CN103654813A - Medical technical device and method for generating image - Google Patents
Medical technical device and method for generating image Download PDFInfo
- Publication number
- CN103654813A CN103654813A CN201310407334.6A CN201310407334A CN103654813A CN 103654813 A CN103654813 A CN 103654813A CN 201310407334 A CN201310407334 A CN 201310407334A CN 103654813 A CN103654813 A CN 103654813A
- Authority
- CN
- China
- Prior art keywords
- platform
- patient
- imaging system
- equipment
- ray
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/04—Positioning of patients; Tiltable beds or the like
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/50—Clinical applications
- A61B6/504—Clinical applications involving diagnosis of blood vessels, e.g. by angiography
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/02—Devices for diagnosis sequentially in different planes; Stereoscopic radiation diagnosis
- A61B6/03—Computerised tomographs
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/02—Devices for diagnosis sequentially in different planes; Stereoscopic radiation diagnosis
- A61B6/03—Computerised tomographs
- A61B6/032—Transmission computed tomography [CT]
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/04—Positioning of patients; Tiltable beds or the like
- A61B6/0487—Motor-assisted positioning
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/08—Auxiliary means for directing the radiation beam to a particular spot, e.g. using light beams
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/40—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment with arrangements for generating radiation specially adapted for radiation diagnosis
- A61B6/4007—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment with arrangements for generating radiation specially adapted for radiation diagnosis characterised by using a plurality of source units
- A61B6/4014—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment with arrangements for generating radiation specially adapted for radiation diagnosis characterised by using a plurality of source units arranged in multiple source-detector units
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/44—Constructional features of apparatus for radiation diagnosis
- A61B6/4429—Constructional features of apparatus for radiation diagnosis related to the mounting of source units and detector units
- A61B6/4435—Constructional features of apparatus for radiation diagnosis related to the mounting of source units and detector units the source unit and the detector unit being coupled by a rigid structure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/44—Constructional features of apparatus for radiation diagnosis
- A61B6/4429—Constructional features of apparatus for radiation diagnosis related to the mounting of source units and detector units
- A61B6/4452—Constructional features of apparatus for radiation diagnosis related to the mounting of source units and detector units the source unit and the detector unit being able to move relative to each other
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/37—Surgical systems with images on a monitor during operation
- A61B2090/376—Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy
- A61B2090/3762—Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy using computed tomography systems [CT]
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/44—Constructional features of apparatus for radiation diagnosis
- A61B6/4476—Constructional features of apparatus for radiation diagnosis related to motor-assisted motion of the source unit
Abstract
The invention relates to a medical technical device (1) and method for generating images. The medical technical device has two different medical technical imaging systems (2, 3), a patient holding stand (4) and motion mechanisms (8, 9, 10, 11), wherein the motion mechanisms (8, 9, 10, 11) are used for making the two imaging systems (2, 3) together or separately move relative to the patient holding stand (4) and/or move relative to each other. Each of the imaging systems (2, 3) includes a detector (14) and an X-ray source (13). In addition, described is a method for generating a projection inside a to-be-examined object, wherein the medical technical device (1) can be utilized.
Description
Technical field
The present invention relates to a kind of for generation of checking the projection of object inside and/or the Medical Technology equipment of 3D volumetric set and for this method.This equipment comprises: two Medical Technology imaging systems, and it can carry out checking each shooting of object inside; Patient for object placement settles platform; And movable machinery, it settles platform to be connected with one of two imaging systems or both and/or patient.Each in two imaging systems has detector and x-ray source.
Background technology
The patient who is for example suspect to be apoplexy and sends into hospital experiences diagnosis that computer fault angiography device carries out conventionally to can diagnose reliably blood flow to be subject to the restriction of blood vessel blockage.Because the blood flow of diagnosing does not allow to treat with thromboembolism material, because it can strengthen blood flow, so nowadays use more and more the auxiliary therapy of conduit, auxiliary by it is not chemically to treat obstruction, but directly machinery removes.In order to monitor this treatment, conventionally use X-ray equipment.That is, patient must be moved to X ray department or must be by mobile X-ray equipment moving to patient after the diagnosis in calculating machine fault angiography device.This only not only needs to be dropped in hospital manpower available in very limited scope, but also consuming time, in this time, patient's state may be deteriorated.
In diagnosing tumor, completely by the machine of calculation fault angiography device identification tumor with supply with its blood vessel.It is a kind of that for sealing blood vessels, to make the treatment of tumor exhaustion be through Transarterial Chemoembolization (TACE).This treatment also preferably can be in x-ray system, the especially auxiliary lower execution of the imaging of X ray angiographic apparatus or supervision.
Summary of the invention
Therefore need to contribute to reduce librarian use and shorten the time of Clinics and Practices between starting or guarantee optimum and comprehensively diagnose the solution of probability by imaging.
Above-mentioned technical problem solves by equipment according to the present invention and the method according to this invention.
For this reason, a kind of for generation of checking the projection of object inside and/or the Medical Technology equipment of 3D volumetric set according to the present invention proposes, it comprises that two different Medical Technology imaging system, patients settle platform and movable machinery, wherein, movable machinery is configured such that two imaging systems jointly or individually with respect to patient, settles platform and/or relative to each other motion.At this, each imaging system has detector and x-ray source.
