the layout of the hardware part of the treatment system of the present invention

图2是本发明导航系统示意图Fig. 2 is a schematic diagram of the navigation system of the present invention

图3是本发明标定模结构示意图Fig. 3 is a schematic diagram of the structure of the calibration model of the present invention

图4是本发明标定模一个面的特征点设置示意图Fig. 4 is a schematic diagram of feature point setting on one surface of the calibration model of the present invention

图5是本发明标定模的特征点不对称分布示意图Fig. 5 is a schematic diagram of the asymmetric distribution of feature points of the calibration model of the present invention

图6是采用磁共振成像设备所成图像示意图Figure 6 is a schematic diagram of images formed by magnetic resonance imaging equipment

图7是图6三个截面位置的示意图Fig. 7 is a schematic diagram of three cross-sectional positions in Fig. 6

图8是本发明沿三维坐标中的z轴扫描拟合出的高斯曲线Fig. 8 is the Gaussian curve fitted by the present invention along the z-axis scanning in three-dimensional coordinates

图9是本发明球心定位几何关系示意图Fig. 9 is a schematic diagram of the positioning geometric relationship of the center of the sphere in the present invention

图10是本发明手术器械导引仪结构立体示意图Fig. 10 is a three-dimensional schematic diagram of the structure of the surgical instrument guiding device of the present invention

图11是本发明下支架组件结构示意图Fig. 11 is a schematic diagram of the structure of the lower bracket assembly of the present invention

图12本发明导引仪上支管、导向套、外壳、齿轮等连接示意图Figure 12 Schematic diagram of the connection of the upper branch pipe, guide sleeve, shell, gear, etc. of the navigator of the present invention

图13是图12的俯视示意图Figure 13 is a schematic top view of Figure 12

图14是本发明导引仪上横梁结构示意图Figure 14 is a schematic diagram of the structure of the upper beam of the navigator of the present invention

图15是本发明导引仪上横梁与下支架连接处的接头结构示意图Figure 15 is a schematic diagram of the joint structure at the connection between the upper beam and the lower bracket of the navigator of the present invention

图16是本发明导引仪上横梁与调角器连接处的接头结构示意图Figure 16 is a schematic diagram of the joint structure at the joint between the upper beam and the recliner of the navigator of the present invention

图17是本发明导引仪调角器立体示意图Fig. 17 is a three-dimensional schematic diagram of the recliner of the navigator of the present invention

图18是本发明导引仪调角器结构示意图Fig. 18 is a structural schematic diagram of the navigator angle adjuster of the present invention

图19是本发明导引仪调角器剖视示意图Fig. 19 is a schematic cross-sectional view of the navigator recliner of the present invention

图20是图19的侧视剖视示意图Fig. 20 is a side view sectional schematic view of Fig. 19

图21是本发明导引仪介入导引组件示意图Figure 21 is a schematic diagram of the interventional guidance component of the navigator of the present invention

图22是本发明激光器保护器组成的立体空间示意图Figure 22 is a three-dimensional schematic diagram of the composition of the laser protector of the present invention

图23是本发明各激光器在磁共振成像设备设置位置示意图Fig. 23 is a schematic diagram of the positions of the lasers in the magnetic resonance imaging equipment according to the present invention

图24是本发明软件部分逻辑框图Fig. 24 is a logical block diagram of software part of the present invention

图25是本发明梯度校正程序示意图Figure 25 is a schematic diagram of the gradient correction program of the present invention

图26是本发明梯度校正模结构示意图Figure 26 is a schematic diagram of the structure of the gradient correction module of the present invention

图27是图26的侧视剖视示意图Fig. 27 is a side view sectional schematic view of Fig. 26

图28是本发明X轴上的磁场梯度在±30cm内的变化规律示意图Fig. 28 is a schematic diagram of the change law of the magnetic field gradient on the X-axis of the present invention within ± 30cm

图29是本发明等间距标志点的图像变化示意图Fig. 29 is a schematic diagram of image changes of equidistant marker points in the present invention

图30是按照标志点的间距和直径计算公式设计的梯度校正模标志点示意图Figure 30 is a schematic diagram of the gradient correction model marker points designed according to the distance between marker points and the calculation formula of diameter

图31是本发明梯度校正中搜索校正参数流程图Fig. 31 is a flow chart of searching and correcting parameters in the gradient correction of the present invention

图32是本发明经梯度校正后x轴上的标志点示意图Fig. 32 is a schematic diagram of marker points on the x-axis after gradient correction in the present invention

图33是本发明治疗方法手术规划流程图Figure 33 is a flow chart of surgical planning for the treatment method of the present invention

图34是本发明治疗方法手术实施流程图Figure 34 is a flow chart of the operation implementation of the treatment method of the present invention

具体实施方式 Detailed ways

以下通过实施例并结合附图对本发明进行详细的描述。The present invention will be described in detail below through embodiments and in conjunction with the accompanying drawings.

如图1、图2所示,本发明包括硬件和控制软件,其中硬件设备主要包括磁共振成像设备1,手术器械跟踪系统2,世界坐标系示踪器3,手术器械4及手术器械示踪器5,病床6及病床示踪器7,标定针8,标定模9,控制和显示设备10等。控制和显示设备10包括一个或多个控制台,比如本实施例包括磁共振控制台11、介入治疗控制台12、手术规划导航系统控制台13和手术室视频监控台14,磁共振兼容显示屏幕15(如液晶显示器)等,几个控制台也可以合并成一个总控制台。本发明硬件设备中还可以根据手术要求设置用于监控患者的生命信号监护系统16,与介入治疗控制台12连接的介入手术接驳台17等。As shown in Figures 1 and 2, the present invention includes hardware and control software, wherein the hardware equipment mainly includes a magnetic resonance imaging device 1, a surgical instrument tracking system 2, a world coordinate system tracer 3, a surgical instrument 4 and a surgical instrument tracer device 5, hospital bed 6 and hospital bed tracer 7, calibration needle 8, calibration module 9, control and display equipment 10, etc. The control and display device 10 includes one or more consoles. For example, this embodiment includes a magnetic resonance console 11, an interventional treatment console 12, a surgical planning navigation system console 13, and an operating room video monitoring platform 14. The magnetic resonance compatible display screen 15 (such as liquid crystal display), etc., several consoles also can be combined into a total console. The hardware device of the present invention can also be provided with a life signal monitoring system 16 for monitoring patients, an interventional operation docking station 17 connected with the interventional treatment console 12, etc. according to the operation requirements.

本发明磁共振成像设备1采用横置开放式永磁磁体结构,这种磁体结构避免了传统的桶形磁体结构对介入手术器械4进入人体角度和深度的限制,以及对跟踪系统2有效跟踪区域的限制,保证了实时介入手术导航模式的实现,保证病人在磁体中躺卧的状态下能够对人体各个部位进行介入手术。磁共振成像设备1用于对患者的病灶、标定模9内的特征点等成像,磁共振成像设备坐标系是磁共振成像设备1自身的属性,可以通过标定模9的标定建立它和其它坐标系之间的坐标变换关系。The magnetic resonance imaging device 1 of the present invention adopts a horizontal open permanent magnet structure. This magnet structure avoids the limitation of the traditional barrel-shaped magnet structure on the angle and depth of the interventional surgical instrument 4 entering the human body, and the effective tracking area of the tracking system 2. The limitation ensures the realization of the real-time interventional surgery navigation mode, and ensures that the patient can perform interventional surgery on various parts of the human body while lying in the magnet. The magnetic resonance imaging device 1 is used to image the patient's lesions, the feature points in the calibration module 9, etc. The coordinate system of the magnetic resonance imaging device is the property of the magnetic resonance imaging device 1 itself, and it and other coordinates can be established through the calibration of the calibration module 9 Coordinate transformation relationship between systems.

本发明的跟踪系统2由位置传感器、工作站及相关电路等组成,跟踪系统2能够在跟踪系统的视场(保持测量精度的空间区域)内探测目标点的坐标,也能够测量目标坐标系的位置和姿态(称为位姿)信息,跟踪系统2可以是光学跟踪系统、电磁跟踪系统和机器人等。跟踪系统2利用其上的位置传感器对世界坐标系示踪器3、手术器械示踪器5、病床示踪器7等进行探测,完成对世界坐标系、手术器械坐标系和病床坐标系的位姿跟踪测量。Tracking system 2 of the present invention is made up of position sensor, work station and relevant circuit etc., and tracking system 2 can detect the coordinate of target point in the field of view of tracking system (the space area that keeps measuring precision), also can measure the position of target coordinate system and posture (referred to as pose) information, the tracking system 2 can be an optical tracking system, an electromagnetic tracking system, a robot, and the like. The tracking system 2 uses the position sensor on it to detect the world coordinate system tracer 3, the surgical instrument tracker 5, the hospital bed tracker 7, etc., and completes the positioning of the world coordinate system, the surgical instrument coordinate system and the hospital bed coordinate system. Attitude tracking measurement.

本发明的世界坐标系示踪器3、手术器械示踪器5和病床示踪器7都可以采用现有技术中由若干个(3个或3个以上)最小的示踪单位(比如表面具有荧光材料的示踪球)组成示踪器,此示踪单元的位置能直接被跟踪系统2里的位置传感器观测,从而示踪器3、5、7可分别作为一个坐标系,提供所依附设备的位姿信息。世界坐标系的位置一般与磁共振成像设备1连接在一起,也可以设置在其它位置,世界坐标系的位置在治疗中不产生移动。世界坐标系可以由一套或者多套示踪器3构成,如果将多套示踪器3安放在不同位置,在导航过程中可根据需要改变位置传感器的位置,保证位置传感器总能探测到其中的1个示踪器,从而得到世界坐标系的位姿。The world coordinate system tracer 3 of the present invention, the surgical instrument tracer 5 and the hospital bed tracer 7 all can adopt in the prior art by several (3 or more than 3) minimum tracer units (such as the surface has tracer balls of fluorescent material) to form a tracer, the position of the tracer unit can be directly observed by the position sensor in the tracking system 2, so that the tracers 3, 5, and 7 can be used as a coordinate system to provide the attached equipment pose information. The position of the world coordinate system is generally connected with the magnetic resonance imaging device 1 , and can also be set at other positions. The position of the world coordinate system does not move during treatment. The world coordinate system can be composed of one or more sets of trackers 3. If multiple sets of trackers 3 are placed in different positions, the position of the position sensor can be changed as needed during the navigation process to ensure that the position sensor can always detect it. A tracker of , so as to obtain the pose of the world coordinate system.

本发明的手术器械4包括导管、导丝等精密器械,手术中被引入人体,对体内病灶进行诊断和局部治疗,手术器械4上连接有作为手术器械坐标系的手术器械示踪器5,由于手术器械4与手术器械示踪器5的物理尺寸和相对位置是确定的,因此手术器械4的位姿信息可以被跟踪系统2测量。The surgical instrument 4 of the present invention includes precision instruments such as catheters and guide wires, which are introduced into the human body during the operation to diagnose and treat local lesions in the body. The surgical instrument 4 is connected with a surgical instrument tracer 5 as a surgical instrument coordinate system. The physical size and relative position of the surgical instrument 4 and the surgical instrument tracker 5 are determined, so the pose information of the surgical instrument 4 can be measured by the tracking system 2 .

本发明的病床6上放置患者,并可相对磁共振成像设备1从起始位置运动到成像区域或手术区域等。在病床6上固定作为病床坐标系的病床示踪器7后,病床6的位姿信息就可以被跟踪系统2测量。在某些应用中(例如脑部的神经外科手术),在病床6上的患者身体上固定有支架,此时也可将病床示踪器7固定在支架上。在病床6或者支架上放置示踪器7的目的都是在病灶发生移动的情况下准确跟踪病灶的位置。在病床6上放置示踪器7,当病灶和病床6无相对移动时,病床6的移动和病灶的移动是一样的;同样的,在支架上放置示踪器7,当病灶和支架无相对移动时,支架的移动和病灶的移动是一样的。在下面的叙述中,病床示踪器7也可理解为支架的示踪器,病床的位姿也可理解为支架的位姿,在数学符号上不作明显的区别。The patient is placed on the hospital bed 6 of the present invention, and can move relative to the magnetic resonance imaging equipment 1 from the initial position to the imaging area or operation area, etc. After the bed tracker 7 serving as the bed coordinate system is fixed on the bed 6 , the pose information of the bed 6 can be measured by the tracking system 2 . In certain applications (for example neurosurgery of the brain), a support is fixed to the patient's body on the bed 6, and the bed tracker 7 can also be fixed to the support at this time. The purpose of placing the tracer 7 on the hospital bed 6 or the bracket is to accurately track the position of the lesion when the lesion moves. Place the tracer 7 on the bed 6, when the focus and the bed 6 have no relative movement, the movement of the bed 6 is the same as that of the focus; When moving, the movement of the stent is the same as that of the lesion. In the following description, the bed tracker 7 can also be understood as the tracker of the frame, and the pose of the bed can also be understood as the pose of the frame, and there is no obvious difference in mathematical symbols.

本发明的标定针8是由一根具有一定长度的针和示踪器共同构成,由于针尖与示踪器的物理尺寸和相对位置是确定的,因此经过标定后,针尖的位置可以被跟踪系统2测量,从而利用标定针8的针尖接触某个点,就可以测量此点的位置。The calibration needle 8 of the present invention is composed of a needle with a certain length and a tracer. Since the physical size and relative position of the needle point and the tracer are determined, the position of the needle point can be tracked by the tracking system after calibration. 2 measurement, thereby utilizing the needle tip of the calibration pin 8 to touch a certain point, the position of this point can be measured.

本发明还可以在患者病灶附近的皮肤上设置导航标志18,导航标志18既能在磁共振成像设备1中成像,也能被跟踪系统2测量,通过注册可以计算出这两个坐标系之间的坐标转换关系。导航标志18有两个用途,一是验证跟踪精度,二是注册病灶图像,将图像和病灶实体对齐。上述注册是指有两组点的坐标数据,这两组点描述的是同一个物体,但由于两组点所在的坐标系不同导致其坐标不一样,通过注册可以计算出这两个坐标系之间的坐标转换关系。也叫做“配准”或“对齐”。The present invention can also set a navigation mark 18 on the skin near the patient's lesion. The navigation mark 18 can be imaged in the magnetic resonance imaging device 1 and can also be measured by the tracking system 2. Through registration, the distance between the two coordinate systems can be calculated. coordinate transformation relationship. The navigation mark 18 has two purposes, one is to verify the tracking accuracy, and the other is to register the lesion image and align the image with the lesion entity. The above registration refers to the coordinate data of two sets of points. These two sets of points describe the same object, but the coordinates of the two sets of points are different due to the different coordinate systems. Through registration, the difference between the two coordinate systems can be calculated. The coordinate transformation relationship between them. Also called "registration" or "alignment".

本发明的标定模9可以采用各种结构,本质上都是提供两组特征点集I和II,点集I能在成像设备中成像,从而得到点集I中每一个点在磁共振成像设备坐标系里的坐标,点集II能被跟踪系统测量,从而得到点集II中每一点在跟踪系统坐标系里的坐标。特征点集I与特征点集II之间的相对位置关系是已知的(称为标定模的几何信息),即如果知道特征点集I各点的坐标,就能计算出特征点集II各点的坐标;如果知道特征点集II各点的坐标,也可以计算出特征点集I各点的坐标。下面仅举两个标定模实施例,加以说明。Calibration module 9 of the present invention can adopt various structures, all is to provide two groups of characteristic point sets I and II in essence, and point set I can be imaged in imaging equipment, thereby obtains that each point in point set I is in magnetic resonance imaging equipment The coordinates in the coordinate system, the point set II can be measured by the tracking system, so as to obtain the coordinates of each point in the point set II in the tracking system coordinate system. The relative position relationship between the feature point set I and the feature point set II is known (called the geometric information of the calibration mode), that is, if the coordinates of each point of the feature point set I are known, each point of the feature point set II can be calculated. The coordinates of the points; if the coordinates of the points of the feature point set II are known, the coordinates of the points of the feature point set I can also be calculated. Below, only two examples of the calibration model will be given for illustration.

实施例1:如图3、图4所示,本实施例的标定模9包括由有机玻璃材料制成300mm×240mm×200mm的长方形标定模本体91,标定模本体91除底面外的其它五个面相似,每个面都具有一定厚度的特征层92,各面之间采用粘接或其它方式密封连接。在每一个特征层92内部都间隔设置有一组作为特征点93的球体(比如鱼肝油小球),五个面的所有特征点93共同组成了特征点集I。在每一特征层92的外表面与每个特征点93的位置对应,设置一个作为特征点94的凹坑,五个外表面上的特征点94共同组成了特征点集II。在标定模本体91内部,即六个面包起来的空间内是标定模溶液95,也可以没有标定模溶液。标定模溶液95可以采用氯化钠溶液、硫酸铜溶液等,其具有提高负载和信噪比的作用。特征点集I中的特征点93可以被磁共振成像设备1成像,并能够根据获得的图像计算出其中心;特征点集II的特征点94只要通过标定针8点击,就能够被跟踪系统2识别。Embodiment 1: as shown in Fig. 3 and Fig. 4, the calibration mold 9 of the present embodiment comprises a rectangular calibration mold body 91 of 300mm * 240mm * 200mm made of plexiglass material, and the calibration mold body 91 has five other parts except the bottom surface. The surfaces are similar, and each surface has a characteristic layer 92 with a certain thickness, and the surfaces are sealed and connected by bonding or other methods. A group of spheres (such as cod liver oil spheres) as feature points 93 are arranged at intervals inside each feature layer 92 , and all the feature points 93 on the five surfaces together form the feature point set I. Corresponding to the position of each feature point 93 on the outer surface of each feature layer 92, a pit is set as a feature point 94, and the feature points 94 on the five outer surfaces together form the feature point set II. In calibration mold body 91 inside, promptly in the space that six wrap up is calibration mold solution 95, also can not have calibration mold solution. Calibration solution 95 can use sodium chloride solution, copper sulfate solution, etc., which have the effect of improving load and signal-to-noise ratio. The feature point 93 in the feature point set I can be imaged by the magnetic resonance imaging device 1, and its center can be calculated according to the obtained image; the feature point 94 of the feature point set II can be tracked by the tracking system 2 as long as it is clicked by the calibration needle 8. identify.

上述实施例中,如果每个特征层92的特征点93、94是对称设置的,但是由于标定模本体1的两个背对背的面是对称的,不借助先验知识就不能知道某一点是处于这个面还是背对的那个面,那么在软件里注册时须人工通知软件特征点集I和II之间的点对应关系;如果在各面设置特征点93或特征点94时,选择不对称的空间分布(以特征点93为例,如图5所示),即有的位置是空置的,则软件可自动寻找对应关系。本发明为了在注册运算时实现自动匹配,因此在标定模本体91中设置的特征点集I和特征点集II的特征点93、94均采用不对称分布。这种不对称分布包括特征点集I中的各特征点93不对称分布,也包括特征点集II中的特征点94不对称分布,还包括特征点集I的特征点93与特征点集II中的特征点94之间不具有一一对应的关系。尽管这些特征点93、94不对称分布,但是一旦标定模制作完成,各特征点93、94之间的相互位置便是确定的,可以将各特征点93、94标号输入计算机,以方便随时取用。In the above-mentioned embodiment, if the feature points 93, 94 of each feature layer 92 are arranged symmetrically, but since the two back-to-back surfaces of the calibration mold body 1 are symmetrical, it is impossible to know whether a certain point is in the same position without prior knowledge. This face is still the face facing away from it, then when registering in the software, you must manually notify the software of the point correspondence between feature point sets I and II; if you set feature point 93 or feature point 94 on each face, choose asymmetric Spatial distribution (take feature point 93 as an example, as shown in Figure 5), that is, some positions are vacant, and the software can automatically find the corresponding relationship. In order to realize automatic matching during the registration operation in the present invention, the feature points 93 and 94 of the feature point set I and feature point set II set in the calibration module body 91 adopt asymmetric distribution. This asymmetric distribution includes the asymmetric distribution of each feature point 93 in the feature point set I, and also includes the asymmetric distribution of the feature points 94 in the feature point set II, and also includes the feature point 93 of the feature point set I and the feature point set II. There is no one-to-one correspondence between the feature points 94 in . Although these feature points 93,94 are asymmetrically distributed, once the calibration model is completed, the mutual positions between each feature point 93,94 are determined, and each feature point 93,94 label can be input into the computer to facilitate access at any time. use.

上述各标定模9主要是用于标定和检验各坐标系之间的相互位置,由于特征点集I的特征点93能够从磁共振成像设备1所成的图像中分析得到,特征点集II的特征点94能够被跟踪系统2识别测量得到,并且特征点集I与特征点集II之间的关系已知(称为标定模的几何信息),只要知道其中特征点集I中特征点93(或者特征点集II中特征点94)的坐标,就能推算出特征点集II中特征点94(或特征点集I中特征点93)的坐标,通过它们之间的关系便可以建立磁共振成像设备坐标系和跟踪系统坐标系之间的变换关系。The above-mentioned calibration modules 9 are mainly used to calibrate and check the mutual positions between the coordinate systems. Since the feature point 93 of the feature point set I can be analyzed from the image formed by the magnetic resonance imaging device 1, the feature point set II’s The feature point 94 can be identified and measured by the tracking system 2, and the relationship between the feature point set I and the feature point set II is known (geometric information called calibration modulus), as long as the feature point 93 in the feature point set I ( Or the coordinates of the feature point 94) in the feature point set II), the coordinates of the feature point 94 in the feature point set II (or the feature point 93 in the feature point set I) can be calculated, and the magnetic resonance can be established by the relationship between them The transformation relationship between the coordinate system of the imaging device and the coordinate system of the tracking system.

