Gastrointestinal Endoscope

Gastrointestinal endoscope host ni ibikoresho byingenzi byo gusuzuma no kuvura igogorwa rya endoskopi. Ihuza gutunganya amashusho, kugenzura isoko yumucyo, gucunga amakuru nindi mirimo, kandi ishyigikira kugenzura no kuvura endoskopi yoroshye nka gastroscopes na colonoscopes. Ibikurikira nisesengura ryuzuye riva mubice bitanu: ihame ryakazi, imikorere yibanze, gukoresha amavuriro, ibyiza bya tekinike hamwe niterambere ryiterambere.

1. Ihame ry'akazi

Sisitemu yo gufata amashusho meza

Kwerekana amashusho ya elegitoroniki ya elegitoronike: Impera ya sensor ya CMOS (nka Sony IMX586) ikusanya amashusho ifite imiterere ya 4K (3840 × 2160), ingano ya pigiseli iri munsi ya 1.0μm, kandi ishyigikira umurima mugari wo kureba 90 ° ~ 120 °.

Ikoranabuhanga rya Spectroscopic:

Kwerekana amashusho mato (NBI): 415nm (imiyoboro y'amaraso ya mucosal) na 540nm (imiyoboro y'amaraso yimbitse) ibice bibiri byongerewe itandukaniro, igipimo cya kanseri yo mu gifu cya mbere cyiyongereyeho 25%.

Lazeri ya conocal (CLE): 488nm yogusuzuma laser igera ku gukuza inshuro 1000, muri vivo patology-urwego rwo gufata amashusho (imyanzuro 1μm).

Inkomoko yumucyo no kumurika

Xenon / LED ivanga urumuri: ubushyuhe bwamabara 5500K (bigana urumuri rusanzwe), guhinduranya urumuri rwikora (10,000 ~ 150.000 lux), shyigikira urumuri rwera / NBI / AFI (autofluorescence) guhinduranya uburyo.

Kwerekana amashusho atagira ingano: hamwe na ICG fluorescence angiography, kwerekana-igihe nyacyo cyo kwerekana amazi ya lymphatic nimbibi zibyimba (sensitivite igera kuri 95%).

Moteri yo gutunganya amashusho

Ukoresheje chip ya ISP yabugenewe (nka Fuji RELI +), kugabanya urusaku nyarwo (igipimo cyerekana-urusaku> 40dB), kuzamura HDR (intera ya dinamike 80dB) hamwe na AI ifashwa na annotasiyo (kumenya neza polyp 98%).

2. Imikorere yibanze

Igikorwa cyo gusobanura cyane

4K / 8K amashusho yerekana amashusho menshi: arashobora kumenya ubwoko bwa IIc kanseri yo munda hakiri kare hamwe na diameter ya <5mm.

Gukwirakwiza endoskopi (ME-NBI): gukuza optique inshuro 80 + gukuza ibikoresho bya elegitoronike inshuro 150, bifatanije na JNET gushyira mu byiciro gusuzuma imiterere y'ibisebe.

Sisitemu yubufasha bwubwenge

Isesengura nyaryo rya AI:

Menya mu buryo bwikora Esophagus ya Barrett (sisitemu ya CADx, AUC 0.92), kanseri yibara kare (sisitemu ya ENDOANGEL).

Gusuzuma ibyago byo kuva amaraso (Forrest classique) hamwe no gufata amashusho yikora.

Kwiyubaka-bitatu-Kwubaka: Synthesize moderi ya 3D yibibyimba bya subucosal bishingiye kumashusho menshi (neza 0.1mm).

Kwishyira hamwe

Kugenzura imiyoboro myinshi: Gushyigikira icyarimwe icyarimwe icyuma cya elegitoroniki yumuriro mwinshi (EndoCut mode), icyuma cya gaze ya argon (APC), hamwe no gutera inshinge (nka glycerol fructose).

Ibitekerezo byingutu: Sisitemu yo gutera inshinge / amazi (intera iri hagati ya 20 ~ 80mmHg) kugirango wirinde gutobora amara.