At this, what be interpreted as " different " Medical Technology imaging system is the imaging system with different technique for taking or raw data acquisition method and/or reconstruction technique generation initial data and/or view data.So, Medical Technology imaging system can be to be for example configured to first by the initial data of data for projection form being rebuild to produce the system of 3 d image data, these data for projection are obtained in itself, and (for the common operator of imaging system) can't be used as view data.For example, the first Medical Technology imaging system can be constructed so that detector and x-ray source for example with until per second four circle high speeds around patient's longitudinal axis, rotate.This is for example this situation in common computer tomograph.And another imaging system can be constructed so that first it build for generation of 2D projecting image data, the especially projection of 2D face, wherein on surface detector, to take, produce into face projected image or fluoroscopy images.This does not get rid of: may be with this system reconstruction of three-dimensional images data from 2D projected image yet.For example, this imaging system but can be constructed so that its for example maximum can with the speed of 0.3 circle per second around the rotation of patient's longitudinal axis and/or have corresponding plane, surface detector (with respect to as crooked detector in CT equipment).To this typical case, it is X ray angiographic apparatus.Medical Technology imaging system can also be distinguished as follows: the initial data obtaining with Medical Technology imaging system separately and/or view data are applicable to show organ or the skeletal structure consisting of soft tissue especially well." different " Medical Technology imaging system is not technical identical imaging system under meaning of the present invention, and wherein for example only the detector of some and x-ray source are different.
Medical Technology equipment comprises movable machinery, this means all parts of equipment, two imaging systems and settle platform to be connected to each other by movable machinery for two common patients of imaging system in this case, it can only relative to each other be moved by movable machinery.In other words, the motion of one of these parts always causes by least a portion of movable machinery or movable machinery.Movable machinery for example can be settled platform coupling and/or two imaging systems are coupled to each other with patient by one of imaging system.Alternatively, it can settle platform coupling by two imaging systems and patient.Conclusive, movable machinery is connected to each other all parts of equipment directly or indirectly, and these parts can relative to each other be moved.
Movable machinery can have a plurality of parts, and wherein, various piece needn't be connected to each other, and each part of movable machinery needn't be connected with all parts of equipment.The motion that part of appliance is undertaken by movable machinery can manually be carried out at least in part, yet preferably the movable machinery of machinery drives by motor, for example hydraulic pressure, starting, magnetic or motor.At this, according to the structure of equipment, can there is common CD-ROM drive motor, preferably this equipment has more than one CD-ROM drive motor.
For single subsystem or the subsystems of use equipment or equipment, operator can clearly select by least one corresponding selection operation element (as button, selector switch, touch screen) or by starting the workflow etc. of defined.Additionally or alternatively, operator can carry out implicit choice by the following, and it will check object (or definite area-of-interest ROI) moves in the radiation path region of one of imaging system really in allocation, for example symmetrical centre.
Two imaging systems are settled the mechanical linkages of platform can realize at known diagnosing image and known treatment by common movable machinery and patient and are monitored the quick conversion between imaging, so as after diagnosis direct begin treatment and check fast and effectively its result.By different parts of appliance is connected via movable machinery, can realize the view data that relatively simply registration, fusion and two imaging systems of further processing and utilizing obtain.
By institute's description scheme of medical equipment, can be within the shortest time to being positioned at patient, settle object on platform simply and promptly by two imaging systems with x-ray source respectively, having an X-rayed in position without shift it in the situation that.By each imaging system, can correspondingly give prominence to well especially the details specific to imaging system of object inside.
The invention still further relates to and a kind ofly for the Medical Technology equipment having two different Medical Technology imaging systems, produce and to be positioned at the method that patient settles the projection of the inspection object inside on platform, these imaging systems have respectively x-ray source.At this, the first Medical Technology imaging system preferably has the data acquisition unit of differently constructing with the second imaging system, i.e. differently the x-ray source of structure and/or the differently detector of structure.In the method, in first step, by movable machinery, make patient settle at least one in platform and/or two imaging systems patient, to settle in the direction of longitudinal axis of platform and/or the relative to each other motion transverse to this longitudinal axis.In second step, activate first the x-ray source in two imaging systems, make related imaging system produce the initial data of selected areas of object and/or view data and it is fed to equipment for reconstructing image and/or the image processing apparatus specific to imaging system automatically, for preparing.In third step, the shooting of preparation is transmitted to the computer being connected with two imaging systems, it is according to the shooting that can stipulate or the standard of defined is prepared imaging system.In the 4th step, automatically select one of shooting and export this shooting for the observation on screen.Next, in the 5th step, by the x-ray source deexcitation of the first imaging system and by the x-ray source of another imaging system, activate, for producing other initial data and/or view data.In the 6th step, by the x-ray source deexcitation of the second imaging system, and for check object, the x-ray source of the first imaging system is activated again.Step 3 to six can repeat until reach the interrupt condition of the defined of method, for example, receive from control signal user interface, that regulation is interrupted.
That is, two x-ray sources activate in phase according to described method, two x-ray sources are not taken simultaneously, but only ought be met specific prerequisite, for example, just activate x-ray source during another x-ray source un-activation.
At this, just one of x-ray source can be always only for initial data and/or the view data producing for diagnostic purpose is activated, that is, and for details as far as possible accurately illustrates virtual condition and the identification destination object of object inside.Another x-ray source but can be for example for generation of view data, when the intervention that this object is invaded, under the condition of using these view data, illustrate be thus incorporated into the preferred Medical Technology in object apparatus with respect to target area or with respect to the position of destination object and can follow the trail of its motion in object.