然而,根据各种成像设备(磁共振成像设备、计算机断层扫描设备(CT)、C型臂X线设备、超声波成像系统等)的成像特点可知,当磁共振成像设备1对标定模9中的特征点93进行扫描时(如图6所示),由于特征点93不是一个点,而是一个球体,扫描所得图像是积分得到的,并且所得到的图像并不规则,特别是距离设备扫描中心越远的位置,得到的图像变形越大(如图7中a、b、c所示),因此不能从图像中直接得到球体的球心。为此,在本发明导航系统的软件程序中需要添加一种基于高精度成像的球心定位程序,下面具体描述如下:However, according to the imaging characteristics of various imaging equipment (magnetic resonance imaging equipment, computed tomography equipment (CT), C-arm X-ray equipment, ultrasonic imaging system, etc.), when the magnetic resonance imaging equipment 1 pairs with the calibration model 9 When the feature point 93 is scanned (as shown in Figure 6), since the feature point 93 is not a point, but a sphere, the scanned image is obtained by integration, and the obtained image is irregular, especially the distance from the scanning center of the device The farther the position, the greater the deformation of the obtained image (as shown in a, b, and c in Figure 7), so the center of the sphere cannot be directly obtained from the image. For this reason, in the software program of the navigation system of the present invention, a kind of center-of-sphere positioning program based on high-precision imaging needs to be added, which is specifically described below:

如图8所示,为了得到特征点93真实的球心,本发明首先假设截面图上圆的面积S与截面在扫描方向上的坐标值之间满足正态分布;用磁共振成像设备1扫描特征点93,并沿同一轴向任意扫描三幅不同位置的截面圆图像,在扫描方向上的某一截面圆面积S和与该截面在扫描方向的坐标值可以组成一组值;由几何学可知,只要获得三组这样的值,就可以拟合出一条高斯曲线,曲线上面积最大点(峰值点)对应的坐标值就是球心在该扫描方向上的坐标值。曲线在z轴上的0点达到峰值,说明该点就是球心在z轴方向的坐标值。按照同样的方法,可以得到球心在另外两个坐标轴(x、y)方向的坐标值,将每一个轴向上利用三个截面计算出球心在这个轴向上的坐标值,组合在一起即可确定球心坐标。As shown in Figure 8, in order to obtain the real center of the sphere of the feature point 93, the present invention first assumes that the area S of the circle on the cross-sectional view and the coordinate value of the cross-section in the scanning direction satisfy a normal distribution; scan with a magnetic resonance imaging device 1 feature point 93, and arbitrarily scan three cross-sectional circle images at different positions along the same axis, the area S of a certain cross-sectional circle in the scanning direction and the coordinate value of the cross-section in the scanning direction can form a set of values; It can be seen that as long as three sets of such values are obtained, a Gaussian curve can be fitted, and the coordinate value corresponding to the point with the largest area (peak point) on the curve is the coordinate value of the center of the sphere in the scanning direction. The curve reaches its peak at point 0 on the z-axis, indicating that this point is the coordinate value of the center of the sphere in the direction of the z-axis. In the same way, the coordinate values of the center of the sphere in the direction of the other two coordinate axes (x, y) can be obtained, and the coordinate values of the center of the sphere in this axis can be calculated by using three sections in each axis, and combined in The coordinates of the center of the sphere can be determined together.

在扫描过程中,有时可能会只得到两幅截面图,这时首先需要由这两幅图拟合出经过圆心的第三幅截面图,然后再用上述方法计算出球心的坐标位置。比如:During the scanning process, sometimes only two cross-sectional views may be obtained. At this time, it is first necessary to fit the third cross-sectional view through the center of the circle from these two pictures, and then use the above method to calculate the coordinate position of the center of the sphere. for example:

如图9所示,用一个平面去截一个球体(特征点93),会得到一个圆,图中(x,y,z)代表球心坐标,d代表球心到截面圆的距离,R0代表球半径,r代表截面圆半径,(a,b,c)代表截面圆圆心,t1代表截面圆法线方向。它们之间存在这样的几何关系:As shown in Figure 9, use a plane to cut a sphere (feature point 93), a circle will be obtained, in the figure (x, y, z) represents the coordinates of the center of the sphere, d represents the distance from the center of the sphere to the section circle, R 0 Represents the radius of the ball, r represents the radius of the section circle, (a, b, c) represents the center of the section circle, and t1 represents the normal direction of the section circle. There is such a geometric relationship between them:

d2+r2=R0 2 d 2 +r 2 =R 0 2

已知球体的近似半径R0是3mm,通过分析图像,可以得到截面圆的圆心坐标(a,b,c)、圆的面积S,利用圆面积S可以得到截面圆半径r,利用球心和圆心坐标可以得到球心到截面圆的距离d,从而可以利用公式(1)得到该轴向上的球心坐标(x,y,z)。The approximate radius R 0 of the known sphere is 3mm. By analyzing the image, the center coordinates (a, b, c) of the cross-section circle and the area S of the circle can be obtained. The radius r of the cross-section circle can be obtained by using the area S of the circle. Using the center of the sphere and The coordinates of the center of the circle can be used to obtain the distance d from the center of the sphere to the section circle, so that the coordinates (x, y, z) of the center of the sphere on the axis can be obtained by using the formula (1).

由几何关系,我们知道,只要知道了两个面的参数,就可以用几何的方法列出如下的联立方程,解出球心的坐标值来:From the geometric relationship, we know that as long as the parameters of the two surfaces are known, the following simultaneous equations can be listed geometrically to solve the coordinates of the center of the sphere:

对第一个面:For the first face:

(( xx -- aa 11 )) 22 ++ (( ythe y -- bb 11 )) 22 ++ (( zz -- cc 11 )) 22 ++ SS 11 ππ == RR 00 22 xx -- aa 11 tt 11 xx == ythe y -- bb 11 tt 11 ythe y == zz -- cc 11 tt 11 zz

这样可以解出两组值来,从几何上来讲是上下各一个。In this way, two sets of values can be solved, geometrically speaking, one for the upper and lower.

对第二个面:For the second face:

(( xx -- aa 22 )) 22 ++ (( ythe y -- bb 22 )) 22 ++ (( zz -- cc 22 )) 22 ++ SS 22 ππ == RR 00 22 xx -- aa 22 tt 22 xx == ythe y -- bb 22 tt 22 ythe y == zz -- cc 22 tt 22 zz

也可以解出两组值来,也是上下各一个。You can also solve two sets of values, one for the upper and lower.

上面解出的四个球心,应该有两个其实是同一点(当然肯定存在误差)。我们求一下每两点间的距离,l1,l2,l3,l4,则距离最小的两点应该就是正确的球心点,所以把这两点取平均,得到我们要的球心的初值。Of the four centers solved above, two of them should actually be the same point (of course there must be errors). Let's find the distance between each two points, l 1 , l 2 , l 3 , l 4 , then the two points with the smallest distance should be the correct center of the sphere, so take the average of these two points to get the center of the sphere we want initial value.

有了球心的初值,还知道球半径R0,也就得到了过球心的截面圆信息,综合已有的两个截面圆信息,就可以利用本发明方法计算球心。由于已经有了三个截面圆的信息(圆心,半径),可以计算出圆面积;由于圆心坐标值已知,也就得到了三组值,每组值由扫描方向上的某一截面圆面积和与该截面在扫描方向的坐标值组成,把这三组值作为高斯曲线上的点坐标,就可以拟合出一条高斯曲线,从而得到球心在该扫描方向上的坐标值。利用同样的方法,可以得到球心在另两个方向上的坐标值,从而得到球心位置坐标。With the initial value of the center of the sphere and the radius R 0 of the sphere, the information of the cross-sectional circle passing through the center of the sphere is obtained, and the method of the present invention can be used to calculate the center of the sphere by combining the two existing information of the sectional circles. Since there are already three cross-sectional circle information (center, radius), the area of the circle can be calculated; since the coordinates of the center of the circle are known, three sets of values are obtained, and each set of values is determined by the area of a certain cross-sectional circle in the scanning direction and the coordinates of the cross section in the scanning direction, using these three sets of values as point coordinates on the Gaussian curve, a Gaussian curve can be fitted to obtain the coordinates of the center of the sphere in the scanning direction. Using the same method, the coordinate values of the center of the sphere in the other two directions can be obtained, thereby obtaining the position coordinates of the center of the sphere.

本发明导航系统的实质是将病灶图片和虚拟的手术器械放到同一个坐标系下观测,即同时显示在工作的屏幕上(可以是液晶屏幕、投影屏幕或者其它形式的显示器材),并且屏幕上两者的相对位置和真实的病灶和手术器械的相对位置相同,从而医生通过观测屏幕既能看到病灶,也能看到手术器械,进而准确而快速地将手术器械送到目标位置。The essence of the navigation system of the present invention is to put the lesion picture and the virtual surgical instrument into the same coordinate system for observation, that is, to display them on the working screen (which can be a liquid crystal screen, a projection screen or other forms of display equipment) at the same time, and the screen The relative position of the above two is the same as that of the real lesion and the surgical instrument, so that the doctor can see both the lesion and the surgical instrument through the observation screen, and then accurately and quickly send the surgical instrument to the target position.

采用本发明的导航系统,本发明可以完成以下两种工作模式(实时和非实时)的运行:Adopt the navigation system of the present invention, the present invention can finish the operation of following two kinds of working modes (real-time and non-real-time):

工作模式一:患者躺在病床6上,将病床6推入磁共振成像设备1的成像区域内,在扫描病灶的同时,实时地进行手术。其中,磁共振成像设备1提供病灶的图像数据,跟踪系统2提供手术器械4的位姿信息,利用坐标变换将病灶和手术器械4放到同一个坐标系下观测,同时显示在屏幕上,即医生在屏幕上看到的病灶和手术器械4的相对位置,就是实际的病灶和手术器械4的相对位置。Working mode 1: The patient lies on the hospital bed 6 , pushes the hospital bed 6 into the imaging area of the magnetic resonance imaging device 1 , and performs surgery in real time while scanning the lesion. Among them, the magnetic resonance imaging equipment 1 provides the image data of the lesion, and the tracking system 2 provides the pose information of the surgical instrument 4, and the lesion and the surgical instrument 4 are observed in the same coordinate system by coordinate transformation, and displayed on the screen at the same time, namely The relative position of the lesion and the surgical instrument 4 seen by the doctor on the screen is the actual relative position of the lesion and the surgical instrument 4 .

工作模式二:患者躺在病床6上,将病床6推入磁共振成像设备1的成像区域内,得到病灶的图像,然后将病床6拖出至一地点进行手术(患者和病床之间无相互移动),非实时地进行手术。其中,磁共振成像设备1提供病灶的图像数据,跟踪系统2提供手术器械3、病床6的位姿信息,利用坐标变换将病灶和手术器械4放到同一个坐标系下观测,同时显示在屏幕上,即医生在屏幕上看到的病灶和手术器械4的相对位置,就是实际的病灶和手术器械4的相对位置。Working mode 2: The patient lies on the sickbed 6, pushes the sickbed 6 into the imaging area of the magnetic resonance imaging device 1, obtains the image of the lesion, and then drags the sickbed 6 out to a place for surgery (there is no interaction between the patient and the sickbed). mobile), perform surgery in non-real time. Among them, the magnetic resonance imaging equipment 1 provides the image data of the lesion, the tracking system 2 provides the position and posture information of the surgical instrument 3 and the hospital bed 6, and uses coordinate transformation to put the lesion and the surgical instrument 4 into the same coordinate system for observation, and simultaneously displays them on the screen , that is, the relative position of the lesion and the surgical instrument 4 seen by the doctor on the screen is the actual relative position of the lesion and the surgical instrument 4 .

为支持以上两种工作模式,本发明系统支持以下三种导航模式,在具体描述本发明导航模式之前,先对描述中出现的变量定义如下(如表1所示):In order to support the above two working modes, the system of the present invention supports the following three navigation modes. Before describing the navigation mode of the present invention in detail, the variables that appear in the description are defined as follows (as shown in Table 1):

表1:变量的定义Table 1: Definition of variables

Figure C200710064930D00231
Figure C200710064930D00231

导航模式A:为了进行第一种工作模式,本发明采用示踪器3作为世界坐标系(如图1所示),其是设置在磁共振成像设备1上的,因此其与磁共振成像设备1的相对位置保持不变,在手术器械4上固定手术器械示踪器5作为手术器械坐标系。通过标定模9标定,可以得到磁共振成像设备坐标系和世界坐标系之间的坐标变换关系,使病灶(磁共振成像设备1提供其图像和位姿信息)能变换到世界坐标系中(此标定工作只需在安装设备时做一次,只要示踪器3和磁共振成像设备1之间没有相对移动,以后的手术都可以直接采用其标定结果)。同时通过标定模9标定得到手术器械4在手术器械坐标系里的位姿(每次手术都要进行标定,因为一般在手术前才将手术器械示踪器5固定,且很可能在手术过程中进行手术器械4与手术器械示踪器5的分离、固定)。在手术过程中,跟踪系统2测量世界坐标系的位姿,得到跟踪系统2自己的坐标系和世界坐标系的转换关系;同时,跟踪系统2测量手术器械坐标系的位姿,得到手术器械坐标系和世界坐标系之间的转换关系,从而将手术器械4也变换到世界坐标系观测。除了统一将病灶和手术器械4变换到世界坐标系观测,也可以将它们变换到其它坐标系观测,例如磁共振成像设备坐标系或者跟踪系统坐标系等。Navigation mode A: In order to carry out the first working mode, the present invention adopts the tracer 3 as the world coordinate system (as shown in Figure 1), which is arranged on the magnetic resonance imaging device 1, so it is consistent with the magnetic resonance imaging device The relative position of 1 remains unchanged, and the surgical instrument tracker 5 is fixed on the surgical instrument 4 as the surgical instrument coordinate system. Through calibration modulo 9 calibration, the coordinate transformation relationship between the magnetic resonance imaging equipment coordinate system and the world coordinate system can be obtained, so that the lesion (the magnetic resonance imaging equipment 1 provides its image and pose information) can be transformed into the world coordinate system (here The calibration work only needs to be done once when the equipment is installed, as long as there is no relative movement between the tracer 3 and the magnetic resonance imaging equipment 1, the calibration results can be used directly in subsequent operations). At the same time, the pose of the surgical instrument 4 in the surgical instrument coordinate system is obtained through the calibration of the calibration module 9 (every operation must be calibrated, because the surgical instrument tracer 5 is generally fixed before the operation, and it is likely to be fixed during the operation. Separation and fixation of the surgical instrument 4 and the surgical instrument tracer 5 are carried out). During the operation, the tracking system 2 measures the pose of the world coordinate system, and obtains the conversion relationship between the own coordinate system of the tracking system 2 and the world coordinate system; at the same time, the tracking system 2 measures the pose of the surgical instrument coordinate system, and obtains the coordinates of the surgical instrument system and the world coordinate system, so that the surgical instrument 4 is also transformed to the world coordinate system for observation. In addition to uniformly transforming the lesion and surgical instruments 4 into the world coordinate system for observation, they can also be transformed into other coordinate systems for observation, such as the magnetic resonance imaging equipment coordinate system or the tracking system coordinate system.

导航模式A坐标变换关系具体的推导过程如下:The specific derivation process of the coordinate transformation relationship in navigation mode A is as follows:

在世界坐标系里观测病灶和手术器械4,磁共振成像设备1扫描病灶,得到其图像数据,其中包括病灶的任意一点在磁共振成像设备坐标系里的坐标

Figure C200710064930D00241
根据事先标定好的磁共振成像设备坐标系和世界坐标系之间的变换关系
Figure C200710064930D00242
可以将病灶的任意一点坐标从磁共振成像设备坐标系变换到世界坐标系中,得到此点在世界坐标系里的坐标Observing the lesion and the surgical instrument 4 in the world coordinate system, the magnetic resonance imaging device 1 scans the lesion to obtain its image data, including the coordinates of any point of the lesion in the magnetic resonance imaging equipment coordinate system
Figure C200710064930D00241
According to the transformation relationship between the coordinate system of the magnetic resonance imaging equipment calibrated in advance and the world coordinate system
Figure C200710064930D00242
The coordinates of any point of the lesion can be transformed from the MRI equipment coordinate system to the world coordinate system, and the coordinates of this point in the world coordinate system can be obtained

VV lesionlesion worldthe world == CC scanscan worldthe world VV lesionlesion scanscan -- -- -- (( 11 ))

跟踪系统2测量手术器械示踪器5的位姿信息

Figure C200710064930D00244
同时也测量世界坐标系的位姿
Figure C200710064930D00245
从而得到手术器械坐标系和世界坐标系之间的变换关系The tracking system 2 measures the pose information of the surgical instrument tracker 5
Figure C200710064930D00244
Also measure the pose of the world coordinate system
Figure C200710064930D00245
In order to obtain the transformation relationship between the surgical instrument coordinate system and the world coordinate system

CC tooltools worldthe world == CC tracktrack worldthe world CC tooltools tracktrack == (( CC worldthe world tracktrack )) -- 11 CC tooltools tracktrack -- -- -- (( 22 ))

手术器械4上任意一点T在手术器械坐标系里的坐标是已知的,将其变换到世界坐标系里The coordinates of any point T on the surgical instrument 4 in the surgical instrument coordinate system is known, transform it into the world coordinate system

CC TT worldthe world == CC tooltools worldthe world CC TT tooltools == (( CC worldthe world tracktrack )) -- 11 CC tooltools tracktrack VV TT tooltools -- -- -- (( 33 ))

至此,病灶和手术器械4已经被放到同一个坐标系(世界坐标系)中观测,它们可以被显示在屏幕上。医生在屏幕上看到的病灶和手术器械4的相对位置,就是实际的病灶和手术器械4的相对位置。So far, the lesion and the surgical instrument 4 have been observed in the same coordinate system (world coordinate system), and they can be displayed on the screen. The relative position of the lesion and the surgical instrument 4 seen by the doctor on the screen is the actual relative position of the lesion and the surgical instrument 4 .

除了世界坐标系,病灶和手术器械4也可以被变换到其它的坐标系中观测,例如磁共振成像设备坐标系或者跟踪系统坐标系。In addition to the world coordinate system, the lesion and the surgical instrument 4 can also be transformed into other coordinate systems for observation, such as the magnetic resonance imaging equipment coordinate system or the tracking system coordinate system.

使用磁共振成像设备坐标系观测,由于病灶已经处于磁共振成像设备坐标系,其任意一点的坐标为

Figure C200710064930D00249
不需要进行变换,而只需变换手术器械4到磁共振成像设备坐标系Observation using the coordinate system of the magnetic resonance imaging equipment, since the lesion is already in the coordinate system of the magnetic resonance imaging equipment, the coordinates of any point are
Figure C200710064930D00249
No need to transform, but only need to transform the surgical instrument 4 to the magnetic resonance imaging equipment coordinate system

VV TT scanscan == CC worldthe world scanscan VV TT worldthe world == CC worldthe world scanscan (( CC worldthe world tracktrack )) -- 11 CC tooltools tracktrack VV TT tooltools -- -- -- (( 44 ))

使用跟踪系统坐标系观测,病灶的任意一点和手术器械4的任意一点在跟踪系统坐标系中的坐标分别为Using the tracking system coordinate system to observe, the coordinates of any point of the lesion and any point of the surgical instrument 4 in the tracking system coordinate system are respectively

VV lesionlesion tracktrack == CC scanscan tracktrack VV lesionlesion scanscan == CC worldthe world tracktrack CC scanscan worldthe world VV lesionlesion scanscan -- -- -- (( 55 ))

VV TT tracktrack == CC tooltools tracktrack VV TT tooltools -- -- -- (( 66 ))

导航模式B:为了进行第二种工作模式,可以在导航模式A的标定方法和跟踪方法的基础上扩展。同样地,使用示踪器3作为世界坐标系,它和磁共振成像设备1的相对位置保持不变,在手术器械4上固定手术器械示踪器5。此外,为了适应病床6(患者)的移动,还要在病床6上相对与患者病灶固定的病床示踪器7(或在病床上的患者身上设置人体坐标示踪器)。在手术过程中,病灶在磁共振成像设备1里成像后,随着病床6移动到进行手术的位置,利用磁共振成像设备坐标系和世界坐标系之间的坐标变换关系以及病床6的位姿信息,可以将病灶变换到世界坐标系中观测。手术器械4的跟踪方法和导航模式A中的方法一样。除了统一将病灶和手术器械4变换到世界坐标系观测,也可以将它们变换到其它坐标系,例如磁共振成像设备坐标系,跟踪系统坐标系或者病床坐标系等。Navigation mode B: In order to carry out the second working mode, it can be extended on the basis of the calibration method and tracking method of navigation mode A. Similarly, using the tracker 3 as the world coordinate system, its relative position with the magnetic resonance imaging device 1 remains unchanged, and the surgical instrument tracker 5 is fixed on the surgical instrument 4 . In addition, in order to adapt to the movement of the hospital bed 6 (patient), a bed tracker 7 fixed on the bed 6 relative to the patient's lesion (or a human body coordinate tracker set on the patient on the bed) is also required. During the operation, after the lesion is imaged in the magnetic resonance imaging device 1, as the patient bed 6 moves to the position where the operation is performed, the coordinate transformation relationship between the coordinate system of the magnetic resonance imaging device and the world coordinate system and the pose of the patient bed 6 are used Information, the lesion can be transformed into the world coordinate system for observation. The tracking method of the surgical instrument 4 is the same as that in the navigation mode A. In addition to uniformly transforming the lesion and surgical instruments 4 into the world coordinate system for observation, they can also be transformed into other coordinate systems, such as the magnetic resonance imaging equipment coordinate system, the tracking system coordinate system or the hospital bed coordinate system.

