Marti-geliyaha Endoscope ee mindhicirka

Qalabka loo yaqaan 'endoscope' ee caloosha iyo mindhicirka ayaa ah qalabka asaasiga ah ee ogaanshaha endoscopy-ga dheefshiidka iyo daaweynta. Waxay isku daraysaa sawir-qaadista, xakamaynta isha iftiinka, maaraynta xogta iyo hawlaha kale, waxayna taageertaa kormeerka iyo daaweynta endoscopes jilicsan sida gastroscopes iyo colonoscopes. Kuwa soo socdaa waa falanqayn dhamaystiran oo laga sameeyay shan qaybood: mabda'a shaqada, shaqada asaasiga ah, codsiga kiliinikada, faa'iidooyinka farsamada iyo horumarka horumarka.

1. Mabda'a shaqada

Habka sawirka indhaha

Sawirka Endoscope Elektaroonigga ah: Dareenka CMOS ee dhamaadka ah (sida Sony IMX586) wuxuu ururiyaa sawirro leh xallinta 4K (3840 × 2160), cabbirka pixel sida ugu hooseeya 1.0μm, wuxuuna taageeraa muuqaal xagal ballaadhan oo ah 90 ° ~ 120 °.

Tignoolajiyada Spectroscopic:

Sawirka dhuuban ee cidhiidhiga ah (NBI): 415nm (xididdada dhiigga oogada xuubka) iyo 540nm (muraayadaha dhiigga qoto dheer) waxay kordhiyeen isbarbardhigga, heerka hore ee kansarka caloosha ayaa kordhay 25%.

Laysarka Confocal (CLE): 488nm laser scanning waxa ay gaartaa 1000 jeer weynaynta, gudaha vivo heerka-imaging (xarka 1μm).

Isha iftiinka iyo iftiinka

Xenon/LED isha iftiinka isku-dhafka ah: heerkulka midabka 5500K (jilicsan iftiinka dabiiciga ah), hagaajinta iftiinka tooska ah (10,000 ~ 150,000 lux), taageer iftiinka cad / NBI / AFI (autofluorescence) qaabka beddelka.

Sawirka infrared: oo leh ICG fluorescence angiography, muujinta wakhtiga dhabta ah ee dheecaanka lymphatic iyo xuduudaha burooyinka (dareenka ilaa 95%).

Matoorka farsamaynta sawirka

Isticmaalka jajabyada ISP ee u go'ay (sida Fuji RELI +), dhimista qaylada waqtiga-dhabta ah (saamiga calaamad-ilaa-qeylada>40dB), kobcinta HDR (kala duwanaanta firfircoon ee 80dB) iyo sharraxaadda AI-caawin (saxnimada aqoonsiga polyp 98%).

2. Hawlaha muhiimka ah

Shaqada ogaanshaha qeexitaan sare

4K/8K sawir-qaraxeedka aadka u sarreeya: waxay aqoonsan karaan nooca IIc kansarka caloosha hore oo leh dhexroor <5mm.

Weyneynta endoscopy (ME-NBI): weyneynta indhaha 80 jeer + weyneynta elektarooniga ah 150 jeer, oo ay weheliso kala soocidda JNET si loo qiimeeyo dabeecadda dhaawacyada.

Nidaamka kaaliyaha caqliga

Falanqaynta waqtiga-dhabta ah ee AI:

Si toos ah u aqoonso hunguriga Barrett (Nidaamka CADx, AUC 0.92), kansarka mindhicirka hore (Nidaamka ENDOANGEL).

Qiimaynta khatarta dhiig-baxa ( kala-soocidda Forrest) iyo duubista shaashadda tooska ah.

Dib-u-dhiska saddex-geesoodka ah: Isku-dubarid qaabka 3D ee buro-xuubka-hoosaadka oo ku salaysan sawiro qaab-dhismeedka badan (sax ahaan 0.1mm).

Isdhexgalka daawaynta

Xakamaynta kanaalka badan: Waxay taageertaa hawlgalka isku mar ah ee mindida korantada ee soo noqnoqda (qaabka EndoCut), mindida gaaska argon (APC), iyo duritaanka xuubka (sida fructose glycerol).

Jawaab celinta cadaadiska: Nidaamka duritaanka gaaska / biyaha garaadka leh (cadaadiska 20 ~ 80mmHg) si looga fogaado daloolinta mindhicirka.