Two imaging systems of using in a method preferably side are that computer tomograph and the opposing party are X ray angiographic apparatuss, as it is for device description according to the present invention.
Of the present invention other, particularly advantageous expansion scheme draws from dependent claims and description subsequently.At this, the dependent claims of a claim classification also can be similar to the dependent claims expansion of another claim classification.
The detector of two imaging systems and/or x-ray source are in operation and are preferably placed in Plane of rotation parallel to each other.What be called Plane of rotation should be as lower plane at this, this flat transverse in the longitudinal axis of imaging system intersect with this imaging system.That is, Plane of rotation is comprised of the pure circular circuit of the longitudinal axis transverse to mentioned, and wherein, the mid point of the circle all being defined by circular circuit is positioned on mentioned longitudinal axis.Each circular circuit forms again a part for rotation envelope, wherein, the detector of two imaging systems and/or x-ray source can be in parallel Plane of rotation along different rotation envelopes, be that the circular circuit of different-diameter moves.; one of detector/x-ray source for example always moves on unmodifiable rotation envelope; and another detector/x-ray source can closely move to mentioned longitudinal axis; this causes the circle with small diameter; or can further from mentioned longitudinal axis move, this causes with larger-diameter circle.When the detector of two imaging systems and/or x-ray source move on different diameters, it also can be arranged in same Plane of rotation in principle.
The Plane of rotation of two imaging systems also can relative to each other be arranged prejudicially or relative to each other motion like this, its central longitudinal axis separately is relative to each other moved in parallel with each other or with the angle of attack.
Two imaging systems can be connected to each other via interface signalling technique, to can receive and send signal.So two imaging systems for example can be directly or by common computer exchange signal, the imaging system that its notice receives, the imaging system sending is settled platform with respect to patient and/or with respect to the position of the imaging system receiving.Signal can be notified the operational mode of the imaging system that the receives imaging system about sending.
Specifically, between two imaging systems, can there is communication for current device state (for example: start, close, the position of radiation ON/OFF, danger, maintenance, calibration, each imaging system).In addition, can exchange and assess the data (for example: the ROI in selection ROI, object motion, radiation areas or the symmetrical centre of computer tomograph or X-ray apparatus) of the position that relates to the object in equipment.Finally, can exchange the view data (for example 2D and 3D) of imaging system and in common coordinate system, monitor that patient settles platform and/or patient to settle the motion of the parts of object on platform and/or imaging system and/or imaging system.
These information then can by the imaging system receiving directly with oneself real data or by common computer for example with the rating data comparison of the defined of the imaging system that sends and/or receive.If find to occur conflict current or menace between two imaging systems, for example can interrupt the motion flow process of imaging system or the operational mode of change imaging system.In the situation that the conflict of menace, can export the signal of acoustics or optics, thus the conflict of warning menace to the operator who utilizes this equipment work.
Computer is usually located at one or more monitors that are connected with this computer the separated control laboratory in space being arranged in imaging system.Operator can be sitting in this control laboratory, and it is selected the information being generated by imaging system and is transmitted to other monitor, and this other monitor is arranged so that with respect to imaging system it can be viewed in treatment or intra-operative.Alternatively, computer also can be arranged in independent computer room or in the environment of imaging system.Equally, monitor, for example in angiographic apparatus, for example can be arranged in identical room, for example, also can be fixed on swingably on the frame housing of computer tomograph.Other space layout of computer and/or monitor is also possible and is comprised by the present invention thereupon.
One of two imaging systems can be X-ray apparatus, X ray angiographic apparatus preferably as mentioned like that, it especially produces 2D face projection (being 2D-X radiographic image data), and another imaging system can be for generation of the computer tomograph of 3D rendering data especially.At this, X ray angiographic apparatus can be with the front side end of computer tomograph, more definitely say that the end of the frame housing of computer tomograph is connected.Front side end can be any in two ends in annular or tubular computer tomograph.Preferably, it is the end that patient settles platform to sail into.The outer enclosure that is called the normally computer tomograph of frame housing, its mid frame and CT (computer tomography) x-ray source with if desired opposed to each other and/or together with the CT (computer tomography) detector of arranging that staggers around the object opening rotation in frame housing.
X-ray apparatus has two independent parts conventionally, i.e. x-ray source (x-ray radiation source) and X-ray detector, its about patient settle the longitudinal axis of platform opposite each other arrange.Yet X-ray apparatus also can have two or more independent x-ray sources and two or more independent X-ray detectors, wherein, x-ray source and X-ray detector are arranged respectively opposite each otherly.Thus, can carry out two or more projections in two or more different planes of object inside, these projections are angled, for example quadrature relative to each other simultaneously.
At this, can on frame housing, fix preferred annular or the track that extends around the object opening of frame housing of part, the parts of X-ray apparatus or X-ray apparatus can move thereon.With may also be referred to as slide rail or tracks track be connected can so that respectively by a Connection Element or a plurality of Connection Element rigidly with in the parts of X-ray apparatus corresponding one be connected and only allow thus parts along orbital motion.Connect or Connection Element also more intricately build, make the parts of X-ray apparatus can be additionally settling the longitudinal axis of platform transverse to computer tomograph or patient, transverse to the joint of patient's CRAN/CAUD direction in deflection in orbit.