导航模式B坐标变换关系具体的推导过程如下:The specific derivation process of the coordinate transformation relationship in navigation mode B is as follows:

在世界坐标系里观测病灶和手术器械4,患者被推入磁共振成像设备1成像时,病灶的任意一点在世界坐标系里的坐标即公式(1)描述的Observe the lesion and the surgical instrument 4 in the world coordinate system, and when the patient is pushed into the magnetic resonance imaging device 1 for imaging, the coordinates of any point of the lesion in the world coordinate system are described by formula (1)

VV lesionlesion ,, 00 worldthe world == CC scanscan worldthe world VV lesionlesion ,, 00 scanscan -- -- -- (( 11 ))

其中下标0表示病床6被推入磁共振成像设备1,此时病床坐标系位姿

Figure C200710064930D00255
被跟踪系统2探测,它在世界坐标系里的位姿为The subscript 0 indicates that the bed 6 is pushed into the MRI equipment 1, and the pose of the bed coordinate system is
Figure C200710064930D00255
Detected by tracking system 2, its pose in the world coordinate system is

CC PTPT ,, 00 worldthe world == CC tracktrack worldthe world CC PTPT ,, 00 tracktrack == (( CC worldthe world tracktrack )) -- 11 CC PTPT ,, 00 tracktrack -- -- -- (( 77 ))

由式(1)和(7)可知此时病灶的任意一点在病床坐标系中的坐标为From formulas (1) and (7), it can be known that the coordinates of any point of the lesion in the bed coordinate system at this time are

VV lesionlesion ,, 00 PTPT ,, 00 == CC worldthe world PTPT ,, 00 VV lesionlesion ,, 00 worldthe world == (( CC PTPT ,, 00 tracktrack )) -- 11 CC worldthe world tracktrack CC scanscan worldthe world VV lesionlesion ,, 00 scanscan -- -- -- (( 88 ))

成像完毕后,病灶(患者)随着病床6运动到手术位置(用下标1表示)。由于病人和病床6无相对移动,病灶在病床6上的坐标保持不变After the imaging is completed, the lesion (patient) moves to the operation position (indicated by subscript 1) along with the hospital bed 6 . Since there is no relative movement between the patient and the bed 6, the coordinates of the lesion on the bed 6 remain unchanged

VV lesionlesion ,, 11 PTPT ,, 11 == VV lesionlesion ,, 00 PTPT ,, 00 -- -- -- (( 99 ))

此时病床6的位姿

Figure C200710064930D00259
被跟踪系统2探测,它在世界坐标系里的位姿为The pose of bed 6 at this time
Figure C200710064930D00259
Detected by tracking system 2, its pose in the world coordinate system is

CC PTPT ,, 11 worldthe world == CC tracktrack worldthe world CC PTPT ,, 11 tracktrack == (( CC worldthe world tracktrack )) -- 11 CC PTPT ,, 11 tracktrack -- -- -- (( 1010 ))

由式(8)~(10)可得出此时病灶在世界坐标系里的坐标为From formulas (8) to (10), it can be concluded that the coordinates of the lesion in the world coordinate system at this time are

VV lesionlesion ,, 11 worldthe world == CC PTPT ,, 11 worldthe world VV lesionlesion ,, 11 PTPT ,, 11 == (( CC worldthe world tracktrack )) -- 11 CC PTPT ,, 11 tracktrack (( CC PTPT ,, 00 tracktrack )) -- 11 CC worldthe world tracktrack CC scanscan worldthe world VV lesionlesion ,, 00 scanscan -- -- -- (( 1111 ))

手术器械4的任意一点在世界坐标系里的坐标和式(3)描述的一样The coordinates of any point of the surgical instrument 4 in the world coordinate system are the same as those described by formula (3)

VV TT worldthe world == CC tooltools worldthe world VV TT tooltools == (( CC worldthe world tracktrack )) -- 11 CC tooltools tracktrack VV TT tooltools -- -- -- (( 33 ))

至此,病灶和手术器械已经被放到同一个坐标系(世界坐标系)中观测。So far, the lesion and surgical instruments have been observed in the same coordinate system (world coordinate system).

除了世界坐标系,病灶和手术器械也可以被变换到其它的坐标系中观测,例如磁共振成像设备坐标系,跟踪系统坐标系或者病床坐标系。In addition to the world coordinate system, lesions and surgical instruments can also be transformed into other coordinate systems for observation, such as the magnetic resonance imaging equipment coordinate system, tracking system coordinate system or hospital bed coordinate system.

使用磁共振成像设备坐标系观测,病灶的任意一点和手术器械4的任意一点在磁共振成像设备坐标系中的坐标分别为Using the magnetic resonance imaging equipment coordinate system to observe, the coordinates of any point of the lesion and any point of the surgical instrument 4 in the magnetic resonance imaging equipment coordinate system are respectively

V lesion , 1 scan = C world scan V lesion , 1 world = C world scan ( C world track ) - 1 C PT , 1 track ( C PT , 0 track ) - 1 C world track C scan world V lesion , 0 scan           (12) V lesion , 1 scan = C the world scan V lesion , 1 the world = C the world scan ( C the world track ) - 1 C PT , 1 track ( C PT , 0 track ) - 1 C the world track C scan the world V lesion , 0 scan (12)

== (( CC scanscan worldthe world )) -- 11 (( CC worldthe world tracktrack )) -- 11 CC PTPT ,, 11 tracktrack (( CC PTPT ,, 00 tracktrack )) -- 11 CC worldthe world tracktrack CC scanscan worldthe world VV lesionlesion ,, 00 scanscan

VV TT scanscan == CC worlkwork scanscan VV TT worldthe world == CC worldthe world scanscan (( CC worldthe world tracktrack )) -- 11 CC tooltools tracktrack VV TT tooltools -- -- -- (( 44 ))

使用跟踪系统坐标系观测,病灶的任意一点和手术器械4的任意一点在跟踪系统坐标系中的坐标分别为Using the tracking system coordinate system to observe, the coordinates of any point of the lesion and any point of the surgical instrument 4 in the tracking system coordinate system are respectively

VV lesionlesion ,, 11 tracktrack == CC PTPT ,, 11 tracktrack VV lesionlesion ,, 11 PTPT ,, 11 == CC PTPT ,, 11 tracktrack (( CC PTPT ,, 00 tracktrack )) -- 11 CC worldthe world tracktrack CC scanscan worldthe world VV lesionlesion ,, 00 scanscan -- -- -- (( 1313 ))

VV TT tracktrack == CC tooltools tracktrack VV TT tooltools -- -- -- (( 66 ))

使用病床坐标系观测,病灶的任意一点和手术器械4的任意一点在病床坐标系中的坐标分别为Using the sick bed coordinate system to observe, the coordinates of any point of the lesion and any point of the surgical instrument 4 in the sick bed coordinate system are respectively

VV lesionlesion ,, 11 PTPT ,, 11 == (( CC PTPT ,, 00 tracktrack )) -- 11 CC worldthe world tracktrack CC scanscan worldthe world VV lesionlesion ,, 00 scanscan -- -- -- (( 77 ))

VV TT PTPT ,, 11 == CC tracktrack PTPT ,, 11 VV TT tracktrack == (( CC PTPT ,, 11 tracktrack )) -- 11 CC tooltools tracktrack VV TT tooltools -- -- -- (( 1414 ))

导航模式C:为了进行第二种工作模式,可以采用与导航模式B不同的标定方法和跟踪方法。其是在患者体表固定能在磁共振成像设备1中成像的导航标志18(数量不少于3个),并在磁共振成像设备1中成像,手术过程中,导航标志18和病灶之间无相对移动。在病床6(患者)被拉出到达手术区域后,在病灶图像上提取导航标志18在磁共振成像设备坐标系里的坐标,并用跟踪系统2测量患者体表的导航标志18在跟踪系统坐标系里的坐标,将这两组数据注册,从而在某坐标系(例如跟踪系统坐标系)中将病灶图像和真正的病灶的位置重合在一起,由于此时手术器械4也被变换到此坐标系(例如跟踪系统坐标系),因此可以实现病灶和手术器械4的一起观测,然后就能开始手术。Navigation mode C: In order to carry out the second working mode, different calibration methods and tracking methods from navigation mode B can be used. It is fixed on the patient's body surface with navigation markers 18 (the number is not less than 3) that can be imaged in the magnetic resonance imaging device 1, and is imaged in the magnetic resonance imaging device 1. During the operation, between the navigation markers 18 and the lesion No relative movement. After the hospital bed 6 (patient) is pulled out and reaches the operation area, extract the coordinates of the navigation marker 18 in the magnetic resonance imaging equipment coordinate system on the lesion image, and use the tracking system 2 to measure the navigation marker 18 on the patient's body surface in the tracking system coordinate system The coordinates in , register these two sets of data, so that the lesion image and the real lesion position are superposed together in a certain coordinate system (such as the tracking system coordinate system), because the surgical instrument 4 is also transformed to this coordinate system at this time (for example, the tracking system coordinate system), so the joint observation of the lesion and the surgical instrument 4 can be realized, and then the operation can be started.

导航模式C坐标变换关系具体的推导过程如下:The specific derivation process of the C coordinate transformation relationship in the navigation mode is as follows:

在病床6到位后,在病灶图像上将nnav个导航标志18(nnav≥3,一般nnav等于4),提取出来,得到导航标志18在磁共振成像设备坐标系里的三维坐标

Figure C200710064930D00269
(i=1,2,...,nnav);使用跟踪系统2测量导航标志点18,得到它们在跟踪系统坐标系里的坐标
Figure C200710064930D002610
病灶和手术器械坐标之间的变换关系为:After the hospital bed 6 is in place, extract n nav navigation marks 18 (n nav ≥ 3, generally n nav is equal to 4) on the lesion image, and obtain the three-dimensional coordinates of the navigation marks 18 in the magnetic resonance imaging equipment coordinate system
Figure C200710064930D00269
(i=1, 2, ..., n nav ); use the tracking system 2 to measure the navigation marker points 18, and obtain their coordinates in the tracking system coordinate system
Figure C200710064930D002610
The transformation relationship between the coordinates of the lesion and the surgical instrument is:

CC imgimg tracktrack Mm ii imgimg == Mm ii tracktrack -- -- -- (( 1515 ))

其中

Figure C200710064930D00271
为磁共振成像设备坐标系在跟踪系统坐标系里的位姿。通过式(15)可得到nnav个方程,并解出从而病灶的任意一点在磁共振成像设备坐标系里的坐标
Figure C200710064930D00273
可变换到跟踪系统坐标系in
Figure C200710064930D00271
is the pose of the magnetic resonance imaging equipment coordinate system in the tracking system coordinate system. Through formula (15), n nav equations can be obtained, and the solution Therefore, the coordinates of any point of the lesion in the coordinate system of the magnetic resonance imaging equipment
Figure C200710064930D00273
Transformable to tracking system coordinate system

VV lesionlesion tracktrack == CC imgimg tracktrack VV lesionlesion imgimg -- -- -- (( 1616 ))

手术器械4上的任意一点T在手术器械坐标系里的坐标

Figure C200710064930D00275
是已知的,将其变换到跟踪系统坐标系里The coordinates of any point T on the surgical instrument 4 in the surgical instrument coordinate system
Figure C200710064930D00275
is known, transform it into the tracking system coordinate system

VV TT tracktrack == CC tooltools tracktrack VV TT tooltools -- -- -- (( 66 ))

至此,病灶和手术器械4已经被放到同一个坐标系(跟踪系统坐标系)中观测,它们可以被显示在屏幕上,医生在屏幕上看到的病灶和手术器械4的相对位置,就是实际的病灶和手术器械4的相对位置。So far, the lesion and the surgical instrument 4 have been observed in the same coordinate system (tracking system coordinate system), and they can be displayed on the screen. The relative position of the lesion and the surgical instrument 4 seen by the doctor on the screen is the actual The relative position of the lesion and the surgical instrument 4 .

为了使医生不需要再次使用跟踪系统2测量导航标志18,可增加一个示踪器作为世界坐标系,其位姿被跟踪系统2测量。此世界坐标系和导航模式A、B的世界坐标系不同,它不是固定于磁共振成像设备1上,而是和病灶的相对位置保持不变,例如病灶为头部时,可通过机械装置将示踪器和头部固定。In order to make the doctor not need to use the tracking system 2 to measure the navigation sign 18 again, a tracker can be added as the world coordinate system, and its pose Measured by tracking system 2. This world coordinate system is different from the world coordinate systems of navigation modes A and B. It is not fixed on the magnetic resonance imaging device 1, but keeps the relative position of the lesion unchanged. For example, when the lesion is the head, it can be moved to Tracer and head fixed.

用下标0表示初始的标定位置,1表示跟踪系统2的位置传感器移动到新位置。将病灶的任意一点由跟踪系统坐标系变换到世界坐标系The subscript 0 is used to indicate the initial calibration position, and 1 indicates that the position sensor of the tracking system 2 has moved to a new position. Transform any point of the lesion from the tracking system coordinate system to the world coordinate system

VV lesionlesion worldthe world == CC tracktrack ,, 11 worldthe world VV lesionlesion tracktrack ,, 11 == CC tracktrack ,, 11 worldthe world CC tracktrack ,, 00 tracktrack ,, 11 VV lesionlesion tracktrack ,, 00 == (( CC worldthe world tracktrack ,, 11 )) -- 11 CC worldthe world tracktrack ,, 11 (( CC worldthe world tracktrack ,, 00 )) -- 11 CC imgimg tracktrack ,, 00 VV lesionlesion imgimg -- -- -- (( 1717 ))

将手术器械4的任意一点变换到世界坐标系Transform any point of the surgical instrument 4 to the world coordinate system

VV TT worldthe world == CC tooltools worldthe world VV TT tooltools == (( CC worldthe world tracktrack ,, 11 )) -- 11 CC tooltools tracktrack ,, 11 VV TT tooltools -- -- -- (( 1818 ))

这样我们就把病灶和手术器械4都放到世界坐标系里观测,当位置传感器移动后,世界坐标系在位置传感器的位姿

Figure C200710064930D002710
更新,通过式(17)和(18)的变换保证病灶和手术器械的定位准确。In this way, we put the lesion and surgical instrument 4 into the world coordinate system for observation. When the position sensor moves, the world coordinate system is at the position of the position sensor
Figure C200710064930D002710
Update, through the transformation of formulas (17) and (18) to ensure accurate positioning of the lesion and surgical instruments.

也可以在跟踪系统中观察病灶和手术器械Lesions and surgical instruments can also be observed in the tracking system

VV lesionlesion tracktrack ,, 11 == CC tracktrack ,, 00 tracktrack ,, 11 VV lesionlesion tracktrack ,, 00 == CC worldthe world tracktrack ,, 11 (( CC worldthe world tracktrack ,, 00 )) -- 11 CC imgimg tracktrack ,, 00 VV lesionlesion imgimg -- -- -- (( 1919 ))

VV TT tracktrack ,, ii == CC tooltools tracktrack ,, 11 VV TT tooltools -- -- -- (( 2020 ))

上述磁共振成像设备坐标系的标定中,磁共振成像设备1扫描一个物体得到图像,所用的空间坐标系为磁共振成像设备坐标系,为了将图像从磁共振成像设备坐标系变换到其它的坐标系(如世界坐标系),就需要进行标定工作,得到成像坐标系和某坐标系R(如世界坐标系或跟踪系统坐标系等)之间的变换关系有了这个关系,病灶就可以变换到该坐标系中观测。如果知道其它的坐标系(例如跟踪系统坐标系)和世界坐标系的关系,还可以将病灶变换到其它的坐标系中。In the above-mentioned calibration of the magnetic resonance imaging equipment coordinate system, the magnetic resonance imaging equipment 1 scans an object to obtain an image, and the space coordinate system used is the magnetic resonance imaging equipment coordinate system. In order to transform the image from the magnetic resonance imaging equipment coordinate system to other coordinates system (such as the world coordinate system), calibration work is required to obtain the transformation relationship between the imaging coordinate system and a certain coordinate system R (such as the world coordinate system or tracking system coordinate system, etc.) With this relationship, the lesion can be transformed into this coordinate system for observation. If the relationship between other coordinate systems (such as the tracking system coordinate system) and the world coordinate system is known, the lesion can also be transformed into other coordinate systems.

本发明采用标定模9和跟踪系统2来标定磁共振成像设备坐标系与世界坐标系之间的变换关系 The present invention uses the calibration module 9 and the tracking system 2 to calibrate the transformation relationship between the magnetic resonance imaging equipment coordinate system and the world coordinate system

根据上述标定模9结构的描述可知,磁共振成像设备扫描标定模9,得到特征点集I的每一特征点93在磁共振成像设备坐标系里的坐标

Figure C200710064930D0028184223QIETU
(i=1,2,...,nph);跟踪系统2测量标定模9,得到特征点集II的每一特征点94的坐标,也就得到了特征点集II的每一点在跟踪系统坐标系里的坐标
Figure C200710064930D0028184256QIETU
(i=1,2,...,nph)。这两组坐标满足方程According to the description of the structure of the above-mentioned calibration module 9, it can be known that the magnetic resonance imaging device scans the calibration module 9 to obtain the coordinates of each feature point 93 of the feature point set 1 in the coordinate system of the magnetic resonance imaging device
Figure C200710064930D0028184223QIETU
(i=1, 2 , . coordinates in the system coordinate system
Figure C200710064930D0028184256QIETU
(i=1, 2, . . . , n ph ). These two sets of coordinates satisfy the equation

CC scanscan tracktrack VV ii scanscan == VV ii tracktrack (( ii == 1,21,2 ,, .. .. .. ,, nno phpH )) -- -- -- (( 21twenty one ))

由这些方程解可解出磁共振成像设备坐标系与跟踪坐标系之间的变换关系进而得到磁共振成像设备坐标系和世界坐标系之间的变换关系From the solutions of these equations, the transformation relationship between the MRI equipment coordinate system and the tracking coordinate system can be solved Then the transformation relationship between the MRI equipment coordinate system and the world coordinate system is obtained

CC scanscan worldthe world == CC tracktrack worldthe world CC scanscan tracktrack == (( CC worldthe world tracktrack )) -- 11 CC scanscan tracktrack -- -- -- (( 22twenty two ))

其中

Figure C200710064930D00287
由跟踪系统2测量世界坐标系得到。in
Figure C200710064930D00287
It is obtained by measuring the world coordinate system by tracking system 2.

