WO2025139981A1 - Monitoring system for detecting thrombosis - Google Patents
Monitoring system for detecting thrombosis Download PDFInfo
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- WO2025139981A1 WO2025139981A1 PCT/CN2024/140535 CN2024140535W WO2025139981A1 WO 2025139981 A1 WO2025139981 A1 WO 2025139981A1 CN 2024140535 W CN2024140535 W CN 2024140535W WO 2025139981 A1 WO2025139981 A1 WO 2025139981A1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/08—Clinical applications
- A61B8/0891—Clinical applications for diagnosis of blood vessels
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/42—Details of probe positioning or probe attachment to the patient
- A61B8/4209—Details of probe positioning or probe attachment to the patient by using holders, e.g. positioning frames
- A61B8/4236—Details of probe positioning or probe attachment to the patient by using holders, e.g. positioning frames characterised by adhesive patches
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/52—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves
Definitions
- the present invention relates to the technical field of medical devices, and in particular to a monitoring system for detecting thrombosis.
- DVT Deep venous thrombosis
- PE life-threatening pulmonary embolism
- Ultrasound examination of the patient's lower limb veins generally requires a conventional bedside ultrasound device, which is performed by a professional ultrasound physician. The process is complicated and cannot achieve real-time dynamic monitoring.
- Chinese patent CN103721348A discloses an ultrasonic monitoring treatment device and an ultrasonic monitoring device, which include: an ultrasonic medium containing unit for containing an ultrasonic wave conductive medium; an ultrasonic monitoring probe for emitting ultrasonic waves for imaging, whose emitting surface is located in the ultrasonic medium containing unit; an ultrasonic treatment head for emitting ultrasonic waves for treatment, whose emitting surface is located in the ultrasonic medium containing unit; a sound-absorbing material containing unit located in the ultrasonic medium containing unit, which includes a flexible sound-transmitting membrane for enclosing a liquid sound-absorbing material capable of absorbing ultrasonic waves; and a sound-absorbing material charging and discharging unit for charging or withdrawing liquid sound-absorbing material into or out of the sound-absorbing material containing unit.
- Cigar patent CN215458154U portable ultrasonic detection device suitable for human or animal discloses a portable ultrasonic detection device suitable for human or animal, which includes a host and a display, the host includes a shell rotatably connected to the display and a control panel installed on the shell, the shell includes a first side, a second side arranged opposite to the first side, and a periphery connected between the first side and the second side, the control panel is arranged on the first side, wherein the host also includes a buffer protection component, the periphery includes at least two edge portions and a corner portion transitionally connected between two adjacent edges, and the buffer protection component includes a corner protection portion covering the corner portion.
- the buffer protection component By arranging the buffer protection component on the shell of the host, when the host falls, the buffer protection component covered on the outside of the host shell first contacts the ground, thereby effectively buffering the impact force of the host falling to the ground, thereby effectively reducing the phenomenon of damage to the host due to falling.
- the present invention provides a monitoring system for detecting thrombosis.
- a monitoring system for detecting thrombosis By fixing a patch-style transducer and a solid coupling gel on the corresponding skin surface of the patient's lower limb veins with tape, real-time dynamic monitoring of the changes in the lower limb veins can be achieved, solving the problem that the lower limb venous thrombosis detection operation process is complicated and cannot be monitored in real time.
- a monitoring system for detecting thrombosis is provided by placing an ultrasonic detection device in an ultrasonic probe, and making it into a patch and sticking it on the patient's lower limb veins for monitoring, and processing it through a hardware system, so that the situation in the patient's lower limb veins is displayed in real time by a host computer, so that the lower limb vein thrombosis detection operation process is simplified and multiple real-time monitoring is achieved. Based on this, the present invention is completed.
- the present invention provides a monitoring system for detecting thrombosis, which comprises:
- the signal acquisition module obtains ultrasonic detection data of the inspected part by transmitting and receiving ultrasonic waves between multiple ultrasonic probes and the inspected part, and converts the ultrasonic detection data into analog signals through the 128 channels in the ultrasonic probe and transmits them to the ultrasonic hardware system;
- the ultrasonic hardware system comprises a multi-path selection module, an analog signal processing module, a beamforming module and a host computer module.
- Multi-channel selection module receives 128-channel analog signals output by multiple ultrasonic probes transmitted by the signal acquisition module, and selects one of the 128-channel analog signals output by multiple ultrasonic probes, allowing only the 128-channel analog signal of the selected probe to pass, and transmits the 128-channel analog signal to the analog signal processing module; the selection of multiple ultrasonic detection data is based on the observation requirements of the actual detection site;
- Analog signal processing module The selected 128-channel analog signals enter the analog signal processing module. Each analog signal will undergo low-noise amplification, noise reduction filtering, variable gain amplification, and analog-to-digital signal conversion, and finally be converted into digital 128-channel 12-bit channel data and transmitted to the beamforming module;
- Beamforming module The digitized 128-channel 12-bit channel data is input into the beamforming module. According to the delay time calculated by the system, each channel data is delayed compensated so that the compensated digitized 128-channel 12-bit channel data are phase-aligned. Then, the 128-channel 12-bit channel data after delay compensation are synthesized into one channel of data by accumulation operation. The synthesized beam signal data is IQ demodulated and low-pass filtered to obtain baseband IQ data within a certain bandwidth range.
- the synthesized beam signal data is subjected to IQ demodulation and low-pass filtering to obtain baseband IQ data within a certain bandwidth range.
- the processed image data is transmitted to the host computer module.
- Host computer module The processed digital signal is displayed on the host computer in the form of image data.
- the host computer may be a display.
- the host computer module interactively controls the ultrasound hardware system, specifically controls the multi-channel selection module to select the incoming analog signal;
- the host computer module sends commands to the ultrasound hardware system, thereby controlling the signal acquisition module to acquire signals, and the acquisition method is that the user controls and starts multiple probe scanning functions through the host computer module.
- One implementation mode of the present invention is as follows: the host computer module sends a command to the ultrasound hardware system via WIFI, command 1, which allows the multiplexer to select only probe 1, scan for S seconds, rest for G seconds, and the image of probe 1 is uploaded to the host computer in real time, followed by command 2, which allows the multiplexer to select only probe 2, scan for S seconds, rest for G seconds, and the image of probe 2 is uploaded to the host computer in real time, and finally command 3, which allows the multiplexer to select only probe 3, scan for S seconds, rest for G seconds, and the image of probe 3 is uploaded to the host computer in real time, and then the host computer module controls the multiplexer to switch back to probe 1, and so on, until the time to start the three-probe scanning function exceeds T seconds, the software control system stops scanning, and the host computer module obtains the image data of the three probes respectively.
- command 1 which allows the multiplexer to select only probe 1 is uploaded to the host computer in real time
- command 2 which allows the multiplexer to select only probe 2
- the present invention provides a monitoring device for detecting thrombosis, which comprises:
- a detection component comprises the signal acquisition module described in the first aspect, wherein the ultrasonic detection probe is a patch probe 3, one end of the probe 3 is connected to a data line 4, and is connected to the detection host 1 through a plug;
- the detection host 1 includes a control mainboard 1008, a heat sink 1006, a power converter 1007 and a housing 1003.
