CN103654813B - For generating the medical technical device and method of image - Google Patents
For generating the medical technical device and method of image Download PDFInfo
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- CN103654813B CN103654813B CN201310407334.6A CN201310407334A CN103654813B CN 103654813 B CN103654813 B CN 103654813B CN 201310407334 A CN201310407334 A CN 201310407334A CN 103654813 B CN103654813 B CN 103654813B
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- 238000000034 method Methods 0.000 title claims abstract description 24
- 238000003384 imaging method Methods 0.000 claims abstract description 97
- 238000005516 engineering process Methods 0.000 claims abstract description 16
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- 230000008859 change Effects 0.000 claims description 5
- 230000011664 signaling Effects 0.000 claims description 2
- 238000003325 tomography Methods 0.000 claims description 2
- 238000002591 computed tomography Methods 0.000 description 10
- 238000002583 angiography Methods 0.000 description 9
- 238000003745 diagnosis Methods 0.000 description 8
- 230000005855 radiation Effects 0.000 description 5
- 206010028980 Neoplasm Diseases 0.000 description 4
- 238000004364 calculation method Methods 0.000 description 4
- 238000007689 inspection Methods 0.000 description 4
- 230000017531 blood circulation Effects 0.000 description 3
- 210000004204 blood vessel Anatomy 0.000 description 3
- 230000001419 dependent effect Effects 0.000 description 3
- 238000012544 monitoring process Methods 0.000 description 3
- 208000007536 Thrombosis Diseases 0.000 description 2
- 238000010276 construction Methods 0.000 description 2
- 230000001769 paralizing effect Effects 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 206010008190 Cerebrovascular accident Diseases 0.000 description 1
- 241000406668 Loxodonta cyclotis Species 0.000 description 1
- 241001465754 Metazoa Species 0.000 description 1
- 208000006011 Stroke Diseases 0.000 description 1
- 230000004913 activation Effects 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 230000002146 bilateral effect Effects 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 238000001574 biopsy Methods 0.000 description 1
- 230000000903 blocking effect Effects 0.000 description 1
- 238000002512 chemotherapy Methods 0.000 description 1
- 238000004891 communication Methods 0.000 description 1
- 230000008878 coupling Effects 0.000 description 1
- 238000010168 coupling process Methods 0.000 description 1
- 238000005859 coupling reaction Methods 0.000 description 1
- 238000001514 detection method Methods 0.000 description 1
- 230000010102 embolization Effects 0.000 description 1
- 238000002594 fluoroscopy Methods 0.000 description 1
- 238000001361 intraarterial administration Methods 0.000 description 1
- 238000012423 maintenance Methods 0.000 description 1
- 238000013507 mapping Methods 0.000 description 1
- 238000000968 medical method and process Methods 0.000 description 1
- 230000008450 motivation Effects 0.000 description 1
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- 210000004872 soft tissue Anatomy 0.000 description 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
- A61B6/04—Positioning of patients; Tiltable beds or the like
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
- A61B6/50—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment specially adapted for specific body parts; specially adapted for specific clinical applications
- A61B6/504—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment specially adapted for specific body parts; specially adapted for specific clinical applications for diagnosis of blood vessels, e.g. by angiography
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
- A61B6/02—Arrangements for diagnosis sequentially in different planes; Stereoscopic radiation diagnosis
- A61B6/03—Computed tomography [CT]
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
- A61B6/02—Arrangements for diagnosis sequentially in different planes; Stereoscopic radiation diagnosis
- A61B6/03—Computed tomography [CT]
- A61B6/032—Transmission computed tomography [CT]
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
- A61B6/04—Positioning of patients; Tiltable beds or the like
- A61B6/0487—Motor-assisted positioning
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
- A61B6/08—Auxiliary means for directing the radiation beam to a particular spot, e.g. using light beams
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
- A61B6/40—Arrangements for generating radiation specially adapted for radiation diagnosis
- A61B6/4007—Arrangements for generating radiation specially adapted for radiation diagnosis characterised by using a plurality of source units
- A61B6/4014—Arrangements for generating radiation specially adapted for radiation diagnosis characterised by using a plurality of source units arranged in multiple source-detector units
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis 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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis 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
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- 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]
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis 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
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Abstract
The medical technical device (1) and method that the present invention relates to a kind of for generating the projection inside object, there are two different medical technology imaging systems (2 for its tool, 3), patient setup's platform (4) and movable machinery (8,9,10,11), wherein, movable machinery (8,9,10,11) it is suitable for making two imaging systems (2,3) jointly or individually relative to patient setup's platform (4) and/or is movable with respect to each other, and wherein, each imaging system (2,3) all has detector (14) and x-ray source (13).In addition, a kind of method for generating the projection inside check object is described, wherein medical technical device (1) can be used.