Connection Element also can be constructed as telescopic arm, makes to regulate the x-ray source of frame housing and X-ray apparatus or the distance between X-ray detector.Another possible degree of freedom of X-ray apparatus is for example the rotation around the longitudinal axis of Connection Element.
For the track of X-ray apparatus or slide rail, also can be constructed as the parts that make x-ray system except can also being parallel in the same way or oppositely and/or settling longitudinal medial axis of platform to move perpendicular to computer tomograph or patient on slide rail along the moving of slide rail, wherein should moving normally along the moving of circular circuit of settling platform around computer tomograph or patient along slide rail.
That is, for example can change or regulate the parts of X-ray apparatus and patient to settle platform or settle the distance between the inspection object on platform patient.At this, can adjust individually each parts of X-ray apparatus, preferably, to parts synchronous backward adjust, the distance of the parts of X-ray apparatus, especially detector and x-ray source also can relative to each other be changed.
When not needing X-ray apparatus, it can be driven in stand along slide rail, in this stand, this X-ray apparatus does not hinder and approaches patient and settle platform.For this reason, can preferably make the parts of X-ray apparatus individually travel for make its in resting position each other side by side.According to the structure of Medical Technology equipment, patient settles platform can have the side that approaches of preferred or two equalitys.In thering is an equipment that approaches side, for the stand of the parts of X-ray apparatus, be positioned at the side that this approaches side that is opposite to that patient settles platform.From both sides, approach the equipment that patient settles platform alternatively therein, correspondingly exist two to be opposite to approaching or the stands for the treatment of side of corresponding use.For approaching the situation that patient settles platform from bilateral, the parts of X-ray apparatus can travel as making it not side by side but stacked, for example patient settle on platform or under.
By computer tomograph being connected and likely, two imaging systems simultaneously or in a sequence being used with little relative restriction with all parts of X-ray apparatus, especially X ray angiographic apparatus or X-ray apparatus by movable machinery.
Movable machinery allows computer tomograph to move at least following degree of freedom:
-by longitudinal passing control patient and settle platform or longitudinally pass ground control example and around patient, settle the longitudinal axis of platform or object to carry out rotary taking system as the whole frame in floor rail; And/or
-by settling platform with respect to horizontal frames inclination patient or by settling platform inclination frame and settle platform axis or object axis of pitch (CRANIAL/CAUDIAL) deflection camera system (oblique incidence) alternatively around patient with respect to horizontal patient; And/or
-to patient, settle platform to carry out height adjustment.
Movable machinery allows X-ray apparatus and computer tomograph independently at least in following degree of freedom, to move:
-make camera system settle platform axis or object longitudinal axis (RAO-LAO) angulation about patient; Make camera system settle platform axis or object axis (CRANIAL-CAUDIAL) angulation alternatively about patient;
-laterally pass patient to settle platform or X-ray apparatus; With
-to patient, settle platform to carry out height passing.
By computer tomograph is become via movable machinery Medical Technology equipment to meet the best precondition for the quick conversion between measure diagnosis and treatment with the unit construction of X-ray apparatus or X-ray apparatus.Equipment for example allows in the quick conversion between Precise Diagnosis and the true 3D CT (computer tomography) of high-resolution 2D-X ray surface imaging for necessary intervention.Can save due to the required shooting again after the successful check of part navigation for the treatment of time-consuming with take into thus this locality transfer patient.
So can diagnose, treat the direct diagnostic check that monitors and treat with little space requirement.All required degree of freedom for this reason can be provided, that is, that study plot exists, for supporting operator's CT or X ray application software to utilize unchangeably.For example, in the pending intervention of computer fault radiography imaging (: excision, puncture, biopsy), the x-ray apparatus of not direct requirement can be removed from approach patient's region.
Accompanying drawing explanation
By embodiment, with reference to accompanying drawing, again set forth the present invention below.In accompanying drawing:
Fig. 1 shows according to the side view of the embodiment of Medical Technology equipment of the present invention,
Fig. 2 shows according to the front view of the equipment of Fig. 1,
Fig. 3 shows the view of the equipment as in Fig. 2 of the parts with the X-ray apparatus in exemplary stand, and
Fig. 4 shows the flow chart of the method according to this invention.
The specific embodiment
Fig. 1 shows Medical Technology equipment 1, and it has two different Medical Technology imaging systems 2,3, and computer tomograph 2 and X-ray apparatus 3(are specially X ray angiographic apparatus 3 at this), and common patient settles platform 4.X-ray apparatus 3 in this embodiment by first component, for example there is the x-ray source 6 of diaphragm and second component, for example X-ray detector 5, especially flat panel detector (FPD5) forms, this flat panel detector is caught the ray of x-ray source 6 and exposed plate and/or generate electronic projection image for example, for being stored in output in computer 15 and/or on screen 16.
Two the arrow as relevant with computer tomograph 2 show computer tomograph 2 or at least driven frame 12, x-ray source 13 and the detector 12 of computer tomography equipment 2 can be around settle the axis tilt of platform 4 transverse to patient, this frame 12, x-ray source 13 and detector 12 be in operation around be pushed in computer tomograph 2 or the frame housing 12a of computer tomograph 2 in opening 7 in, the patient with the object being located thereon settles the longitudinal axis rotation of platform 4.The deflection angle around CT (computer tomography) symmetrical centre of frame 12 for example limits by frame housing 12a at this.Maximum deflection angle scope can have arbitrary value.In its at least one in two yawing moments at least 5 degree, preferably at least 30 degree, particularly preferably at least 45 degree.At this, maximum deflection angle scope can be symmetrical, for example ± 30 degree, or for example asymmetric+30 degree and-10 degree.
