CN101422374A - X-ray image diagnosing system - Google Patents

X-ray image diagnosing system Download PDF

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Publication number
CN101422374A
CN101422374A CNA2008101744333A CN200810174433A CN101422374A CN 101422374 A CN101422374 A CN 101422374A CN A2008101744333 A CNA2008101744333 A CN A2008101744333A CN 200810174433 A CN200810174433 A CN 200810174433A CN 101422374 A CN101422374 A CN 101422374A
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China
Prior art keywords
ray
mentioned
diaphragm
image
composograph
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CNA2008101744333A
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Chinese (zh)
Inventor
池田重之
小林一郎
坂薰
铃木克己
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Hitachi Healthcare Manufacturing Ltd
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Hitachi Medical Corp
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Abstract

An X-ray image diagnosing system comprising an X-ray generator for applying an X-ray to an examinee, an X-ray restricting device having at least three interlocking restricting blades for controlling an irradiation area on the examinee by an X-ray irradiated from the X-ray generator, an operation information storing means for storing operation information used to operate the X-ray restricting device in a specified mode, a restriction operator for operation-controlling the X-ray restricting device based on the stored operation information, an X-ray detector for outputting as image data a transmitted X-ray by the examinee that has passed through an opening formed by the operation-controlled X-ray restricting device, and a display unit for image-displaying the output image data.

Description

The radioscopic image diagnostic equipment
The application be submitted on January 11st, 2007, application number be 200580023407.5, denomination of invention divides an application for the application of " the radioscopic image diagnostic equipment ".
Technical field
The application advocates No. the 2004-206527, the Japanese patent application of on July 13rd, 2004 application, the priority that No. the 2004-209183, the Japanese patent application of application on July 15th, 2004, with its content with reference to being taken among the application.
The present invention relates to for the effective radioscopic image diagnostic equipment of operability that improves the X ray diaphragm.
Background technology
In recent years, the patient is not carried out surgical operation, but adopt percutaneous checking tools such as conduit, endoscope, and the technology of peeping is popularized in inspection or treatment vascular system pathological changes portion, the pathological changes portion of digestive organs system etc., and the perspective time of radioscopy photographic attachment has increased considerably.As a result, being subjected to according to just more and more important in the reduction perspective is so require frequent operation to be used to prevent the necessary zone X ray diaphragm that is subjected to photograph in addition.
In the radioscopy photographic attachment, adopted the X ray aperture device that limits the x-ray bombardment district (for example the spy opens flat 8 one 266535, spy and opens 2,003 one 116845).This photographic attachment shines the X ray from the radiation of X-ray tube device on the subject that lies on the estrade by the X ray aperture device, detect the X ray that has seen through subject by image intensifier, X ray plane detector etc., make it become visual image, be presented on the monitor.This aperture device drives blade of diaphragm up and down, blocks the care zone X ray in addition from the X ray of X-ray tube device radiation.
, for above-mentioned patent documentation, the occasion of the area of visual field after change X ray diaphragm inserts is observed the neighboring area of this area of visual field at needs, promptly the X ray diaphragm zone of being covered occasion, just need to confirm the situation beyond the area of visual field.Yet the situation in the zone that the X ray diaphragm is inserted is not presented on the monitor, so can not discern.Therefore, must open the X ray diaphragm once, confirm with monitor to make the X ray diaphragm control to the zone of hope after the situation in area of visual field zone in addition, carry out the change of area of visual field like this.As a result, just require the above-mentioned X ray diaphragm of frequent operation, and the operation of X ray diaphragm is taken time and energy very.Do not mention the operability that how to improve the X ray diaphragm in the above-mentioned patent documentation fully.
The object of the present invention is to provide the radioscopic image diagnostic equipment of the operability that has improved the X ray diaphragm.
Summary of the invention
The problem that solution is planned in invention
The radioscopic image diagnostic equipment of the present invention is characterized in that having: the X-ray producer that shines X ray to the examinee; Control by the X ray of above-mentioned X-ray producer irradiation to X ray aperture device above-mentioned examinee's irradiation area, that constitute by the blade of diaphragm linkage ground more than 3 pieces; Storage is used to make the operation information memory element of above-mentioned X ray aperture device by the operation information of given control model action; Operate the diaphragm operator of the above-mentioned X ray aperture device of control according to the above-mentioned operation information that has been stored; The X ray detector that the above-mentioned examinee's who sees through from the peristome that is formed by the above-mentioned above-mentioned X ray aperture device that is subjected to operating control transmitted X-rays is exported as view data; And the display that the above-mentioned view data that has been output is carried out pictorial display.
The invention effect
According to the present invention, the blade of diaphragm of linkage ground control more than 3 pieces, thus energy efficiency is operated the X ray diaphragm well.The result just can do one's utmost to reduce examinee's the amount of shining that is subjected to.