Description
Technical field
The medical technology that the present invention relates to a kind of for generating projection and/or 3D volumetric set inside check object is set
Method standby and for this.The equipment includes: two medical technology imaging systems, can be carried out to every inside check object
Secondary shooting；Patient setup's platform for object placement；And movable machinery, and one or both of two imaging systems and/or suffer from
The connection of person's positioning table.Each of two imaging systems have detector and x-ray source.
Background technique
Such as the patient for being suspect to be apoplexy and being sent into hospital is usually subjected to by computer tomograph progress
Diagnosis is limited so as to reliably diagnose blood flow by blood vessel blockage.Since the blood flow of diagnosis does not allow with thrombolysis substance
It treats, because it can enhance blood flow, the medical method nowadays assisted more and more using conduit, not by its auxiliary
It is chemically treatment blocking, but directly mechanically removes.In order to monitor the treatment, usually using X-ray equipment.I.e., it is necessary to
Patient is moved to X-ray department or must be by mobile X-ray equipment after calculating the diagnosis in machine fault angiography device
It is moved to patient.This not only needs to put within the hospital the only available manpower in very limited range, but also time-consuming,
The state of patient may deteriorate in the time.
In diagnosing tumor, completely by the blood vessel calculated machine fault angiography device identification tumour with supply it.One kind is used for
Sealing blood vessels make the treatment of tumour exhaustion be Intra-arterial embolization chemotherapy (TACE).The treatment be preferably also can x-ray system,
The imaging of especially X-ray angiographic apparatus assists execution or monitoring.
Summary of the invention
It would therefore be desirable to have help reduction personnel use and shorten Clinics and Practices start between time or pass through imaging
Guarantee the solution of optimal and comprehensive diagnosis possibility.
Above-mentioned technical problem is solved by equipment according to the present invention and according to the method for the present invention.
For this purpose, proposing a kind of projection and/or 3D volumetric set for generating inside check object according to the present invention
Medical technical device comprising two different medical technology imaging systems, patient setup's platform and movable machinery, wherein fortune
Motivation tool is set as making two imaging systems jointly or individually relative to patient setup's platform and/or is movable with respect to each other.
Here, each imaging system has detector and x-ray source.
Here, be interpreted as " different " medical technology imaging system is with different technique for taking or raw data acquisition
Method and/or reconstruction technique generate the imaging system of initial data and/or image data.Then, medical technology imaging system example
Can such as be implemented as being rebuild by the initial data to data for projection form first be generate 3 d image data
System, these data for projection are obtained in itself, and (for the common operator of imaging system) can't use mapping
As data.For example, the first medical technology imaging system can be configured such that detector and x-ray source for example until per second four
The high speed of circle is rotated around patient's longitudinal axis.This is for example the situation in common computer tomograph.And it is another
Imaging system can be configured such that it is constructed first for generating 2D projecting image data, the especially face 2D projection, wherein
Face projected image or fluoroscopy images are generated on surface detector to shoot.This is not precluded: may also be thrown with the system from 2D
3 d image data is rebuild in shadow image.For example, the imaging system but can be configured such that it, for example maximum can be with per second
The speed of 0.3 circle rotated around patient's longitudinal axis and/or with corresponding plane, surface detector is (relative to such as in CT equipment
In curved detector).A typical case to this is X-ray angiographic apparatus.Medical technology imaging system may be used also
To distinguish as follows: the initial data and/or image data obtained with respective medical technology imaging system is particularly good applicable in
In organ or skeletal structure that display is made of soft tissue." different " medical technology imaging system is not in meaning of the present invention
Under be technical identical imaging system, wherein for example only the detector of certain amount and x-ray source are different.