- the control mainboard 1008, the heat sink 1006, the power converter 1007 and the housing 1003 are placed in the housing 1003.
- the control mainboard 1008 is loaded with the ultrasonic hardware system described in the first aspect, analyzes and processes various data, controls other electrical appliances in the device, and is responsible for information transmission.
- the shell 1003 is connected by a snap-on method, so that a cavity is formed inside the detection host.
- a naked switch 1001 is provided on one side of the housing 1003, which is the power switch of the detection host 1.
- the housing 1003 has a hole on one side thereof to provide an interface 1002 for connecting with an external detection device to achieve signal transmission.
- a connecting plate 5 and a supporting plate 6 for supporting the connecting plate 5 are provided on the upper surface of the detection host 1 .
- One side of the connecting plate 5 is rotatably connected to the detection host 1 and is connected to the host computer 2 by magnetic attraction.
- the upper computer 2 the display component 2 is connected to the detection host 1 by signal, and is used for displaying relevant images and information.
- the host computer 2 interactively controls the ultrasonic hardware system, specifically controls the multi-way selection module to select the incoming analog signal; sends commands to the ultrasonic hardware system, and then controls the signal acquisition module to acquire signals.
- the acquisition method is that the user controls the start of the three probe scanning functions through the host computer 2.
- the host computer 2 sends commands to the ultrasonic hardware system through WIFI.
- the multi-way selector only selects probe 1, scans for S seconds, rests for G seconds, and the image of probe 1 is uploaded to the host computer in real time.
- the software controls the multi-way selector only selects probe 2, scans for S seconds, rests for G seconds, and the image of probe 2 is uploaded to the host computer 2 in real time.
- the software controls the multi-way selector only selects probe 3, scans for S seconds, rests for G seconds, and the image of probe 3 is uploaded to the host computer 2 in real time. Then the host computer 2 controls the multi-way selector to switch back to probe 1, and so on. Until the time to start the three-probe scanning function exceeds T seconds, the software control system stops scanning, and the host computer 2 obtains the image data of the three probes respectively.
- a connecting plate 5 and a supporting plate 6 for supporting the connecting plate are provided on the upper surface of the detection host 1 .
- One side of the connecting plate 5 is rotatably connected to the detection host 1 and is connected to the host computer 2 by magnetic attraction.
- the subjects were patients who were bedridden for a long time (>72 hours) in the emergency intensive care unit of Shanghai Sixth People's Hospital. The purpose and methods of this study were explained to the patients, and their consent was obtained and they signed the informed consent form.
- the monitor is operated by professional ward physicians or nurses who have received professional ultrasound training and can determine the presence of thrombosis early and in a timely manner.
- Spectral Doppler image the change of blood flow velocity with respiration disappears, and the fatigue test response disappears.
- the incidence of left lower limb venous thrombosis is higher than that of the right lower limb, which is 2 to 3 times that of the right side.
- calf muscle vein thrombosis The incidence of calf muscle vein thrombosis is higher than that of the femoral vein and popliteal vein in the thigh, but the mortality rate of femoral vein and popliteal vein thrombosis is higher than that of the calf muscle vein, and the ultrasound images of the femoral vein and popliteal vein are easier to display. Therefore, we chose to place three patch probes on the corresponding skin surfaces of the femoral vein, popliteal vein and calf muscle vein to monitor the occurrence of thrombosis.
- Partial embolism there is a filling defect in the lumen of the lower limb veins, discontinuous blood flow filling, and only a narrow blood flow signal filling is seen; complete embolism, there is no blood flow filling in the lower limb veins; 2. Manual compression of the distal limbs, the color filling enhancement of the venous blood flow disappears or weakens.
- A normal femoral vein spectral Doppler image
- B femoral vein spectral Doppler image when thrombus appears at the proximal end:
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Abstract
Description
本发明涉及医疗器械技术领域,具体为一种检测血栓形成的监控系统。The present invention relates to the technical field of medical devices, and in particular to a monitoring system for detecting thrombosis.
下肢深静脉血栓(Deep venous thrombosis,DVT)是急重症及骨科手术患者的高发疾病,DVT常导致危及生命的肺栓塞(pulmonary embolism,PE)。即使患者在PE发作中存活下来,仍存在慢性血栓栓塞性肺动脉高压的风险,并导致患者在首次发作后的2-3年内死亡。因此早期诊断DVT、及时采取相应的临床决策有助于降低患者血栓的发生率和死亡率,改善预后。目前,国内外相关研究尚无针对DVT的有效监控及预警手段,建立一种实时、便捷及准确的DVT监控方法变得尤为重要。Deep venous thrombosis (DVT) in the lower extremities is a common disease in patients with acute and critical illnesses and orthopedic surgery. DVT often leads to life-threatening pulmonary embolism (PE). Even if patients survive a PE attack, there is still a risk of chronic thromboembolic pulmonary hypertension, which can lead to death within 2-3 years after the first attack. Therefore, early diagnosis of DVT and timely adoption of corresponding clinical decisions can help reduce the incidence and mortality of thrombosis in patients and improve prognosis. At present, there is no effective monitoring and early warning method for DVT in related studies at home and abroad. It is particularly important to establish a real-time, convenient and accurate DVT monitoring method.
患者下肢静脉的超声检查一般需要常规床旁超声装置,由专业超声医师进行操作,过程复杂,且无法实现实时动态监测。Ultrasound examination of the patient's lower limb veins generally requires a conventional bedside ultrasound device, which is performed by a professional ultrasound physician. The process is complicated and cannot achieve real-time dynamic monitoring.
现有技术中,中国专利CN103721348A超声监控治疗装置、超声监控装置公开了一种超声监控治疗装置、超声监控装置,其包括:用于容纳超声波传导介质的超声介质容纳单元;用于发出超声波以进行成像的超声监控探头,其发射面位于所述超声介质容纳单元中;用于发出超声波以进行治疗的超声治疗头,其发射面位于所述超声介质容纳单元中;位于超声介质容纳单元内的吸声材料容纳单元,其包括用于封闭能吸收超声波的液体吸声材料的柔性透声膜:吸声材料充放单元用于将液体吸声材料充入或抽出所述吸声材料容纳单元。In the prior art, Chinese patent CN103721348A discloses an ultrasonic monitoring treatment device and an ultrasonic monitoring device, which include: an ultrasonic medium containing unit for containing an ultrasonic wave conductive medium; an ultrasonic monitoring probe for emitting ultrasonic waves for imaging, whose emitting surface is located in the ultrasonic medium containing unit; an ultrasonic treatment head for emitting ultrasonic waves for treatment, whose emitting surface is located in the ultrasonic medium containing unit; a sound-absorbing material containing unit located in the ultrasonic medium containing unit, which includes a flexible sound-transmitting membrane for enclosing a liquid sound-absorbing material capable of absorbing ultrasonic waves; and a sound-absorbing material charging and discharging unit for charging or withdrawing liquid sound-absorbing material into or out of the sound-absorbing material containing unit.