The specific embodiment
Below, describe embodiments of the present invention in detail.
The radioscopy photographic attachment of present embodiment as shown in Figure 1, has: as the X-ray tube 1 of x-ray source; Control is from the aperture device 2 of the range of exposures of the X ray of X-ray tube 1 irradiation; And detect the X ray that passes through X ray aperture device 2, passed through subject, make it become the X ray plane detector (FPD) 3 of image.Usually, X-ray tube 1 and X ray diaphragm 2 constitutes the X ray generating units, is installed in an end of supporting device 4 such as C type arm, and FPD3 is installed in the other end of C type arm.Between X-ray tube 1 and FPD3, be provided with the movable estrade 5 of carrying subject 7, carry out the location in the care zone of subject 7 by the rotation of C type arm, the slip of estrade 5.Become the pictorial display of visual image on display (monitor) 6 by FPD3.Also can use image intensifier (I, L) and TV video camera to substitute FPD.
The X ray aperture device 2 that above-mentioned radioscopy photographic attachment is used as shown in Figure 2, has 4 pieces blade of diaphragm 20 (21,22,23,24) altogether.The blade of diaphragm 20 that with the stereotype is main material is that the x-ray bombardment district is set in the most important blade that necessary minimal x-ray bombardment scope is gone up in diagnosis.
These each blades of diaphragm 21~24 up and down as shown in Figure 3, are configured to the frame shape, and each free not shown motor drives independently.The present position of each blade of diaphragm 21~24 detects unit (not shown) by leaf position and detects, and is output as position data.Detect the unit as leaf position, for example detect by the position of rotation that detects motor.The detection of this position of rotation is for example to use stepper motor, and perhaps the position of rotation by Hall element detection motor carries out.The pick off of the position that directly detects each blade of diaphragm 21~24 also can be set certainly.
On the other hand, for the x-ray bombardment district,, do not shine X ray and just can confirm (Fig. 2) by range estimation from the rayed district that is located at the lamp 25 in the X ray aperture device.Promptly the light from lamp 25 irradiations is reflected by reflecting mirror 26,27, and by blade of diaphragm 20 restriction ranges of exposures, by this blade of diaphragm 20, the rayed district that is obtained by such light beam just can confirm by range estimation.Lighting a lamp of lamp 25 carried out with switch 28 by lighting a lamp.
Carry out on the whole operating board 8 a long way off of the operation of above-mentioned radioscopy photographic attachment.Operating board 8 has the x-ray bombardment switch 12 of the irradiation of the estrade operator 11 of slip of supporting device operator 10, control estrade 5 of rotational slide of diaphragm operator 9, control supporting device 4 of the action of control X ray diaphragm 2 and control X ray.Wherein, diaphragm operator 9 as shown in Figure 4, is the shaft-like thing of recreation.That is, have from the upright hook sticks of establishing 31 of operating board 8, this hook stick 31 constitutes 360 ° any direction freedom to fall, and the blade of diaphragm that can make selected is with can to fall direction corresponding and move.Also have, be provided with press button 32, switch the control model of selecteed blade of diaphragm according to the number of times of pushing this press button 32 successively at the front end of hook stick 31.
Fig. 5 represents the functional block diagram of this aperture device.
At first, the signal of having imported from operator 9 is transformed to the necessary control signal by operator control part 41, is input to diaphragm control part 42.Diaphragm control part 42 is according to this control signal, makes the CD-ROM drive motor action of the blade of diaphragm 20 that can make blade of diaphragm 20 actions, the blade of diaphragm 20 that order shows selected on indicator 44.Indicator 44, as described later, by each limit that is configured in the monitor 6 that shows the radioscopy image by the frame shape, the luminous body of lighting a lamp in the direction of selected blade of diaphragm constitutes.Also have, making blade of diaphragm 20 information where of moving output to X ray detector 3 (being FPD) and image processing part 43 herein from diaphragm control part 42, the pictorial display in the zone of having been limited by this blade of diaphragm on monitor 6, is controlled according to this.
Secondly, the control method more specifically of blade of diaphragm is described.Fig. 6 (A) one (D) expression is provided with the picture of the monitor 6 of indicator 44.The medium and small thick frame of picture is to be concerned about the zone, is provided with the indicator 44 of frame shape at this monitor display frame periphery.Indicator 44 constitutes each limit corresponding with selected blade of diaphragm and can light a lamp.For example, last blade of diaphragm selected occasion, the top 44U of indicator will light a lamp (Fig. 6 (B)), left blade of diaphragm selected occasion, the left side 44L of indicator will light a lamp (Fig. 6 (C)), the occasion that the infra blade of diaphragm is selected, and the following 44D of indicator will light a lamp, right blade of diaphragm selected occasion, the right 44R of indicator will light a lamp.