The movable machinery 8,9,10,11 of this embodiment also comprises at this floor rail 8 of having mentioned, thereon, computer tomograph 2 can be settled platform 4 or away from its motion towards patient.This moves through arrow b and shows.
Arrow d shows, the frame of parts 5,6 and computer tomograph 2 can be around settle the axis tilt of platform 4 transverse to patient,, when be positioned at patient settle on platform 4 to as if during patient, be the deflection in CRAN/CAUD direction (Cranial-> head/Caudal-> foot).By the motion of axis c, change SID(Source Image Distance, X-radiation device is to the distance of detector) be possible.Arrow e shows respectively, and parts 5,6 also can flatly roll away from and sail into and relative to each other tilt with respect to computer tomograph 2 in connecting portion 10,11.
Finally, settle arrow f, the g that platform 4 is relevant to represent to patient, patient settles for example top at table foot place of platform 4() can be along its longitudinal line of movement (arrow f), transverse to its longitudinal axis, travel (arrow g) and praise up and down or decline (arrow h).At this, by moving component at longitudinal direction (arrow f) and/or moving component at horizontal direction (arrow g) and/or moving component up or down (arrow h) motion in the situation that, needn't in succession implement these motions, but patient settles platform 4 to travel on the shortest path from initial position to final position.
Fig. 2 shows and from patient, is settling the top view of platform 4 according to the equipment 1 of Fig. 1.In the frame housing 12a of computer tomograph 2, be formed centrally opening 7 or measuring chamber, patient settles platform 4 to sail into wherein.For this reason, computer tomograph 2 can be in floor rail 8 be settled platform 4 motions to patient, and/or patient settles platform 4 at track 9 or the separate part by movable machinery 8,9,10,11, can move to computer tomograph 2 equally.In addition, parts 5,6 can be vertically upward as known from Fig. 1 or move vertically downward (arrow c).In addition additionally in Fig. 2, see, parts 5,6 can, around opening 7 motions (arrow i) of the frame housing 12a of computer tomograph 2, move around RAO/LAO axis (right front oblique side/LAO side) on slide rail 9 in patient's situation.In addition parts can be laterally transversely travel in the direction of the longitudinal axis of computer tomograph 2 (arrow k).
Fig. 3 finally shows the equipment 1 of Fig. 2, and wherein the parts 5,6 of X-ray apparatus 3 are arranged in exemplary stand, wherein can freely approach patient from a side and settle platform 4.In order to arrive this position, parts 5 along slide rail 9 travel in the clockwise direction about 90 degree, and parts 6 move in the counterclockwise direction about 140 degree.
In Fig. 4, be schematically set forth on equipment 1, for supporting the possible workflow of paralytic's diagnosis and treatment.
Patient is sent into (A) hospital, take (B) patient data and patient is placed according to the patient of present device 1 and is settled on platform 4.
The method starts to settle platform 4 to be incorporated in position the patient with patient, and if desired by laser or other auxiliary device in the area-of-interest for computed tomography scan (ROI) or above determine (C) starting point.
In next step (D), carry out computed tomography scan now and the preparation in computer 15 of the data that obtain and the output on screen 16 of the data prepared if desired.
By doctor, then the assessment of data is provided to diagnosis (D1), its judgement, is without diagnostic result (D2), still diagnoses out the heavier infringement (D3) that needs the infringement of Wicresoft's intervention or existence to need surgery to get involved.(D2) in the situation that, can release patient or be changed the place of examination to other department for other inspection.(D3) in the situation that, receive patient and led in surgery.Otherwise prepare on the spot and can directly carry out by conduit approaching Wicresoft's intervention, the thrombectomy of for example Wicresoft.
Patient is now relevant with the intervention of X ray angiographic apparatus 3, that is, for example, patient is settled platform 4 to travel as making area-of-interest (ROI) be arranged in now the region of the x-ray source (6) of (F) X ray angiographic apparatus 3.
In this position, then by X ray angiographic apparatus 3, carry out Wicresoft's intervention, the thrombectomy of for example conduit.At this, carry out as required the perspective (G) in different angles.
The data that obtain by X ray angiographic apparatus 3 are forwarded to computer 15 for preparing, if desired with Registration of Measuring Data and the output on screen 16 of the preparation of computer tomograph 2.
After successfully getting involved, patient settles platform 4 to have driven in diagnostic position again, and can be immediately at computer tomograph 2(H) or the successful carrying out on screen 16 getting involved check (H).
If further determine infringement, for example thrombosis in successful check (I), can by ensuing other successful check (I), continue Wicresoft immediately and get involved (H).
If successful check is positive, meet the interrupt condition of method, X-ray apparatus 3 can sail stand (K) into and after this treatment finishes.