III. Qiimaha codsiga kiliinikada

Goobta ogaanshaha

Baaritaanka hore ee kansarka: ESD qalliin ka hor cilad calaamadeynta xuduudka <1mm (NBI+magnifying endoscopy).

Qiimaynta bararka: Isticmaal CE (chromoendoscopy) si loo hagaajiyo joogtaynta tarjumaadda waxqabadka colitis (κ qiimaha wuxuu ka kordhay 0.6 ilaa 0.85).

Goobaha daawaynta

Qalliinka ugu yar:

Wakhtiga hawlgalka EMR/ESD waxa lagu soo gaabiyay 30% (isku-darka korantada iyo duritaanka biyaha).

GABAY loogu talagalay achalasia, heerka soo noqoshada qalliinka kadib <10%.

Daaweynta Hemostasis: oo lagu daray Hemospray (budada hemostatic) iyo clips titanium, heerka guusha hemostasis degdeg ah waa> 95%.

Cilmi baaris iyo barid

Kaydka xogta (qaabka DICOM ee taageeraya) iyo nidaamka tababarka VR (sida GI Mentor), waxay soo gaabiyaan qalooca barashada dhakhtarka 50%.

4. Isbarbardhigga faa'iidooyinka farsamada

Nooca/qaabka Tignoolajiyada Muhiimka ah Astaamaha bukaan-socodka ee kala duwan

Olympus EVIS X1 Dual focus optics (isbeddelka u dhexeeya aragtida dhow iyo tan fog) 8K+ AI kala soocidda polyp $120,000+

Fuji ELUXEO 7000 LASEREO isha iftiinka laysarka 4K+ sawirka laser buluuga ah (BLI) $ 90,000 ~ 150k

Pentax i7000 Jirka lenska aadka u khafiifka ah (Φ9.2mm) Kaabsulka endoscopy-ga kaabsoosha oo si magnetik loo kontoroolo iskaashiga $70,000 ~ 100k

Guriga Kaili HD-550 Guriga 4K CMOS 5G Module la talinta fog $40,000 ~ 60k

V. Isbeddellada Horumarineed iyo Caqabadaha

Teknolojiyadda Frontier

endoscopy molecular imaging endoscopy: Baaritaanada fluorescent ee la beegsaday (sida anti-CEA antibody-IRDye800) si loo gaaro calaamado gaar ah oo buro ah.

Robot kaabsul ah oo lagu koontaroolo Magnetic: isku xirka martida loo yahay si loo gaaro baaritaan buuxa oo xanuun la'aan ah caloosha (sida Ankon MiroCam).

Caqabadaha jira

Nadiifinta iyo jeermi-dilista: Naqshadaynta jidhka muraayadaha ee isku dhafan waxay kordhisaa dhibka jeermiska jeermiska (waa inay raacdaa heerka WS 507-2016).

Xakamaynta kharashka: kharashyada dayactirka ee moodooyinka dhamaadka-sare waxay xisaabiyaan 20% qiimaha iibka sannadkii.

Jihada mustaqbalka

Sirdoonka daruuriga ah: xisaabinta cidhifka + 5G si loo gaaro kontoroolka tayada AI ee waqtiga-dhabta ah (sida xasuusinta indhoolayaasha, dhibcaha hawlgalka).

Yaraynta: Cabbirka martida loo yahay waa la dhimay 50% (sida nashqada caadiga ah ee Storz).

Soo koobid

Martigeliyaha endoscopy-ga caloosha iyo mindhicirka waxa uu ka soo baxayaa hal qalab oo lagu baadho una noqdo goob lagu baadho garaadka iyo daawaynta, horumarkeeda teknoolajiyada ayaa si weyn u wanaajiyay heerka lagu ogaanayo kansarka hore (heerka badbaadada 5-sano ee kansarka caloosha ee Japan waxa uu gaadhay 80% ka dib markii la faafiyay). Waxyaabaha ay tahay inaad fiiro gaar ah u yeelato markaad dooranayso:

Baahiyaha caafimaad: Isbitaalada aasaasiga ah waxay diiradda saari karaan waxtarka kharashka (sida furitaanka HD-550), halka isbitaallada sare ay door bidaan hawlaha AI (sida EVIS X1).

Miisaanka: Haddii ay taageerto cusboonaysiinta mustaqbalka (sida ku darista moduleka fluorescent).