中国专利CN215458154U适用于人体或者动物的便携超声检测设备公开了一种适用于人体或者动物的便携超声检测设备,其包括主机和显示器,主机包括与显示器转动连接的壳体和安装于壳体上的操控面板,壳体包括第一侧面、与第一侧面相背设置的第二侧面和连接于第一侧面与第二侧面之间的周缘,操控面板设于第一侧面上,其中,主机还包括缓冲防护构件,周缘包括至少两个边缘部和过渡连接于相邻两个边缘之间的拐角部,缓冲防护构件包括包覆拐角部的拐角防护部。通过在主机的壳体上设置缓冲防护构件,当主机发生跌落现象时,包覆于主机壳体外的缓冲防护构件首先与地面接触,从而可有效缓冲主机跌落到地面上受到的撞击力,进而有效减少了主机跌落损坏的现象。Chinese patent CN215458154U portable ultrasonic detection device suitable for human or animal discloses a portable ultrasonic detection device suitable for human or animal, which includes a host and a display, the host includes a shell rotatably connected to the display and a control panel installed on the shell, the shell includes a first side, a second side arranged opposite to the first side, and a periphery connected between the first side and the second side, the control panel is arranged on the first side, wherein the host also includes a buffer protection component, the periphery includes at least two edge portions and a corner portion transitionally connected between two adjacent edges, and the buffer protection component includes a corner protection portion covering the corner portion. By arranging the buffer protection component on the shell of the host, when the host falls, the buffer protection component covered on the outside of the host shell first contacts the ground, thereby effectively buffering the impact force of the host falling to the ground, thereby effectively reducing the phenomenon of damage to the host due to falling.
现有技术中通过超声以及超声的各个部件,使得超声检测使用时方便化,以及增加装置的防破坏性等,但是超声设备一般都需要专业超声医师进行操作,操作过程复杂,且无法实现实时动态监测。针对上述问题,本发明提供了一种检测血栓形成的监控系统,通过胶带将贴片样式的换能器与固体耦合凝胶固定在患者下肢静脉相应的皮肤表面,即可实现实时动态监测下肢静脉的变化,解决了下肢静脉血栓检测操作过程复杂,无法实时进行监测的问题。In the prior art, ultrasound and its various components are used to facilitate the use of ultrasound detection and increase the anti-destructiveness of the device. However, ultrasound equipment generally requires professional ultrasound physicians to operate, the operation process is complicated, and real-time dynamic monitoring cannot be achieved. In response to the above problems, the present invention provides a monitoring system for detecting thrombosis. By fixing a patch-style transducer and a solid coupling gel on the corresponding skin surface of the patient's lower limb veins with tape, real-time dynamic monitoring of the changes in the lower limb veins can be achieved, solving the problem that the lower limb venous thrombosis detection operation process is complicated and cannot be monitored in real time.
一种检测血栓形成的监控系统通过将超声探测装置置于超声探头内,并将其制成贴片状贴在患者下肢静脉处进行监测,通过硬件系统进行处理,使患者下肢静脉内的情况通过上位机实时进行显示,使下肢静脉血栓检测操作过程简单化,并实现多处实时监测。据此,完成本发明。A monitoring system for detecting thrombosis is provided by placing an ultrasonic detection device in an ultrasonic probe, and making it into a patch and sticking it on the patient's lower limb veins for monitoring, and processing it through a hardware system, so that the situation in the patient's lower limb veins is displayed in real time by a host computer, so that the lower limb vein thrombosis detection operation process is simplified and multiple real-time monitoring is achieved. Based on this, the present invention is completed.
第一方面First aspect
本发明提供一种检测血栓形成的监控系统,其包括:The present invention provides a monitoring system for detecting thrombosis, which comprises:
信号采集模块和超声硬件系统。Signal acquisition module and ultrasound hardware system.
其中信号采集模块是通过多个超声探头与被检部位之间进行超声波收发,获得被检部位的超声检测数据,并将超声检测数据通过超声探头内的128通道形成模拟信号,传输至超声硬件系统;The signal acquisition module obtains ultrasonic detection data of the inspected part by transmitting and receiving ultrasonic waves between multiple ultrasonic probes and the inspected part, and converts the ultrasonic detection data into analog signals through the 128 channels in the ultrasonic probe and transmits them to the ultrasonic hardware system;
所述超声硬件系统包括多路选择模块、模拟信号处理模块、波束合成模块和上位机模块。The ultrasonic hardware system comprises a multi-path selection module, an analog signal processing module, a beamforming module and a host computer module.
其中in
多路选择模块:接受信号采集模块传输的多个超声探头输出的128通道模拟信号,并对多个超声探头输出的128通道模拟信号进行多选一,仅允许被选中的那一只探头的128通道模拟信号通过,并将128通道模拟信号传输至模拟信号处理模块;其中对多个超声检测数据的选择是根据实际检测部位的观测需求进行选择;Multi-channel selection module: receives 128-channel analog signals output by multiple ultrasonic probes transmitted by the signal acquisition module, and selects one of the 128-channel analog signals output by multiple ultrasonic probes, allowing only the 128-channel analog signal of the selected probe to pass, and transmits the 128-channel analog signal to the analog signal processing module; the selection of multiple ultrasonic detection data is based on the observation requirements of the actual detection site;
模拟信号处理模块:被选中128通道模拟信号进入模拟信号处理模块,每一路模拟信号都会经过低噪声放大、降噪滤波、可变增益放大、模拟-数字信号转换,最终转化为数字化的128路12bit通道数据传输至波束合成模块;Analog signal processing module: The selected 128-channel analog signals enter the analog signal processing module. Each analog signal will undergo low-noise amplification, noise reduction filtering, variable gain amplification, and analog-to-digital signal conversion, and finally be converted into digital 128-channel 12-bit channel data and transmitted to the beamforming module;
波束合成模块:数字化的128路12bit通道数据输入到波束合成模块,根据系统计算出的延迟时间,将每一路通道数据进行延迟补偿,使得被补偿后的数字化的128路12bit通道数据相位对齐,然后用累加运算,将延迟补偿后的数字化的128路12bit通道数据合成为一路数据,对合成后的波束信号数据进行IQ解调与低通滤波,得到一定带宽范围内的基带IQ数据,Beamforming module: The digitized 128-channel 12-bit channel data is input into the beamforming module. According to the delay time calculated by the system, each channel data is delayed compensated so that the compensated digitized 128-channel 12-bit channel data are phase-aligned. Then, the 128-channel 12-bit channel data after delay compensation are synthesized into one channel of data by accumulation operation. The synthesized beam signal data is IQ demodulated and low-pass filtered to obtain baseband IQ data within a certain bandwidth range.
对合成后的波束信号数据进行IQ解调与低通滤波,得到一定带宽范围内的基带IQ数据,The synthesized beam signal data is subjected to IQ demodulation and low-pass filtering to obtain baseband IQ data within a certain bandwidth range.