为了提高导航模式A和导航模式B中的标定精度,本发明在用标定模9进行标定时,采用了旋转量和平移量分开标定的方法In order to improve the calibration accuracy in navigation mode A and navigation mode B, the present invention adopts a separate calibration method for the rotation amount and the translation amount when the calibration module 9 is used for calibration

Figure C200710064930D00288
包括旋转矩阵(3×3矩阵)和平移向量(3×1矩阵),即
Figure C200710064930D00288
Including rotation matrix (3×3 matrix) and translation vector (3×1 matrix), namely

CC scanscan tracktrack == RR scanscan tracktrack TT scanscan tracktrack 00 11 -- -- -- (( 23twenty three ))

将点坐标point coordinates

V=(X 1)T=(x y z 1)T V = (X 1) T = (x y z 1) T

和式(23)代入(21)得到and formula (23) into (21) to get

RR scanscan tracktrack Xx ii scanscan ++ TT scanscan tracktrack == Xx ii tracktrack -- -- -- (( 24twenty four ))

一般的标定办法是利用磁共振成像设备1测量特征点集I各点在磁共振成像设备坐标系里的坐标(i=1,2,...,nph),利用跟踪系统2测量特征点集II各点在跟踪系统坐标系里的坐标,由于特征点集I和II的相对位置关系是已知的,从而得到特征点集I各点在跟踪系统坐标系里的坐标

Figure C200710064930D0028184444QIETU
(i=1,2,...,nph),通过方程式(24)同时解出旋转矩阵
Figure C200710064930D002813
和平移向量
Figure C200710064930D002814
The general calibration method is to utilize the magnetic resonance imaging equipment 1 to measure the coordinates of each point of the feature point set I in the magnetic resonance imaging equipment coordinate system (i=1, 2 , . , so as to obtain the coordinates of each point in the feature point set I in the tracking system coordinate system
Figure C200710064930D0028184444QIETU
(i=1, 2, ..., n ph ), solve the rotation matrix simultaneously by equation (24)
Figure C200710064930D002813
and translation vector
Figure C200710064930D002814

这样做可以在特征点集I、II附近的区域得到好的局部标定结果,但是由于视场比较大,而标定模的特征点93只是视场里点的一小部分,因此在磁共振成像设备1的整个视场内标定的精度受旋转矩阵的误差影响大,使得只有特征点93附近区域定位准确,而远离特征点93的区域误差大。将旋转矩阵和平移矩阵分开标定,可以保证旋转矩阵有最佳的标定结果,这样做虽然牺牲了特征点93、94附近的最小标定误差,但是在整个视场内可以得到好的标定结果。分开标定的具体的过程如下:In this way, good local calibration results can be obtained in the area near the feature point sets I and II, but because the field of view is relatively large, and the feature point 93 of the calibration model is only a small part of the point in the field of view, so in the magnetic resonance imaging equipment The accuracy of the calibration within the entire field of view of 1 is affected by the rotation matrix The influence of the error is large, so that only the area near the feature point 93 is accurately positioned, while the error in the area far away from the feature point 93 is large. Calibrating the rotation matrix and the translation matrix separately can ensure that the rotation matrix has the best calibration result. Although the minimum calibration error near the feature points 93 and 94 is sacrificed in this way, good calibration results can be obtained in the entire field of view. The specific process of separate calibration is as follows:

首先,利用磁共振成像设备1测量特征点集I各特征点93在磁共振成像设备坐标系里的坐标

Figure C200710064930D0028184453QIETU
(i=1,2,...,nph),由坐标
Figure C200710064930D002817
生成L个向量
Figure C200710064930D002818
原则是使向量尽量分布在视场的各个方向(最理想的是从视场中心向各个方向发出的向量集)。然后,利用跟踪系统2测量特征点集II各点在跟踪系统坐标系里的坐标,从而得到特征点集I各点在跟踪系统坐标系里的坐标
Figure C200710064930D0029184537QIETU
(i=1,2,...,nph),在跟踪系统坐标系生成和向量
Figure C200710064930D00292
一一对应的向量
Figure C200710064930D00293
(一一对应的意思是如果向量
Figure C200710064930D00294
由特征点和特征点
Figure C200710064930D00296
生成,那么向量
Figure C200710064930D00297
也由同样的特征点
Figure C200710064930D00298
和特征点
Figure C200710064930D00299
生成)。First, utilize the magnetic resonance imaging equipment 1 to measure the coordinates of each feature point 93 of the feature point set I in the magnetic resonance imaging equipment coordinate system
Figure C200710064930D0028184453QIETU
(i=1, 2, . . . , n ph ), by coordinates
Figure C200710064930D002817
generate L vectors
Figure C200710064930D002818
The principle is to make the vectors distributed in all directions of the field of view as much as possible (the ideal is the set of vectors sent from the center of the field of view to all directions). Then, use the tracking system 2 to measure the coordinates of each point of the feature point set II in the tracking system coordinate system, thereby obtaining the coordinates of each point of the feature point set I in the tracking system coordinate system
Figure C200710064930D0029184537QIETU
(i=1, 2, ..., n ph ), the sum vector is generated in the tracking system coordinate system
Figure C200710064930D00292
one-to-one vector
Figure C200710064930D00293
(One-to-one correspondence means that if the vector
Figure C200710064930D00294
by feature point and feature points
Figure C200710064930D00296
generate, then the vector
Figure C200710064930D00297
also by the same feature points
Figure C200710064930D00298
and feature points
Figure C200710064930D00299
generate).

这两组向量满足变换关系These two sets of vectors satisfy the transformation relation

RR scanscan tracktrack DD. ii scanscan == DD. ii tracktrack (( ii == 1,21,2 ,, .. .. .. ,, nno phpH )) -- -- -- (( 2525 ))

由方程组(25)可解出旋转矩阵

Figure C200710064930D002911
然后将它代入方程组(24)可解出
Figure C200710064930D002912
得到变换关系
Figure C200710064930D002913
进而得到磁共振成像设备坐标系和跟踪坐标系之间的变换关系 C scan track . The rotation matrix can be solved by equations (25)
Figure C200710064930D002911
Then substituting it into the equation system (24) can be solved
Figure C200710064930D002912
get transformation relationship
Figure C200710064930D002913
Then the transformation relationship between the MRI equipment coordinate system and the tracking coordinate system is obtained C scan track .

在实施上述三种导航模式A、B、C过程中,为了增加跟踪系统2的视场,可使用多个示踪器3共同组成世界坐标系,这些示踪器3分布在不同的位置(各示踪器3之间的坐标变换关系是已经测定好的),导航时选择位置传感器探测效果最好的示踪器3作为世界坐标系。从而允许跟踪系统2的位置传感器能够移动到多个位置对手术器械4进行位置跟踪,扩大了位置传感器的工作区域。此时病灶和手术器械仍然可以用前面的公式来计算。In the process of implementing the above three navigation modes A, B, and C, in order to increase the field of view of the tracking system 2, multiple trackers 3 can be used to form a world coordinate system, and these trackers 3 are distributed in different positions (each The coordinate transformation relationship between the trackers 3 has been measured), and the tracker 3 with the best detection effect of the position sensor is selected as the world coordinate system during navigation. Therefore, the position sensor of the tracking system 2 is allowed to move to multiple positions to track the position of the surgical instrument 4, and the working area of the position sensor is expanded. At this time, the lesion and surgical instruments can still be calculated by the previous formula.

本发明对硬件部分的改进还包括以下内容:The improvement of the present invention to the hardware part also includes the following content:

1、本发明除了通过坐标系的变换将磁共振图像和手术器械放置在同一坐标系中观察并进行手术以外,还为手术器械4设置了一个手术器械导引仪40,使用手术器械导引仪40一方面可以排除操作者手部抖动带来的影响,另一方面减小穿刺过程中手术器械4弯曲的现象,从而可以保证将介入手术器械精确地摆放到位。1. In addition to placing the magnetic resonance image and the surgical instrument in the same coordinate system for observation and performing surgery through the transformation of the coordinate system, the present invention also provides a surgical instrument guide 40 for the surgical instrument 4, using the surgical instrument guide 40, on the one hand, can eliminate the influence of the operator's hand shake, and on the other hand, reduce the bending phenomenon of the surgical instrument 4 during the puncturing process, so as to ensure that the interventional surgical instrument is placed in place accurately.

如图10所示,本发明手术器械导引仪40包括下支架组件410,上横梁组件430,调角器组件450和介入导引组件470。As shown in FIG. 10 , the surgical instrument guide 40 of the present invention includes a lower bracket assembly 410 , an upper beam assembly 430 , a recliner assembly 450 and an intervention guide assembly 470 .

如图11~13所示,本发明的下支架组件410包括一具有一定重量的底座411,底座411的底部设置有四个滚轮412,用以支撑和方便推拉移动整个设备。在底座411顶部固定连接一立管413,在立管413的外面设置一与底座411固定连接的外罩414。在立管413的中部和外罩414最上部分别设置有一导向套415、416,在两导向套415、416内插设一上支管417。上支管417的一侧设置有齿条418。在立管413上部的外罩414内设置一与齿条418啮合的齿轮419,与齿轮419同轴设置一链轮420,在立管413的下部设置另一链轮421,在两链轮420、421上环绕一链条422,在外侧链条422上固定连接一配重423,内侧链条422穿过配重423的另一侧。配重423的设置原则是:上支管417及以上部件的重量与配重423形成动态平衡,这样,如果有外力向上提升上支管417或向下压上支管417时,上支管417上的齿条418就可以带动齿轮419,链轮420、421和链条422转动,使配重423向上、下移动,达到另一位置的动态平衡;此时由于操作者使用的力仅为克服齿轮419和齿条418之间的摩擦力,因此操作者无论是提升或是下压上支管417都会非常轻快省力。为防止在无意中碰触上支管417而引起移动,在外罩414上设置一穿过外罩414的手柄424,在上支管417与下支架组件410调整后,以方便锁紧定位。As shown in FIGS. 11-13 , the lower bracket assembly 410 of the present invention includes a base 411 with a certain weight, and four rollers 412 are arranged on the bottom of the base 411 for supporting and conveniently pushing and pulling the entire device. A standpipe 413 is fixedly connected to the top of the base 411 , and an outer cover 414 fixedly connected to the base 411 is arranged outside the standpipe 413 . A guide sleeve 415 , 416 is respectively arranged in the middle of the standpipe 413 and the uppermost part of the outer cover 414 , and an upper branch pipe 417 is inserted in the two guide sleeves 415 , 416 . One side of the upper branch pipe 417 is provided with a rack 418 . A gear 419 meshed with the rack 418 is set in the outer cover 414 on the standpipe 413 top, a sprocket 420 is arranged coaxially with the gear 419, another sprocket 421 is set at the bottom of the standpipe 413, and two sprockets 420, 421 is surrounded by a chain 422 , a counterweight 423 is fixedly connected to the outer chain 422 , and the inner chain 422 passes through the other side of the counterweight 423 . The setting principle of the counterweight 423 is: the weight of the upper branch pipe 417 and the above parts forms a dynamic balance with the counterweight 423. Like this, if there is an external force to lift the upper branch pipe 417 upwards or press the upper branch pipe 417 downward, the rack on the upper branch pipe 417 will 418 just can drive gear 419, and sprocket wheel 420,421 and chain 422 rotate, and counterweight 423 is moved up and down, reaches the dynamic balance of another position; 418, so whether the operator lifts or presses down the upper branch pipe 417, it will be very light and labor-saving. In order to prevent the upper branch pipe 417 from accidentally touching and causing movement, a handle 424 passing through the outer cover 414 is provided on the outer cover 414 to facilitate locking and positioning after the upper branch pipe 417 and the lower bracket assembly 410 are adjusted.

如图14、图15所示,本发明的上横梁组件430包括一转接柱431,一设置在转接柱431中间的楔套432,一设置在楔套432外面的T形接头433,楔套432和T形接头433通过多个螺钉固定连接成一体。两个楔块434、435分别从转接柱431的两侧穿入楔套432,并将两个挡板436、437分别从两端通过多个螺钉固定在转接柱431上。一限位螺母438螺接在挡板437的中心螺孔内,限位螺母438的端部顶在楔块435上,将一具有旋转手柄439的螺杆440连接在两楔块434、435的中心螺孔内,且两楔块434、435的中心螺孔一个左旋,一个右旋,因此与二者对应的螺杆440转动时,两楔块434、435可以相对运动,进而锁紧或松开楔套432和固定在楔套432上的T形接头433。转接柱431底部通过一个常用的锁紧螺母441和一尼龙套442与上支管417顶部固定连接。As shown in Fig. 14 and Fig. 15, the upper beam assembly 430 of the present invention includes an adapter column 431, a wedge sleeve 432 arranged in the middle of the adapter column 431, a T-shaped joint 433 arranged outside the wedge sleeve 432, and a wedge The sleeve 432 and the T-shaped joint 433 are fixedly connected into one body by a plurality of screws. The two wedges 434 , 435 respectively penetrate into the wedge sleeve 432 from both sides of the adapter column 431 , and the two baffles 436 , 437 are respectively fixed on the adapter column 431 by a plurality of screws from both ends. A limit nut 438 is screwed in the central screw hole of the baffle plate 437, the end of the limit nut 438 is supported on the wedge 435, and a screw rod 440 with a rotating handle 439 is connected to the center of the two wedges 434,435 In the screw holes, and the central screw holes of the two wedges 434, 435 are left-handed and the other right-handed, so when the screw 440 corresponding to the two rotates, the two wedges 434, 435 can move relatively, and then lock or loosen the wedges. A sleeve 432 and a T-shaped joint 433 fixed on the wedge sleeve 432 . The bottom of the adapter column 431 is fixedly connected to the top of the upper branch pipe 417 through a common locking nut 441 and a nylon sleeve 442 .

如图14、图16所示,在T形套433内穿设一横梁443,T形套442的两端也采用常用的锁紧螺母和尼龙套与横梁443固定连接。上横梁430与调角器450连接的一端设置有一弯头444,在弯头444内通过键与键槽445的配合连接一过渡轴446,一调整套447通过螺纹连接在过渡轴446上,在过渡轴446的外面通过一组三瓣套448,同时连接弯头444和调整套447的一端,横梁443端部内固定连接一螺套449,螺套449与横梁443插设在调整套447内,转动横梁443可以将螺套449固定在过渡轴446上。As shown in Fig. 14 and Fig. 16, a beam 443 is pierced in the T-shaped sleeve 433, and the two ends of the T-shaped sleeve 442 are fixedly connected with the beam 443 by common lock nuts and nylon sleeves. An elbow 444 is provided at the end where the upper beam 430 is connected to the recliner 450, and a transition shaft 446 is connected in the elbow 444 through the cooperation of the key and the keyway 445, and an adjustment sleeve 447 is connected to the transition shaft 446 by threads. The outside of the shaft 446 passes through a group of three-lobe sleeves 448, and connects the elbow 444 and one end of the adjustment sleeve 447 at the same time. A screw sleeve 449 is fixedly connected to the end of the beam 443, and the screw sleeve 449 and the beam 443 are inserted in the adjustment sleeve 447. The beam 443 can fix the screw sleeve 449 on the transition shaft 446 .

如图17~20所示,本发明的调角器组件450包括一壳体451,在壳体451一端设置一连接轴452,相对连接轴452的轴心,在壳体451内设置一连接成一体的上、下球座453、454,在上、下球座453、454内设置一球轴455的球头,在壳体451的顶部和侧部分别设置一通过微调螺母456、457带动的压下螺杆458和侧推螺杆459,压下螺杆458和侧推螺杆459的底部分别设置一连接球轴455的摆套460、461。在球轴455的端部连接一过渡轴462,在过渡轴462上连接一手轮463和由手轮463带动转动的一过渡板464,过渡板464通过一旋转手柄连接介入导引组件470。调角器450是用于调节介入导引组件470的偏转角度和进针方向的,调节微调螺母456、457可以分别使球轴455以球头为轴上、下、左、右摆动,调节手轮463可以使介入导引组件470沿球轴455轴向移动。As shown in Figures 17-20, the recliner assembly 450 of the present invention includes a housing 451, a connecting shaft 452 is arranged at one end of the housing 451, and a connecting shaft 452 is arranged in the housing 451 relative to the axis of the connecting shaft 452. Integrated upper and lower ball seats 453,454, a ball head of a ball shaft 455 is set in the upper and lower ball seats 453,454, and a ball head driven by a fine-tuning nut 456,457 is respectively set on the top and side of the housing 451. Depress the screw rod 458 and the side push screw rod 459, and the bottoms of the depress screw rod 458 and the side push screw rod 459 are respectively provided with a swing sleeve 460, 461 connected to the ball shaft 455. A transition shaft 462 is connected to the end of the ball shaft 455, a hand wheel 463 and a transition plate 464 rotated by the hand wheel 463 are connected to the transition shaft 462, and the transition plate 464 is connected to the intervention guide assembly 470 through a rotating handle. The recliner 450 is used to adjust the deflection angle of the interventional guide assembly 470 and the direction of needle insertion. Adjusting the fine-tuning nuts 456 and 457 can respectively make the ball shaft 455 swing up, down, left, and right with the ball head as the axis, and adjust the angle of the hand. The wheels 463 can move the interventional guide assembly 470 axially along the ball axis 455 .

如图17、图21所示,本发明的介入导引组件470包括两铰接在一起的外针卡471、472,在所述两外针卡471、472内设置两内针卡473、474,在两内针卡473、474内穿设穿刺针475。其中一侧的外针卡471和内针卡473与与过渡板464固定连接成一体,另一侧的外针卡72可以相对外针卡71打开,以放入另一内针卡474和穿刺针475,合上外针卡472以后,可以通过一螺钉476将两外针卡471、472固定在一起,二者固定的松紧取决于穿刺针475,使其可以在外力的作用下,在内针卡471、472内滑动。As shown in Figure 17 and Figure 21, the intervention guide assembly 470 of the present invention includes two outer needle cards 471, 472 hinged together, and two inner needle cards 473, 474 are arranged inside the two outer needle cards 471, 472, The puncture needle 475 is pierced in the two inner needle cards 473,474. The outer needle card 471 and the inner needle card 473 on one side are fixedly connected with the transition plate 464 as a whole, and the outer needle card 72 on the other side can be opened relative to the outer needle card 71 to put in another inner needle card 474 and puncture Needle 475, after closing the outer needle clamp 472, two outer needle clamps 471, 472 can be fixed together by a screw 476, the tightness of the two fixing depends on the puncture needle 475, so that it can be used under the action of external force. The needle cards 471, 472 slide inside.

本发明手术器械导引仪40使用时,可以推动底座411移动任何位置,通过旋转手柄424可以将上支管417上、下移动,通过旋转手柄439可以转动移动横梁443,通过转动微调螺母456、457和手轮463可以调节穿刺针的方向,以对准患者的病灶部位;一旦完成操作,医生便可以方便地将穿刺针准确地导入预定的病灶部位。When the surgical instrument guide 40 of the present invention is in use, the base 411 can be pushed to move to any position, the upper branch pipe 417 can be moved up and down by the rotating handle 424, the crossbeam 443 can be rotated by rotating the handle 439, and the fine-tuning nuts 456, 457 can be rotated And the handwheel 463 can adjust the direction of the puncture needle, so as to aim at the focus of the patient; once the operation is completed, the doctor can easily and accurately guide the puncture needle into the predetermined focus.

2、为了避免了超高、超宽物体与磁共振成像设备发生碰撞,保护患者和磁共振成像设备1的安全,本发明在磁共振成像设备1上设置一套激光保护装置50。如图22、图23所示,本发明在磁共振成像设备1成像空间的顶部和两侧分别设置了一个市场上购买的线性激光器51、52、53,以及连接各激光器51、52、53的警报装置(图中未示),各激光器51、52、53的信息同时还输入磁共振成像设备1的控制装置。这样每一个线性激光器51、52、53发出的激光是一个呈扇形的平面,三束激光器51、52、53发出的激光恰可覆盖顶面和两侧面,与病床9所在位置形成一矩形延伸的空间,即磁共振成像设备1可以允许进入的空间。一旦患者身体的任何部位超出或者患者身上的手术器械超出或插设的其它管路等超出三个激光器51、52、53所构成的工作空间,警报装置便会发出警报提醒手术医生,同时磁共振成像设备1的运动控制系统收到激光光束被阻挡的信息后,软件便会自动停止下一个操作步骤,病床9也会被停止继续前进,从而有效的避免了超高、超宽物体与磁共振成像设备的碰撞,保护了患者和磁共振成像设备。2. In order to avoid the collision between ultra-high and ultra-wide objects and the magnetic resonance imaging equipment, and to protect the safety of the patient and the magnetic resonance imaging equipment 1, a set of laser protection device 50 is provided on the magnetic resonance imaging equipment 1 in the present invention. As shown in Fig. 22 and Fig. 23, the present invention sets a commercially available linear laser 51, 52, 53 respectively on the top and both sides of the imaging space of the magnetic resonance imaging device 1, and connects the lasers 51, 52, 53. The alarm device (not shown in the figure), the information of each laser 51 , 52 , 53 is also input into the control device of the magnetic resonance imaging equipment 1 at the same time. In this way, the laser light emitted by each linear laser 51, 52, 53 is a fan-shaped plane, and the laser light emitted by the three beam lasers 51, 52, 53 can just cover the top surface and both sides, forming a rectangular extension with the position of the sick bed 9. Space, ie the space into which the magnetic resonance imaging device 1 is allowed to enter. Once any part of the patient's body exceeds the working space formed by the three lasers 51, 52, 53, or the surgical instruments on the patient's body exceed or other pipelines inserted exceed, the alarm device will sound an alarm to remind the surgeon, After the motion control system of the imaging device 1 receives the information that the laser beam is blocked, the software will automatically stop the next operation step, and the hospital bed 9 will also be stopped and continue to move forward, thus effectively avoiding ultra-high and ultra-wide objects and magnetic resonance The collision of the imaging equipment protects the patient and the magnetic resonance imaging equipment.

3、本发明采用多个手术悬臂,分别用于固定跟踪系统2和显示屏幕15等,这些悬臂能够保持顺滑的大范围移动,保证三维方位跟踪系统2能够在各种位姿下检测到手术器械4;同时保证医生在介入手术操作中能在最佳角度和最佳距离观察到显示屏幕上的手术导航界面。3. The present invention adopts a plurality of surgical cantilevers, which are respectively used to fix the tracking system 2 and the display screen 15, etc. These cantilevers can maintain a smooth and large-scale movement, ensuring that the three-dimensional azimuth tracking system 2 can detect the operation in various postures. Instrument 4; at the same time, ensure that the doctor can observe the surgical navigation interface on the display screen at the best angle and the best distance during the intervention operation.