Medical technical device includes movable machinery, it means that all components of equipment, herein for two imaging systems and
The patient setup platform common for two imaging systems is connected to each other by movable machinery, is made it possible to only by movable machinery
It is movable with respect to each other.In other words, the movement of one of these components is always by least one of movable machinery or movable machinery
It has separated.Movable machinery one of imaging system can for example be coupled with patient setup's platform and/or by two imaging systems each other
Coupling.Alternatively, two imaging systems can be coupled with patient setup's platform.It is conclusive to be, movable machinery directly or
All components of equipment are connected to each other by ground connection, these components are movable with respect to each other.
Movable machinery can have multiple portions, wherein various pieces need not be connected to each other, and each of movable machinery
Part need not be connect with all parts of equipment.Part of appliance can at least partly manually by the movement that movable machinery carries out
Carry out, but preferably it mechanical movable machinery by motor, it is for example hydraulic, start, magnetic or motor drives.Here,
According to the structure of equipment, there may be common drive motors, the preferably equipment to have more than one drive motor.
In order to use the single subsystem or subsystems of equipment or equipment, operator can be corresponding by least one
Selection operation element (such as button, selection switch, touch screen) or the workflow by starting defined defined
Selection.Additionally or alternatively, operator can be by such as getting off to carry out implicit choice, i.e., it (or determines check object
Area-of-interest, ROI) it is moved to the determination position in the radiation path region of one of imaging system, in such as symmetrical centre.
Two imaging systems can be realized by the mechanical linkages of common movable machinery and patient setup's platform known
Being quickly converted between diagnosing image and known treatment monitoring imaging, can directly to start treatment and fast after diagnosis
Speed and effectively examine its result.By connecting different parts of appliance via movable machinery, may be implemented relatively simply
It is registrated, merges and is further processed the image data obtained using two imaging systems.
It, can be in the shortest time to the object being located on patient setup's platform by the described structure of medical equipment
Without it is simple in the case where shifting its and promptly in position by be respectively provided with two imaging systems of x-ray source come
Perspective.The details specific to imaging system inside object correspondingly can be particularly good protruded by each imaging system.
The invention further relates to a kind of in having the medical technical device there are two different medical technology imaging systems
The method for generating the projection inside the check object being located on patient setup's platform, these imaging systems are respectively provided with x-ray source.?
This, the first medical technology imaging system preferably has the data acquisition device being configured differently with the second imaging system, i.e., different
The x-ray source of ground construction and/or the detector being configured differently.In the method, make in the first step by movable machinery
At least one of patient setup's platform and/or two imaging systems are on the direction of the longitudinal axis of patient setup's platform and/or laterally
It is movable with respect to each other in the longitudinal axis.In the second step, first x-ray source in two imaging systems is activated,
So that related imaging system generates the initial data of the selected areas of object and/or image data and automatic feeds it
To the equipment for reconstructing image and/or image processing apparatus specific to imaging system, in preparation for.It, will be quasi- in third step
Standby shooting is transmitted to the computer connecting with two imaging systems, and basis could dictate that or the standard of defined prepares imaging system
The shooting of system.In four steps, automatically selects one of shooting and export the shooting for observation on the screen.It connects down
Come, in the 5th step, the x-ray source of the first imaging system deactivated and activates the x-ray source of another imaging system,
For generating other initial data and/or image data.In the 6th step, the x-ray source of the second imaging system is deactivated
It is living, and activate the x-ray source of the first imaging system again for inspection purpose.Step 3 can be repeated up to six to be reached
The interrupt condition of the defined of method, such as receive the control signal that from user interface, regulation is interrupted.
That is, two x-ray sources activate in phase according to described method, so that two x-ray sources do not carry out simultaneously
Shooting, but only when meeting specific premise, such as just activation x-ray source when another x-ray source un-activation.
Here, one of x-ray source always can generate initial data and/or image data for diagnostic purposes
Just being activated, that is, so that details accurately shows virtual condition and identification target object inside object as far as possible.Another X is penetrated
Line source but for example can be used to generate image data, thus use these picture numbers in the intervention invaded the object
Shown under conditions of the instrument for the preferred medical technology being introduced into object relative to target area or relative to target pair
The position of elephant and its movement in object can be tracked.
Two imaging systems used in method can a preferably side be computer tomograph and another party
It is X-ray angiographic apparatus, such as it for equipment according to the present invention description.
Other, particularly advantageous expansion scheme of the invention is obtained from dependent claims and subsequent description.
Here, the dependent claims of a claim categories can also be similar to that the dependent claims of another claim categories
Extension.