对基带IQ数据进行图像预处理,包含取包络、对数压缩等,最终得到可以显示的图像数据,Perform image preprocessing on the baseband IQ data, including envelope extraction, logarithmic compression, etc., to finally obtain image data that can be displayed.
将处理后的图像数据传输至上位机模块。The processed image data is transmitted to the host computer module.
上位机模块:将处理好的数字信号通过图像数据的模式在上位机展示出来。Host computer module: The processed digital signal is displayed on the host computer in the form of image data.
进一步的,所述上位机可以是显示器。Furthermore, the host computer may be a display.
进一步的,所述上位机模块对所述超声硬件系统进行交互控制,具体控制所述多路选择模块,选择进入的模拟信号;Furthermore, the host computer module interactively controls the ultrasound hardware system, specifically controls the multi-channel selection module to select the incoming analog signal;
更进一步的,所述上位机模块对所述超声硬件系统下发命令,进而控制信号采集模块对于信号的采集,采集方式为用户通过所述上位机模块控制启动多个探头扫描功能。Furthermore, the host computer module sends commands to the ultrasound hardware system, thereby controlling the signal acquisition module to acquire signals, and the acquisition method is that the user controls and starts multiple probe scanning functions through the host computer module.
本发明的一种实施方式为:所述上位机模块通过WIFI向超声硬件系统下发命令,命令1,让多路选择器只选择探头1,扫描S秒,休息G秒,探头1的图像实时上传至上位机,接着命令2,让多路选择器只选择探头2,扫描S秒,休息G秒,探头2的图像实时上传至上位机,最后命令3,让多路选择器只选择探头3,扫描S秒,休息G秒,探头3的图像实时上传至上位机,随后上位机模块再控制多路选择器切换回探头1,如此往复,直到启动三探头扫描功能的时间超过T秒,软件控制系统停止扫描,上位机模块得到3支探头分别的图像数据。One implementation mode of the present invention is as follows: the host computer module sends a command to the ultrasound hardware system via WIFI, command 1, which allows the multiplexer to select only probe 1, scan for S seconds, rest for G seconds, and the image of probe 1 is uploaded to the host computer in real time, followed by command 2, which allows the multiplexer to select only probe 2, scan for S seconds, rest for G seconds, and the image of probe 2 is uploaded to the host computer in real time, and finally command 3, which allows the multiplexer to select only probe 3, scan for S seconds, rest for G seconds, and the image of probe 3 is uploaded to the host computer in real time, and then the host computer module controls the multiplexer to switch back to probe 1, and so on, until the time to start the three-probe scanning function exceeds T seconds, the software control system stops scanning, and the host computer module obtains the image data of the three probes respectively.
第二方面Second aspect
本发明提供一种检测血栓形成的监控仪,其包括:The present invention provides a monitoring device for detecting thrombosis, which comprises:
检测组件、检测主机1和上位机2,Detection components, detection host 1 and host computer 2,
其中in
检测组件,所述检测组件包括第一方面所述的信号采集模块,其中超声检测探头为贴片式探头3,所述探头3的一端连接数据线4,通过插头和检测主机1数据连接;A detection component, the detection component comprises the signal acquisition module described in the first aspect, wherein the ultrasonic detection probe is a patch probe 3, one end of the probe 3 is connected to a data line 4, and is connected to the detection host 1 through a plug;
检测主机1包括控制主板1008,散热器1006、电源转换器1007和外壳1003,The detection host 1 includes a control mainboard 1008, a heat sink 1006, a power converter 1007 and a housing 1003.
其中in
所述控制主板1008、散热器1006、电源转换器1007和外壳1003置于外壳1003内,The control mainboard 1008, the heat sink 1006, the power converter 1007 and the housing 1003 are placed in the housing 1003.
所述控制主板1008加载有第一方面所述的超声硬件系统,分析处理各种数据,并对本装置内的其他用电器进行控制,并负责信息的传输。The control mainboard 1008 is loaded with the ultrasonic hardware system described in the first aspect, analyzes and processes various data, controls other electrical appliances in the device, and is responsible for information transmission.
所述外壳1003通过卡和的方式连接,使所述检测主机内部形成腔体。The shell 1003 is connected by a snap-on method, so that a cavity is formed inside the detection host.
所述外壳1003的一侧设置有裸露的开关1001,为所述检测主机1的电源开关,A naked switch 1001 is provided on one side of the housing 1003, which is the power switch of the detection host 1.
所述外壳1003的一侧穿孔设置有接口1002,与外部检测设备连接,实现信号的传输,The housing 1003 has a hole on one side thereof to provide an interface 1002 for connecting with an external detection device to achieve signal transmission.
所述检测主机的内部设置有电池1005,用于给本装置的其他通电器供电,The detection host is provided with a battery 1005 for supplying power to other electrical appliances of the device.
所述散热器1006用于所述控制主板8的散热,防止其加热过载,The radiator 1006 is used to dissipate heat from the control mainboard 8 to prevent it from being overheated.
所述电源转换器1007,充电时进行电能功率的转化,使得电能储存在所述电池1005内。The power converter 1007 converts the electric energy during charging so that the electric energy is stored in the battery 1005 .
上位机2,所述上位机2与所述检测主机1信号连接,用于相关图像及信息的显示;A host computer 2, which is connected to the detection host 1 by signal and is used for displaying relevant images and information;
所述检测主机1的上表面设置有连接板5和用于支撑连接板5的支撑板6,所述连接板5的一侧与所述检测主机1转动连接,与所述上位机2通过磁吸连接。A connecting plate 5 and a supporting plate 6 for supporting the connecting plate 5 are provided on the upper surface of the detection host 1 . One side of the connecting plate 5 is rotatably connected to the detection host 1 and is connected to the host computer 2 by magnetic attraction.
与现有技术相比,本发明提供的一种检测血栓形成的监控系统,所具有的技术优势为:Compared with the prior art, the monitoring system for detecting thrombosis provided by the present invention has the following technical advantages:
本发明提供的一种检测血栓形成的监控系统,通过贴片式探头对患者下肢静脉进行超声检测,方便医护人员对患者下肢静脉血栓进行监测,通过设置多个超声探头,能够对患者不同位置的静脉进行监测,避免检测时的繁琐操作,对患者的多处静脉进行实时的血栓检测。The present invention provides a monitoring system for detecting thrombosis. The system uses a patch probe to perform ultrasonic detection on the patient's lower limb veins, which is convenient for medical staff to monitor the patient's lower limb venous thrombosis. By setting up multiple ultrasonic probes, the veins at different locations of the patient can be monitored, avoiding tedious operations during detection, and performing real-time thrombosis detection on multiple veins of the patient.
本发明的其他特征和优点将在随后的具体实施方式部分予以详细说明。Other features and advantages of the present invention will be described in detail in the following detailed description.
图1为本发明一种检测血栓形成的监控系统的整体结构框图。FIG1 is a block diagram of the overall structure of a monitoring system for detecting thrombosis according to the present invention.
图2为本发明一种检测血栓形成的监控仪的整体结构示意图。FIG. 2 is a schematic diagram of the overall structure of a monitoring device for detecting thrombosis according to the present invention.