According to the number of times of pressing button switch 32 (Fig. 4), switch the selection of the blade of diaphragm that will control by order shown in Figure 7.That is, can be by last blade of diaphragm 51 → left blade of diaphragm 52 → following blade of diaphragm 53 → 56 → attendant exclusion 57 → upward the order of blade of diaphragm 51 is come the switching controls pattern to right blade of diaphragm 54 → full gloss door screen blade (location change in care zone) 55 → full gloss door screen blade (dimension modifying in care zone).
Under the state of Fig. 6 (A) indicator 44 which all do not light a lamp, which blade of diaphragm does not have selectedly yet under this state, even pull hook stick 31 down, which blade of diaphragm can not move yet.
Secondly, push 1 press button 32 and become the control model 51 of glazing door screen blade, shown in Fig. 6 (B), the top 44U of indicator lights a lamp.The patient can pull down up and down under this state hook stick 31 freely carry out on the moving of blade of diaphragm.
Secondly, pressing button switch 32 and become the control model 52 of left blade of diaphragm again, shown in Fig. 6 (C), the left side 46L of indicator lights a lamp.Equally, can about pull hook stick 31 down and carry out the action of left blade of diaphragm.
Secondly, the 3rd pressing button switch 32 and become whole lamina (location change) control model 55, the size constancy in the care zone that is made of 4 pieces of blades more only move to any direction to its position according to the operation of hook stick 31, control according to this.In this occasion, shown in Fig. 6 (D), the indicator 44 on 4 limits is all lit a lamp, and makes the patient can hold pattern.
Have again, pressing button switch 32 and become whole lamina (dimension modifying) control model 57 again, under the state of indicator 44 flickers that make 4 limits, up and down or about pull hook stick 31 down, also can change the size of being concerned about the zone.For example, also can enlarge the center of being concerned about the zone, dwindle as benchmark.
In addition, on one side also can by this control model on one side pressing button switch 32 pull hook stick up and down down, make the size of being concerned about the zone from be concerned about regional auxocardia, dwindle, control according to this.
In addition, be provided with indicator 44 in this example, but, if the viewing area of monitor 6 can guarantee fully that also the demonstration same with indicator 44 carried out in the position that can suit on image.
Also have, the indicator on 4 limits also can be glimmered by whole lamina (location change) control model, often lights a lamp by whole lamina (dimension modifying) control model.Perhaps, also can use the color different to show with control model.
Also have, press button 32 is one with hook stick 31, but, press button 32 and hook stick 31 isolating local divide to be arranged also can obtain same effect.For example replace press button 32, can further reduce operator 9 with foot switch.
Also can replace press button and the discrete switch corresponding with each control model 51-57 of blade of diaphragm is set switching.
Fig. 8 represents the relation of the moving direction of the direction of operating of hook stick and blade of diaphragm.
In control model is the occasion of blade control model, and hook stick is pulled down to illustrated direction, has only blade of diaphragm 21 (with reference to Fig. 3) to move in the direction of thick arrow.Lobus sinister sheet, lower blade, lobus dexter sheet do not move.
In the occasion of each control model of lobus sinister sheet, lower blade, lobus dexter sheet too, hook stick is pulled down to illustrated direction, had only corresponding blade of diaphragm to move in the direction of thick arrow.
In the occasion of whole lamina (location change) control model and the occasion of whole lamina (dimension modifying) control model, corresponding with the direction of pulling hook stick down, each blade of diaphragm 21~24 moves in the direction of thick arrow.Fig. 9 is the block diagram of the control system of expression blade of diaphragm.
Stored the form 62 suitable that the moving direction of the direction of operating of control model, hook stick and each blade of diaphragm is associated in the memorizer of diaphragm control part 42 (with reference to Fig. 5) with Fig. 8.
For example, the operator selects whole lamina (location change) control model, hook stick 31 is pulled down to the direction of hope, will be connected, the signal of representing direction of operating is input to the CPU61 of diaphragm control part 42 with the corresponding switch in the switch that hook stick connects with pulling direction down.CPU61 accepts the signal from hook stick 31, with reference to form 62, drives the driving signal of the blade of diaphragm corresponding with the direction of operating of selected control model and hook stick to motor M1-M4 output.
Each blade of diaphragm is pulled down at hook stick, in the process of switch connection, is controlled and moves to the direction of thick arrow.When hook stick was got back to vertical position, the switch that connects with hook stick all turn-offed, and each blade of diaphragm just stops in this position.
Secondly, illustrate, at the embodiment that has descended the time aspect the configuration of the lamp that is used to confirm the x-ray bombardment district for above-mentioned aperture device.
This is for example shown in Figure 10, makes the filament 28 configuration directions of lamp 25 become 45 ° with respect to each blade of diaphragm 21~24 than length direction.