The detector and/or x-ray source of two imaging systems are preferably placed in operation in Plane of rotation parallel to each other.
Referred to as Plane of rotation should be herein such as lower plane, the plane transverse to imaging system longitudinal axis with the imaging system phase
It hands over.That is, Plane of rotation is made of the pure circle line transverse to mentioned longitudinal axis, wherein all by circle line
The midpoint of the circle of definition is located on mentioned longitudinal axis.Each circle line forms a part of rotation envelope again, wherein
The detector and/or x-ray source of two imaging systems can in parallel Plane of rotation along different rotation envelopes, i.e. not
Circle line with diameter moves.That is, one of detector/x-ray source for example always moves on unmodifiable rotation envelope,
And another detector/x-ray source can closely be moved to mentioned longitudinal axis, this causes the circle with small diameter,
Or can be moved further from mentioned longitudinal axis, this causes with larger-diameter circle.When two imaging systems
Detector and/or x-ray source also can be set in same Plane of rotation in principle in different diametrically movements.
The Plane of rotation of two imaging systems can also be arranged prejudicially relative to each other or be transported so relative to each other
It is dynamic, so that its respective central longitudinal axis is moved relative to each other in parallel with each other or with the angle of attack.
Two imaging systems with signalling technique can be connected to each other via interface, so as to receive and send signal.In
It is that two imaging systems can for example exchange signal directly or by common computer, notice carries out received imaging system
System, the imaging system sent is relative to patient setup's platform and/or relative to the position for carrying out received imaging system.Signal
It can notify to carry out operational mode of the received imaging system about the imaging system sent.
Specifically, can occur between two imaging systems for current device state communication (such as: starting,
Close, radiate the position of ON/OFF, danger, maintenance, calibration, each imaging system).Furthermore, it is possible to exchange and assessment is related to equipment
In object position data (such as: selection ROI, object movement, the ROI in radiation areas or computer tomography
The symmetrical centre of equipment or X-ray apparatus).Finally, can exchange imaging system image data (such as 2D and 3D) and
Patient setup's platform and/or object and/or imaging system and/or imaging system on patient setup's platform are monitored in common coordinate system
Component movement.
These information then can be by carrying out received imaging system directly with the real data of oneself or by common
Computer is for example compared with carrying out the rating data of defined of transmission and/or received imaging system.If it find that at two
Occur current or menace conflict between imaging system, then can for example interrupt the movement process or change of imaging system
The operational mode of imaging system.In the case where the conflict of menace, acoustics or optical signal can be exported, thus to utilization
The operator of equipment work alerts the conflict of menace.
Computer and one or more monitors connecting with the computer are usually located at the sky being located at imaging system
Between in the control laboratory that separates.Operator can be sitting in the control laboratory, the information that selection is generated by imaging system and by its
Other monitors are transmitted to, which is arranged so that it can be by during treatment or operation relative to imaging system
Viewing.Alternatively, computer can also be arranged in individual computer room or in the environment of imaging system.Equally, it monitors
Device for example can for example be arranged in identical room in angiographic apparatus, such as can also swingably be fixed on meter
In the frame housing of calculation machine fault angiography device.Other space layouts of computer and/or monitor be also it is possible and by
The present invention includes therewith.
One of two imaging systems can be X-ray apparatus as mentioned, be preferably X-ray angiographic apparatus,
It especially generates the face 2D projection (i.e. 2D-X radiographic image data), and another imaging system can be for generating especially 3D figure
As the computer tomograph of data.Here, X-ray angiographic apparatus can be with computer tomograph just
Face end, more precisely say be computer tomograph frame housing end connection.Front side end is annular or tubular
Computer tomograph in can be any of two ends.It preferably, is that patient setup's platform can drive into
End.The referred to as outer enclosure of the usually computer tomograph of frame housing, wherein rack is made with computerized tomography
Shadow x-ray source and the computer tomography detector arranged with being opposed to and/or be staggered when necessary surround frame housing together
In object be open rotation.
X-ray apparatus usually has there are two individual component, i.e. x-ray source (x-ray radiation source) and X-ray detector,
It is arranged opposite each otherly about the longitudinal axis of patient setup's platform.However, X-ray apparatus also can have two or more individually
X-ray source and two or more individual X-ray detectors, wherein x-ray source and X-ray detector difference it is opposite each other
Ground arrangement.Thus, it is possible to two or more projections in two or more different planes inside object are carried out simultaneously, this
A little projections at an angle relative to each other, it is for example orthogonal.