如图24所示,本发明的软件部分包括主控制模块,其含有三个处理模块:过程控制模块,系统设置和日志模块,以及数据库管理模块(包括医学影像存档与通信);手术规划导航模块中包含两个支持模块:图像/数据分析模块和系统导航标定模块;图形用户界面控制模块和交互控制模块。软件部分为需要控制的三类外部设备定义了通用的多种型号的应用程序接口并与相应设备连接;即通用跟踪系统控制应用程序接口,通用成像设备应用程序接口,通用治疗系统控制应用程序接口。其中主控制模块是该软件的核心部分,它协调软件中所有的模块调用和相互信息传递。过程控制模块管理所有与应用相关的过程,例如,系统标定,手术计划,实时导航等;系统设置和日志模块负责设置系统配置以及和系统相关的数据库信息(例如设备数据库),同时此模块也维护系统日志;数据库管理模块管理所有的数据,包括图像、设备(治疗)模型、成像设备、过程协议、系统日志和系统配置,对于图像的管理,数据库管理模块以医学影像存档与通讯系统(PACS)的方式工作。图像/数据分析模块提供图像处理和数据分析功能,系统导航标定模块提供设备位置跟踪功能和不同设备坐标系关系。图形用户界面控制模块和交互控制模块为用户显示所有的控制和图像信息,并且具备用户操作功能。As shown in Figure 24, the software part of the present invention includes a main control module, which contains three processing modules: a process control module, a system setting and log module, and a database management module (including medical image archiving and communication); an operation planning navigation module It contains two support modules: image/data analysis module and system navigation calibration module; graphic user interface control module and interactive control module. The software part defines general multiple types of application programming interfaces for the three types of external equipment that need to be controlled and connects them with corresponding equipment; that is, the general tracking system control application programming interface, the general imaging equipment application programming interface, and the general treatment system control application programming interface . The main control module is the core part of the software, which coordinates all module calls and mutual information transmission in the software. The process control module manages all application-related processes, such as system calibration, surgical planning, real-time navigation, etc.; the system setting and log module is responsible for setting system configuration and system-related database information (such as equipment database), and this module also maintains System log; the database management module manages all data, including images, equipment (treatment) models, imaging equipment, process protocols, system logs and system configuration. For the management of images, the database management module uses the medical image archiving and communication system (PACS) way of working. The image/data analysis module provides image processing and data analysis functions, and the system navigation calibration module provides equipment position tracking functions and the relationship between different equipment coordinate systems. The graphical user interface control module and the interactive control module display all control and image information for the user, and have user operation functions.

本发明在软件中针对现有技术中磁共振成像设备1所成图像由于梯度场的非线性引起图像的几何变形的问题,提出一种根据磁感应强度的球谐函数计算三维空间内的图像上每一个象素点的三维偏移量,并将该偏移量补偿到该象素点的图像坐标中的基于球谐函数的磁共振图像梯度变形校正程序,该校正程序作为软件被预置在本发明软件部分的图像/数据分析模块中。如图24、图25所示,本发明梯度校正程序包括计算空间偏移量、图像偏移量补偿校正和搜索校正参数三部份,下面分别描述如下:In the software, the present invention aims at the problem that the image formed by the magnetic resonance imaging device 1 in the prior art causes the geometric deformation of the image due to the nonlinearity of the gradient field, and proposes a method of calculating every The three-dimensional offset of a pixel, and the offset is compensated to the image coordinates of the pixel in the magnetic resonance image gradient deformation correction program based on the spherical harmonic function, the correction program is preset in this software as a software In the Image/Data Analysis module of the Invention Software section. As shown in Fig. 24 and Fig. 25, the gradient correction program of the present invention includes three parts: calculation of space offset, image offset compensation and correction, and search for correction parameters, which are respectively described below:

A、计算空间偏移量的步骤如下:A. The steps to calculate the space offset are as follows:

磁共振系统的磁场强度Bz(r,θ,φ)在球坐标系内可以使用下述公式(1)表示The magnetic field strength B z(r, θ, φ) of the magnetic resonance system can be expressed by the following formula (1) in the spherical coordinate system

Br(n,m)(r,θ,φ)=rn[av(n,m)cos(mφ)+bv(n,m)sin(mφ)]×P(n,m)(cosθ)    (1)B r(n, m) (r, θ, φ) = r n [a v(n, m) cos(mφ)+b v(n, m) sin(mφ)]×P (n, m) ( cosθ) (1)

其中Br(n,m)(r,θ,φ)是Bz的球谐函数展开后第n阶m级项。av(n,m)、bv(n,m)是常数,av(n,m)、bv(n,m)是v方向n阶m级展开项的系数,是磁场非线性梯度的固有特性,r为所求点到球心的距离。P(n,m)(cosθ)为勒让德多项式,有限项Br(n,m)(r,θ,φ)之和就可以近似给出磁场强度Bz(r,θ,φ)where B r(n, m) (r, θ, φ) is the nth-order m-level term after the spherical harmonic function expansion of B z . a v(n, m) and b v(n, m) are constants, a v(n, m) and b v(n, m) are the coefficients of the n-order m-level expansion term in the v direction, and they are the nonlinear gradient of the magnetic field Intrinsic characteristics of , r is the distance from the sought point to the center of the sphere. P (n, m) (cosθ) is a Legendre polynomial, and the sum of the finite terms B r(n, m) (r, θ, φ) can approximate the magnetic field strength B z(r, θ, φ) .

在建立了Bz(r,θ,φ)的表达式之后,就可以得到磁场的梯度函数:After establishing the expression of Bz (r, θ, φ) , the gradient function of the magnetic field can be obtained:

GG vv (( rr )) ≡≡ ∂∂ BB zvzv (( rr )) ∂∂ vv ≡≡ ∂∂ BB zvzv (( rr )) LL ∂∂ vv ++ ∂∂ BB zvzv (( rr )) NN ∂∂ vv ≡≡ GG vv LL ++ GG vv (( rr )) NN -- -- -- (( 22 ))

其中v表示笛卡儿坐标系内的(x,y或z)方向,Bzv(r)是梯度场的总强度,

Figure C200710064930D00322
是梯度场线性部分,即球谐函数展开的一阶项,
Figure C200710064930D00323
是可以由球谐函数展开的高阶项计算的非线性部分,所以:where v represents the (x, y or z) direction in the Cartesian coordinate system, B zv(r) is the total strength of the gradient field,
Figure C200710064930D00322
is the linear part of the gradient field, that is, the first-order term of the spherical harmonic expansion,
Figure C200710064930D00323
is the nonlinear part that can be computed by the higher-order terms of the spherical harmonic expansion, so:

Figure C200710064930D00331
Figure C200710064930D00331

定义definition

Figure C200710064930D00332
Figure C200710064930D00332

其中:in:

Figure C200710064930D00333
Figure C200710064930D00333

公式(4)描述了笛卡儿坐标系内v(x,y或z)方向上梯度的非线性程度,可以用于计算笛卡儿空间内点V(x,y,z)的坐标偏移量,可以根据磁共振设备1的成像空间选择合适大小的计算区间,并在该区间内均匀分布控制点Vci(x,y,z),根据公式(4)计算每一个控制点的偏移量,并保存在控制点偏移量文件中。Formula (4) describes the degree of nonlinearity of the gradient in the direction of v (x, y or z) in the Cartesian coordinate system, which can be used to calculate the coordinate offset of the point V (x, y, z) in the Cartesian space A calculation interval of an appropriate size can be selected according to the imaging space of the magnetic resonance equipment 1, and the control points V ci (x, y, z) are uniformly distributed in this interval, and the offset of each control point is calculated according to formula (4) and save it in the control point offset file.

B、偏移量补偿校正的步骤如下:B. The steps of offset compensation correction are as follows:

对待校正图像进行校正由图像偏移量补偿校正实现,是在图像坐标系中通过改变每一个象素的图像坐标完成的,所以针对每一个象素的图像校正的过程,即:首先将象素p(u,v)的图像坐标(u,v)换算为成像空间内坐标(x,y,z)。再根据控制点偏移量文件中所保存的与该象素相邻的8个控制点Vc(1-8)的偏移量ηc(1-8)使用插值算法计算该象素的空间偏移量ηp。再次将该象素的空间偏移量换算为图像坐标系内的偏移量σp;最后将偏移量补偿到该象素的图像坐标。具体公式描述如下:The correction of the image to be corrected is realized by image offset compensation correction, which is completed by changing the image coordinates of each pixel in the image coordinate system, so the process of image correction for each pixel, that is: firstly, the pixel The image coordinates ( u, v) of p (u , v) are converted into coordinates (x, y, z) in the imaging space. Then use the interpolation algorithm to calculate the space of the pixel according to the offset η c (1-8) of the 8 control points V c ( 1-8 ) adjacent to the pixel saved in the control point offset file Offset ηp . The spatial offset of the pixel is converted into the offset σ p in the image coordinate system again; finally, the offset is compensated to the image coordinate of the pixel. The specific formula is described as follows:

假设在磁共振成像空间内待校正图像的行对应的向量为vr,列对应的向量为vc。第一个象素点为

Figure C200710064930D00334
其磁共振空间坐标为V0,图像的分辨率为Res,图像的视野为Fov。则任意象素pi(u,v)的磁共振空间坐标为Vi。Assume that in the magnetic resonance imaging space, the vector corresponding to the row of the image to be corrected is v r , and the vector corresponding to the column is v c . The first pixel is
Figure C200710064930D00334
The magnetic resonance space coordinate is V 0 , the resolution of the image is Res, and the field of view of the image is Fov. Then the magnetic resonance space coordinate of any pixel p i (u, v) is V i .

VV ii (( xx ii ,, ythe y ii ,, zz ii )) == VV 00 ++ (( (( uu -- uu 00 )) ** vv rr ++ (( vv -- vv 00 )) ** vv cc )) ** FovFov ResRes -- -- -- (( 55 ))

假设与该象素相邻的8个控制点的偏移量分别为:Assume that the offsets of the 8 control points adjacent to the pixel are:

ηη (( xx 00 ,, ythe y 00 ,, zz 00 )) ,, ηη (( xx 00 ,, ythe y 00 ,, zz 00 ++ 11 )) ,, ηη (( xx 00 ,, ythe y 00 ++ 11 ,, zz 00 )) ,, ηη (( xx 00 ++ 11 ,, ythe y 00 ,, zz 00 )) ,, ηη (( xx 00 ,, ythe y 00 ++ 11 ,, zz 00 ++ 11 )) ,, ηη (( xx 00 ++ 11 ,, ythe y 00 ++ 11 ,, zz 00 )) ,, ηη (( xx 00 ++ 11 ,, ythe y 00 ,, zz 00 ++ 11 )) ,, ηη (( xx 00 ++ 11 ,, ythe y 00 ++ 11 ,, zz 00 ++ 11 )) ..

Figure C200710064930D00341
的偏移量可以表示为:but
Figure C200710064930D00341
The offset of can be expressed as:

ηη ii (( xx ii ,, ythe y ii ,, zz ii )) == ηη (( xx 00 ,, ythe y 00 ,, zz 00 )) ** (( xx 00 ++ 11 -- xx ii )) ** (( ythe y 00 ++ 11 -- ythe y ii )) ** (( zz 00 ++ 11 -- zz ii ))

       + η ( x 0 , + 1 y 0 , z 0 ) * ( x i - x 0 ) * ( y 0 + 1 - y i ) * ( z 0 + 1 - z i ) + η ( x 0 , + 1 the y 0 , z 0 ) * ( x i - x 0 ) * ( the y 0 + 1 - the y i ) * ( z 0 + 1 - z i )

       + η ( x 0 , y 0 + 1 , z 0 ) * ( x 0 + 1 - x i ) * ( y i - y 0 ) * ( z 0 + 1 - z i ) + η ( x 0 , the y 0 + 1 , z 0 ) * ( x 0 + 1 - x i ) * ( the y i - the y 0 ) * ( z 0 + 1 - z i )

       + η ( x 0 , y 0 , z 0 + 1 ) * ( x 0 + 1 - x i ) * ( y 0 + 1 - y i ) * ( z i - z 0 ) + η ( x 0 , the y 0 , z 0 + 1 ) * ( x 0 + 1 - x i ) * ( the y 0 + 1 - the y i ) * ( z i - z 0 )

       + η ( x 0 + 1 , y 0 , z 0 + 1 ) * ( x i - x 0 ) * ( y 0 + 1 - y i ) * ( z i - z 0 ) + η ( x 0 + 1 , the y 0 , z 0 + 1 ) * ( x i - x 0 ) * ( the y 0 + 1 - the y i ) * ( z i - z 0 )

       + η ( x 0 , y 0 + 1 , z 0 + 1 ) * ( x 0 + 1 - x i ) * ( y i - y 0 ) * ( z i - z 0 ) + η ( x 0 , the y 0 + 1 , z 0 + 1 ) * ( x 0 + 1 - x i ) * ( the y i - the y 0 ) * ( z i - z 0 )

       + η ( x 0 + 1 , y 0 + 1 , z 0 ) * ( x i - x 0 ) * ( y i - y 0 ) * ( z 0 + 1 - z i ) + η ( x 0 + 1 , the y 0 + 1 , z 0 ) * ( x i - x 0 ) * ( the y i - the y 0 ) * ( z 0 + 1 - z i )

       + η ( x 0 + 1 , y 0 + 1 , z 0 + 1 ) * ( x i - x 0 ) * ( y i - y 0 ) * ( z i - z 0 ) - - - ( 6 ) + η ( x 0 + 1 , the y 0 + 1 , z 0 + 1 ) * ( x i - x 0 ) * ( the y i - the y 0 ) * ( z i - z 0 ) - - - ( 6 )

将该象素的空间偏移量换算为图像坐标系内的偏移量σp(u,v)the spatial offset of the pixel Converted to the offset σ p(u, v) in the image coordinate system.

σp(u,v)=(Δu,Δv)σ p(u, v) = (Δu, Δv)

ΔuΔu == ηη ii (( xx ii ,, ythe y ii ,, zz ii )) ·&Center Dot; vv rr ** ResRes FovFov

ΔvΔv == ηη ii (( xx ii ,, ythe y ii ,, zz ii )) ·· vv cc ** ResRes FovFov -- -- -- (( 77 ))

将偏移量补偿到该象素的图像坐标,该象素新的图像坐标(u',v')。Compensate the offset to the pixel's image coordinates, the pixel's new image coordinates (u', v').

u'=u+Δu;u'=u+Δu;

v'=v+Δv;                                (8)v'=v+Δv;

对待校正图像内的每一个象素进行以上操作,就可以完成整幅图像的校正。By performing the above operations on each pixel in the image to be corrected, the correction of the entire image can be completed.

C、搜索校正参数的步骤如下:C. The steps to search for calibration parameters are as follows:

搜索校正参数模块通过多次分析梯度校正模60的磁共振图像获得校正参数,下面介绍梯度校正模60的设计方法和搜索校正参数的步骤,出于精度和计算量的考虑梯度场的计算均以5阶展开。The module for searching correction parameters obtains correction parameters by analyzing the magnetic resonance images of the gradient correction modulus 60 multiple times. The following describes the design method of the gradient correction modulus 60 and the steps of searching for the correction parameters. For the sake of accuracy and calculation amount, the calculation of the gradient field is based on 5-stage expansion.

(1)梯度校正模(1) Gradient correction mode

如图26、图27所示,梯度校正模60是用于梯度校正的工具,它既用于搜索系统参数,也用于测量校正后的误差。梯度校正模60为一个方形的盒体61,在盒体61内设置按照不等间距方阵的方式排列成方阵的圆柱62,圆柱62内充满硫酸铜溶液,可以在磁共振成像设备中成像。梯度校正模中的圆柱62是按照公式(2)表达的梯度分布规律进行排列的,圆柱62作为标定模内的标志点,可以更精确地计算出梯度分布的参数值。As shown in Fig. 26 and Fig. 27, the gradient correction modulus 60 is a tool for gradient correction, which is used not only for searching system parameters, but also for measuring corrected errors. The gradient correction mold 60 is a square box body 61, and cylinders 62 arranged in a square array in a square array with unequal spacing are arranged in the box body 61, and the cylinder 62 is filled with copper sulfate solution, which can be imaged in a magnetic resonance imaging device . The cylinders 62 in the gradient correction module are arranged according to the gradient distribution rule expressed by the formula (2), and the cylinders 62 are used as marking points in the calibration module, so that the parameter values of the gradient distribution can be calculated more accurately.

如图28所示,显示了圆柱62在X轴上的磁场梯度在±30cm内的变化规律,由于磁场梯度的非线性,以X方向标志点为例,如果标志点为等间距的,则随着X坐标越大,相邻标志点间的图像X坐标差值先变大,之后急剧变小(如图29所示)。所以为了保证标志点的图像坐标计算精度,本发明按照磁场梯度变化的规律采用不等间距的标志点分布和尺寸不同的标志点。下面以X方向为例给出标志点间距和尺寸的计算方法:As shown in Figure 28, it shows the change law of the magnetic field gradient of the cylinder 62 on the X axis within ±30cm. Due to the nonlinearity of the magnetic field gradient, taking the marker points in the X direction as an example, if the marker points are equidistant, then As the X-coordinate gets larger, the image X-coordinate difference between adjacent marker points first becomes larger and then decreases sharply (as shown in FIG. 29 ). Therefore, in order to ensure the calculation accuracy of the image coordinates of the marker points, the present invention adopts the distribution of marker points with unequal intervals and marker points with different sizes according to the law of the magnetic field gradient change. The following takes the X direction as an example to give the calculation method of the marker point spacing and size:

根据公式(3)以及ax(n,m)、bx(n,m)的估计值:According to formula (3) and estimated values of a x(n, m) and b x(n, m) :

ax(3,1)=10-4,ax(5,1)=10-7a x(3,1) =10 -4 , a x(5,1) =10 -7 ,

可以写出v(x,y=0,z=0)处的梯度场磁感应强度Bz的5阶展开:The fifth-order expansion of the gradient field magnetic induction B z at v (x, y=0, z=0) can be written:

BB zXZ (( vv )) == xx -- 33 22 ** 1010 -- 44 ** xx 33 ++ 33 1616 ** 1010 -- 66 ** xx 55

v(x,y=0,z=0)处的梯度为:The gradient at v (x,y=0,z=0) is:

GG Xx (( vv )) == 11 -- 99 22 ** 1010 -- 44 ** xx 22 ++ 33 3232 ** 1010 -- 55 ** xx 44

假设磁场中心的标志点间距为l0,标志点的直径为d0。那么的v(x,y=0,z=0)点处的标志点间距为:Assume that the distance between the mark points at the center of the magnetic field is l 0 , and the diameter of the mark points is d 0 . Then the marker point spacing at v (x, y=0, z=0) point is:

ll == ll 00 GG ;;

v(x,y=0,z=0)点处的标志点直径为:The diameter of the marker point at point v (x, y=0, z=0) is:

dd == dd 00 GG Xx (( vv ))

同样可以根据公式(3)以及az(n,m)、bz(n,m)的估计值得出梯度场磁感应梯度在z轴方向上的表达式Gz。进而根据Gz计算标志点在平面标定模另一个方向的点距以及标志点尺寸。一般来讲磁共振的梯度场x,y方向的设计参数基本相同,所以x、y方向仅计算一个即可,一个典型的梯度校正模可以使用x,z方向的分布数据制作。按照标志点的间距和直径计算公式重新设计本发明的梯度校正模60(如图30所示)。Similarly, the expression G z of the magnetic induction gradient of the gradient field in the z-axis direction can be obtained according to the formula (3) and the estimated values of a z(n, m) and b z(n, m) . Then calculate the point distance and the size of the marker point in the other direction of the plane calibration module according to Gz . Generally speaking, the design parameters of the magnetic resonance gradient field in the x and y directions are basically the same, so only one of the x and y directions can be calculated. A typical gradient correction model can be made using the distribution data in the x and z directions. The gradient correction module 60 of the present invention (as shown in FIG. 30 ) is redesigned according to the calculation formula of the spacing and diameter of the marker points.

(2)搜索校正参数的步骤如下:(2) The steps to search for calibration parameters are as follows:

校正参数搜索模块需要分三次分别搜索X、Y和Z方向的校正参数,下面仅以X方向校正参数搜索为例介绍实施步骤(如图31所示):The correction parameter search module needs to search for the correction parameters in the X, Y and Z directions three times, and the implementation steps are described below by taking the search for the correction parameters in the X direction as an example (as shown in Figure 31):

a)梯度场线性标定:假设在5cm的视野内,梯度磁场强度为线性函数,通过扫描已知尺寸的标定模,求出物理尺寸与图像坐标的比例因子;a) Gradient field linear calibration: Assuming that within a field of view of 5 cm, the gradient magnetic field strength is a linear function, by scanning a calibration module of known size, the scaling factor between the physical size and the image coordinates is obtained;

b)设置初始的系统参数Cf:设定X方向ax(5,1)、ax(3,1)初始参数Cxfb) Set the initial system parameter C f : set the initial parameter C xf of the X direction a x(5,1) and a x(3,1) :

c)计算空间位置偏移量ηx:将设定的初始参数Cxf带入公式c) Calculate the spatial position offset η x : bring the set initial parameter C xf into the formula

Figure C200710064930D00355
Figure C200710064930D00355

中,计算出空间位置偏移量ηx,并存入偏移量查找表。, calculate the spatial position offset η x , and store it in the offset lookup table.

d)将梯度校正标定模放置在磁场的中心附近,并保证标定模圆柱的行的方向与X方向一致,列方向与Y或Z方向一致。d) Place the gradient correction calibration module near the center of the magnetic field, and ensure that the row direction of the calibration module cylinder is consistent with the X direction, and the column direction is consistent with the Y or Z direction.

e)设置磁共振仪器的扫描参数,包括视野、扫描方向,图像中心的位置,设置扫描的层(slice)在x,y平面内,图像中心位于磁场中心,视野为希望被校正的范围,并可得到梯度校正标定模磁共振原始图像Mo。e) Set the scanning parameters of the magnetic resonance instrument, including the field of view, scanning direction, and the position of the image center, set the scanning layer (slice) in the x, y plane, the image center is located at the center of the magnetic field, and the field of view is the range that is expected to be corrected, and The original MRI image Mo of the gradient-corrected calibration mode can be obtained.

f)使用图像偏移量补偿校正模块对原始图像校正,得到校正后的标定模图像Mc。f) Use the image offset compensation correction module to correct the original image to obtain the corrected calibration mode image Mc.

g)取包含X轴上的标志点p1,2,3…的图像(如图32所示)进行处理,采用重心法计算每一个标志点的图像坐标Mi。g) Take an image containing marker points p 1, 2, 3 .

h)根据步骤a)求出的比例因子计算标志点p1,2,3…对应的世界坐标Xi。h) Calculate the world coordinates Xi corresponding to the marker points p 1, 2, 3 . . . according to the scale factor obtained in step a).

i)计算标志点p1,2,3…的位置误差平方和S。i) Calculate the sum S of the squares of the position errors of the marker points p 1, 2, 3 . . .

j)判断S是否满足要求或迭代次数n是否超过设定值,如果“是”则退出迭代,以当前系统参数值为程序输出;如果“否”则改变初值继续进行搜索。j) Determine whether S meets the requirements or whether the number of iterations n exceeds the set value, if "Yes", exit the iteration, and use the current system parameter value as the program output; if "No", change the initial value to continue searching.