Finally at this, point out, the structure of describing in detail above and described method flow are only embodiment, and it can be revised and do not departed from the scope of the present invention by those skilled in the art.Especially shown equipment can also have other parts and device characteristics arbitrarily, for example, for the protection of the protective bulkhead or the protection curtain that are not subject to the scattering radiation of X-ray apparatus.Applicable for all descriptions and claim: term " " or " one " should restrictively not understand.When this term is interpreted as numeral explanation, this clearly identifies by for example term of " single " in this description and claim.That is, term " " in this description can but needn't pronounce " at least one ".In addition be pointed out that, although exemplary, for paralytic, described the method, use and to be not limited to this application, but there is equally advantage for other application, such as being suitable in tumor patient etc.Equally, the present invention can be not only has a mind to free burial ground for the destitute and uses on human patients, but is also used for the treatment of animal and for checking other object, at this, only mentions corpse as an example.
Claims (13)
1. for generation of a Medical Technology equipment for the projection of the inside of object, comprising:
-two different Medical Technology imaging systems (2,3),
-patient settles platform (4), and
-movable machinery (8,9,10,11),
Wherein, described movable machinery (8,9,10,11) is applicable to make described two Medical Technology imaging systems (2,3) jointly or individually with respect to described patient, settles platform (4) and/or relative to each other motion,
Wherein, described in each, imaging system (2,3) all there is at least one detector (14) and at least one x-ray source (13), and described two imaging systems (2,3) via interface, be connected to each other and exchange signalling technique and relate to described imaging system (2,3) one of with respect to described patient settle platform (4) position and/or relate to signal position and/or that relate to the operational mode of one of described imaging system (2,3) relative to each other.
2. equipment according to claim 1, wherein, detector (14,5) and/or the x-ray source (13,6) of described two imaging systems (2,3) are arranged in Plane of rotation identical or parallel to each other.
3. according to the equipment described in the next item up claim, wherein, can relative to each other change in described two imaging systems (2,3) at least one the detector (5) of inside and/or the distance between x-ray source (6).
4. according to the equipment described in any one in the claims, wherein, one of described imaging system (2) generates and is positioned at the 3 D X-ray view data that described patient settles the object on platform (4), and another imaging system (3) generation is positioned at the two-dimensional surface projection that described patient settles the object on platform (4).
5. according to the equipment described in any one in the claims, wherein, one of described imaging system (3) is X-ray apparatus (3), and another imaging system (2) is computer tomograph (2).
6. equipment according to claim 5, wherein, described X-ray apparatus (3) is connected with the front side end of described computer tomograph (2).
7. equipment according to claim 6, wherein, slide rail (9) is connected with frame housing (12a), and described X-ray apparatus (3) is connected to movingly described X-ray apparatus (3) can be moved with respect to described computer tomograph (2) on described slide rail (9) with described slide rail (9).
8. according to the equipment described in any one in claim 5 to 7, wherein, described X-ray apparatus (3) has two and treats parts (5,6) independently moving, that both are all connected with described computer tomograph (2) by independent connecting portion (10,11).
9. according to the equipment described in any one in claim 5 to 8, wherein, two parts (5 of described X-ray apparatus (3), 6) be coupled as and make longitudinal central axis line that these two parts can be on described slide rail (9) at least in the same way or oppositely settle platform (4) with respect to described patient flatly and/or vertical ground motion with described slide rail (9), and/or move on the circular circuit of longitudinal central axis line of settling platform (4) around described patient.
10. equipment according to claim 9, wherein, described two parts (5,6) on described slide rail (9), can settle the longitudinal axis of platform (4) to travel until stand around described patient, in this stand, described parts (5,6) are preferably arranged side by side in the side that described patient settles platform (4).
11. according to the equipment described in any one in the claims, wherein, imaging system (2,3) one of or both detectors (5,14) and x-ray source (6,13) is configured to and/or on described equipment (1), be arranged so that it can be around settle the axis tilt of longitudinal extension of platform (4) transverse to described patient within the scope of deflection angle.
12. according to the equipment described in the next item up claim, wherein, the deflection angle scope at least one in two yawing moments be at least 5 degree, preferably at least 30 degree, particularly preferably at least 45 degree.
