研究生: |
陳詩涵 Chen, Shih-Han |
---|---|
論文名稱: |
設計輔助性感測系統以提升呼吸調控及移動監測一系列放射線治療之品質 Design a series gating and non-gating respiration control auxiliary system for external beam radiation therapy system |
指導教授: |
廖書賢
Liao, Shu-Hsien 吳簡坤 Wu, Jian-Kuen |
學位類別: |
碩士 Master |
系所名稱: |
光電工程研究所 Graduate Institute of Electro-Optical Engineering |
論文出版年: | 2019 |
畢業學年度: | 108 |
語文別: | 中文 |
論文頁數: | 77 |
中文關鍵詞: | 呼吸控制 、藍牙 、放射治療 、非接觸式 、線性執行器 |
英文關鍵詞: | Breathing control, Bluetooth, Radiation Therapy, Contactless, Linear Actuator |
DOI URL: | http://doi.org/10.6345/NTNU201901171 |
論文種類: | 學術論文 |
相關次數: | 點閱:158 下載:0 |
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立體定位放射治療指使用高劑量的輻射來殺死癌細胞或縮小腫瘤,其治療次數小於六次。然而,對於這種技術,器官的運動是一個具有挑戰的問題。因此我們研究並開發一種以藍芽技術的控制系統,來模擬和校正治療期間器官的運動情形。
利用自行研發用於監視位置及表面運動的晶片與一組透過3D列印製成的模擬模組系統進行模擬。透過EBT3底片對此晶片做直線加速器的劑量影響評估之外,也對其無線傳輸的方式做測試。再經由八位先前接受過治療的患者的呼吸紀錄與八位健康志願者進行驗證。
其自製的模擬系統由兩個線性驅動器和一個可移動平台組成,最大移動範圍為12.5 cm x 6.5cm x 5 cm,可以精確模擬8位患者的呼吸模式,誤差小於6.3%,最大運動差為1.16 mm,晶片的傳輸信號以波形的方式顯示。經由八位志願者的測試,該晶片可以檢測深度到達3mm的深呼吸運動。晶片對6 MV光子的400 MU和10 MV光子的200 MU的輻射劑量的影響結果顯示穿透率分別達98.8% 及98.6%,其對光束衰減的影響小,數值小於1.4%。
我們發明了一套無管線無管路的呼吸門控偵測晶片,其特點對於治療角度的影響小且具有良好的抗噪性外,也易於穿透各種材料。經由線性執器組成的模擬系統還可以成功模擬真實患者的呼吸模式。我們也為與MR環境配合使用的治療系統開發了類似的系統。整個過程大約需要一年的時間。
Stereotactic ablative radiotherapy (SABR) aims to deliver high doses of radiation to kill cancer cells and shrink tumors in less or equals to 6 fractions. However, organ motion during treatment is a challenging issue for this kind of technique. We try to develop a control system via Bluetooth technology to simulate and correct the body motion during SABR.
A homemade chip to monitor position and surface movement was made and a simulation system was assembled by 3D printing technique. Radiation doses were analysis and the capability of radiation damage protection was checked by EBT3 films irradiated by a linear accelerator. Wireless signal test was also done. Validation was done by 8 previous treated patients respiratory pattern records and 8 healthy volunteers.
The home-made simulation system was consisted of 2 linear actuators and one movable stage with maximal moving distance 12.5 cm x 6.5cm x 5 cm could simulate the 8 patients’ respiratory pattern precisely with less than 6.3% error and maximal difference of motion was 1.16 mm, and chipset transited signals to displays them as a waveform. From 8 volunteers test, the chip could detect the deep respiratory movement up to 3 cm. The effect of the chip on the radiation dose 400 MU by 6 MV photon and 200 MU by 10 MV photon were all showed high penetration rate 98.8% and 98.6%, respectively. In the other word ,the least influence on the beam attenuation, less than 1.4%.
