MANUFACTURE METHOD OF PATIENT-SPECIFIC CONTACT PAD AND CONTACT PAD
Radiation therapy ultrasound system utilized in the present invention refers to number bath method and contact pads to the customized contact pads are disclosed. Arm 1 cause death during operation over, treatment with appropriate early diagnosis diseases affecting absence National health if there are disclosed. Dissipation line control unit cancer tissue while minimizing the final treatment technique for irradiation is only maintain an amount locally high linearity, the role of radiation therapy in the treatment of cancer patients etc. is gradually increased. In order to selectively irradiating radiation only cancer tissue, radiation therapy treatment plan process is needed, the calculated irradiation method accurately oral narration since a real patient essential to various Image navigation systems etc. applicable attempted. For radiation therapy treatment Image navigation system with X-ray (for X-ray) using the distal (Fluoroscopy), two-dimensional digital X-ray (2D digital for X-ray), computer tomographic (CT, computed tomography), the cone being empty, CT (cone-a 310 CT), mega impedance CT (Megavoltage CT) at sea, using light such as a laser optical tracking (optical tracking) system, in addition to MRI, ultrasound, electromagnetic transponder systems using the pin is. Image navigation radiation therapy determining process, i) patient treatment mechanism for driving and securing posture determines, ii) for treatment plan to perform a CT scan, iii) establishing dose treatment plans and evaluates, iv) therapeutic room 2D digital for X-ray or CT scan position in patient treatment in order to identify the operation cone-a 310, v) with treatment plans for CT Image broken on iv) compares the patient treatment resulting atherosclerotic lesions is scanned in a position and shape, vi) the patient treatment plan for CT scan results in course of treatment or treatment location when entering coincide therapeutic room citation liberal, the resulting if ii differ on) from the course of repeated again has a combustion chamber. On the other hand, determining process i ultrasound induced radiation therapy) patient treatment mechanism for driving and securing posture determines, ii) for CT scanning and treatment plan to perform a treatment plan for ultrasonic scan, iii) establishing dose treatment plans and evaluates, iv) in patient treatment therapeutic room operated by performing ultrasonic scan, v) on the scan results for ultrasonic treatment plans and iv) compares the patient treatment resulting atherosclerotic lesions is scanned in a position and shape, vi) the patient treatment location in the scan results for ultrasonic treatment plans and therapeutic room coincide or when entering the bow citation scan course of treatment, the resulting if ii differ on) from the course of repeated again has a combustion chamber. Image navigation radiation therapy ultrasound induced radiation therapy compared to determining process determining process, part of the obtained images using ultrasonic radiation exposure or quilt and pillow surgical insertion of invasive process since every treatment can be repeated items of an applicable to patients suffering from little in the pin is. Further, ultrasonic imaging unit of spatial resolutions thus sub millimeter (spatial resolution), zero (imaging modality) Image having a resolution higher than said other method can be achieved and, therefore soft tissue (soft tissue) of existing X-ray or the like ultrasonic scan than can be obtained by reading the compact and disclosed. In order to accurately convey lesion in radiation therapy dose for therapeutic purposes, be reproduced in every patient treatment area and a reproducibility posture treatment plan very important disclosed. And, determining process applies ultrasound induced radiation therapy ultrasound applied to the absolute position and shape can be under public affairs number for information about the treatment site, diagnostic ultrasound imaging system and reliability to 10sup16. with high precision. In order to enhance the quality of ultrasonic Image, ultrasonic probe and exhaust process air layer between ultrasound in a human body needs to be eliminated and probe, for this ultrasonic probe operating pressure while applying scan memory for the operator, any operator ultrasonic probe operation as to whether the Image stream differs coordinates is obtained, substitution obtained an Image disapproval. The same model in order to minimize the amount of ultrasonic gel (American Association of Physicists in Medicine) times as many American medical use be scans at least a pressure of at least a real recommendation (Task Group 154 report), ultrasonic Image navigation radiation therapy treatment period is 7 to 8 repeatedly main the steam for heavy load, even though the pressure exerted to the ultrasonic probe can be operated by the same splicing