In lamp, usually, filament is as its luminous source.This filament has certain length, be in the past along blade of diaphragm make filament than the mutually incompatible configuration of length direction.
For example, shown in Figure 11 (A), be parallel to left and right sides blade of diaphragm 22,24 at filament 28, filament 28 is perpendicular to the occasion of blade of diaphragm 21,23 up and down, in the periphery in the rayed district that has limited by blade of diaphragm by near the limit of blade of diaphragm 21,23 regulations up and down, at the directions X of filament, promptly left and right sides blade of diaphragm can see fuzzy (ボ ケ) with the width of Bx than length direction.On the other hand, shown in Figure 11 (B), near by the limit of left and right sides blade of diaphragm 22,24 regulation, in the Y direction, promptly up and down blade of diaphragm can see fuzzy with the width of By than length direction.Therefore, it is different with By to produce fuzzy width B x in directions X and Y direction, and it is indeterminate that the profile in rayed district becomes easily.
By contrast, in the present embodiment, as shown in figure 10, become the 45 degree with respect to whole blade of diaphragm 21~24 and dispose filament 28.Therefore, shown in Figure 11 (C), can make to produce fuzzy width B xy in directions X and Y direction and become equally, the profile in rayed district is made clear, easier affirmation x-ray bombardment district.
Secondly, illustrate when area of visual field is moved, make being subjected to of examinee according to the embodiment that measures reduction.Figure 12 is the summary function constitution map of the radioscopic image diagnostic equipment of present embodiment.This radioscopic image diagnostic equipment has the monitor 6 to the radioscopic image of the X ray diaphragm 2 of the range of exposures of the X-ray producer 1 of examinee's 7 irradiation X ray, regulation X ray, the X ray detector 3 that makes the radioscopic imageization that has seen through examinee 7 and demonstration photography gained.
X-ray producer 1 has the X-ray tube that produces X ray.X-ray producer 1 is applied in from the given voltage of device for generating high voltage 100 and emits X ray.
X ray diaphragm 2 inserts blade of diaphragm, the regulation area of visual field by making the blade of diaphragm action in the x-ray bombardment district.The on position of the blade of diaphragm of X ray diaphragm 2 is detected by the on position information detecting unit, is output to viewing area described later and calculates unit 103.
X ray detector 3 is so long as can get final product the thing that X ray is transformed to view data.This example has been used X ray plane detector (FPD).The X ray that has seen through examinee 7 is transformed to the visual picture data by the FPD control part, is output as Digital Image Data.The view data that has been output is upgraded by every frame successively by image memory stores.This image storage comprises full area of visual field memory element 101 described later.
Also have, X-ray producer 1 and X ray detector 3 constitute, by not shown bearing unit supporting, and can be as required and move their position with respect to subject 7.
And the radioscopy image of having been exported as view data by X ray detector 3 is presented on the monitor 6 in real time.
Here, the radioscopic image diagnostic equipment of present embodiment has full area of visual field memory element 101, composograph makes unit 102 and unit 103 is calculated in the viewing area.The fluoroscopy images of the full area of visual field before the X ray diaphragm 2 is inserted in full area of visual field memory element 101 storages.Composograph makes unit 102 the present fluoroscopy images of the full area of visual field image of storage in the full area of visual field memory element 101 and insertion X ray diaphragm 2 is made composograph by the brightness addition.The zone that necessity of composograph is calculated according to the on position of X ray diaphragm 2 in unit 103 is calculated in the viewing area, and it is shown enlarged on the monitor 6.
Secondly, the action of the radioscopic image diagnostic equipment of present embodiment is described.
At first, X-ray producer 3 rough alignment surgical object positions (calling " affected part " later on).Aim at the x-ray bombardment of lacking in order to confirm this.The X ray that has seen through examinee 7 carries out image conversion by X ray detector 3, is transformed to view data by the FPD control part, and this view data writes down at any time in image storage, upgrades in x-ray bombardment.Also can be being stored in the full area of visual field memory element 101 at the last image in this stage fluoroscopy images as the full area of visual field before inserting X ray diaphragm 2.
Begin 2 insertion controls of X ray diaphragm by the patient, full area of visual field memory element 101 storages begin to insert the view data that X ray diaphragm 2 is exported by X ray detector 3 before.
Secondly, X ray diaphragm 2 is inserted into the zone of hope, decision area of visual field.After this, changing the on position of X ray diaphragm 2 and change the occasion of the position of area of visual field by the patient once more, carry out making of composograph.Promptly, the control command of the on position of input change X ray diaphragm 2, composograph make unit 102 and just make composograph the full area of visual field image before the insertion X ray diaphragm 2 of storage in the full area of visual field memory element 101 with in moment of the control command of having imported the on position change that is used for X ray diaphragm 2 from the view data addition of X ray detector 3 outputs.The control command of change on position, for example in Fig. 7 whole lamina (location change) control model 55 selected in be transfused to.