图3为本发明一种检测血栓形成的监控仪拆除上位机后的结构示意图。FIG3 is a schematic diagram of the structure of a monitoring device for detecting thrombosis according to the present invention after removing the host computer.
图4为本发明一种检测血栓形成的监控仪拆除连接板的示意图。FIG. 4 is a schematic diagram of a monitor for detecting thrombosis according to the present invention with a connecting plate removed.
图5为本发明一种检测血栓形成的监控仪支撑板折叠后的示意图。FIG. 5 is a schematic diagram of a folded support plate of a monitoring device for detecting thrombosis according to the present invention.
图6为本发明一种检测血栓形成的监控仪的内部结构示意图。FIG. 6 is a schematic diagram of the internal structure of a monitoring device for detecting thrombosis according to the present invention.
图7为本发明一种检测血栓形成的监控仪的内部结构示意图。FIG. 7 is a schematic diagram of the internal structure of a monitoring device for detecting thrombosis according to the present invention.
图8为本发明实施例2中二维条件下下肢静脉正常的示意图。FIG8 is a schematic diagram of normal lower limb veins under two-dimensional conditions in Example 2 of the present invention.
图9为本发明实施例2中二维条件下下肢静脉出现血栓的示意图。FIG9 is a schematic diagram of thrombosis in the lower extremity veins under two-dimensional conditions in Example 2 of the present invention.
图10为本发明实施例2中彩色多普勒条件下下肢静脉正常的示意图。FIG10 is a schematic diagram of normal lower limb veins under color Doppler conditions in Example 2 of the present invention.
图11为本发明实施例2中彩色多普勒条件下下肢静脉出现血栓的示意图。FIG. 11 is a schematic diagram of thrombosis in the lower extremity veins under color Doppler conditions in Example 2 of the present invention.
图12为本发明实施例2中频谱多普勒条件下下肢静脉示意图。FIG12 is a schematic diagram of lower limb veins under spectral Doppler conditions in Example 2 of the present invention.
图13为本发明实施例1中一种检测血栓形成的监控仪波束合成的示意图。FIG. 13 is a schematic diagram of beam synthesis of a monitor for detecting thrombosis in Example 1 of the present invention.
图14为本发明实施例1中一种检测血栓形成的监控仪解调滤波的示意图。FIG. 14 is a schematic diagram of demodulation and filtering of a monitoring device for detecting thrombosis in Example 1 of the present invention.
附图标记如下:
1-检测主机;2-上位机;3-贴片探头;4-数据线;5-连接板;6-支撑板;1001-
电源开关;1002-接口;1003-外壳;1004-保护壳;1005-电池;1006-散热器;1007-电源转换器;1008-主板。The reference numerals are as follows:
1-Detection host; 2-Upper computer; 3-Patch probe; 4-Data line; 5-Connection board; 6-Support board; 1001-
Power switch; 1002-interface; 1003-housing; 1004-protective shell; 1005-battery; 1006-radiator; 1007-power converter; 1008-mainboard.
为更进一步阐述本发明为实现预定发明目的所采取的技术手段及功效,以下结合附图及较佳实施例,对依据本发明的具体实施方式、结构、特征及其功效,详细说明如后。In order to further explain the technical means and effects adopted by the present invention to achieve the predetermined invention purpose, the specific implementation mode, structure, characteristics and effects of the present invention are described in detail below in combination with the accompanying drawings and preferred embodiments.
实施例1一种检测血栓形成的监控仪Example 1 A monitoring device for detecting thrombosis
如图1-7、13、14所示As shown in Figures 1-7, 13, and 14
一种检测血栓形成的监控仪,其包括:A monitoring device for detecting thrombosis, comprising:
检测组件、检测主机1和上位机2。Detection components, detection host 1 and host computer 2.
其中in
检测组件,Detection components,
所述检测组件包括信号采集模块,所述信号采集模块通过多个超声探头与被检部位之间进行超声波收发,获得被检物的超声检测数据,并将超声检测数据通过超声探头内的128通道形成模拟信号,传输至检测主机1;其中超声检测探头为贴片式探头3,所述探头3的一端连接数据线4,通过插头和检测主机1数据连接。The detection component includes a signal acquisition module, which performs ultrasonic transmission and reception between multiple ultrasonic probes and the inspected part to obtain ultrasonic detection data of the inspected object, and converts the ultrasonic detection data into an analog signal through 128 channels in the ultrasonic probe, and transmits it to the detection host 1; wherein the ultrasonic detection probe is a patch probe 3, one end of the probe 3 is connected to a data cable 4, and is connected to the detection host 1 through a plug.
检测主机1,Detect host 1,
所述检测主机1包括控制主板1008和搭载于控制主板1008的超声硬件系统、散热器1006、电源转换器1007和外壳1003,The detection host 1 includes a control mainboard 1008 and an ultrasonic hardware system mounted on the control mainboard 1008, a heat sink 1006, a power converter 1007 and a housing 1003.
其中in
所述控制主板1008、散热器1006、电源转换器1007置于外壳1003内,所述外壳1003通过卡和的方式连接,使所述检测主机内部形成腔体。The control mainboard 1008, the heat sink 1006, and the power converter 1007 are placed in the housing 1003, and the housing 1003 is connected by a card and form a cavity inside the detection host.
所述外壳1003的一侧设置有裸露的开关1001,为所述检测主机1的电源开关,A naked switch 1001 is provided on one side of the housing 1003, which is the power switch of the detection host 1.
所述外壳1003的一侧穿孔设置有接口1002,与外部检测设备连接,实现信号的传输。An interface 1002 is provided through a hole on one side of the housing 1003 for connecting with an external detection device to achieve signal transmission.
所述检测主机的内部设置有电池1005,用于给本装置的其它通电器供电。The detection host is provided with a battery 1005 inside for supplying power to other electrical appliances of the device.
所述散热器1006、用于所述控制主板8的散热,防止其加热过载。The radiator 1006 is used to dissipate heat from the control mainboard 8 to prevent it from being overheated.
所述电源转换器1007、充电时进行电能功率的转化,使得电能储存在所述电池1005内。The power converter 1007 converts the electric energy during charging so that the electric energy is stored in the battery 1005 .
所述超声硬件系统包括多路选择模块、模拟信号处理模块、波束合成模块和上位机模块。The ultrasonic hardware system comprises a multi-path selection module, an analog signal processing module, a beamforming module and a host computer module.