III. Agaciro gasaba agaciro

Umwanya wo gusuzuma

Kwipimisha kanseri hakiri kare: ESD mbere yo gutangira imbibi zerekana ikosa <1mm (NBI + magnifying endoscopy).

Isuzuma ry'umuriro: Koresha CE (chromoendoscopy) kugirango utezimbere umurongo wo gusobanura ibikorwa bya kolite yibisebe (κ agaciro kiyongereye kuva kuri 0,6 kugera kuri 0.85).

Ahantu ho kwivuriza

Kubaga byibuze:

Igihe cyo gukora EMR / ESD kigabanywa na 30% (ibikorwa bya electrocoagulation hamwe nibikorwa byo gutera amazi).

POEM ya achalasia, igipimo cyo kwisubiramo nyuma yo gutangira <10%.

Ubuvuzi bwa Hemostasis: bufatanije na Hemospray (ifu ya hemostatike) hamwe na clips ya titanium, umuvuduko wa hemostasis uhita ni> 95%.

Ubushakashatsi no kwigisha

Ububikoshingiro (bushyigikira imiterere ya DICOM) na sisitemu yo guhugura VR (nka GI Mentor), gabanya umuganga wiga umurongo wa 50%.

4. Kugereranya ibyiza bya tekiniki

Ikirangantego / icyitegererezo Ikoranabuhanga rya tekinoroji Ibiranga ibiciro

Olympus EVIS X1 Ibyerekezo bibiri byibanda (guhinduranya hagati no kureba kure) 8K + AI polyp yashyizwe mubikorwa $ 120,000 +

Fuji ELUXEO 7000 LASEREO lazeri yumucyo isoko 4K + amashusho yubururu bwa laser (BLI) $ 90,000 ~ 150k

Pentax i7000 Ultra-thin lens umubiri (Φ9.2mm) Igenzurwa na magnetiki capsule endoscopy ubufatanye $ 70,000 ~ 100k

Imbere Kaili HD-550 Imbere 4K CMOS 5G module yo kugisha inama kure $ 40,000 ~ 60k

V. Inzira ziterambere nimbogamizi

Ikoranabuhanga ryimbere

Molecular imaging endoscopy: igamije fluorescent probe (nka antibody anti-CEA antibody-IRDye800) kugirango igere kubimenyetso byihariye.

Imashini igenzurwa na magnetiki ya capsule: guhuza abashyitsi kugirango ugere kubizamini byuzuye gastrointestinal (nka Ankon MiroCam).

Ibibazo biriho

Isuku no kuyanduza: igishushanyo mbonera cyindorerwamo cyongera ingorane zo kwanduza (bigomba kubahiriza ibipimo bya WS 507-2016).

Kugenzura ibiciro: ibiciro byo gufata neza moderi zohejuru zingana na 20% yikiguzi cyumwaka.

Icyerekezo cy'ejo hazaza

Ubwenge bwigicu: computing computing + 5G kugirango ugere mugihe nyacyo cyo kugenzura ubuziranenge bwa AI (nkibutsa ahantu hatabona, gutanga amanota).

Miniaturisation: ingano yabakiriye yagabanutseho 50% (nkibishushanyo mbonera bya Storz).

Incamake

Ikirangantego cya gastrointestinal endoscopi kigenda kiva mubikoresho bimwe byo kwisuzumisha kijya murwego rwo gusuzuma no kuvura ubwenge, kandi iterambere ryarwo mu ikoranabuhanga ryateje imbere cyane igipimo cyo kumenya kanseri hakiri kare (imyaka 5 yo kubaho kwa kanseri yo mu gifu mu Buyapani igeze kuri 80% nyuma yo kumenyekana). Ibintu ugomba kwitondera muguhitamo:

Ibikenerwa mu mavuriro: Ibitaro byibanze birashobora kwibanda ku gukora neza (nko gufungura HD-550), mu gihe ibitaro byo hejuru bikunda imikorere ya AI (nka EVIS X1).

Ubunini: Niba bushigikira kuzamura ejo hazaza (nko kongeramo module ya fluorescent).