Figure 13 A-13C is the schematic illustration that the expression composograph makes the synthetic action of image in the unit 102.Figure 13 A represents the view data (full area of visual field image 201) by the chest integral body of inserting the X ray detector output before of X ray diaphragm.Among the figure, housing is represented the maximum viewing area of monitor 6, and in this example, full area of visual field image 201 is presented on the viewing area of monitor fullly.This view data can be read as required by full area of visual field memory element 101 storages.The view data (area of visual field image 202) of the part of the chest of having exported by X ray detector 3 when on the other hand, Figure 13 B is illustrated in the control command of the change of having imported the on position that is used for X ray diaphragm 2.According to these 2 pieces of view data, make unit 102 by composograph and make the composograph data shown in Figure 13 C.Composograph is the image of overlapping area of visual field image gained on full area of visual field image, and the position of area of visual field can show that certainly the zone beyond the area of visual field also can show.Addition ratio about the brightness that makes two images (Figure 13 A, 13B) of unit 102 when making the composograph data by composograph, overlapping situation according to the image on the X ray diaphragm that on monitor 6, has shown in the composograph, can be aptly, for example by 1 to 1,1 to 2 situation changes in advance.In the occasion of 1:1, in Fig. 2 C, compare 2 times of display images 202 brightly with image 201.
The viewing area is calculated unit 103 and is got the on position information of X ray diaphragm 2 in image, shows that on monitor 6 conduct that is made in the composograph that unit 102 made by composograph changes the optimal image-region of control in order to help the patient to the area of visual field of stipulating by the insertion of X ray diaphragm 2.
Figure 14 A, 14B are the schematic illustration of the action that is used to represent that display image area is calculated.The image of Figure 14 is to make the composograph that unit 102 has made by the composograph suitable with Figure 13 C.Now, by the X ray diaphragm, for example the such information of position Rin that is inserted in the image of the blade of diaphragm that inserts from the right of image will be sent.In this occasion, the outside that 103 of unit are compared with position Rin in the image is calculated in the viewing area, for example till the position Rext in the figure as the display object zone.,, it is presented on the monitor 6 equally by composograph decision display position according to positional information from the blade of X ray diaphragm, lower blade, lobus sinister sheet.About till from the on position of X ray diaphragm to the outside of what degree as the display object zone, be according to checking that subject area etc. is predetermined.
Figure 14 B is the figure that amplify to show the viewing area of having been calculated on the maximum viewing area of monitor.
Figure 15 A, 15B are the sketch maps that is used for illustrating the action that the display unit composograph shows.Figure 15 A is illustrated in the appearance of the composograph that shows in the maximum viewing area of keeping out of the way action monitor before of carrying out the X ray diaphragm.Now, being presented at part on the monitor as Lin the X ray diaphragm that inserts from image left side.And, in composograph shows, the occasion that is controlled at X ray diaphragm 2, the viewing area is calculated the unit and is made the insertion portion Lin of X ray diaphragm 2 often become certain with respect to the region-wide ratio of the image of being represented by Dimg and calculate the viewing area, only shows necessary zone on monitor 6.
For example, Figure 15 B represents that the lobus sinister sheet of X ray diaphragm 2 is subjected to keeping out of the way the figure of control appearance afterwards.Make the insertion portion Lin of diaphragm become identical and carry out calculating of viewing area with respect to the ratio of keeping out of the way the region-wide Dimg ' of image after the control with respect to the insertion portion Lin ' that keeps out of the way the ratio of the region-wide Dimg of image before the control and diaphragm.The patient can be according to the on position of X ray diaphragm 2, Yi Bian seeing the composograph that shows to the zone in its outside, Yi Bian change location of aperture.Therefore,, shine X ray on a large scale and confirm full field-of-view image, also can confirm the situation in present area of visual field zone in addition, can carry out the operation of X ray diaphragm 2 swimmingly to subject even do not open X ray diaphragm 2.
In addition, in the above-described embodiment, narrated view data, used the example that will insert X ray diaphragm perspective image data before as storage in the full area of visual field memory element 101, but, also can use the view data of the gained of photographing at same position in advance to make composograph.
Secondly, illustrate that having the patient can switch area of visual field image and composograph, is presented at the radioscopic image diagnostic equipment of the present embodiment of the pictorial display selected cell on the monitor with it.Figure 16 is the summary function constitution map with device.In addition, for the element same with Figure 12, omitting its explanation, is that the center describes with the difference.
In the device of this example, usually, on monitor 6, show present fluoroscopy images by 3 outputs of X ray detector.When the patient carries out the operation of X ray diaphragm 2, by pictorial display selected cell 104 input composograph commencing signals.Like this, make composograph, on monitor 6, show this composograph according to making unit 102 by composograph with the same order of Figure 12.