We invented a tubeless and wireless respiratory gating detection chip. It has minimal interference to the treatment angles, good noise immunity and easily penetrate variety of materials capability. The simulation system consisted by linear actuators also simulates the real patients’ respiratory pattern successfully. We also developing similar system for the treatment system cooperate with MR environment. It will be done the whole things with about one year.
[1] Chengyu Shi and Niko Papanikolaou “Tracking versus Gating in the Treatment of Moving Targets” .doi: 10.17925/EOH.2007.0.1.83
[2] Rebecca Ljungqvist (2014)“ Breathing adapted radiotherapy using optical real-time thoractic localization”.
[3] SDXTM Spirometric Motion Management System Operation Manual
[4] Philippe Giraud and Annie Houle “Respiratory Gating for Radiotherapy: Main Technical Aspects and Clinical Benefits”
[5] Ozhasoglu, C., Saw, C. B., Chen, H., Burton, S., Komanduri, K., Yue, N. J., … Heron, D. E. (2008). “Synchrony – Cyberknife Respiratory Compensation Technology. Medical Dosimetry”, 33(2), 117–123.doi:10.1016/j.meddos.2008.02.004
[6] J. Ambat, D. Au, M. Gurram, S. Corde, R. Martin; RANDWICK/AU “Implementing a left-sided breast deep inspiration breath hold technique using ABC by Elekta. The POW experience(2014) DOI: 10.1594/ranzcr2014/R-0209
[7] https://www.aktina.com/product/abc-turbine-cartridge/
[8] SAIFUL M. HUQ, PH.D., and DWIGHT E. HERON, M.D. “SYNCHRONY – CYBERKNIFE RESPIRATORY COMPENSATION TECHNOLOGY. doi:10.1016/j.meddos.2008.02.004
[9] Marco Krengli, Simone Gaiano, Eleonora Mones, Andrea Ballarè, Debora Beldì, Cesare Bolchini and Gianfranco Loi, “Reproducibility of patient setup by surface image registration system in conformal radiotherapy of prostate cancer” Radiation Oncology 2009, 4:9
[10] https://rocol.com.co/en/producto/alignrt/
[11] https://c-rad.se/catalyst/
[12] 張瑜珊,Optical Surface Imaging systems in Radiation Theraphy,2019
[13] Vincent Favaudon ,Laura Caplier,Virginie Monceau,Frédéric Pouzoulet,Mano Sayarath, Charles Fouillade, Marie-France Poupon, Isabel Brito,Philippe Hupé, Jean Bourhis, Janet Hall, Jean-Jacques Fontaine, Marie-Catherine Vozenin “Ultrahigh dose-rate FLASH irradiation increases the differential response between normal and tumor tissue in mice”,2014
[14] Marie-Catherine Vozenin , Pauline De Fornel , Kristoffer Petersson , Vincent Favaudon , Maud Jaccard, Jean-François Germond, Benoit Petit, Marco Burki, Gisèle Ferrand, David Patin, Hanan Bouchaab, Mahmut Ozsahin, François Bochud, Claude Bailat, Patrick Devauchelle and Jean Bourhis,” The advantage of FLASH radiotherapy confirmed in mini-pig and cat-cancer patients”,2018
[15] Pierre Montay-Gruel , Audrey Bouchet , Maud Jaccard , David Patin , Raphael Serduc , Warren Aim , Kristoffer Petersson , Benoit Petit , Claude Bailat , Jean Bourhis , Elke Bräuer-Krisch , Marie-Catherine Vozenin ” X-rays can trigger the FLASH effect: Ultra-high dose-rate synchrotron light source prevents normal brain injury after whole brain irradiation in mice”,2018