operator so that the first and, ultrasonic probe and not applied to the patient's skin while it is always the direction without omission between air layer includes at least one of treatment area which are not easy to disclosed. In addition, low viscosity gel by continuously using gel composition supersonic waves not sufficient flexibility and makes it difficult to handle, since the gel spreading type outer subject even if a ultrasonic probe passed by any gel supply indoor measured disclosed. When treating skin treatment area is near to such an extent as to distance along the scan ultrasonic probe Image filters are not distorted since most amount of gel. In addition to the ultrasonic probe scans the whole contact outer surface subject treatment it can be measured, bending, when ultrasonic probe is inclined and the like generally contact the blind outer surface subject scanned hard to powder. Further a round inclined when a receiving part for receiving light of the light emitting unit through the ultrasonic probe structure and are covered with a conductive buried his also. The present invention refers to a therapeutic lesions coordinate or shape obtained by repeated ultrasonic scan Image difference (error) while at the same time minimizing distortion of ultrasonic Image to minimize subject a treatment area is arranged on the auxiliary tool and exhaust ultrasonic probe contact pads and contact pads when the customized utilized manufacturing method number under public affairs substrate. In the embodiment according to the method of the present invention construct customized contact pads disposed on part of the outer surface of treatment site number tank rests upon ultrasonic probe comprises a contact pad (couplant pad) compulsorily relates to number of bath, a) said outer surface shape corresponding to the treatment site number obtaining quiet mold shape including contact pads, b) said contact pads formed in the mold in a subject to a treatment area quiet number corresponding small mold step number and having an exterior surface, and c) said pad main body from the mold by forming contact pads step number bath and, said c) said treatment area in one aspect of the four corresponding contact pads, said contact pads adjacent the liquid surface without the scan in ultrasonic probe rests flatly formed. Said a) step, said contact pads and the shape of the mold number obtained from an Image obtained as a result of the computer tomographic quiet, said b) step, b 1) by drawing said acquired Image to obtain a 3 dimensional modeling, and b-2) said drawing a subject corresponding to a treatment area using a mold having an exterior surface can be completed. Said b 2) step 3 dimensional print device be work percentage number into said mold. Said c) step said mold coating layer, said coating layer composition can be poured into the quiet contact pads on said second contact number. Said contact pads within a 10 mm to 50 mm thickness of treating lesions in implementation being. Transmitting an ultrasonic wave in the embodiment according to the contact pads of the present invention material pad body including a customized contact pads, said contact pads corresponding part of the outer surface of one aspect of the subject treatment area four, said roughened flat without the contact pads of the liquid surface in the scan ultrasonic probe rests formed. According to an embodiment of the present invention, already established during treatment plan of treatment plans in order progress during course of treatment according to established, repeated treatment of atherosclerotic lesions in the shape coordinates identifying ultrasonic Image, placed treatment site can occur by a property of atherosclerotic lesions coordinate or shape to minimize treatment difference (error) can be minimize generation of ultrasonic Image distortion. In particular, toward the skin surface of the subject to the treatment site or, inputted to a curved or inclined, or dermal surfaces in proximately located with the existing method for applying ultrasound imaging guidance system of the present invention auxiliary tool customized contact pads applied that is difficult to be accurate even when a high accuracy with reliability in the use of an ultrasonic pixel greater office. Curved according to an embodiment of the present invention, the contact pads of the contact part of the subject pattern is formed inclined such as customized outer surface, substantially flush with the surface of the customized contact pads in a subject without any site rests ultrasonic probe scans the scan of the subject can be a blind spot clear soil or rock. In addition, ultrasonic probe is not customized contact pads moves in a plane at a constant speed splicing users can scan stably. If, or when existing the music which boils inclined portion such as the number which are otherwise difficult to directly scan at a constant speed driver cannot be obtained disclosed. Figure 1 shows a method of the present invention also in the embodiment according to the customized contact pads number tank block. Figure 2 shows a schematic diagram indicating also molds for making contact pads. Figure 3 shows a schematic indicating poured mold pad composition state of Figure 2. Figure 4 shows a also contact pads in the chemical formula a) includes a mold in contact with contact pads and revealing the secret key one, b) includes a contact pad having a surface flat and revealing the secret key again, c) is indicating that the contact pads of the planar sensors mounted thereon. Figure 5 shows a [...]