Here, can be fixed in frame housing preferred annular or that part extends around the object opening of frame housing
The component of track, X-ray apparatus or X-ray apparatus can move over.With the rail that may also be referred to as sliding rail or tracks
The connection in road can make respectively that a connecting element or multiple connecting elements is rigidly corresponding to the component of X-ray apparatus
One connect and component thus allowed only for move along track.Connection or connecting element but also can more complexly construct, make
X-ray apparatus component can additionally transverse to the longitudinal axis of computer tomograph or patient setup's platform, i.e.
It is deflected in orbit in the joint in the direction CRAN/CAUD of patient.
Connecting element also can be constructed as telescopic arm, allow to adjust frame housing and X-ray apparatus x-ray source or
The distance between X-ray detector.Another possible freedom degree of X-ray apparatus is, for example, the longitudinal axis for surrounding connecting element
Rotation.
Track or sliding rail for X-ray apparatus also can be constructed as so that the component of x-ray system is in addition to along sliding rail
Movement except can also be parallel in the same direction or oppositely and/or perpendicular to computer tomograph or patient on the slide rail
Longitudinal medial axis of positioning table moves, wherein should be along the movement of sliding rail generally along around computer tomograph
Or the movement of the circle line of patient setup's platform.
That is, for example can change or adjust the component of X-ray apparatus with patient setup's platform or on patient setup's platform
The distance between check object.Here, each component of X-ray apparatus can be adjusted individually, it is preferable that synchronized instead to component
It is adjusted to ground, so that the distance of the component of X-ray apparatus, especially detector and x-ray source can also be relative to each other
Change.
When not needing X-ray apparatus, it can be driven in stand along sliding rail, in the stand,
The X-ray apparatus is not interfered close to patient setup's platform.For this purpose, can preferably make the component of X-ray apparatus individually travel to be
So that its in resting position each other side by side.According to the construction of medical technical device, patient setup's platform can have one preferably
Or two equality close to side.In there is the equipment close to side, the stand position of the component for X-ray apparatus
In patient setup platform to being placed on the side close to side.In wherein optionally from two sides close to the equipment of patient setup's platform,
Two be correspondingly there will be to being placed in close or treatment side the stand accordingly used.For should be from bilateral close to patient setup
The case where platform, it is so that it is not side by side but stacked, such as on patient setup's platform that the component of X-ray apparatus, which can travel,
Under or.
By the way that computer tomograph and X-ray apparatus, especially X-ray angiography are set by movable machinery
The connection of standby or X-ray apparatus all parts and it is possible that by two imaging systems simultaneously or sequentially with small opposite limit
System is to use.
Movable machinery allows computer tomograph to move at least following freedom degree:
Pass through the entire machine of longitudinal passage ground control patient setup's platform or the control of longitudinal passage ground for example in floor rail
Frame and the longitudinal axis around patient setup's platform or object carrys out rotary taking system；And/or
By tilting patient setup's platform relative to horizontal frames or and relative to horizontal patient setup's platform inclination rack
Optionally deflected around patient setup's platform axis or object transverse axis (CRANIAL/CAUDIAL) camera system (tilt into
It penetrates)；And/or
Height adjustment is carried out to patient setup's platform.
Movable machinery allows X-ray apparatus independently at least to transport in following freedom degree with computer tomograph
It is dynamic:
Camera system is set to form angle about patient setup's platform axis or object longitudinal axis (RAO-LAO)；Make camera system
About patient setup's platform axis or optionally object axis (CRANIAL-CAUDIAL) forms angle；
Laterally passage patient setup's platform or X-ray apparatus；With
Height passage is carried out to patient setup's platform.
By via movable machinery by computer tomograph and X-ray apparatus or the component combination of X-ray apparatus
It meets at medical technical device for the optimal precondition being quickly converted between the measure for the treatment of in diagnosis.If
It is standby for example necessary intervention to be allowed to calculate in the true 3D for Precise Diagnosis and the imaging of high-resolution 2D-X ray surface
Being quickly converted between machine laminagraphy.Needed for can saving due to treatment after the successful inspection of partial navigation again
It shoots and shifts patient time-consuming and thus costlyly.