Also have, the switching that the patient is undertaken by pictorial display selected cell 104 can at random select to show fluoroscopy images on monitor 6.For example, even in the operation of X ray diaphragm 2, also can on monitor 6, show present fluoroscopy images by 3 outputs of X ray detector in the same old way.
In addition, be everlasting and show output image on the monitor 6 from X ray detector 3, indication according to the operator, after on monitor 6, having shown composograph by pictorial display selected cell 104, through after the certain hour, also can show present fluoroscopy images once more by 3 outputs of X ray detector.
Secondly, illustrate that the demonstration different with monitor made the present embodiment device of the composograph display unit of the composograph that the unit made by composograph.Figure 17 is the summary function constitution map with device.
In addition, for the element same with Figure 12, omitting its explanation, is that the center describes with the difference.
In the device of this example, on monitor 6, show fluoroscopy images this point, and making unit 102 by composograph, to make the composograph this point the same with Figure 12 by 3 outputs of X ray detector.In this example, it is different this composograph to be presented on the composograph display unit 105 different with monitor 6 this point.Therefore, the patient can compare on the monitor 6 these 2 images of composograph that show on the present fluoroscopy images that shows and the composograph display unit 105 on one side, Yi Bian carry out the control of X ray diaphragm 2.
In addition, as shown in figure 18, be provided with a plurality of windows in the monitor, also can in each window, show present fluoroscopy images (fluoroscopy images usually) 301 and composograph 302 respectively.For example, can consider on monitor picture, to show main window and assistant window, in main window, show present fluoroscopy images 301, in assistant window, show composograph 302.Have again, also can change the displaying contents of the main window of demonstration and the displaying contents of assistant window as required.Constitute according to this, can on single monitor, observe present fluoroscopy images and composograph simultaneously.
The device of this occasion constitutes the same with Figure 16, but, be chosen in main window and which side demonstration composograph of assistant window by pictorial display selected cell 104.
Secondly, explanation can with the corresponding radioscopic image diagnostic equipment of upgrading the present embodiment of full visual field fluoroscopy images of action of the sleeping berth of X-ray producer X ray detector and carrying subject.Figure 19 is the summary function constitution map with device.In addition, for the element same with Figure 12, omitting its explanation, is that the center describes with the difference.
This radioscopic image diagnostic equipment has the sleeping berth 5 of carrying subject, to the X-ray producer 1 of examinee 7 irradiation X ray, make the X ray detector 3 of the radioscopic imageization that has seen through examinee 7, with respect to the bearing unit 107 of sleeping berth 5 unified these X-ray producers 1 of supporting and X ray detector 3 with show the monitors 6 of the radioscopic image of the gained of photographing with moving freely.
Can make sleeping berth 5 under the state that has carried the examinee up and down, about, move forward and backward.The action of this each several part is detected by sense of movement notice of invitation unit 106 respectively.
Bearing unit 107 has: at one end be provided with X-ray producer 1, have the C arm of X ray detector 3 at the other end; And in level and/or vertical drive mechanism that level and/or vertical direction move the C arm.In addition, also have: make the C arm along the circular arc travel mechanism of sliding with the circular arc of arm; And the slew gear that trunnion axis is made the C revolution of arm as gyroaxis.The action of this each several part is also detected by sense of movement notice of invitation unit 106 respectively.
Also have, in this device, the function of X-ray producer 1 and X ray detector 3, and this point that makes composograph, but this point on its given scope display monitor 6 is all same with other embodiments.
Also be on monitor 6, to show by composograph to make the composograph that unit 102 has made in the device of this example.In composograph shows, the words that the control of sleeping berth 5 or bearing unit 107 is undertaken by the patient, sense of movement notice of invitation unit 106 just ends to make the demonstration of composograph on monitor 6 that unit 102 has made by composograph, makes it to show the present fluoroscopy images by 3 outputs of X ray detector.
Also have, sense of movement notice of invitation unit 106 detects the words of the control end signal of sleeping berth 5 or bearing unit 107 in x-ray bombardment, full area of visual field memory element 101 is just opened X ray diaphragm 2 once, and upgrades, stores the full visual field fluoroscopy images by 3 outputs of X ray detector.
Secondly, composograph memory element 102 makes the full visual field fluoroscopy images that carried out storage update in full area of visual field memory element 101 and by the composograph of the present fluoroscopy images of X ray detector 3 outputs, shows this composograph on monitor 6.
By such action, even carry out the control of sleeping berth 5 or bearing unit 107, also can on monitor 6, often show up-to-date composograph, the patient can carry out the operation of X ray diaphragm 2 swimmingly.