-a v line cross-sectional drawing of Figure 4. Figure 6 shows a contact pads using state diagram of Figure 4. Figure 7 shows a schematic indicating contact pads support unit of Figure 4. Hereinafter, the present invention is embodiment of the present invention in the embodiment for the person with skill in the art is provided for in the art hereinafter to the preface is with reference to a drawing detailed as follows. However the present invention refers to several different taught herein can be embodied in the form of a in the embodiment is not limited to. The portion throughout a drawing code is configured to receive a specification similar are identical. In the embodiment according to fig. 1 to 5 of the present invention a method for customized contact pads also reference number tank through a browser substrate. Figure 1 shows a method of the present invention block degrees and in the embodiment according to the customized contact pads also number tank, molds for making contact pads which provide for schematic indicating Figure 2, Figure 3 shows a schematic diagram indicating and poured mold pad composition state, Figure 4 is perspective view indicating the contact pads, [...]-a [...] cross-section line of Figure 2 Figure 5 of Figure 4 are disclosed. The part of the outer surface of the treatment area in the embodiment is composed of a light body rests when ultrasonic probe comprises a contact pad is arranged on the scan number of the bath (gel pad) are disclosed. Specifically, the customized to said contact pads in the embodiment is composed of a light body (patient) number bath to one aspect of the treatment site to a treatment area has a shape that the subject into both ends, when the uneven liquid surface contact pads without said ultrasonic probe scan rests the flat operator while applying constant pressure to the ultrasonic probe in a specific direction to the contact pads of the customized assisting in the scan the number bath method are disclosed. Located within the subject wherein the therapeutically site location and shape specific causes ultrasonic treatment for identifying atherosclerotic lesions or outer surface of a subject by big incident. The customized contact pads number bath method, contact pads number (S10) obtains quiet mold shape, number pad forming step (S30) (S20) work phase mold without using a tool. The shape of the mold corresponding to a treatment area quiet subject number contact pads comprise a shape (outer surfaces shape). For example, the treatment area is subject (patient) to an outer surface of the neck of the subject corresponding to the shape of the mold if neck and, if corresponding to an outer surface of the shoulder and shoulder, if shape corresponding to the outer surface of the abdominal abdominal comprising. In determining radiation therapy, radiation absorbed dose treatment of planning computer tomographic (Computed Tomography; CT) is calculated utilizing the embodiment to the TFTs. The mold shape number obtained of a subject Image to the treatment site can be utilized for acquisition of quiet said contact pads. Only, said contact pads number method is not limited to computer tomographic by acquisition of quiet mold shape and method, a subject can be in the form of a conventional method for numerical control machine mold number [...] if can be applied, e.g. gypsum sample the center of gravity of a diethylene glycol method can be utilized. The mold can be obtained in form and shape (S10) obtains based on corresponding outer shape having small number encoded subject to a treatment area (also reference 2). the mold manufacturing method, subject to a treatment area including an outer surface having a shape corresponding to the mold method can be applied without a number if the number bath, e.g. gypsum sample mold number 3 or number using dimensional print technique using high pressure liquid coolant can be high pressure liquid coolant. (S20) (S21) modeling step includes steps for creating a mold step (S22) can be a complete mold. (S21) computer modeling step includes modeling number can be made small. The mold shape in obtained Image (S10) obtains the network or moving for showing the number to the computer modeling can be small, small computer modeling number 3 dimension modeling using the same treatment area having