Then the direct diagnostic check of monitoring and treatment can be diagnosed, treated with small space requirement.It can mention
For it is all thus needed for freedom degree, that is, study plot is existing, the CT for supporting operator or X-ray application software can be with
Unchangeably utilize.Be imaged by computer tomography pending intervention (such as: excision, puncture, biopsy) in,
The x-ray apparatus of not direct requirement can be removed from the region close to patient.
Detailed description of the invention
The present invention is illustrated again with reference to attached drawing by embodiment below.In attached drawing:
Fig. 1 shows the side view of the embodiment of medical technical device according to the present invention,
Fig. 2 shows the front view of the equipment according to Fig. 1,
Fig. 3 shows the equipment as in Fig. 2 of the component with the X-ray apparatus in exemplary stand
View, and
Fig. 4 shows flow chart according to the method for the present invention.
Specific embodiment
Fig. 1 shows medical technical device 1, and there are two different medical technology imaging systems 2,3, i.e. computer are disconnected for tool
Layer contrast apparatus 2 and X-ray apparatus 3(are specially X-ray angiographic apparatus 3 herein) and common patient setup's platform 4.X is penetrated
Line apparatus 3 x-ray source 6 by the first component, for example with diaphragm and second component, such as X-ray detection in this embodiment
Device 5, especially flat panel detector (FPD5) are constituted, which captures the ray and such as exposed plate of x-ray source 6
And/or electronic projection image is generated, it is exported for storage in computer 15 and/or on screen 16.
X-ray apparatus 3 is connect with the front side end towards patient setup's platform 4 of computer tomograph 2.Patient's peace
Platform 4, computer tomograph 2 and X-ray apparatus 3 is set to be connected to each other by movable machinery 8,9,10,11.Pass through fitness machine
Tool 8,9,10,11, computer tomograph 2, the X-ray apparatus 3 with component 5,6 and patient setup's platform 4 can be opposite
In moving each other, this shows that the meaning of the arrow will also elaborate by arrow.
Movable machinery 8,9,10,11 for example can have floor rail 8, and computer tomograph 2 can be on it
It is moved toward and away from patient setup's platform 4.In addition, movable machinery 8,9,10,11 includes track 9, it is disconnected with computer in front
Layer contrast apparatus 2 frame housing 12a connection, wherein frame housing 12a surround rack 12, on it usually arrange one or
Multiple computer tomography x-ray radiation sources 13 and one or more computer tomography detectors 14.Movable machinery 8,
9,10,11 other parts form interconnecting piece 10 and 11, and x-ray source 6 or detector 5 are connect with track 9 on these interconnecting pieces,
And it can be moved on track 9 by these interconnecting pieces x-ray source 6 or detector 5.Movable machinery 8,9,10,11 is furthermore
It may include other components.Then such as patient setup's platform can have other components of movable machinery 8,9,10,11, by
It, which can move (not shown) independently of other environment divisions in coordinate system.
Two arrow a related with computer tomograph 2 shows computer tomograph 2 or at least counts
Driven rack 12, x-ray source 13 and the detector 12 of calculation machine Laminographic device 2 can be around transverse to patient setup's platforms
4 axis deflection, the rack 12, x-ray source 13 and detector 12 are set around being pushed into computer tomography in operation
Patient in opening 7 in standby 2 or in the frame housing 12a of computer tomograph 2, with object disposed thereon
The longitudinal axis of positioning table 4 rotates.The deflection angle around computer tomography symmetrical centre of rack 12 for example passes through machine herein
Frame shell 12a is limited.Maximum deflection angle ranges can have arbitrary value.It is at least one of two deflection directions
It is at least 5 degree, preferably at least 30 degree, particularly preferably at least 45 degree.Here, maximum deflection angle ranges can be symmetrically, example
Such as ± 30 degree or asymmetric such as+30 degree and -10 is spent.
The movable machinery 8,9,10,11 of the embodiment further includes the floor rail 8 being already mentioned above herein, on it, is calculated
Machine fault angiography device 2 can be towards patient setup's platform 4 or far from its movement.The movement is shown by arrow b.
X-ray apparatus 3 or component 5,6 are connect by guide rail 9 with computer tomograph 2.In the guide rail
On road 9, component 5,6 can measure space relative to the opening 7(in the frame housing 12a of computer tomograph 2) to
It above or moves downward, this is shown by arrow c.