采用上述提到校正方法,在梯度线圈视野为5cm内,梯度能够保证线性度误差在4‰左右。Using the correction method mentioned above, the gradient can ensure that the linearity error is about 4‰ within the field of view of the gradient coil within 5cm.

本发明在手术过程中,一般包括以下步骤:病人准备、手术规划、手术导航、治疗过程监控和治疗效果评估,下面分别加以说明:In the operation process of the present invention, the following steps are generally included: patient preparation, operation planning, operation navigation, treatment process monitoring and treatment effect evaluation, which are explained respectively below:

患者选择:Patient selection:

首先要选择适合进行磁共振导航介入手术治疗的患者,选择标准包括:该患者能进行磁共振扫描(体内无心脏起搏器等磁共振不兼容的装置),患者的体型能适应磁共振扫描线圈的尺寸;患者的病灶部位在介入手术中能被磁共振观察到;患者的病灶部位能被介入手术器械触及。First of all, it is necessary to select patients who are suitable for magnetic resonance navigation interventional surgery. The selection criteria include: the patient can undergo magnetic resonance scanning (there is no magnetic resonance incompatible device such as a cardiac pacemaker in the body), and the patient's body shape can adapt to the magnetic resonance scanning coil. The size of the patient's lesion can be observed by magnetic resonance during the interventional operation; the patient's lesion can be touched by the interventional surgical instrument.

手术规划:Surgical Planning:

如图33所示,首先需要将患者的医学图像导入系统,这些医学图像可以是由本发明磁共振成像设备1扫描获得的,也可以来自其它的磁共振系统获得的,或来自其它类型的医学成像仪器(比如CT、超声等)获得的。根据导入的患者医学图像,要作病灶的定位和关键组织的图像定位和分割。结合以上信息共同进行手术规划,一方面保证最佳的介入治疗效果,另一方面尽量减少对正常组织,尤其是生命关键组织的伤害。还需要导入介入手术中要用到的手术器械4的信息,包括几何形状和治疗效果等。As shown in FIG. 33 , firstly, the patient’s medical images need to be imported into the system. These medical images can be scanned by the magnetic resonance imaging device 1 of the present invention, or obtained from other magnetic resonance systems, or from other types of medical imaging. Obtained by instruments (such as CT, ultrasound, etc.). According to the imported patient's medical image, it is necessary to locate the lesion and image location and segmentation of key tissues. Combining the above information to plan the operation together, on the one hand, it can ensure the best effect of interventional therapy, and on the other hand, it can minimize the damage to normal tissues, especially vital tissues. It is also necessary to import the information of the surgical instrument 4 to be used in the interventional operation, including geometric shape and treatment effect, etc.

接下来,在手术规划导航系统控制台13上用鼠标等人机交互手段正确摆放介入手术器械4的位置,以保证手术器械4与医学图像上显示的病灶的位置之间的关系较为恰当;同时在手术器械4从体表到达病灶点的路径上不会经过或者损害到重要组织(比如大血管,重要脏器等)。手术器械4模拟到位后,就可以进行治疗效果的模拟,如果结果不佳,可以选择增加手术器械4(比如介入冷冻治疗中增加冷冻针的个数)或者换用不同参数和治疗效果的手术器械4,直到达到满意的模拟治疗效果。Next, use human-computer interaction means such as a mouse to correctly place the position of the interventional surgical instrument 4 on the console 13 of the surgical planning and navigation system, so as to ensure that the relationship between the surgical instrument 4 and the position of the lesion displayed on the medical image is more appropriate; At the same time, the surgical instrument 4 will not pass through or damage important tissues (such as large blood vessels, important organs, etc.) on the way from the body surface to the lesion point. After the simulation of surgical instrument 4 is in place, the simulation of the treatment effect can be carried out. If the result is not good, you can choose to increase the surgical instrument 4 (such as increasing the number of frozen needles in interventional cryotherapy) or switch to surgical instruments with different parameters and therapeutic effects 4. Until a satisfactory simulation treatment effect is achieved.

手术导航:Surgical Navigation:

如图34所示,经过必要的患者和设备的手术准备后,进入手术导航阶段,按照手术规划中确定的路线和目标地点逐个将手术器械插入病人的身体。在插入过程中,保持高精度的器械空间定位,并且合并显示在患者的磁共振图像上,该图像同时被输出到屏蔽室内的显示屏幕15上供医生进行手术器械4导航。As shown in Figure 34, after necessary patient and equipment preparations for surgery, the surgical navigation phase is entered, and surgical instruments are inserted into the patient's body one by one according to the route and target location determined in the surgical plan. During the insertion process, the high-precision spatial positioning of the instrument is maintained and combined and displayed on the patient's magnetic resonance image, and the image is simultaneously output to the display screen 15 in the shielded room for the doctor to navigate the surgical instrument 4 .

治疗过程监控:Treatment process monitoring:

手术器械4到位后就可以进行介入治疗,在整个介入治疗过程中,磁共振成像设备1保持循环进行快速的图像扫描,并且在每次扫描结束后将图像立即传输到手术规划导航系统控制台13上,监控手术治疗过程(比如冷冻治疗中监控冷冻区域的长大及覆盖肿瘤的过程)。After the surgical instrument 4 is in place, the interventional treatment can be performed. During the entire interventional treatment process, the magnetic resonance imaging device 1 maintains a cycle of rapid image scanning, and immediately transmits the image to the surgical planning navigation system console 13 after each scanning On the other hand, monitor the surgical treatment process (such as monitoring the growth of the frozen area and the process of covering the tumor during cryotherapy).

治疗效果评估:Evaluation of treatment effect:

介入治疗结束后,需要通过磁共振图像或者其它手段现场评估治疗结果,根据对介入治疗结果的评估,现场决定是否需要立即补充介入手术以达到理想的治疗效果,如果需要的话,回到开始手术步骤,再顺序执行。After the interventional treatment, it is necessary to evaluate the treatment results on-site through magnetic resonance images or other means. Based on the evaluation of the interventional treatment results, the site decides whether to immediately supplement the interventional surgery to achieve the desired therapeutic effect. If necessary, return to the initial operation step , and then execute in sequence.

收尾:ending:

确认该次介入手术结束后,输出介入手术报告,并完成术后清理工作:包括患者撤离、介入治疗设备检查、手术现场清理等,整个手术流程结束。After confirming the end of the interventional operation, output the interventional operation report, and complete the postoperative cleaning work: including patient evacuation, interventional treatment equipment inspection, surgical site cleaning, etc., and the entire operation process is over.

Claims (28)