dedicated e-mail program number 3 dimensional modeling work percentage be numerical. In step (S22) is drawing number 3 dimension modeling computers and a small mold complete modeling as actual processing as follows. Preferably good, small computer modeling number 3 dimensional print device transmits information to drawing, drawing 3 dimensional print device based on three-dimensional shape is printed on the same treatment area and having an exterior surface mold (10) be a number work percentage (also reference 2). In Figure 2 mold (10) but a abdominal shape shown, mold (10) to the treatment location according to the shape of the breast, abdomen, shoulder, pelvic, two neck areas, neck, distal end (Extremity) may have a variety of shapes. Mold (10) but not the material of the number one, when utilizing a 3 dimensional print device, such as polycrystalline silicon or plastic can be applied. Mold (10) small number and non ferrous metal (10) forming on the surface of the coating layer (not shown) can be is further included. The coating layer mold (10) pad forming step (S30) that is formed at the contact pads and the surface of the male mold (10) can be separated easily on commonly. Pad forming step (S30) is, mold (10) subject to a treatment area in a surface pad main body having an outer surface corresponding to form corresponding, contact pads (100) includes a pad body or pad main body consisting of an (reference 4 also). Contact pads (100) number operation, mold (10) into a container or mold (10) on a peripheral surface of plate (11) in such a manner that electrons of the wall standing quiet composition number contact pads can be provided (reference 3 also). In addition, complete step (S22) mold in the mold (10) integral with contact pads number contained in composition to cure composition can be quiet when walls disapproval. Subject to a treatment area in contact with the corresponding mold is designed such that an outer surface (10) contact pads on this number into the curing composition can be quiet when the pad-type body. Said pad main body comprises a contact pad (100) and the number of website visitors, mold (10) contact on contact pad (one) (101) formed in a mold and a corresponding shape (also 4 a reference), ultrasonic probe is that can be placed on (the other surface) opposite portion (102) is not to be coated can be relatively flat roughened surface (4 b also reference). On the other hand, if applied to a neck contact plaque opposite portion (102) the overall shape and the surface of the skin to treat may have a shape inclined (4 c also reference). The connects the ultrasonic probe is inclined vertical surface and a horizontal surface adjacent thereto. On the other hand, the contact pads of the contact pads quiet morning fair number number composition comprises a lesions (1) with reference to the position nearest the methods comprise contact pads (100) is 10 mm to 50 mm thickness (T) may be applied to treating lesions contact pads (1) is 10 mm to 50 mm thickness of the portion of which overlaps a implementation being (also 5 reference). Contact pads (100) less than 10 mm thickness when contacting inner peripheral surface by the pressure of ultrasonic probe, motion can be detached. Contact pads (100) 50 mm thickness exceeds the pad composition amount is too much by the contact pad (100) according to cost increases as the number and small, pad composition-cut which allows the contact pad (100) number small time is increased substrate. Only, treating lesions in overlapping contact pads (100) depending on the thickness of the ultrasonic standard or performance can be. In addition, contact pads in number tank, mold (10) on the portion in contact with the opposite portion (102) contact pad surface if not flat, which makes flat base and can further. Contact pads quiet composition number mold (10) cured at contact pads on (100) is made ground-contacting pad (100) mold (10) are isolated each other in. Said contact pads quiet composition number, transmitting an ultrasonic wave form if gel composition can be applied, while forming a gel like properties in terms of water (Water) transmitting an ultrasonic wave in water substitute for a bone to apply a good ancestry. E.g., substitute for a bone include water, water is used as the base gel or polymer (a water-based gel/polymer) can be. E.g. [...] sonic 100 (Aquasonic 100 (Parker Laboratories, Fairfield, NJ, USA), sonic terahertz EMS (EMS Therasonic) (Electromedical Supplies Ltd, Wantage, UK), number this blood M ultra sound gel (JPM ultrasound gel) (JPM Products, Ware, UK), casing (Johnson & Johnson, Maidenhead, UK) wiping gel (KY gel), GMSK f echo - gel (SKF eko organic-inorganic) (SKF Services, Billingshurst) gel (ultrasonic transmission gel physio-a med) illuminated - [...] device for ultrasonic [...] (Physiomed Services, glos a-coupler adds, UK), bio frozen (Biofreeze) (Performance Health, Export, PA, USA) etc. disclosed. Transmitting