[16] Jean Bourhis , Wendy Jeanneret Sozzi , Patrik Gonçalves Jorge , Olivier Gaide , Claude Bailat , Fréderic Duclos , David Patin , Mahmut Ozsahin , François Bochud , Jean-François Germond , Raphaël Moeckli , Marie-Catherine Vozenin” Treatment of a first patient with FLASH-radiotherapy”,2019
[17] Hightech,電池的原理和分類,STOCKFEEL,2019
[18] 鐘哲民,加速度動作辨識系統之研究及應用,國立成功大學工程科學系碩士
論文,2008 年。
[19] 謝承定,植基於加速度感測器之近場通訊設備輔助認證機制 ,國立高雄應用科技大學電子工程系碩士班論文,2012,p.6-p.9
[20] 鍾宜曄智慧手機結合 G-sensor 之打瞌睡偵測系統之研發,國立臺灣師範大學電機工程學碩士論文系,2015
[21] https://zh.wikipedia.org
[22] Inven Sence, MPU-6000 and MPU-6050 Product Specification Revision 3.4(2013)
[23] Rochan Banstola, Rabindranath Bera , Debasish Bhaskar Review and Design of UWB Transmitter and Receiver International Journal of Computer Applications (0975 – 8887) Volume 69– No.13, May 2013
[24] 蔡明宗,應用於 Zigbee 室內定位系統的天線設計研究國立高雄大學電機工程學系研究所碩士論文(2019)
[25] 林忠翰,一個整合心電圖壓縮與錯誤保護之機制其在居家照護系統中藍芽傳輸之應用中原大學 電子工程學系 碩士學位論文 (2004)
[26] http://www.elimpex.com/new/products/radiation_therapy/Delta4/Delta4.html
[27] https://www.sunnuclear.com/solutions/machineqa/dailyqa3-rfdaily
[28] Lsar Mostafanezhad,Olga Boric-Lubcke,and Jenshan Lin “Medical and Biological Microwave Sensors and Systems”
[29] 台灣東方馬達技術言討會“由步進馬達的基礎認識到使用方法
[30] Combining Magnetic Field Immunity With High Precision Motion: Piezo LEGS Motors Walk The Line“Piezo Motors Power MRI Robot”
[31] https://www.ebay.com/itm/IBA-SCANDITRONIX-WELLHOFER-WATER-BLUE-PHANTOM-SYSTEM-/333041226760
[32] Thin-Lin Horng, ‘ The Study of Contact Pressure Analyses and Prediction of Dynamic Fatigue Life for Linear Guideways System”,2013.
[33] Sang-Baeck Yoon, In-Soung Jung, Ki-Chan Kim and Dong-Seok Hyun“Dynamic Analysis of a Reciprocating Linear Actuator for Gas Compression Using Finite Element Method ”,1997
[34] Bronisław Tomczuk, Andrzej Waindok , “Tubular Linear Actuator as a Part of Mechatronic System ”,2009
[35] Georg Nilius. Ulrike Domanski.Maik Schroeder.Karl-Josef Franke. Anke Hogrebe.Laurent Margarit. Maria Stoica.Marie-Pia d’Ortho “A randomized controlled trial to validate the Alice PDX ambulatory device” doi: 10.2147 / NSS.S133789
[36] https://www.philips.com.tw/healthcare/product/HC1043941/alice-pdx-portable-sleep-diagnostic-system/guige
[37] WWW.CIRSINC.COM. “MRI-LINAC Dynamic Phantom”
[38] 趙曉玲 , “動態假體於影像導引放射治療系統 重組體積誤差分析” p.30-36,國立陽明大學生物醫學影像暨放射科學研究所,
2009.
[39] 徐椿壽、藍仁鴻、吳簡坤、李星怡、黃筱傑、陳顯鑫、李佳容、蕭安成 “電腦斷層模擬定位掃描儀醫療曝露品質保證作業”
[40] P Steidl, D Richter, C Schuy, E Schubert, Th Haberer, M Durante and C Ber “A breathing thorax phantom with independently programmable 6D tumour motion for dosimetric measurements in radiation therapy”
[41] Ranajay Mandal, Nishant Babaria, Jiayue Cao and Zhongming Liu, “Adaptive and Wireless Recordings of Electrophysi- ological Signals during Concurrent Magnetic Reso- nance Imaging ” Senior Member IEEE,2018