其中in
多路选择模块:接受信号采集模块传输的三个超声探头输出的128通道模拟信号,并对三个超声探头输出的128通道模拟信号进行多选一,仅允许被选中的那一只探头的128通道模拟信号通过,并将128通道模拟信号传输至模拟信号处理模块;其中对三个超声检测数据的选择是根据实际检测部位的观测需求进行选择;Multi-channel selection module: receives the 128-channel analog signals output by the three ultrasonic probes transmitted by the signal acquisition module, and selects one of the 128-channel analog signals output by the three ultrasonic probes, allowing only the 128-channel analog signal of the selected probe to pass, and transmits the 128-channel analog signal to the analog signal processing module; the selection of the three ultrasonic detection data is based on the observation requirements of the actual detection part;
模拟信号处理模块:被选中128通道模拟信号进入模拟信号处理模块,每一路模拟信号都会经过低噪声放大、降噪滤波、可变增益放大、模拟-数字信号转换,最终转化为数字化的128路12bit通道数据传输至波束合成模块;Analog signal processing module: The selected 128-channel analog signals enter the analog signal processing module. Each analog signal will undergo low-noise amplification, noise reduction filtering, variable gain amplification, and analog-to-digital signal conversion, and finally be converted into digital 128-channel 12-bit channel data and transmitted to the beamforming module;
单通道模拟信号链参数如下:The single-channel analog signal chain parameters are as follows:
1、接收电路的低噪增益放大器(LNA)支持增益为+12dB或+18dB可调,1. The low noise gain amplifier (LNA) of the receiving circuit supports adjustable gain of +12dB or +18dB.
2、接收电路的可变增益放大器(VGA)支持增益为0dB至+30dB线性可调,2. The variable gain amplifier (VGA) of the receiving circuit supports linear adjustable gain from 0dB to +30dB.
3、接收电路的抗混叠滤波器(AAF)支持带宽为9MHz、10MHz、15MHz、18MHz3. The anti-aliasing filter (AAF) of the receiving circuit supports bandwidths of 9MHz, 10MHz, 15MHz, and 18MHz
接收电路的ADC分辨率为12bit,采样率为50MHz;The ADC resolution of the receiving circuit is 12 bits and the sampling rate is 50MHz;
波束合成模块:数字化的128路12bit通道数据输入到波束合成模块,根据系统计算出的延迟时间,将每一路通道数据进行延迟补偿,使得被补偿后的数字化的128路12bit通道数据相位对齐,然后用累加运算,将延迟补偿后的数字化的128路12bit通道数据合成为一路数据,对合成后的波束信号数据进行IQ解调与低通滤波,得到一定带宽范围内的基带IQ数据,Beamforming module: The digitized 128-channel 12-bit channel data is input into the beamforming module. According to the delay time calculated by the system, each channel data is delayed compensated so that the compensated digitized 128-channel 12-bit channel data are phase-aligned. Then, the 128-channel 12-bit channel data after delay compensation are synthesized into one channel of data by accumulation operation. The synthesized beam signal data is IQ demodulated and low-pass filtered to obtain baseband IQ data within a certain bandwidth range.
如图13所示As shown in Figure 13
假设在t时刻,128个接收通道输入数据x1(t)、x2(t)....x128(t),在延迟累加计算后,每个通道ch会计算出一个对应路径延迟τch(t),各通道数据用各自的τch(t)进行延迟补偿,再全部累加起来,就形成波束合成后的数据S(t),
Assume that at time t, 128 receiving channels input data x1(t), x2(t)...x128(t). After delay accumulation calculation, each channel ch will calculate a corresponding path delay τ ch (t) . Each channel data uses its own τ ch (t) for delay compensation, and then all are accumulated to form the beamformed data S(t) .
对合成后的波束信号数据进行IQ解调与低通滤波,得到一定带宽范围内的基带IQ数据,The synthesized beam signal data is subjected to IQ demodulation and low-pass filtering to obtain baseband IQ data within a certain bandwidth range.
如图14所示As shown in Figure 14
波束合成后的信号S(t),是一个包含载波的调制信号,为了方便后续处理,需要对齐进行解调与低通滤波,将其转化为中心频率为0的基带信号,并抑制设计带宽以外的无用信号,The beamformed signal S(t) is a modulated signal containing a carrier. To facilitate subsequent processing, it needs to be aligned for demodulation and low-pass filtering to convert it into a baseband signal with a center frequency of 0 and suppress useless signals outside the design bandwidth.
对信号进行解调,即对S(t)乘上一个复数解调因子,Demodulate the signal, that is, multiply S(t) by a complex demodulation factor.
e-i*2*π*fc*t=Cos(2*π*fc*t)-j*sin(2**π*fc*t),其中fc为解调频率,这样就能得到包含基带信号的IQ解调数据,实际操作中,将S(t)复制成2路信号,分别乘以cos(2*π*fc*t)与sin(2*π*fc*t),
Idem(t)=S(t)*cos(2*π*fc*t)
Qdem(t)=S(t)*-sin(2*π*fc*t) e -i*2*π*fc*t = Cos(2*π*fc*t)-j*sin(2**π*fc*t) , where fc is the demodulation frequency. In this way, IQ demodulation data containing baseband signals can be obtained. In actual operation, S(t) is copied into two signals, multiplied by cos(2*π*fc*t) and sin(2*π*fc*t) respectively.
I dem (t)=S(t)*cos(2*π*fc*t)
Q dem (t)=S(t)*-sin(2*π*fc*t)
解调后的IQ数据,包含不必要的高频份量,所以我们需要对上述IQ数据分别通过低通滤波器(LPF),得到我们想要带宽内的IQ信号,假设我们需要的信号带宽为B,则设置低通滤波器函数H(t)的截止频率为B/2,得到最终的IQ数据,The demodulated IQ data contains unnecessary high-frequency components, so we need to pass the above IQ data through a low-pass filter (LPF) to obtain the IQ signal within the desired bandwidth. Assuming that the signal bandwidth we need is B, we set the cutoff frequency of the low-pass filter function H(t) to B/2 to obtain the final IQ data.
I(t)=Idem(t)ΦH(t),
Q(t)=Qdem(t)ΦH(t),I(t)= Idem (t)ΦH(t),
Q(t)= Qdem (t)ΦH(t),
上式中Φ代表卷积运算符号,In the above formula, Φ represents the convolution operation symbol.
对基带IQ数据进行图像预处理,包含取包络、对数压缩等,最终得到可以显示的图像数据,Perform image preprocessing on the baseband IQ data, including envelope extraction, logarithmic compression, etc., to finally obtain image data that can be displayed.
通过解调滤波得到的IQ数据,携带了原始波束数据的相位与幅值信息,而B模式需要幅值,所以需要对IQ数据进行取包络运算,得到原始波束数据的幅值,
The IQ data obtained by demodulation and filtering carries the phase and amplitude information of the original beam data, and the B mode requires the amplitude, so it is necessary to perform envelope operation on the IQ data to obtain the amplitude of the original beam data.
包络数据A(t)的幅值范围远远超过计算机可现实的像素范围(0~255),所以需要对其进行对数压缩,使得其包含在0~255范围内,
P(t)=A*log10(A(t))+B,The amplitude range of the envelope data A(t) far exceeds the pixel range (0 to 255) that can be realized by the computer, so it needs to be logarithmically compressed so that it is within the range of 0 to 255.
P(t)=A* log10 (A(t))+B,
其中A和B为压缩参数,根据实际调试的情况来修整,以得到一个良好的图像显示效果,通常A初始值为20,B初始值为0,P(t)即为最终要显示的图像像素值;A and B are compression parameters, which are adjusted according to the actual debugging situation to obtain a good image display effect. Usually, the initial value of A is 20, the initial value of B is 0, and P(t) is the final pixel value of the image to be displayed.