an ultrasonic wave having tissue like properties title, agar [...] material, gelatin-based material, magnesium silicate material, oil gel material, an open cell foam-based material, polyacrylamide [...] material, polyurethane, polyvinyl alcohol material, head, aqueous (water based) material, concentration type based (Condensed Milk based) material, urethane rubber orgin material, can be applied gel orgin hydrogel materials, acrylic material, carbon fiber plastic orgin material, ebonite-based material, epoxy material, equipped [...] (one type of resin oh grill, Imperial Chemical Industries Ltd number tank), a polyvinyl chloride-based material, aluminum, such as a soda lime glass is applicable to disapproval. Such materials include a soft tissue or boat racepositionbringing up for discussion histological according treatment appropriately selected can be applied. In particular, ultrasonic imaging using a customized contact pads when converted to minimize the possibility of noises of time and then the scan position (coordinate) treatment despite repeated embodiment atherosclerotic lesions in the form of difference and for minimizing for assisting the implement into the operator's purposes because, said contact pads included in the pad main body comprising a pressure-transmitting an ultrasonic wave ultrasound with gel homogeneous in terms of a high permeation rate, in this case can occur by the use of customized contact pads including same influence ultrasonic images can be minimize. In the range of 1400 to 1650 m/s can be customized contact pads in said acoustic waves in speed. Further, said invention relates to a contact pads formed with gel is not solid, whilst maintaining the elastic surface thus the shape of the contact pads, to a treatment area can be arranged closely contact with a subject, the ultrasonic probe measured pressure exerted by an atherosclerotic lesions coordinate or shape can be the difference of the treatment. Number such as air flow shut-off can be in contact with the contact pads produced therewith being stored, etc. necessary for preventing microorganism or a moisture retention number can be added to a bath or quick-number and the second surface. Ultrasonic Image navigation radiation treatment long treatment period since the steam main 7 - 8 daily, during repeated use contact pads (100) is deformed or damaged when number it became work to mold (10) shape using the contact pads (100) can be a olefin. Next method as above the number of contact pads are disclosed other annotated in customized patient produced therewith. The same treatment area having the shape contact pads (100) aspect of the (101) a necessary treatment site (reference 6 also). Contact pads (100) can be one aspect of the contact pads by a property of the skin, contact pads (100) to reduce the likelihood of air are provided to improve the adhesion to the skin for depressed oil, ultrasonic gel top portion in contact pads (100) oriented skin may be filled. Then contact pads (100) on the other surface (102) the ultrasonic probe (20) in a close therapeutic lesions (1) identifying each other. Contact pads (100) when it burns, with ultrasonic probe (20) water or ultrasound gels bar edge rests an air layer can be included to further enhance the quality of images billion generation number. According to an embodiment of the present invention, when the surface of the skin is located close lesions, or warp (bending) toward the skin surface after contact pads shaped part (100) and one side of the portions, the user contact pads (100) opposite a planar side (skin shape object to be with re its roughened surface is generally planar smooth without a hole) since scan, or head-neck cancer such as breast ultrasound imaging guidance system accurately even when applied to the other side of process from effectively reference sound. In addition, planar side of contact pads 290 according to operator in ultrasonic probe can be minimizing the impact of noise generating a small amount of distortion is equal to precise and reproducible Image can be easily obtained. In addition, the same second contact treatment area (100) orientation using cycling in patient treatment reproducibility can be long period radiotherapy of height. On the other hand, contact pads attached to the treatment site (100) supporting the need support unit (200) contacted using pad (100) can be fixed. Support unit (200) the therapeutic self car grumble (COUCH) (30) of an impact can be coupled. Support unit (200) is number 1 axis (210), number 2 shaft (220), number 3 shaft (230), said shaft (210, 220, 230) connected to a drive unit (not shown) and supporting stand (240) having a predetermined wavelength. The driving unit drives the linear motor, lead ball [...], guide, etc. control unit number. Number 1 axis (210) is car grumble (30) disposed in parallel along longitudinal direction of car grumble (30) can be separated. Number 1 axis (210) to