According to above-mentioned embodiment,, just can improve the operability of X ray diaphragm if linkage ground constitutes blade of diaphragm more than 3 pieces under an operator.More preferably linkage ground constitutes whole blades of diaphragm under an operator.
Also have, the benchmark when making the blade of diaphragm interlock is not limited to the center in maximum illumination district, just can more freely select to be concerned about regional size and position.
Operator is preferably as the fallen switch of joystick.For example, operator is made as and can pulls hook stick down to any direction, and is corresponding with the direction of pulling down and make the fallen switch of blade of diaphragm action.If can control to such an extent that this hook stick is tilted, thereby blade of diaphragm is moved to the direction that tilts, just can operability control blade of diaphragm well.
Have again, preferably have selection by falling the selector switch of combination of the blade of diaphragm that switch operates.Be provided with the occasion of selector switch, preferably is is provided with the indicator of the blade of diaphragm that shows selected.As the concrete example of selector switch, can be set forth in and to fall the operating axis head of switch the situation of press button is set.Constitute by repeatedly pushing this switch and switch selecteed blade of diaphragm and get final product.As the example that this action pattern is switched, can enumerate being made as " blade → lobus sinister sheet → lower blade → lobus dexter sheet → whole lamina (irradiated region location change) → whole lamina (irradiated region dimension modifying) → attendant exclusion → blade ".In addition, selector switch can be not yet with can fall switch and be wholely set, but independent the setting also can be the switch beyond the press button.For example, can be foot switch as selector switch.
Also have, constitute, as long as the blade of diaphragm that can show selected no matter what indicator is.For example, can consider to be provided with the some lamp part of the frame shape of forming by 4 limits up and down in the monitor picture periphery that shows fluoroscopy images, by the limit demonstration of lighting a lamp selected the constituting of blade of diaphragm.The point lamp part can utilize lamp, LED etc.In addition, if self viewing area is talked about fully in the monitor picture, also can in picture, show the blade of diaphragm of having selected with literal, figure etc.
Have, in the above-mentioned radioscopic image diagnostic equipment, be provided with the light projector lamp of the irradiated region of expression X ray, each limit that the luminous source of this lamp preferably is arranged to respect to the rayed district that is stipulated by blade of diaphragm is 45 ° of inclinations.
Usually, adopt the luminous source of filament as lamp.Each limit that this luminous source is arranged to respect to the rayed district that is stipulated by blade of diaphragm is 45 ° of inclinations, makes that with respect to which limit filament all is certain along the length (projected length) of the direction on each limit.Therefore, can make the fuzzy case nearby on the whole limits in the rayed district identical, can correctly hold the x-ray bombardment district.
Also have,, can both utilize the diaphragm of the radioscopic image diagnostic equipment of present embodiment so long as need the X-ray apparatus of the range of exposures of control X ray.For example, DR (Digital Radiography) device that radioscopic image is measured as digital picture certainly utilizes, and general photographic attachment also can both utilize.
Also have, the radioscopic image diagnostic equipment of present embodiment can show the composograph of the synthetic gained of image of the full area of visual field before the image of the area of visual field after the X ray diaphragm inserted and X ray diaphragm insert, thereby can confirm the state in the zone that can not observe because the X ray diaphragm covers in the existing apparatus.Therefore, can reduce being subjected to of examinee, carry out moving of area of visual field fast according to amount.
Also have, the radioscopic image diagnostic equipment of present embodiment shows the fluoroscopy images of full area of visual field and present fluoroscopy images by switching, makes the patient can confirm the state in area of visual field zone in addition at any time.
Also have, the radioscopic image diagnostic equipment of present embodiment only also possesses outside above-mentioned display unit and to show the composograph display unit that is made the composograph that the unit made by composograph, make the patient often confirm the state in the zone the area of visual field can correctly carry out moving of area of visual field with external enwergy except field-of-view image.
Have again, the radioscopic image diagnostic equipment of present embodiment, along with the relative position of sleeping berth and X-ray producer and X ray detector moves and upgrades the fluoroscopy images of full area of visual field, thereby can carry out the affirmation in the zone beyond the area of visual field with up-to-date composograph.
Industrial applicibility
Apparatus of the present invention go for the therapeutic medical radioscopic image diagnostic equipment.
Above-mentioned record is about embodiment, and but, the present invention is not limited by it, and various distortion, the correction that can do in the scope of the claim of spirit of the present invention and interpolation are tangible to those skilled in the art.
Description of drawings
[Fig. 1] Fig. 1 is the summary pie graph of the radioscopic image diagnostic equipment of present embodiment.
[Fig. 2] Fig. 2 is the summary pie graph of aperture device.
[Fig. 3] Fig. 3 is the figure of the configuration of expression blade of diaphragm.
[Fig. 4] Fig. 4 is that expression is of the present invention, the oblique view of the operator of aperture device.