将处理后的图像数据传输至上位机2。The processed image data is transmitted to the host computer 2.
上位机2,所述显示组件2与所述检测主机1信号连接,用于相关图像及信息的显示。The upper computer 2, the display component 2 is connected to the detection host 1 by signal, and is used for displaying relevant images and information.
所述上位机2对所述超声硬件系统进行交互控制,具体控制所述多路选择模块,选择进入的模拟信号;对所述超声硬件系统下发命令,进而控制所述信号采集模块对于信号的采集,采集方式为用户通过所述上位机2控制启动三个探头扫描功能,上位机2通过WIFI向超声硬件系统下发命令,最开始让多路选择器只选通探头1,扫描S秒,休息G秒,探头1的图像实时上传至上位机,然后软件控制多路选择器只选通探头2,扫描S秒,休息G秒,探头2的图像实时上传至上位机2,最后软件控制多路选择器只选通探头3,扫描S秒,休息G秒,探头3的图像实时上传至上位机2,随后上位机2再控制多路选择器切换回探头1,如此往复,直到启动三探头扫描功能的时间超过T秒,软件控制系统停止扫描,上位机2得到3支探头分别的图像数据。The host computer 2 interactively controls the ultrasonic hardware system, specifically controls the multi-way selection module to select the incoming analog signal; sends commands to the ultrasonic hardware system, and then controls the signal acquisition module to acquire signals. The acquisition method is that the user controls the start of the three probe scanning functions through the host computer 2. The host computer 2 sends commands to the ultrasonic hardware system through WIFI. At the beginning, the multi-way selector only selects probe 1, scans for S seconds, rests for G seconds, and the image of probe 1 is uploaded to the host computer in real time. Then the software controls the multi-way selector only selects probe 2, scans for S seconds, rests for G seconds, and the image of probe 2 is uploaded to the host computer 2 in real time. Finally, the software controls the multi-way selector only selects probe 3, scans for S seconds, rests for G seconds, and the image of probe 3 is uploaded to the host computer 2 in real time. Then the host computer 2 controls the multi-way selector to switch back to probe 1, and so on. Until the time to start the three-probe scanning function exceeds T seconds, the software control system stops scanning, and the host computer 2 obtains the image data of the three probes respectively.
所述检测主机1的上表面设置有连接板5和用于支撑连接板的支撑板6,所述连接板5的一侧与所述检测主机1转动连接,与所述上位机2通过磁吸连接。A connecting plate 5 and a supporting plate 6 for supporting the connecting plate are provided on the upper surface of the detection host 1 . One side of the connecting plate 5 is rotatably connected to the detection host 1 and is connected to the host computer 2 by magnetic attraction.
实施例2一种检测血栓形成的监控仪使用实例Example 2: Use of a monitoring device for detecting thrombosis
本实施例使用的仪器如实施例1,The instrument used in this example is the same as that in Example 1.
研究对象Study subjects
研究对象为上海市第六人民医院急诊重症监护病房长期卧床(>72小时)的患者。向患者解释本研究的目的及方法,并征得患者的同意,签署知情同意书。The subjects were patients who were bedridden for a long time (>72 hours) in the emergency intensive care unit of Shanghai Sixth People's Hospital. The purpose and methods of this study were explained to the patients, and their consent was obtained and they signed the informed consent form.
监控仪的使用由专业的病房医师或护理人员进行操作,他们均接受过专业的超声培训,可早期、及时判定血栓的出现。The monitor is operated by professional ward physicians or nurses who have received professional ultrasound training and can determine the presence of thrombosis early and in a timely manner.
操作流程Operation process
1)将监控仪的检测主机1开启,通过无线连接检测主机1与上位机2。1) Turn on the detection host 1 of the monitoring instrument and connect the detection host 1 to the host computer 2 via wireless.
2)将监控仪的贴片探头分别置于受试者左侧下肢股静脉、胭静脉及小腿肌肉静脉相应的皮肤表面,并用胶带将三个贴片探头分别粘贴固定在相应的位置,调整上位机2的超声图像,使其增益及深度处于最佳图像状态。2) Place the patch probes of the monitor on the corresponding skin surfaces of the femoral vein, popliteal vein and calf muscle vein of the left lower limb of the subject, and use tape to stick and fix the three patch probes to the corresponding positions, and adjust the ultrasound image of the host computer 2 so that its gain and depth are in the optimal image state.
3)将监控仪的检测主机1绑在受试者腰间,使其无论是在病床上平卧状态或是在行走时均可实现实时动态的监控下肢静脉的超声图像,早期预测血栓的形成。3) The detection host 1 of the monitor is tied around the waist of the subject, so that the subject can realize real-time dynamic monitoring of the ultrasonic images of the lower limb veins no matter lying on the bed or walking, and predict the formation of thrombus at an early stage.
4)专业的病房医师或护理人员在发现下肢静脉超声图像出现血栓形成前兆:二维图像:静脉管径增大、管壁毛糙、管腔内出现回声、加压不可闭合、乏式动作下静脉内径增大<10%;4) Professional ward physicians or nursing staff found precursors of thrombosis in the lower extremity venous ultrasound images: two-dimensional images: increased venous diameter, rough wall, echoes in the lumen, inability to close under pressure, and increase in venous diameter by less than 10% under fatigue maneuvers;
彩色多普勒图像:静脉管腔内的血流无法完全充盈、探头加压后未出现彩色血流增强的现象;Color Doppler images: The blood flow in the venous lumen cannot be completely filled, and there is no color blood flow enhancement after the probe is pressurized;
频谱多普勒图像:血流速度随呼吸的变化消失,乏式试验反应消失。Spectral Doppler image: the change of blood flow velocity with respiration disappears, and the fatigue test response disappears.
超声图像出现以上征象时。医师及护理人员应及时向上级汇报并给予相应的药物治疗。When the above signs appear in ultrasound images, doctors and nursing staff should report to their superiors in a timely manner and give appropriate drug treatment.
左侧下肢静脉血栓的发生率高于右侧下肢,为右侧的2~3倍。The incidence of left lower limb venous thrombosis is higher than that of the right lower limb, which is 2 to 3 times that of the right side.
在一组1432例的统计实验中,左侧下肢静脉血栓发生率占69.3%,右侧占26.6%,双侧4.1%,因此首先将探头置于左侧下肢监控血栓的发生。In a statistical experiment of 1432 cases, the incidence of left lower limb venous thrombosis was 69.3%, right side accounted for 26.6%, and bilaterally accounted for 4.1%. Therefore, the probe was first placed on the left lower limb to monitor the occurrence of thrombosis.
小腿肌肉静脉血栓的发生率高于大腿股静脉及胭静脉,但股静脉及腘静脉血栓形成的致死率高于小腿肌肉静脉,且股静脉及胭静脉的超声图像更易显示,因此我们选择将三个贴片探头分别置于股静脉、胭静脉及小腿肌肉静脉相应皮肤表面监控血栓的发生。The incidence of calf muscle vein thrombosis is higher than that of the femoral vein and popliteal vein in the thigh, but the mortality rate of femoral vein and popliteal vein thrombosis is higher than that of the calf muscle vein, and the ultrasound images of the femoral vein and popliteal vein are easier to display. Therefore, we chose to place three patch probes on the corresponding skin surfaces of the femoral vein, popliteal vein and calf muscle vein to monitor the occurrence of thrombosis.