a position in which the position of the various treating lesions can be changed according to the position. Number 2 shaft (220) is number 1 axis (210) vertically and connected to the drive shaft by number 1 (210) longitudinal (X axis) direction of the disk can be. Number 3 shaft (230) is number 2 shaft (220) Y-axis and Z-axis direction by vertically and connected to the driving unit can be arranged for linear movement. Number 2 shaft (220) and number 3 shaft (230) moving structure support unit (200) can be design of using light along. Number 1 axis (210) may have in addition moving structure. Number 2 shaft (220) and number 3 shaft (230) using light depending on the structure of the direction of movement of the driving part can be. Number 1 to number 3 axis (210, 220, 230) is moving range can confirm the ruler in the nanometer range. Support (240) is number 3 shaft (230) connected in the nanometer range. Support (240) includes a contact pad (100) of supporting at least a portion other. Support (240) has a curved width can be adjusted. Support (240) is overlapped with the therapeutic portion comprises a contact pad (100) of non-overlapping when it burns, with to ultrasonic probe (20) interference and not other. Structure on the support unit (200) to be contacted by the pad (100) side of the ice bank is supported in dropping the contact pad (100) there can be more securely maintain close contact. Of the present invention preferred embodiment of the present invention detailed above are described but not limited to rights range and then basic general outline of the present invention defined in the claims of which using one skilled in addition of the present invention in a range of various modified and improved form rights are disclosed. 100: contact pads 10: mold 20: ultrasonic probe 30: car grumble 200: support unit 210: number 1 axis 220: number 2 axis 230: number 3 axis 240: support The present invention relates to a manufacturing method of a patient-specific contact pad, and to a contact pad. More specifically, the present invention relates to a manufacturing method of a contact pad (gel pad) that is arranged on a part to be treated, which is a part of an outer surface of a patient, and that is in contact with an ultrasound probe during a scan operation. The manufacturing method of the present invention comprises the following steps of: a) acquiring a mold shape for manufacturing a contact pad, including an outer shape corresponding to a part to be treated; b) manufacturing a mold having an outer surface corresponding to the part to be treated of the patient by using the mold shape for manufacturing a contact pad; and c) manufacturing a contact pad by forming a pad main body from the mold. In the step c), one surface of the contact pad is formed to correspond to the part to be treated, and the other surface of the contact pad with which the ultrasound probe is in contact during a scan operation is formed to be flat instead of being uneven. COPYRIGHT KIPO 2016 At least a portion of the outer surface of treatment area subject disposed on the contact pads of the compulsorily rests when ultrasonic probe number relates to the bath, a) said outer shape corresponding to a treatment area including contact pads number obtaining quiet mold shape, b) said number corresponding to a treatment area in a subject quiet contact pads formed in the mold and having an exterior surface in the mold small number, and c) said pad main body from the mold by forming contact pads step number tank; and, said c) said treatment area in one aspect of the four corresponding contact pads, said contact pads of the flat liquid surface layer is formed on the scan rests when ultrasonic probe, customized contact pads number bath method. According to Claim 1, said a) step, said contact pads and the shape of the mold number obtained from an Image obtained as a result of the computer tomographic quiet, said b) step, b 1) 3 dimension modeling to obtain said Image acquired by drawing, and b-2) said drawing a subject corresponding to a treatment area using an outer mold S400; including a, customized contact pads number bath method. According to Claim 2, said b 2) step 3 dimensional print device said mold to a small number, customized contact pads number bath method. According to Claim 1, said c) step said mold coating layer is formed, forming contact pads on said contact pads on said coating layer composition number poured quiet, customized contact pads number bath method. According to Claim 1, 10 mm to 50 mm in the thickness of the contact pads within a treatment lesions, customized contact pads number bath method. Transmitting an ultrasonic wave material pad body including contact pads, said contact pads corresponding part of the outer surface of one aspect of the subject treatment area four, the contact pads adjacent the liquid surface without said ultrasonic probe rests scan in the flat, customized contact pads.