1、一种磁共振图像引导下的手术系统,硬件部分包括磁共振成像设备,跟踪系统,手术器械,设置在所述磁共振成像设备上的病床,控制和显示设备,以及与各系统相连接的计算机及控制软件部分;其特征在于:还设置有标定针和标定模,所述磁共振成像设备坐标系的位姿可被跟踪系统测量;与所述磁共振成像设备位置对应设置有至少一套构成世界坐标系的示踪器,所述世界坐标系的位姿可以被所述跟踪系统测量;所述手术器械上设置有作为手术器械坐标系的手术器械示踪器,所述手术器械坐标系的位姿可被跟踪系统测量;所述病床上设置有构成病床坐标系的病床示踪器,所述病床坐标系可被所述跟踪系统测量;所述标定针由一根具有一定长度的针和示踪器共同构成,其经过标定后的针尖接触某点,即可测量此点的位置;所述标定模内部和表面分别设置了一组不对称分布的特征点集I和特征点集II,所述特征点集I的特征点可被所述磁共振成像设备成像,所述特征点集II的特征点可被所述跟踪系统测量;特征点集I和特征点集II的相对位置关系已知;经标定后,通过各坐标系之间的相互变换关系,将病灶坐标和手术器械坐标变换到同一个坐标系中。1. A surgical system guided by magnetic resonance images, the hardware part including magnetic resonance imaging equipment, a tracking system, surgical instruments, a hospital bed set on the magnetic resonance imaging equipment, control and display equipment, and connections with various systems The computer and control software part; it is characterized in that: a calibration pin and a calibration mold are also provided, and the pose of the magnetic resonance imaging equipment coordinate system can be measured by a tracking system; at least one is provided corresponding to the position of the magnetic resonance imaging equipment A set of tracers constituting the world coordinate system, the pose of the world coordinate system can be measured by the tracking system; the surgical instrument is provided with a surgical instrument tracer as the surgical instrument coordinate system, and the surgical instrument coordinate The pose of the system can be measured by the tracking system; the bed is provided with a bed tracer that constitutes the bed coordinate system, and the bed coordinate system can be measured by the tracking system; the calibration needle is composed of a certain length The needle and the tracer are jointly composed, and the calibrated needle tip touches a certain point to measure the position of this point; a set of asymmetrically distributed feature point sets I and feature point sets are set on the inside and surface of the calibration mold II, the feature points of the feature point set I can be imaged by the magnetic resonance imaging device, and the feature points of the feature point set II can be measured by the tracking system; the relative positions of the feature point set I and the feature point set II The relationship is known; after calibration, the lesion coordinates and surgical instrument coordinates are transformed into the same coordinate system through the mutual transformation relationship between the coordinate systems. 2、如权利要求1所述的一种磁共振图像引导下的手术系统,其特征在于:在所述病床上患者的皮肤表面设置有与病灶位置对应的导航标志,所述导航标志可被所述磁共振成像设备成像,且可被所述跟踪系统测量。2. The magnetic resonance image-guided surgery system according to claim 1, wherein a navigation mark corresponding to the position of the lesion is set on the skin surface of the patient on the hospital bed, and the navigation mark can be selected by the patient. can be imaged by the magnetic resonance imaging device and can be measured by the tracking system. 3、如权利要求1所述的一种磁共振图像引导下的手术系统,其特征在于:所述标定模包括一标定模本体,所述标定模本体除底面外的其它五个面,每个面都具有一定厚度的特征层,各所述特征层内部设置有组成一特征点集I的一组球体,各所述特征层表面设置有组成特征点集II的另一组凹坑,所述标定模本体由六个面包起来的空间内充满标定模溶液。3. A magnetic resonance image-guided surgical system according to claim 1, wherein the calibration mold includes a calibration mold body, and the other five surfaces of the calibration mold body except the bottom surface, each Each surface has a feature layer with a certain thickness, and a set of spheres forming a feature point set I is arranged inside each feature layer, and another set of pits forming a feature point set II is set on the surface of each feature layer. Calibration mold body is filled with calibration mold solution in the space that six wrapping up. 4、如权利要求2所述的一种磁共振图像引导下的手术系统,其特征在于:所述标定模包括一标定模本体,所述标定模本体除底面外的其它五个面,每个面都具有一定厚度的特征层,各所述特征层内部设置有组成一特征点集I的一组球体,各所述特征层表面设置有组成特征点集II的另一组凹坑,所述标定模本体由六个面包起来的空间内充满标定模溶液。4. A magnetic resonance image-guided surgery system according to claim 2, characterized in that: said calibration mold includes a calibration mold body, and the other five surfaces of said calibration mold body except the bottom surface, each Each surface has a feature layer with a certain thickness, and a set of spheres forming a feature point set I is arranged inside each feature layer, and another set of pits forming a feature point set II is set on the surface of each feature layer. Calibration mold body is filled with calibration mold solution in the space that six wrapping up. 5、如权利要求1或2或3或4所述的一种磁共振图像引导下的手术系统,其特征在于:它还包括一手术器械导引仪,所述手术器械导引仪包括下支架组件,上横梁组件,调角器组件和介入导引组件;所述下支架组件包括底座,设置在所述底座上的立管,套设并锁紧在所述立管内的上支管;所述上横梁组件包括套设并锁紧在所述上支管外的T形接头,穿设在所述T形接头内的横梁和设置在所述横梁一端的连接头;所述调角器组件包括连接所述连接头的一壳体,设置在所述壳体内的一球轴,垂向和侧向分别连接所述球轴的压下螺杆和侧推螺杆,设置在所述壳体顶部和侧部分别连接所述压下螺杆和侧推螺杆的微调螺母;设置在所述球轴的伸出端的手轮和过渡板;所述介入导引组件包括连接所述过渡板的外夹托,锁紧设置在所述外夹托内的内夹托,所述手术器械锁紧设置在所述内夹托内。5. A magnetic resonance image-guided surgery system according to claim 1, 2, 3 or 4, characterized in that it also includes a surgical instrument guide, and the surgical instrument guide includes a lower bracket assembly, an upper beam assembly, a recliner assembly and an interventional guide assembly; the lower bracket assembly includes a base, a riser arranged on the base, and an upper branch pipe sleeved and locked in the riser; the The upper crossbeam assembly includes a T-shaped joint sleeved and locked outside the upper branch pipe, a crossbeam passing through the T-shaped joint and a connecting head arranged at one end of the crossbeam; the recliner assembly includes a connection A housing of the connecting head, a ball shaft arranged in the housing, a depressing screw and a side pushing screw respectively connected to the ball shaft vertically and laterally, are arranged on the top and side of the housing The fine-tuning nuts respectively connected to the depressing screw and the side pushing screw; the hand wheel and the transition plate arranged at the protruding end of the ball shaft; the intervention guide assembly includes an outer clamp connected to the transition plate, locked The inner clamping bracket is arranged in the outer clamping bracket, and the surgical instrument is locked and arranged in the inner clamping bracket. 6、如权利要求1或2或3或4所述的一种磁共振图像引导下的手术系统,其特征在于:在所述磁共振成像设备的成像空间顶部和两侧设置有三个线性激光器和一个警报器,每一所述激光器发出一扇形平面激光束,三束激光束与病床所在位置,共同构成一与所述磁共振成像设备检查治疗空间相适应的宽度和高度限制空间,所述警报器与磁共振成像设备的运动控制系统连接,且在所述任一激光束被阻断时报警。6. A magnetic resonance image-guided surgery system according to claim 1, 2, 3 or 4, characterized in that three linear lasers and An alarm, each of the lasers emits a fan-shaped plane laser beam, the three laser beams and the position of the hospital bed together form a width and height limited space suitable for the inspection and treatment space of the magnetic resonance imaging equipment, the alarm The detector is connected with the motion control system of the magnetic resonance imaging equipment, and gives an alarm when any one of the laser beams is blocked. 7、如权利要求5所述的一种磁共振图像引导下的手术系统,其特征在于:在所述磁共振成像设备的成像空间顶部和两侧设置有三个线性激光器和一个警报器,每一所述激光器发出一扇形平面激光束,三束激光束与病床所在位置,共同构成一与所述磁共振成像设备检查治疗空间相适应的宽度和高度限制空间,所述警报器与磁共振成像设备的运动控制系统连接,且在所述任一激光束被阻断时报警。7. A magnetic resonance image-guided surgical system according to claim 5, characterized in that: three linear lasers and one alarm are arranged on the top and both sides of the imaging space of the magnetic resonance imaging equipment, each The laser emits a fan-shaped plane laser beam. The three laser beams and the position of the hospital bed together form a width and height limited space suitable for the examination and treatment space of the magnetic resonance imaging equipment. The alarm and the magnetic resonance imaging equipment The motion control system is connected and an alarm is given when any of the laser beams is blocked. 8、如权利要求1或2或3或4所述的一种磁共振图像引导下的手术系统,其特征在于:在软件部分预置有对磁共振图像梯度变形校正的程序,它包括计算空间偏移量,图像偏移量补偿校正和搜索校正参数三个步骤,其是根据磁感应强度的球谐函数,计算三维空间内的图像上每一个象素点的三维偏移量,并将该偏移量补偿到该象素点的图像坐标中。8. A magnetic resonance image-guided surgical system as claimed in claim 1, 2, 3, or 4, wherein a program for correcting gradient deformation of magnetic resonance images is preset in the software part, which includes a calculation space The three steps of offset, image offset compensation and correction and search for correction parameters are to calculate the three-dimensional offset of each pixel on the image in three-dimensional space according to the spherical harmonic function of the magnetic induction intensity, and use the The offset is compensated into the image coordinates of the pixel. 9、如权利要求5所述的一种磁共振图像引导下的手术系统,其特征在于:在软件部分预置有对磁共振图像梯度变形校正的程序,它包括计算空间偏移量,图像偏移量补偿校正和搜索校正参数三个步骤,其是根据磁感应强度的球谐函数,计算三维空间内的图像上每一个象素点的三维偏移量,并将该偏移量补偿到该象素点的图像坐标中。9. A magnetic resonance image-guided surgical system as claimed in claim 5, characterized in that: a program for correcting gradient deformation of magnetic resonance images is preset in the software part, which includes calculating spatial offset, image offset The three steps of displacement compensation correction and search for correction parameters are to calculate the three-dimensional offset of each pixel on the image in three-dimensional space according to the spherical harmonic function of the magnetic induction intensity, and compensate the offset to the The pixel's image coordinates. 10、如权利要求6所述的一种磁共振图像引导下的手术系统,其特征在于:在软件部分预置有对磁共振图像梯度变形校正的程序,它包括计算空间偏移量,图像偏移量补偿校正和搜索校正参数三个步骤,其是根据磁感应强度的球谐函数,计算三维空间内的图像上每一个象素点的三维偏移量,并将该偏移量补偿到该象素点的图像坐标中。10. A magnetic resonance image-guided surgical system according to claim 6, characterized in that: the software part is preset with a program for correcting the gradient deformation of the magnetic resonance image, which includes calculating the spatial offset, image offset The three steps of displacement compensation correction and search for correction parameters are to calculate the three-dimensional offset of each pixel on the image in three-dimensional space according to the spherical harmonic function of the magnetic induction intensity, and compensate the offset to the The pixel's image coordinates. 11、如权利要求1或2或3或4所述的一种磁共振图像引导下的手术系统,其特征在于:在所述世界坐标系中,11. A magnetic resonance image-guided surgical system according to claim 1, 2, 3, or 4, characterized in that: in the world coordinate system, 所述病灶的任意一点坐标
Figure C200710064930C00041
由此点在磁共振成像设备里的坐标
Figure C200710064930C00042
变换而来:
Any point coordinates of the lesion
Figure C200710064930C00041
The coordinates of this point in the MRI equipment
Figure C200710064930C00042
transformed into:
VV lesionlesion worldthe world == CC scanscan worldthe world VV lesionlesion scanscan 其中
Figure C200710064930C00044
为事先标定好的磁共振成像设备坐标系与世界坐标系之间的变换关系;
in
Figure C200710064930C00044
is the transformation relationship between the pre-calibrated magnetic resonance imaging equipment coordinate system and the world coordinate system;
所述手术器械的任意一点的坐标可以由此点在手术器械坐标系里的坐标
Figure C200710064930C00046
变换而来:
The coordinates of any point of the surgical instrument The coordinates of this point in the surgical instrument coordinate system can be
Figure C200710064930C00046
transformed into:
VV TT worldthe world == CC tooltools worldthe world VV TT tooltools == (( CC worldthe world tracktrack )) -- 11 CC tooltools tracktrack VV TT tooltools CC tooltools worldthe world == CC tracktrack worldthe world CC tooltools tracktrack == (( CC worldthe world reackreack )) -- 11 CC tooltools tracktrack 其中,
Figure C200710064930C00049
为跟踪系统测量的世界坐标系和跟踪系统坐标系之间的变换关系,
Figure C200710064930C000410
为跟踪系统测量的手术器械坐标系和跟踪系统坐标系之间的变换关系。
in,
Figure C200710064930C00049
The transformation relationship between the world coordinate system measured by the tracking system and the tracking system coordinate system,
Figure C200710064930C000410
The transformation relationship between the coordinate system of the surgical instrument measured for the tracking system and the coordinate system of the tracking system.
12、如权利要求5所述的一种磁共振图像引导下的手术系统,其特征在于:在所述世界坐标系中,12. A surgical system guided by magnetic resonance images according to claim 5, characterized in that: in the world coordinate system, 所述病灶的任意一点坐标
Figure C200710064930C000411
由此点在磁共振成像设备里的坐标
Figure C200710064930C000412
变换而来:
Any point coordinates of the lesion
Figure C200710064930C000411
The coordinates of this point in the MRI equipment
Figure C200710064930C000412
transformed into:
VV lesionlesion worldthe world == CC scanscan worldthe world VV lesionlesion scanscan 其中
Figure C200710064930C000414
为事先标定好的磁共振成像设备坐标系与世界坐标系之间的变换关系;
in
Figure C200710064930C000414
is the transformation relationship between the pre-calibrated magnetic resonance imaging equipment coordinate system and the world coordinate system;
所述手术器械的任意一点的坐标可以由此点在手术器械坐标系里的坐标
Figure C200710064930C000416
变换而来:
The coordinates of any point of the surgical instrument The coordinates of this point in the surgical instrument coordinate system can be
Figure C200710064930C000416
transformed into:
VV TT worldthe world == CC tooltools worldthe world VV TT tooltools == (( CC worldthe world tracktrack )) -- 11 CC tooltools tracktrack VV TT tooltools CC tooltools worldthe world == CC tracktrack worldthe world CC tooltools tracktrack == (( CC worldthe world reackreack )) -- 11 CC tooltools tracktrack 其中,
Figure C200710064930C000419
为跟踪系统测量的世界坐标系和跟踪系统坐标系之间的变换关系,为跟踪系统测量的手术器械坐标系和跟踪系统坐标系之间的变换关系。
in,
Figure C200710064930C000419
The transformation relationship between the world coordinate system measured by the tracking system and the tracking system coordinate system, The transformation relationship between the coordinate system of the surgical instrument measured for the tracking system and the coordinate system of the tracking system.
13、如权利要求6所述的一种磁共振图像引导下的手术系统,其特征在于:在所述世界坐标系中,13. A surgical system guided by magnetic resonance images according to claim 6, characterized in that: in the world coordinate system, 所述病灶的任意一点坐标
Figure C200710064930C000421
由此点在磁共振成像设备里的坐标
Figure C200710064930C000422
变换而来:
Any point coordinates of the lesion
Figure C200710064930C000421
The coordinates of this point in the MRI equipment
Figure C200710064930C000422
transformed into:
VV lesionlesion worldthe world == CC scanscan worldthe world VV lesionlesion scanscan 其中
Figure C200710064930C000424
为事先标定好的磁共振成像设备坐标系与世界坐标系之间的变换关系;
in
Figure C200710064930C000424
is the transformation relationship between the pre-calibrated magnetic resonance imaging equipment coordinate system and the world coordinate system;
所述手术器械的任意一点的坐标
Figure C200710064930C00051
可以由此点在手术器械坐标系里的坐标
Figure C200710064930C00052
变换而来:
The coordinates of any point of the surgical instrument
Figure C200710064930C00051
The coordinates of this point in the surgical instrument coordinate system can be
Figure C200710064930C00052
transformed into:
VV TT worldthe world == CC tooltools worldthe world VV TT tooltools == (( CC worldthe world tracktrack )) -- 11 CC tooltools tracktrack VV TT tooltools CC tooltools worldthe world == CC tracktrack worldthe world CC tooltools tracktrack == (( CC worldthe world reackreack )) -- 11 CC tooltools tracktrack 其中,
Figure C200710064930C00055
为跟踪系统测量的世界坐标系和跟踪系统坐标系之间的变换关系,
Figure C200710064930C00056
为跟踪系统测量的手术器械坐标系和跟踪系统坐标系之间的变换关系。
in,
Figure C200710064930C00055
The transformation relationship between the world coordinate system measured by the tracking system and the tracking system coordinate system,
Figure C200710064930C00056
The transformation relationship between the coordinate system of the surgical instrument measured for the tracking system and the coordinate system of the tracking system.
14、如权利要求8所述的一种磁共振图像引导下的手术系统,其特征在于:在所述世界坐标系中,14. A surgical system guided by magnetic resonance images according to claim 8, characterized in that: in the world coordinate system, 所述病灶的任意一点坐标
Figure C200710064930C00057
由此点在磁共振成像设备里的坐标
Figure C200710064930C00058
变换而来:
Any point coordinates of the lesion
Figure C200710064930C00057
The coordinates of this point in the MRI equipment
Figure C200710064930C00058
transformed into:
VV lesionlesion worldthe world == CC scanscan worldthe world VV lesionlesion scanscan 其中为事先标定好的磁共振成像设备坐标系与世界坐标系之间的变换关系;in is the transformation relationship between the pre-calibrated magnetic resonance imaging equipment coordinate system and the world coordinate system; 所述手术器械的任意一点的坐标
Figure C200710064930C000511
可以由此点在手术器械坐标系里的坐标
Figure C200710064930C000512
变换而来:
The coordinates of any point of the surgical instrument
Figure C200710064930C000511
The coordinates of this point in the surgical instrument coordinate system can be
Figure C200710064930C000512
transformed into:
VV TT worldthe world == CC tooltools worldthe world VV TT tooltools == (( CC worldthe world tracktrack )) -- 11 CC tooltools tracktrack VV TT tooltools CC tooltools worldthe world == CC tracktrack worldthe world CC tooltools tracktrack == (( CC worldthe world reackreack )) -- 11 CC tooltools tracktrack 其中,
Figure C200710064930C000515
为跟踪系统测量的世界坐标系和跟踪系统坐标系之间的变换关系,
Figure C200710064930C000516
为跟踪系统测量的手术器械坐标系和跟踪系统坐标系之间的变换关系。
in,
Figure C200710064930C000515
The transformation relationship between the world coordinate system measured by the tracking system and the tracking system coordinate system,
Figure C200710064930C000516
The transformation relationship between the coordinate system of the surgical instrument measured for the tracking system and the coordinate system of the tracking system.
15、如权利要求1或2或3或4所述的一种磁共振图像引导下的手术系统,其特征在于:当所述病灶位于病床上时,在所述世界坐标系中,15. A magnetic resonance image-guided surgery system according to claim 1, 2, 3, or 4, characterized in that: when the lesion is on the bed, in the world coordinate system, 所述病灶任意一点坐标由此点在固定成像设备里的坐标
Figure C200710064930C000518
变换而来:
The coordinates of any point of the lesion The coordinates of this point in the fixed imaging device
Figure C200710064930C000518
transformed into:
VV lesionlesion ,, 00 worldthe world == CC scanscan worldthe world VV lesionlesion ,, 00 scanscan -- -- -- (( 11 )) 其中
Figure C200710064930C000520
为事先标定好的固定成像设备坐标系与世界坐标系之间的变换关系;其中下标0表示病床被推入成像设备,此时病床的坐标系位姿
Figure C200710064930C000521
被跟踪系统探测,它在世界坐标系里的位姿为:
in
Figure C200710064930C000520
is the transformation relationship between the coordinate system of the fixed imaging equipment calibrated in advance and the world coordinate system; where the subscript 0 indicates that the bed is pushed into the imaging equipment, and the pose of the coordinate system of the bed at this time
Figure C200710064930C000521
Detected by the tracking system, its pose in the world coordinate system is:
CC PTPT ,, 00 worldthe world == CC tracktrack worldthe world CC PTPT ,, 00 tracktrack == (( CC worldthe world tracktrack )) -- 11 CC PTPT ,, 00 tracktrack -- -- -- (( 22 )) 由以上两式可知此时病灶在病床坐标系中的位姿为:From the above two formulas, it can be known that the pose of the lesion in the bed coordinate system at this time is: VV lesionlesion ,, 00 PTPT ,, 00 == CC worldthe world PTPT ,, 00 VV lesionlesion ,, 00 worldthe world == (( CC PTPT ,, 00 tracktrack )) -- 11 CC worldthe world tracktrack CC scanscan worldthe world VV lesionlesion ,, 00 scanscan -- -- -- (( 33 )) 当成像完毕,病灶随着病床运动到手术位置,用下标1表示,由于病灶和病床无相对移动,病灶在病床上的位姿保持不变:When the imaging is completed, the lesion moves to the surgical position with the bed, which is represented by subscript 1. Since the lesion and the bed do not move relative to each other, the pose of the lesion on the bed remains unchanged: VV lesionlesion ,, 11 PTPT ,, 11 == VV lesionlesion ,, 00 PTPT ,, 00 -- -- -- (( 44 )) 此时病床的位姿被跟踪系统探测,它在世界坐标系里的位姿为:The position of the bed at this time Detected by the tracking system, its pose in the world coordinate system is: CC PTPT ,, 11 worldthe world == CC tracktrack worldthe world CC PTPT ,, 11 tracktrack == (( CC worldthe world tracktrack )) -- 11 CC PTPT ,, 11 tracktrack -- -- -- (( 55 )) 由式(3)~(5)可得出此时病灶在世界坐标系里的位姿为:From formulas (3) to (5), it can be concluded that the pose of the lesion in the world coordinate system at this time is: VV lesionlesion ,, 11 worldthe world == CC PTPT ,, 11 worldthe world VV lesionlesion ,, 11 PTPT ,, 11 == (( CC worldthe world tracktrack )) -- 11 CC PTPT ,, 11 tracktrack (( CC PTPT ,, 00 tracktrack )) -- 11 CC worldthe world tracktrack CC scanscan worldthe world VV lesionlesion ,, 00 scanscan 手术器械在世界坐标系里的位姿为:The pose of the surgical instrument in the world coordinate system is: VV TT worldthe world == CC tooltools worldthe world VV TT tooltools == (( CC worldthe world tracktrack )) -- 11 CC tooltools tracktrack VV TT tooltools ..
16、如权利要求5所述的一种磁共振图像引导下的手术系统,其特征在于:当所述病灶位于病床上时,在所述世界坐标系中,16. The magnetic resonance image-guided surgical system according to claim 5, characterized in that: when the lesion is on the bed, in the world coordinate system, 所述病灶任意一点坐标由此点在固定成像设备里的坐标变换而来:The coordinates of any point of the lesion The coordinates of this point in the fixed imaging device transformed into: VV lesionlesion ,, 00 worldthe world == CC scanscan worldthe world VV lesionlesion ,, 00 scanscan -- -- -- (( 11 )) 其中
Figure C200710064930C00069
为事先标定好的固定成像设备坐标系与世界坐标系之间的变换关系;其中下标0表示病床被推入成像设备,此时病床的坐标系位姿
Figure C200710064930C000610
被跟踪系统探测,它在世界坐标系里的位姿为:
in
Figure C200710064930C00069
is the transformation relationship between the coordinate system of the fixed imaging equipment calibrated in advance and the world coordinate system; where the subscript 0 indicates that the bed is pushed into the imaging equipment, and the pose of the coordinate system of the bed at this time
Figure C200710064930C000610
Detected by the tracking system, its pose in the world coordinate system is:
CC PTPT ,, 00 worldthe world == CC tracktrack worldthe world CC PTPT ,, 00 tracktrack == (( CC worldthe world tracktrack )) -- 11 CC PTPT ,, 00 tracktrack -- -- -- (( 22 )) 由以上两式可知此时病灶在病床坐标系中的位姿为:From the above two formulas, it can be known that the pose of the lesion in the bed coordinate system at this time is: VV lesionlesion ,, 00 PTPT ,, 00 == CC worldthe world PTPT ,, 00 VV lesionlesion ,, 00 worldthe world == (( CC PTPT ,, 00 tracktrack )) -- 11 CC worldthe world tracktrack CC scanscan worldthe world VV lesionlesion ,, 00 scanscan -- -- -- (( 33 )) 当成像完毕,病灶随着病床运动到手术位置,用下标1表示,由于病灶和病床无相对移动,病灶在病床上的位姿保持不变:When the imaging is completed, the lesion moves to the surgical position with the bed, which is represented by subscript 1. Since the lesion and the bed do not move relative to each other, the pose of the lesion on the bed remains unchanged: VV lesionlesion ,, 11 PTPT ,, 11 == VV lesionlesion ,, 00 PTPT ,, 00 -- -- -- (( 44 )) 此时病床的位姿被跟踪系统探测,它在世界坐标系里的位姿为:The position of the bed at this time Detected by the tracking system, its pose in the world coordinate system is: CC PTPT ,, 11 worldthe world == CC tracktrack worldthe world CC PTPT ,, 11 tracktrack == (( CC worldthe world tracktrack )) -- 11 CC PTPT ,, 11 tracktrack -- -- -- (( 55 )) 由式(3)~(5)可得出此时病灶在世界坐标系里的位姿为:From formulas (3) to (5), it can be concluded that the pose of the lesion in the world coordinate system at this time is: VV lesionlesion ,, 11 worldthe world == CC PTPT ,, 11 worldthe world VV lesionlesion ,, 11 PTPT ,, 11 == (( CC worldthe world tracktrack )) -- 11 CC PTPT ,, 11 tracktrack (( CC PTPT ,, 00 tracktrack )) -- 11 CC worldthe world tracktrack CC scanscan worldthe world VV lesionlesion ,, 00 scanscan 手术器械在世界坐标系里的位姿为:The pose of the surgical instrument in the world coordinate system is: VV TT worldthe world == CC tooltools worldthe world VV TT tooltools == (( CC worldthe world tracktrack )) -- 11 CC tooltools tracktrack VV TT tooltools ..
17、如权利要求6所述的一种磁共振图像引导下的手术系统,其特征在于:当所述病灶位于病床上时,在所述世界坐标系中,17. The magnetic resonance image-guided surgical system according to claim 6, characterized in that: when the lesion is on the bed, in the world coordinate system, 所述病灶任意一点坐标
Figure C200710064930C00071
由此点在固定成像设备里的坐标
Figure C200710064930C00072
变换而来:
The coordinates of any point of the lesion
Figure C200710064930C00071
The coordinates of this point in the fixed imaging device
Figure C200710064930C00072
transformed into:
VV lesionlesion ,, 00 worldthe world == CC scanscan worldthe world VV lesionlesion ,, 00 scanscan -- -- -- (( 11 )) 其中
Figure C200710064930C00074
为事先标定好的固定成像设备坐标系与世界坐标系之间的变换关系;其中下标0表示病床被推入成像设备,此时病床的坐标系位姿
Figure C200710064930C00075
被跟踪系统探测,它在世界坐标系里的位姿为:
in
Figure C200710064930C00074
is the transformation relationship between the fixed imaging equipment coordinate system and the world coordinate system calibrated in advance; the subscript 0 indicates that the bed is pushed into the imaging equipment, and the coordinate system pose of the hospital bed at this time
Figure C200710064930C00075
Detected by the tracking system, its pose in the world coordinate system is:
