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磁共振兼容定位装置,用于引导聚焦超声系统治疗脑部疾病。

MR compatible positioning device for guiding a focused ultrasound system for the treatment of brain deseases.

机构信息

City University, London, UK; Frederick Institute of Technology, Limassol, Cyprus.

出版信息

Int J Med Robot. 2014 Mar;10(1):1-10. doi: 10.1002/rcs.1501. Epub 2013 Jun 7.

Abstract

BACKGROUND

A prototype magnetic resonance imaging (MRI)-compatible positioning device that navigates a high intensity focused ultrasound (HIFU) transducer is presented. The positioning device has three user-controlled degrees of freedom that allow access to brain targets using a lateral coupling approach. The positioning device can be used for the treatment of brain cancer (thermal mode ultrasound) or ischemic stroke (mechanical mode ultrasound).

MATERIALS AND METHODS

The positioning device incorporates only MRI compatible materials such as piezoelectric motors, ABS plastic, brass screws, and brass rack and pinion.

RESULT

The robot has the ability to accurately move the transducer thus creating overlapping lesions in rabbit brain in vivo. The registration and repeatability of the system was evaluated using tissues in vitro and gel phantom and was also tested in vivo in the brain of a rabbit.

CONCLUSION

A simple, cost effective, portable positioning device has been developed which can be used in virtually any clinical MRI scanner since it can be placed on the table of the MRI scanner. This system can be used to treat in the future patients with brain cancer and ischemic stroke.

摘要

背景

本文提出了一种原型磁共振成像(MRI)兼容的定位装置,用于导航高强度聚焦超声(HIFU)换能器。该定位装置具有三个用户控制的自由度,可通过侧向耦合方法接近大脑目标。该定位装置可用于治疗脑癌(热模式超声)或缺血性中风(机械模式超声)。

材料和方法

该定位装置仅采用 MRI 兼容材料,如压电电机、ABS 塑料、黄铜螺丝、黄铜齿条和小齿轮。

结果

机器人具有精确移动换能器的能力,从而在兔脑内产生重叠病变。该系统的配准和重复性通过体外组织、凝胶体模进行了评估,并在兔脑内进行了体内测试。

结论

开发了一种简单、经济高效、便携式的定位装置,由于它可以放置在 MRI 扫描仪的台面上,因此几乎可以在任何临床 MRI 扫描仪中使用。该系统可用于治疗未来的脑癌和缺血性中风患者。

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