图像示例及解读Image examples and interpretation
二维条件下:In two-dimensional conditions:
正常情况下:1.下肢静脉管壁较为光滑、连续,管腔内透声良好;2.探头加压静脉管径可被压闭;3.乏式动作下静脉内径增大≥10%。Under normal circumstances: 1. The walls of the lower limb veins are relatively smooth and continuous, and the sound permeability of the lumen is good; 2. The diameter of the vein can be closed by applying pressure with the probe; 3. The inner diameter of the vein increases by ≥10% under the fatigue maneuver.
下肢静脉出现血栓的情况下:1.下肢静脉管壁增厚、毛糙,厚度超过2mm,管腔内出现细密悬浮的弱回声、低回声或高回声;2.探头加压静脉管径无法压闭。3.乏式动作下静脉内径增大<10%。In case of thrombosis in the lower extremity veins: 1. The wall of the lower extremity veins is thickened and rough, with a thickness exceeding 2mm, and fine suspended weak echoes, low echoes or high echoes appear in the lumen; 2. The diameter of the vein cannot be closed by pressure applied by the probe. 3. The inner diameter of the vein increases by <10% under fatigue maneuvers.
如图8所示,其中:A正常周长股总静脉横断面,B:正常股静脉纵断面;As shown in Figure 8, where: A: normal circumference common femoral vein cross section, B: normal femoral vein longitudinal section;
正常情况下,下肢静脉管壁较为光滑、连续,管腔内透生良好,探头加压静脉管径可被压瘪,乏式动作下静脉内径增大≥10%Under normal circumstances, the wall of the lower limb veins is relatively smooth and continuous, the lumen is well permeable, the diameter of the veins can be compressed by the probe pressure, and the inner diameter of the veins increases by ≥10% under the fatigue maneuver.
如图9所示,其中:A:股总静脉血栓纵断面,B:股静脉血栓横断面;As shown in Figure 9, where: A: longitudinal section of common femoral vein thrombosis, B: cross section of femoral vein thrombosis;
下肢静脉出现血栓的情况下:下肢静脉管壁增厚,管腔内出现实性回声,探头加压静脉管径无法压闭,乏式动作下静脉内径增大<10%In case of thrombosis in the lower extremity veins: the wall of the lower extremity veins is thickened, real echoes appear in the lumen, the diameter of the vein cannot be closed by pressure with probe pressure, and the inner diameter of the vein increases by <10% under fatigue maneuvers
彩色多普勒条件下:Under color Doppler conditions:
正常情况下:1,下肢静脉管腔内血流充盈佳;2.手动挤压远端肢体,静脉血流彩色充盈出现增强。Under normal circumstances: 1. The blood flow in the veins of the lower limbs is well filled; 2. Manual compression of the distal limbs will enhance the color filling of the venous blood flow.
下肢静脉出现血栓的情况下:1.部分栓塞,下肢静脉管腔内有充盈缺损、血流充盈不连续,仅见细窄血流信号充盈;完全栓塞,下肢静脉无血流充盈;2.手动挤压远端肢体,静脉血流彩色充盈增强消失或减弱。In the case of thrombosis in the lower limb veins: 1. Partial embolism, there is a filling defect in the lumen of the lower limb veins, discontinuous blood flow filling, and only a narrow blood flow signal filling is seen; complete embolism, there is no blood flow filling in the lower limb veins; 2. Manual compression of the distal limbs, the color filling enhancement of the venous blood flow disappears or weakens.
如图10所示,其中:A:正常腘静脉彩色多普勒图像,B:正常股静脉彩色多普勒图像;正常情况下,下肢静脉管腔内血流充盈佳As shown in Figure 10, A: normal popliteal vein color Doppler image, B: normal femoral vein color Doppler image; Under normal circumstances, the blood flow in the lumen of the lower limb vein is well filled.
如图11所示,其中:A:股静脉部分栓塞彩色多普勒图像:静脉管腔内有充盈缺损、血流充盈不连续,仅见细窄血流信号充盈;B:股静脉完全栓塞彩色多普勒图像:下肢静脉无血流充盈As shown in Figure 11, A: Color Doppler image of partial femoral vein embolism: there is a filling defect in the venous lumen, discontinuous blood flow filling, and only a narrow blood flow signal filling is seen; B: Color Doppler image of complete femoral vein embolism: there is no blood flow filling in the lower limb vein
频谱多普勒条件下:Under spectral Doppler conditions:
正常情况下:1.下肢静脉的频谱,即血流速度会随呼吸改变会出现改变;2.乏式试验血流出现反向频谱,时间不超过0.5s。Under normal circumstances: 1. The frequency spectrum of the lower limb veins, that is, the blood flow velocity will change with breathing; 2. The blood flow in the fatigue test shows a reverse spectrum, which lasts no more than 0.5s.
下肢静脉血栓情况下:1.下肢静脉的频谱,即血流速度随呼吸的变化消失;2.乏式试验反应消失。In the case of lower limb venous thrombosis: 1. The spectrum of the lower limb veins, that is, the change in blood flow velocity with breathing disappears; 2. The fatigue test reaction disappears.
如图12所示,其中:A:正常股静脉频谱多普勒图像:B:近心端出现血栓时股静脉频谱多普勒图像:As shown in FIG12 , A: normal femoral vein spectral Doppler image; B: femoral vein spectral Doppler image when thrombus appears at the proximal end:
正常情况下,下肢静脉频谱的波形受呼吸影响,波幅有变化;Under normal circumstances, the waveform of the lower extremity venous spectrum is affected by respiration, and the amplitude varies;
在下肢静脉近心端出现血栓时,下肢静脉频谱波形随呼吸的变化消失。When thrombus appears at the proximal end of the lower limb vein, the spectral waveform of the lower limb vein disappears with the change of breathing.
以上所述,仅是本发明的较佳实施例而已,并非对本发明作任何形式上的限制,虽然本发明已以较佳实施例揭示如上,然而并非用以限定本发明,任何本领域技术人员,在不脱离本发明技术方案范围内,当可利用上述揭示的技术内容做出些许更动或修饰为等同变化的等效实施例,但凡是未脱离本发明技术方案内容,依据本发明的技术实质对以上实施例所作的任何简介修改、等同变化与修饰,均仍属于本发明技术方案的范围内。The above description is only a preferred embodiment of the present invention and does not limit the present invention in any form. Although the present invention has been disclosed as a preferred embodiment as above, it is not used to limit the present invention. Any technical personnel in this field can make some changes or modify the technical contents disclosed above into equivalent embodiments without departing from the scope of the technical solution of the present invention. However, any brief modifications, equivalent changes and modifications made to the above embodiments based on the technical essence of the present invention without departing from the content of the technical solution of the present invention are still within the scope of the technical solution of the present invention.
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