CC PTPT ,, 00 worldthe world == CC tracktrack worldthe world CC PTPT ,, 00 tracktrack == (( CC worldthe world tracktrack )) -- 11 CC PTPT ,, 00 tracktrack -- -- -- (( 22 )) 由以上两式可知此时病灶在病床坐标系中的位姿为:From the above two formulas, it can be known that the pose of the lesion in the bed coordinate system at this time is: VV lesionlesion ,, 00 PTPT ,, 00 == CC worldthe world PTPT ,, 00 VV lesionlesion ,, 00 worldthe world == (( CC PTPT ,, 00 tracktrack )) -- 11 CC worldthe world tracktrack CC scanscan worldthe world VV lesionlesion ,, 00 scanscan -- -- -- (( 33 )) 当成像完毕,病灶随着病床运动到手术位置,用下标1表示,由于病灶和病床无相对移动,病灶在病床上的位姿保持不变:When the imaging is completed, the lesion moves to the surgical position with the bed, which is represented by subscript 1. Since the lesion and the bed do not move relative to each other, the pose of the lesion on the bed remains unchanged: VV lesionlesion ,, 11 PTPT ,, 11 == VV lesionlesion ,, 00 PTPT ,, 00 -- -- -- (( 44 )) 此时病床的位姿
Figure C200710064930C00079
被跟踪系统探测,它在世界坐标系里的位姿为:
The position of the bed at this time
Figure C200710064930C00079
Detected by the tracking system, its pose in the world coordinate system is:
CC PTPT ,, 11 worldthe world == CC tracktrack worldthe world CC PTPT ,, 11 tracktrack == (( CC worldthe world tracktrack )) -- 11 CC PTPT ,, 11 tracktrack -- -- -- (( 55 )) 由式(3)~(5)可得出此时病灶在世界坐标系里的位姿为:From formulas (3) to (5), it can be concluded that the pose of the lesion in the world coordinate system at this time is: VV lesionlesion ,, 11 worldthe world == CC PTPT ,, 11 worldthe world VV lesionlesion ,, 11 PTPT ,, 11 == (( CC worldthe world tracktrack )) -- 11 CC PTPT ,, 11 tracktrack (( CC PTPT ,, 00 tracktrack )) -- 11 CC worldthe world tracktrack CC scanscan worldthe world VV lesionlesion ,, 00 scanscan 手术器械在世界坐标系里的位姿为:The pose of the surgical instrument in the world coordinate system is: VV TT worldthe world == CC tooltools worldthe world VV TT tooltools == (( CC worldthe world tracktrack )) -- 11 CC tooltools tracktrack VV TT tooltools ..
18、如权利要求8所述的一种磁共振图像引导下的手术系统,其特征在于:当所述病灶位于病床上时,在所述世界坐标系中,18. The magnetic resonance image-guided surgical system according to claim 8, characterized in that: when the lesion is on the bed, in the world coordinate system, 所述病灶任意一点坐标
Figure C200710064930C000713
由此点在固定成像设备里的坐标变换而来:
The coordinates of any point of the lesion
Figure C200710064930C000713
The coordinates of this point in the fixed imaging device transformed into:
VV lesionlesion ,, 00 worldthe world == CC scanscan worldthe world VV lesionlesion ,, 00 scanscan -- -- -- (( 11 )) 其中为事先标定好的固定成像设备坐标系与世界坐标系之间的变换关系;其中下标0表示病床被推入成像设备,此时病床的坐标系位姿
Figure C200710064930C000717
被跟踪系统探测,它在世界坐标系里的位姿为:
in is the transformation relationship between the fixed imaging equipment coordinate system and the world coordinate system calibrated in advance; the subscript 0 indicates that the bed is pushed into the imaging equipment, and the coordinate system pose of the hospital bed at this time
Figure C200710064930C000717
Detected by the tracking system, its pose in the world coordinate system is:
CC PTPT ,, 00 worldthe world == CC tracktrack worldthe world CC PTPT ,, 00 tracktrack == (( CC worldthe world tracktrack )) -- 11 CC PTPT ,, 00 tracktrack -- -- -- (( 22 )) 由以上两式可知此时病灶在病床坐标系中的位姿为:From the above two formulas, it can be known that the pose of the lesion in the bed coordinate system at this time is: VV lesionlesion ,, 00 PTPT ,, 00 == CC worldthe world PTPT ,, 00 VV lesionlesion ,, 00 worldthe world == (( CC PTPT ,, 00 tracktrack )) -- 11 CC worldthe world tracktrack CC scanscan worldthe world VV lesionlesion ,, 00 scanscan -- -- -- (( 33 )) 当成像完毕,病灶随着病床运动到手术位置,用下标1表示,由于病灶和病床无相对移动,病灶在病床上的位姿保持不变:When the imaging is completed, the lesion moves to the surgical position with the bed, which is represented by subscript 1. Since the lesion and the bed do not move relative to each other, the pose of the lesion on the bed remains unchanged: VV lesionlesion ,, 11 PTPT ,, 11 == VV lesionlesion ,, 00 PTPT ,, 00 -- -- -- (( 44 )) 此时病床的位姿被跟踪系统探测,它在世界坐标系里的位姿为:The position of the bed at this time Detected by the tracking system, its pose in the world coordinate system is: CC PTPT ,, 11 worldthe world == CC tracktrack worldthe world CC PTPT ,, 11 tracktrack == (( CC worldthe world tracktrack )) -- 11 CC PTPT ,, 11 tracktrack -- -- -- (( 55 )) 由式(3)~(5)可得出此时病灶在世界坐标系里的位姿为:From formulas (3) to (5), it can be concluded that the pose of the lesion in the world coordinate system at this time is: VV lesionlesion ,, 11 worldthe world == CC PTPT ,, 11 worldthe world VV lesionlesion ,, 11 PTPT ,, 11 == (( CC worldthe world tracktrack )) -- 11 CC PTPT ,, 11 tracktrack (( CC PTPT ,, 00 tracktrack )) -- 11 CC worldthe world tracktrack CC scanscan worldthe world VV lesionlesion ,, 00 scanscan 手术器械在世界坐标系里的位姿为:The pose of the surgical instrument in the world coordinate system is: VV TT worldthe world == CC tooltools worldthe world VV TT tooltools == (( CC worldthe world tracktrack )) -- 11 CC tooltools tracktrack VV TT tooltools ..
19、如权利要求2或4所述的一种磁共振图像引导下的手术系统,其特征在于:所述导航标志在磁共振成像设备坐标系里的坐标为
Figure C200710064930C00087
其中i=1,2,...,nnav,nnav为导航标志的数量;所述导航标志在跟踪系统坐标系里的坐标为
Figure C200710064930C00088
病灶和手术器械的坐标之间的变换关系为:
19. A surgical system guided by magnetic resonance images according to claim 2 or 4, wherein the coordinates of the navigation marks in the coordinate system of the magnetic resonance imaging equipment are
Figure C200710064930C00087
Wherein i=1, 2,..., n nav , n nav is the quantity of navigation marks; The coordinates of said navigation marks in the tracking system coordinate system are
Figure C200710064930C00088
The transformation relationship between the coordinates of the lesion and the surgical instrument is:
CC imgimg tracktrack Mm ii imgimg == Mm ii tracktrack -- -- -- (( 11 )) 其中
Figure C200710064930C000810
为磁共振成像设备坐标系在跟踪系统坐标系里的位姿,通过式(1)可得到nnav个方程,并解出
Figure C200710064930C000811
则病灶图像的任意一点
Figure C200710064930C000812
可变换到跟踪系统坐标系:
in
Figure C200710064930C000810
is the pose of the magnetic resonance imaging equipment coordinate system in the tracking system coordinate system, n nav equations can be obtained through formula (1), and the solution
Figure C200710064930C000811
Any point of the lesion image
Figure C200710064930C000812
Transformable to tracking system coordinate system:
VV lesionlesion tracktrack == CC imgimg tracktrack VV lesionlesion imgimg -- -- -- (( 22 )) 手术器械上某点T在手术器械坐标系里的坐标
Figure C200710064930C000814
是已知的,将其变换到跟踪系统坐标系:
The coordinates of a point T on the surgical instrument in the surgical instrument coordinate system
Figure C200710064930C000814
is known, transform it to the tracking system coordinate system:
VV TT tracktrack == CC tooltools tracktrack VV TT tooltools 其中
Figure C200710064930C000816
为跟踪系统测量的手术器械坐标系和跟踪系统坐标系之间的变换关系。
in
Figure C200710064930C000816
The transformation relationship between the coordinate system of the surgical instrument measured for the tracking system and the coordinate system of the tracking system.
20、如权利要求19所述的一种磁共振图像引导下的手术系统,其特征在于:增加一个与所述病灶位置相对保持不变示踪器作为新世界坐标系,其位姿被跟踪系统测量,用下标0表示跟踪系统的位置传感器处于初始的标定位置,1表示跟踪系统的位置传感器移动到新位置;病灶的任意一点在世界坐标系里的坐标
Figure C200710064930C000818
由此点在磁共振成像设备坐标系里的坐标
Figure C200710064930C000819
变换而来:
20. A magnetic resonance image-guided surgical system according to claim 19, characterized in that: a tracer that remains unchanged relative to the lesion position is added as a new world coordinate system, and its pose Measured by the tracking system, the subscript 0 indicates that the position sensor of the tracking system is in the initial calibration position, and 1 indicates that the position sensor of the tracking system moves to a new position; the coordinates of any point of the lesion in the world coordinate system
Figure C200710064930C000818
The coordinates of this point in the magnetic resonance imaging equipment coordinate system
Figure C200710064930C000819
transformed into:
VV lesionlesion worldthe world == CC tracktrack ,, 11 worldthe world VV lesionlesion tracktrack ,, 11 == CC tracktrack ,, 11 worldthe world CC tracktrack ,, 00 tracktrack ,, 11 VV lesionlesion tracktrack ,, 00 == (( CC worldthe world tracktrack ,, 11 )) -- 11 CC worldthe world tracktrack ,, 11 (( CC worldthe world tracktrack ,, 00 )) -- 11 CC imgimg tracktrack ,, 00 VV lesionlesion imgimg 其中
Figure C200710064930C00091
为世界坐标系和初始位置上的跟踪系统坐标系之间的变换关系,世界坐标系和新位置1上的跟踪系统坐标系之间的变换关系,
Figure C200710064930C00093
磁共振成像设备坐标系和初始位置0上的跟踪系统坐标系之间的变换关系;
in
Figure C200710064930C00091
is the transformation relationship between the world coordinate system and the tracking system coordinate system at the initial position, The transformation relationship between the world coordinate system and the tracking system coordinate system on the new position 1,
Figure C200710064930C00093
The transformation relationship between the magnetic resonance imaging equipment coordinate system and the tracking system coordinate system at the initial position 0;
所述手术器械的任意一点的坐标
Figure C200710064930C00094
由此点在手术器械坐标系里的坐标
Figure C200710064930C00095
变换而来:
The coordinates of any point of the surgical instrument
Figure C200710064930C00094
The coordinates of this point in the surgical instrument coordinate system
Figure C200710064930C00095
transformed into:
VV TT worldthe world == CC tooltools worldthe world VV TT tooltools == (( CC worldthe world tracktrack ,, 11 )) -- 11 CC tooltools tracktrack ,, 11 VV TT tooltools 其中,
Figure C200710064930C00097
为世界坐标系和新位置1上的跟踪系统坐标系之间的变换关系,
Figure C200710064930C00098
为手术器械坐标系和跟踪系统坐标系之间的变换关系。
in,
Figure C200710064930C00097
is the transformation relationship between the world coordinate system and the tracking system coordinate system at the new position 1,
Figure C200710064930C00098
is the transformation relationship between the surgical instrument coordinate system and the tracking system coordinate system.
21、如权利要求1或2或3或4所述的一种磁共振图像引导下的手术系统,其特征在于:用标定模对各坐标系标定时,在所述导航系统的软件程序中设置有通过对特征点集I中特征点成像结果进行球心定位的程序,其流程如下:21. A magnetic resonance image-guided surgical system according to claim 1, 2, 3, or 4, characterized in that: when calibrating each coordinate system with a calibration module, set in the software program of the navigation system There is a program for locating the center of the sphere through the imaging results of the feature points in the feature point set I, and the process is as follows: (1)首先假设截面图上圆的面积S与截面在扫描方向上的坐标值之间满足正态分布;(1) First, it is assumed that the area S of the circle on the cross-sectional view satisfies a normal distribution with the coordinate value of the cross-section in the scanning direction; (2)沿球在同一轴向任意扫描三幅不同位置的截面圆图像,或扫描得到两幅不同位置的截面圆图像后,拟合出经过圆心的第三幅截面圆图像,由每个截面圆面积与该截面圆在扫描方向的坐标值组成一组值;(2) Randomly scan three cross-sectional circle images at different positions along the same axis of the ball, or after scanning two cross-sectional circle images at different positions, fit the third cross-sectional circle image passing through the center of the circle. The area of the circle and the coordinate values of the section circle in the scanning direction form a set of values; (3)将获得的三组值,拟合出一条高斯曲线,曲线上面积最大点对应的坐标值即为球心在该扫描方向上的坐标值;(3) Fit a Gaussian curve with the obtained three sets of values, and the coordinate value corresponding to the point with the largest area on the curve is the coordinate value of the center of the sphere in the scanning direction; (4)按照同样的方法,得到球心在另外两个坐标轴方向的坐标值,将每一个轴向坐标值,组合在一起即为球心坐标。(4) According to the same method, the coordinate values of the center of the sphere in the direction of the other two coordinate axes are obtained, and the coordinate values of each axis are combined together to obtain the coordinates of the center of the sphere. 22、如权利要求5所述的一种磁共振图像引导下的手术系统,其特征在于:用标定模对各坐标系标定时,在所述导航系统的软件程序中设置有通过对特征点集I中特征点成像结果进行球心定位的程序,其流程如下:22. A magnetic resonance image-guided surgical system according to claim 5, characterized in that: when using the calibration model to calibrate each coordinate system, the software program of the navigation system is provided with a feature point set The procedure for the positioning of the center of the sphere as a result of the feature point imaging in I, the process is as follows: (1)首先假设截面图上圆的面积S与截面在扫描方向上的坐标值之间满足正态分布;(1) First, it is assumed that the area S of the circle on the cross-sectional view satisfies a normal distribution with the coordinate value of the cross-section in the scanning direction; (2)沿球在同一轴向任意扫描三幅不同位置的截面圆图像,或扫描得到两幅不同位置的截面圆图像后,拟合出经过圆心的第三幅截面圆图像,由每个截面圆面积与该截面圆在扫描方向的坐标值组成一组值;(2) Randomly scan three cross-sectional circle images at different positions along the same axis of the ball, or after scanning two cross-sectional circle images at different positions, fit the third cross-sectional circle image passing through the center of the circle. The area of the circle and the coordinate values of the section circle in the scanning direction form a set of values; (3)将获得的三组值,拟合出一条高斯曲线,曲线上面积最大点对应的坐标值即为球心在该扫描方向上的坐标值;(3) Fit a Gaussian curve with the obtained three sets of values, and the coordinate value corresponding to the point with the largest area on the curve is the coordinate value of the center of the sphere in the scanning direction; (4)按照同样的方法,得到球心在另外两个坐标轴方向的坐标值,将每一个轴向坐标值,组合在一起即为球心坐标。(4) According to the same method, the coordinate values of the center of the sphere in the direction of the other two coordinate axes are obtained, and the coordinate values of each axis are combined together to obtain the coordinates of the center of the sphere. 23、如权利要求6所述的一种磁共振图像引导下的手术系统,其特征在于:用标定模对各坐标系标定时,在所述导航系统的软件程序中设置有通过对特征点集I中特征点成像结果进行球心定位的程序,其流程如下:23. A magnetic resonance image-guided surgery system according to claim 6, characterized in that: when using the calibration model to calibrate each coordinate system, the software program of the navigation system is provided with a feature point set The procedure for the positioning of the center of the sphere as a result of the feature point imaging in I, the process is as follows: (1)首先假设截面图上圆的面积S与截面在扫描方向上的坐标值之间满足正态分布;(1) First, it is assumed that the area S of the circle on the cross-sectional view satisfies a normal distribution with the coordinate value of the cross-section in the scanning direction; (2)沿球在同一轴向任意扫描三幅不同位置的截面圆图像,或扫描得到两幅不同位置的截面圆图像后,拟合出经过圆心的第三幅截面圆图像,由每个截面圆面积与该截面圆在扫描方向的坐标值组成一组值;(2) Randomly scan three cross-sectional circle images at different positions along the same axis of the ball, or after scanning two cross-sectional circle images at different positions, fit the third cross-sectional circle image passing through the center of the circle. The area of the circle and the coordinate values of the section circle in the scanning direction form a set of values; (3)将获得的三组值,拟合出一条高斯曲线,曲线上面积最大点对应的坐标值即为球心在该扫描方向上的坐标值;(3) Fit a Gaussian curve with the obtained three sets of values, and the coordinate value corresponding to the point with the largest area on the curve is the coordinate value of the center of the sphere in the scanning direction; (4)按照同样的方法,得到球心在另外两个坐标轴方向的坐标值,将每一个轴向坐标值,组合在一起即为球心坐标。(4) According to the same method, the coordinate values of the center of the sphere in the direction of the other two coordinate axes are obtained, and the coordinate values of each axis are combined together to obtain the coordinates of the center of the sphere. 24、如权利要求8所述的一种磁共振图像引导下的手术系统,其特征在于:用标定模对各坐标系标定时,在所述导航系统的软件程序中设置有通过对特征点集I中特征点成像结果进行球心定位的程序,其流程如下:24. A magnetic resonance image-guided surgical system according to claim 8, characterized in that: when using the calibration model to calibrate each coordinate system, the software program of the navigation system is provided with a feature point set The procedure for the positioning of the center of the sphere as a result of the feature point imaging in I, the process is as follows: (1)首先假设截面图上圆的面积S与截面在扫描方向上的坐标值之间满足正态分布;(1) First, it is assumed that the area S of the circle on the cross-sectional view satisfies a normal distribution with the coordinate value of the cross-section in the scanning direction; (2)沿球在同一轴向任意扫描三幅不同位置的截面圆图像,或扫描得到两幅不同位置的截面圆图像后,拟合出经过圆心的第三幅截面圆图像,由每个截面圆面积与该截面圆在扫描方向的坐标值组成一组值;(2) Randomly scan three cross-sectional circle images at different positions along the same axis of the ball, or after scanning two cross-sectional circle images at different positions, fit the third cross-sectional circle image passing through the center of the circle. The area of the circle and the coordinate values of the section circle in the scanning direction form a set of values; (3)将获得的三组值,拟合出一条高斯曲线,曲线上面积最大点对应的坐标值即为球心在该扫描方向上的坐标值;(3) Fit a Gaussian curve with the obtained three sets of values, and the coordinate value corresponding to the point with the largest area on the curve is the coordinate value of the center of the sphere in the scanning direction; (4)按照同样的方法,得到球心在另外两个坐标轴方向的坐标值,将每一个轴向坐标值,组合在一起即为球心坐标。(4) According to the same method, the coordinate values of the center of the sphere in the direction of the other two coordinate axes are obtained, and the coordinate values of each axis are combined together to obtain the coordinates of the center of the sphere. 25、如权利要求11所述的一种磁共振图像引导下的手术系统,其特征在于:用标定模对各坐标系标定时,在所述导航系统的软件程序中设置有通过对特征点集I中特征点成像结果进行球心定位的程序,其流程如下:25. A magnetic resonance image-guided surgery system according to claim 11, characterized in that: when using the calibration model to calibrate each coordinate system, the software program of the navigation system is provided with a feature point set The procedure for the positioning of the center of the sphere as a result of the feature point imaging in I, the process is as follows: (1)首先假设截面图上圆的面积S与截面在扫描方向上的坐标值之间满足正态分布;(1) First, it is assumed that the area S of the circle on the cross-sectional view satisfies a normal distribution with the coordinate value of the cross-section in the scanning direction; (2)沿球在同一轴向任意扫描三幅不同位置的截面圆图像,或扫描得到两幅不同位置的截面圆图像后,拟合出经过圆心的第三幅截面圆图像,由每个截面圆面积与该截面圆在扫描方向的坐标值组成一组值;(2) Randomly scan three cross-sectional circle images at different positions along the same axis of the ball, or after scanning two cross-sectional circle images at different positions, fit the third cross-sectional circle image passing through the center of the circle. The area of the circle and the coordinate values of the section circle in the scanning direction form a set of values; (3)将获得的三组值,拟合出一条高斯曲线,曲线上面积最大点对应的坐标值即为球心在该扫描方向上的坐标值;(3) Fit a Gaussian curve with the obtained three sets of values, and the coordinate value corresponding to the point with the largest area on the curve is the coordinate value of the center of the sphere in the scanning direction; (4)按照同样的方法,得到球心在另外两个坐标轴方向的坐标值,将每一个轴向坐标值,组合在一起即为球心坐标。(4) According to the same method, the coordinate values of the center of the sphere in the direction of the other two coordinate axes are obtained, and the coordinate values of each axis are combined together to obtain the coordinates of the center of the sphere. 26、如权利要求15所述的一种磁共振图像引导下的手术系统,其特征在于:用标定模对各坐标系标定时,在所述导航系统的软件程序中设置有通过对特征点集I中特征点成像结果进行球心定位的程序,其流程如下:26. A magnetic resonance image-guided surgery system according to claim 15, characterized in that: when using the calibration model to calibrate each coordinate system, the software program of the navigation system is provided with a feature point set The procedure for the positioning of the center of the sphere as a result of the feature point imaging in I, the process is as follows: (1)首先假设截面图上圆的面积S与截面在扫描方向上的坐标值之间满足正态分布;(1) First, it is assumed that the area S of the circle on the cross-sectional view satisfies a normal distribution with the coordinate value of the cross-section in the scanning direction; (2)沿球在同一轴向任意扫描三幅不同位置的截面圆图像,或扫描得到两幅不同位置的截面圆图像后,拟合出经过圆心的第三幅截面圆图像,由每个截面圆面积与该截面圆在扫描方向的坐标值组成一组值;(2) Randomly scan three cross-sectional circle images at different positions along the same axis of the ball, or after scanning two cross-sectional circle images at different positions, fit the third cross-sectional circle image passing through the center of the circle. The area of the circle and the coordinate values of the section circle in the scanning direction form a set of values; (3)将获得的三组值,拟合出一条高斯曲线,曲线上面积最大点对应的坐标值即为球心在该扫描方向上的坐标值;(3) Fit a Gaussian curve with the obtained three sets of values, and the coordinate value corresponding to the point with the largest area on the curve is the coordinate value of the center of the sphere in the scanning direction; (4)按照同样的方法,得到球心在另外两个坐标轴方向的坐标值,将每一个轴向坐标值,组合在一起即为球心坐标。(4) According to the same method, the coordinate values of the center of the sphere in the direction of the other two coordinate axes are obtained, and the coordinate values of each axis are combined together to obtain the coordinates of the center of the sphere. 27、如权利要求19所述的一种磁共振图像引导下的手术系统,其特征在于:用标定模对各坐标系标定时,在所述导航系统的软件程序中设置有通过对特征点集I中特征点成像结果进行球心定位的程序,其流程如下:27. A magnetic resonance image-guided surgical system according to claim 19, characterized in that: when calibrating each coordinate system with a calibration module, a feature point set is set in the software program of the navigation system The procedure for the positioning of the center of the sphere as a result of the feature point imaging in I, the process is as follows: (1)首先假设截面图上圆的面积S与截面在扫描方向上的坐标值之间满足正态分布;(1) First, it is assumed that the area S of the circle on the cross-sectional view satisfies a normal distribution with the coordinate value of the cross-section in the scanning direction; (2)沿球在同一轴向任意扫描三幅不同位置的截面圆图像,或扫描得到两幅不同位置的截面圆图像后,拟合出经过圆心的第三幅截面圆图像,由每个截面圆面积与该截面圆在扫描方向的坐标值组成一组值;(2) Randomly scan three cross-sectional circle images at different positions along the same axis of the ball, or after scanning two cross-sectional circle images at different positions, fit the third cross-sectional circle image passing through the center of the circle. The area of the circle and the coordinate values of the section circle in the scanning direction form a set of values; (3)将获得的三组值,拟合出一条高斯曲线,曲线上面积最大点对应的坐标值即为球心在该扫描方向上的坐标值;(3) Fit a Gaussian curve with the obtained three sets of values, and the coordinate value corresponding to the point with the largest area on the curve is the coordinate value of the center of the sphere in the scanning direction; (4)按照同样的方法,得到球心在另外两个坐标轴方向的坐标值,将每一个轴向坐标值,组合在一起即为球心坐标。(4) According to the same method, the coordinate values of the center of the sphere in the direction of the other two coordinate axes are obtained, and the coordinate values of each axis are combined together to obtain the coordinates of the center of the sphere. 28、如权利要求1~18任一项所述的一种磁共振图像引导下的手术系统的标定方法,其特征在于:用标定模对各坐标系标定时,采用了旋转量和平移量分开标定的方法,其步骤如下:28. A method for calibrating a magnetic resonance image-guided surgical system according to any one of claims 1 to 18, characterized in that: when calibrating each coordinate system with a calibration module, the rotation amount and the translation amount are separated Calibration method, the steps are as follows: (a)利用磁共振成像设备1测量特征点集I各点在磁共振成像设备坐标系里的坐标
Figure C200710064930C00121
其中nph为特征点集I的总点数,由坐标
Figure C200710064930C00122
生成L个向量
Figure C200710064930C00123
这L个向量分布在不同的方向;
(a) Utilize the magnetic resonance imaging equipment 1 to measure the coordinates of each point of the feature point set I in the magnetic resonance imaging equipment coordinate system
Figure C200710064930C00121
where n ph is the total number of points in the feature point set I, which is determined by the coordinates
Figure C200710064930C00122
generate L vectors
Figure C200710064930C00123
The L vectors distributed in different directions;
(b)利用跟踪系统2测量特征点集II各点在跟踪系统坐标系里的坐标,从而得到特征点集I各点在跟踪系统坐标系里的坐标
Figure C200710064930C00125
在跟踪系统坐标系生成和向量一一对应的向量
Figure C200710064930C00127
(b) Utilize tracking system 2 to measure the coordinates of each point of feature point set II in the tracking system coordinate system, so as to obtain the coordinates of each point of feature point set I in the tracking system coordinate system
Figure C200710064930C00125
Generate and vector in tracking system coordinate system one-to-one vector
Figure C200710064930C00127
(c)这两组向量满足变换关系为: R scan track D i scan = D i track ( i = 1,2 , . . . , n ph ) ; (c) These two sets of vectors satisfy the transformation relationship as follows: R scan track D. i scan = D. i track ( i = 1,2 , . . . , no pH ) ; (d)由方程组 R scan track D i scan = D i track ( i = 1,2 , . . . , n ph ) 可解出旋转矩阵
Figure C200710064930C001210
然后将它代入方程组 R scan track X i scan + T scan track = X i track ( i = 1,2 , . . . , n ph ) , 可解出平移向量
Figure C200710064930C001212
得到变换关系
Figure C200710064930C001213
进而得到磁共振成像设备坐标系和跟踪坐标系之间的变换关系
Figure C200710064930C001214
其中
Figure C200710064930C001215
包括旋转矩阵和平移向量
Figure C200710064930C001217
(d) by the equation R scan track D. i scan = D. i track ( i = 1,2 , . . . , no pH ) The rotation matrix can be solved
Figure C200710064930C001210
and then substitute it into the equation R scan track x i scan + T scan track = x i track ( i = 1,2 , . . . , no pH ) , The translation vector can be solved
Figure C200710064930C001212
get transformation relationship
Figure C200710064930C001213
Then the transformation relationship between the MRI equipment coordinate system and the tracking coordinate system is obtained
Figure C200710064930C001214
in
Figure C200710064930C001215
Include the rotation matrix and translation vector
Figure C200710064930C001217
Right now
CC scanscan tracktrack == RR scanscan tracktrack TT scanscan tracktrack 00 11 ..
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