13. 1 kinds for having two different Medical Technology imaging systems (2,3) in Medical Technology equipment (1), produce and be positioned at the method that patient settles the projection of the inspection object inside on platform (4), these two Medical Technology imaging systems are respectively with x-ray source (6,13), the method has following steps:
(i) by movable machinery (8,9,10,11) make described patient settle platform (4) and/or described two imaging systems (2,3) at least one in relative to each other settled in the direction of longitudinal axis of platform (4) and/or settles the longitudinal axis of platform (4) to travel transverse to described patient described patient
(ii) activate two described x-ray sources (6,13) first in, wherein, described two imaging systems (2,3) one of produce initial data and/or the view data of the selected areas of described object, and it is fed to equipment for reconstructing image and/or the blood processor specific to imaging system automatically, for preparing
(iii) automatic or manual excitation ground is transmitted to the computer (15) connected with two imaging systems (2,3) by the shooting of preparation, and this computer is according to stipulating or the standard of defined is prepared the shooting of described imaging system (2,3),
(iv) automatic or manual excitation ground is selected one of described shooting and selected shooting is exported for observing on screen (16),
(v) by described the first x-ray source (6,13) deexcitation, and by second x-ray source (6,13) of another imaging system (2,3), activate, for producing other initial data and/or view data,
(vi) by described the second x-ray source (6,13) deexcitation, and by described the first x-ray source (6,13), activate, for producing other initial data and/or view data for check object, and
(vii) repeating step (iii) arrives (vi), until reach interrupt condition,
Wherein, described two imaging systems (2,3) via interface, be connected to each other signalling technique, and exchange relates to described imaging system (2,3) one of with respect to described patient settle platform (4) position and/or relate to signal position and/or that relate to the operational mode of one of described imaging system (2,3) relative to each other.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DE102012215922.3 | 2012-09-07 | ||
| DE102012215922.3A DE102012215922B4 (en) | 2012-09-07 | 2012-09-07 | Medical device and method for generating images |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN103654813A true CN103654813A (en) | 2014-03-26 |
| CN103654813B CN103654813B (en) | 2019-02-01 |
Family
ID=50153226
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201310407334.6A Active CN103654813B (en) | 2012-09-07 | 2013-09-09 | For generating the medical technical device and method of image |
Country Status (3)
| Country | Link |
|---|---|
| KR (1) | KR20140032919A (en) |
| CN (1) | CN103654813B (en) |
| DE (1) | DE102012215922B4 (en) |
Cited By (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108618790A (en) * | 2017-03-24 | 2018-10-09 | 上海西门子医疗器械有限公司 | Have both the image documentation equipment of X-ray machine and CT machines |
| CN108697400A (en) * | 2016-02-24 | 2018-10-23 | 西门子保健有限责任公司 | X-ray equipment and method for medical imaging |
| CN109330619A (en) * | 2018-11-27 | 2019-02-15 | 柯尼卡美能达再启医疗设备（上海）有限公司 | A kind of novel all-in-one Cone-Beam CT |
| CN110121299A (en) * | 2016-11-04 | 2019-08-13 | 霍罗吉克公司 | The method of medical imaging apparatus and operation medical imaging apparatus |
| CN111166369A (en) * | 2020-03-03 | 2020-05-19 | 南京安科医疗科技有限公司 | Openable O-shaped arm structure of double-source CT (computed tomography) equipment |
| CN111265229A (en) * | 2020-03-03 | 2020-06-12 | 南京安科医疗科技有限公司 | Omnidirectional movement type multi-degree-of-freedom double-source X-ray equipment and application thereof |
| CN112107803A (en) * | 2020-09-23 | 2020-12-22 | 上海联影医疗科技股份有限公司 | Radiotherapy apparatus |
| CN113576666A (en) * | 2020-04-30 | 2021-11-02 | 西门子医疗有限公司 | Monitoring method and medical system |
| CN115145463A (en) * | 2021-03-30 | 2022-10-04 | 西门子医疗有限公司 | Medical imaging device and method for operating a medical imaging device |
Families Citing this family (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE102015213031A1 (en) * | 2015-07-13 | 2017-01-19 | Neuro-X-Consult GbR (vertretungsberechtigte Gesellschafter Herr Dr. Panagiotis Papanagiotou Herr Dr. Christian Roth) | Device for medical care of a stroke patient |
| DE102018211669B4 (en) * | 2018-07-12 | 2020-01-23 | Siemens Healthcare Gmbh | Omnidirectional chassis for a gantry of a computed tomography device |
| DE102018128552A1 (en) * | 2018-11-14 | 2020-05-14 | Hochschule Magdeburg-Stendal | Examination device for carrying out diagnostic examinations and / or therapeutic methods |
Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5095501A (en) * | 1989-12-06 | 1992-03-10 | Kabushiki Kaisha Toshiba | X-ray image-pickup apparatus |
| US6198790B1 (en) * | 1998-01-22 | 2001-03-06 | Siemens Aktiengesellschaft | X-ray diagnostic apparatus including a CT system and a system for producing radiographs |
| CN1600272A (en) * | 2003-09-26 | 2005-03-30 | Ge医疗系统环球技术有限公司 | Treatment imaging system and radiation treatment imaging system and control system |
| JP2006255275A (en) * | 2005-03-18 | 2006-09-28 | Toshiba Corp | Medical image diagnostic system |
| CN101112316A (en) * | 2006-07-28 | 2008-01-30 | Ge医疗系统环球技术有限公司 | X-radial mixed diagnosis system |
| CN102170829A (en) * | 2008-08-05 | 2011-08-31 | 通用电气公司 | Method and apparatus for shortening footprint of multi-modality imaging system |
Family Cites Families (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE102010040709A1 (en) * | 2010-09-14 | 2012-03-15 | Siemens Aktiengesellschaft | X-ray diagnostic device for use as biplane X-ray diagnostic device for two-dimensional X-ray imaging of patient, in interventional therapy, has X-ray source and planar-X-ray detector mechanically supported and adjustable to gantry |