[Fig. 5] Fig. 5 is the functional block diagram of aperture device of the present invention.
[Fig. 6] Fig. 6 (A)~(D) is the figure of picture that schematically represents to be provided with the monitor of indicator.
[Fig. 7] Fig. 7 is the figure of an embodiment of transfer sequence of control model of the aperture device of expression present embodiment.
[Fig. 8] Fig. 8 is the figure of relation of the moving direction of the direction of operating of the control model at aperture device, hook stick of expression present embodiment and blade of diaphragm.
[Fig. 9] Fig. 9 is the block diagram of the control system of expression blade of diaphragm.
[Figure 10] Figure 10 is the sketch map of position relation of the filament of the blade of diaphragm that adopts of the aperture device of expression present embodiment and lamp.
[Figure 11] Figure 11 (A)~(C) is that the direction of expression filament is the fuzzy key diagram in the rayed district of parallel, vertical, 45 ° of occasions with respect to blade of diaphragm.
[Figure 12] Figure 12 is the summary pie graph of an embodiment of the radioscopic image diagnostic equipment of expression present embodiment.
[Figure 13 A] Figure 13 A is the schematic illustration that the expression composograph makes the synthetic action of image in the unit.
[Figure 13 B] Figure 13 B is the schematic illustration that the expression composograph makes the synthetic action of image in the unit.
[Figure 13 C] Figure 13 C is the schematic illustration that the expression composograph makes the synthetic action of image in the unit.
[Figure 14 A] Figure 14 A is that the schematic illustration of the action that the display image in the unit calculates is calculated in the expression viewing area.
[Figure 14 B] Figure 14 B is that the schematic illustration of the action that the display image in the unit calculates is calculated in the expression viewing area.
[Figure 15 A] Figure 15 A is the schematic illustration of the action of the composograph demonstration in the expression display unit.
[Figure 15 B] Figure 15 B is the schematic illustration of the action of the composograph demonstration in the expression display unit.
[Figure 16] Figure 16 is the summary pie graph of other embodiment of the radioscopic image diagnostic equipment of present embodiment.
[Figure 17] Figure 17 is the summary pie graph of other embodiment of the radioscopic image diagnostic equipment of present embodiment.
[Figure 18] Figure 18 is the sketch map that shows the occasion of common fluoroscopy images and composograph on monitor simultaneously.
[Figure 19] Figure 19 is the summary pie graph of other embodiment of the radioscopic image diagnostic equipment of present embodiment.

Claims (6)

1. radioscopic image diagnostic equipment has:
Shine the X-ray producer of X ray to the examinee;
Control is by the X ray of the above-mentioned X-ray producer irradiation X ray aperture device to above-mentioned examinee's irradiation area;
The full area of visual field memory element of the image of the full area of visual field before the above-mentioned X ray aperture device is inserted in storage;
The composograph of composograph of image gained that makes the full area of visual field image of storing in the synthetic above-mentioned full area of visual field memory element and inserted the state of above-mentioned X ray aperture device makes the unit; And
The display that above-mentioned composograph is shown.
2. the radioscopic image diagnostic equipment according to claim 1 wherein also has the viewing area and calculates the unit, and its on position according to above-mentioned X ray aperture device is calculated above-mentioned composograph.
3. the radioscopic image diagnostic equipment according to claim 1 wherein also comprises the image that switches full area of visual field and has inserted the image of the state of above-mentioned X ray aperture device, and it is presented at pictorial display selected cell on the aforementioned display device.
4. the radioscopic image diagnostic equipment according to claim 1, wherein comprise separate with aforementioned display device, show the display device that makes the image that the unit made by above-mentioned composograph.
5. the radioscopic image diagnostic equipment according to claim 1, aforementioned display device comprise the image that shows full area of visual field respectively and a plurality of windows of image of having inserted the state of above-mentioned X ray aperture device are presented at unit on the aforementioned display device.
6. the radioscopic image diagnostic equipment according to claim 1 wherein, also comprises:
Carrying examinee's movably sleeping berth;
Movably support the bearing unit of above-mentioned X-ray producer and above-mentioned X ray detector with respect to above-mentioned examinee's freedom; And
Detect the detecting unit of the driving condition of at least one side in above-mentioned sleeping berth and the above-mentioned bearing unit,
Above-mentioned full area of visual field memory element is based on the testing result of above-mentioned driving condition detecting unit, obtains, upgrades the fluoroscopy images of the full area of visual field after the driving of above-mentioned sleeping berth or above-mentioned bearing unit once more.
CNA2008101744333A 2004-07-13 2005-07-12 X-ray image diagnosing system Pending CN101422374A (en)

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JP5954762B2 (en) * 2011-11-29 2016-07-20 東芝メディカルシステムズ株式会社 X-ray diagnostic imaging equipment
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