-
2012
- 2012-09-07 DE DE102012215922.3A patent/DE102012215922B4/en active Active
-
2013
- 2013-09-06 KR KR1020130107389A patent/KR20140032919A/en not_active Application Discontinuation
- 2013-09-09 CN CN201310407334.6A patent/CN103654813B/en active Active
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5095501A (en) * | 1989-12-06 | 1992-03-10 | Kabushiki Kaisha Toshiba | X-ray image-pickup apparatus |
| US6198790B1 (en) * | 1998-01-22 | 2001-03-06 | Siemens Aktiengesellschaft | X-ray diagnostic apparatus including a CT system and a system for producing radiographs |
| CN1600272A (en) * | 2003-09-26 | 2005-03-30 | Ge医疗系统环球技术有限公司 | Treatment imaging system and radiation treatment imaging system and control system |
| JP2006255275A (en) * | 2005-03-18 | 2006-09-28 | Toshiba Corp | Medical image diagnostic system |
| CN101112316A (en) * | 2006-07-28 | 2008-01-30 | Ge医疗系统环球技术有限公司 | X-radial mixed diagnosis system |
| CN102170829A (en) * | 2008-08-05 | 2011-08-31 | 通用电气公司 | Method and apparatus for shortening footprint of multi-modality imaging system |
Cited By (11)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108697400A (en) * | 2016-02-24 | 2018-10-23 | 西门子保健有限责任公司 | X-ray equipment and method for medical imaging |
| US11445991B2 (en) | 2016-02-24 | 2022-09-20 | Siemens Healthcare Gmbh | X-ray device and method for medical imaging |
| CN110121299A (en) * | 2016-11-04 | 2019-08-13 | 霍罗吉克公司 | The method of medical imaging apparatus and operation medical imaging apparatus |
| US11839505B2 (en) | 2016-11-04 | 2023-12-12 | Hologic, Inc. | Medical imaging device and method of operating a medical imaging device |
| CN108618790A (en) * | 2017-03-24 | 2018-10-09 | 上海西门子医疗器械有限公司 | Have both the image documentation equipment of X-ray machine and CT machines |
| CN109330619A (en) * | 2018-11-27 | 2019-02-15 | 柯尼卡美能达再启医疗设备（上海）有限公司 | A kind of novel all-in-one Cone-Beam CT |
| CN111166369A (en) * | 2020-03-03 | 2020-05-19 | 南京安科医疗科技有限公司 | Openable O-shaped arm structure of double-source CT (computed tomography) equipment |
| CN111265229A (en) * | 2020-03-03 | 2020-06-12 | 南京安科医疗科技有限公司 | Omnidirectional movement type multi-degree-of-freedom double-source X-ray equipment and application thereof |
| CN113576666A (en) * | 2020-04-30 | 2021-11-02 | 西门子医疗有限公司 | Monitoring method and medical system |
| CN112107803A (en) * | 2020-09-23 | 2020-12-22 | 上海联影医疗科技股份有限公司 | Radiotherapy apparatus |
| CN115145463A (en) * | 2021-03-30 | 2022-10-04 | 西门子医疗有限公司 | Medical imaging device and method for operating a medical imaging device |
Also Published As
| Publication number | Publication date |
|---|---|
| DE102012215922B4 (en) | 2019-03-07 |
| CN103654813B (en) | 2019-02-01 |
| KR20140032919A (en) | 2014-03-17 |
| DE102012215922A1 (en) | 2014-03-13 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| CN103654813A (en) | Medical technical device and method for generating image | |
| JP3947707B2 (en) | Method and apparatus for acquiring and displaying computed tomographic images using a fluoroscopic imaging system | |
| EP1450688B1 (en) | 3d reconstruction system and method utilizing a variable x-ray source to image distance | |
| KR101156306B1 (en) | Method and apparatus for instrument tracking on a scrolling series of 2d fluoroscopic images | |
| JP5437001B2 (en) | Radiography equipment | |
| US20150117597A1 (en) | Scanning system for three-dimensional imaging | |
| US20130266123A1 (en) | X-ray diagnostic apparatus | |
| US20130077756A1 (en) | Imaging method and apparatus for displaying vessels or organs in an area of a patient under examination | |
| RU2328217C2 (en) | Diagnostic scanning digital radiograph | |
| JP2010051337A (en) | Tomographic breast imaging system | |
| KR20160103482A (en) | Medical image apparatus and method for processing medical image | |
| CN102427767B (en) | The data acquisition and visualization formulation that guide is got involved for low dosage in computer tomography | |
| CN114945325A (en) | Multi-mode system for breast imaging | |
| US7724873B2 (en) | X-ray diagnostic apparatus and X-ray diagnostic system | |
| JP2012245329A (en) | Image processing apparatus, radiographic image radiographing system, image processing program, and image processing method | |
| US20050084147A1 (en) | Method and apparatus for image reconstruction with projection images acquired in a non-circular arc | |
| KR101198917B1 (en) | Micro-robot motion controlling system utilizing a dual source X-ray CT equipment and method therefor | |
| US9888895B2 (en) | Angiographic examination method to implement a rotational angiography | |
| CN102869306B (en) | Medical viewing system and method for generating an angulated view of an object of interest | |
| CN110123372B (en) | Medical image diagnosis apparatus and X-ray irradiation control apparatus | |
| JP6878028B2 (en) | Medical image diagnostic system and mixed reality image generator | |
| US20230190218A1 (en) | Methods and system for positioning a c-arm | |
| RU56157U1 (en) | DIAGNOSTIC X-RAY SCANNING DIGITAL APPARATUS | |
| JP6124467B2 (en) | Radiation dose management device for X-ray angiography equipment | |
| JP6139170B2 (en) | X-ray imaging system and control device |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| PB01 | Publication | ||
| PB01 | Publication | ||
| C10 | Entry into substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| GR01 | Patent grant | ||
| GR01 | Patent grant | ||
| TR01 | Transfer of patent right | ||
| TR01 | Transfer of patent right |
Effective date of registration: 20220208 Address after: Erlangen Patentee after: Siemens Healthineers AG Address before: Munich, Germany Patentee before: SIEMENS AG |