Arrow d is shown, and the rack of component 5,6 and computer tomograph 2 can pacify around transverse to patient
Set the axis deflection of platform 4, that is, be in the direction CRAN/CAUD when the object being located on patient setup's platform 4 is patient
Deflection on (Cranial- > head/Caudal- > foot).By the movement of axis c, change SID(Source Image
Distance, the distance of x-ray radiator to detector) it is possible.Arrow e is respectively illustrated, and component 5,6 is in interconnecting piece
10, horizontally it can also be driven out to and drive into and be angled with respect to each other relative to computer tomograph 2 in 11.
Finally, arrow f, g relevant to patient setup's platform 4 are indicated, the top at patient setup's platform 4(such as feet) it can be with
Along its longitudinal line of movement (arrow f), (arrow g) and (arrow is praised or declined up and down transverse to its longitudinal axis traveling
H).Here, by moving component, in longitudinal direction, (arrow f) and/or moving component are in transverse direction (arrow g) and/or fortune
Dynamic component upward or downward (arrow h) move in the case where, it is not necessary to implement these movements in succession, but, patient setup's platform 4 can
To be travelled on the shortest path from initial position to final position.
Fig. 2 shows device according to figure 11 from top view from the point of view of patient setup's platform 4.In computer tomography
The frame housing 12a of equipment 2 be centrally formed opening 7 or measuring chamber, patient setup's platform 4 can drive into wherein.For this purpose, computer
Fault angiography device 2 can in floor rail 8 to the movement of patient setup's platform 4 and/or patient setup's platform 4 equally in track 9 or
It can be moved to computer tomograph 2 by the separate part of movable machinery 8,9,10,11.In addition, component 5,6 such as from
It like that can vertically upward or vertical downward movement (arrow c) known to Fig. 1.Furthermore additionally in fig. 2, it is seen that component 5,6 exists
On sliding rail 9 (arrow i), i.e., in patient's feelings can be moved around the opening 7 of the frame housing 12a of computer tomograph 2
Around RAO/LAO axis (right preceding rectangle/left front rectangle) movement under condition.In addition, component can be laterally i.e. along transverse to meter
(arrow k) is travelled on the direction of the longitudinal axis of calculation machine fault angiography device 2.
X-ray apparatus 3 or angiographic X-ray equipment 3 also can have more than one x-ray source/detector pair, so as to
Such as projected image can be generated from two visual directions simultaneously.Second x-ray source/detector pair component (or other components) is same
Sample can be connect by movable machinery with frame housing, wherein can also especially utilize same sliding rail.
Fig. 3 finally shows the equipment 1 of Fig. 2, and wherein the component 5,6 of X-ray apparatus 3 is located at illustrative stand
In, wherein can be from side freely close to patient setup's platform 4.In order to reach the position, component 5 is along sliding rail 9 in side clockwise
About 90 degree of traveling upwards, and component 6 moves about 140 degree in the counterclockwise direction.
The possibility work of diagnosing and treating in equipment 1, for supporting paralytic is schematically illustrated in Fig. 4
Process.
By patient be sent into (A) hospital, shoot (B) patient data and by patient setup equipment 1 according to the present invention trouble
In person's positioning table 4.
This method is started so that the patient setup's platform 4 for having patient to be introduced into position, and when necessary by laser
Or other auxiliary devices determine (C) starting point in or on the area-of-interest (ROI) for computed tomography scan.
In next step (D), computed tomography scan and data obtained are carried out now in computer 15
In output on screen 16 of preparation and the data that are prepared when necessary.
It to the assessment of data and then is provided diagnosis (D1), judged by doctor, is still examined without diagnostic result (D2)
It is disconnected to go out to need the damage of minimally invasive intervention or there is the heavier damage (D3) for needing surgery to intervene.It, can be in the case where (D2)
It releases patient or is changed the place of examination for other inspections to other departments.In the case where (D3), be connected to patient and by its
Neck enters into surgery.Otherwise prepare and can directly execute to cut by the close minimally invasive intervention of conduit, for example minimally invasive thrombus on the spot
Except art.
Patient is now related with the intervention of X-ray angiographic apparatus 3, that is, for example by patient setup's platform 4 traveling be so that
Area-of-interest (ROI) is now currently located in the region of x-ray source (6) of (F) X-ray angiographic apparatus 3.
Minimally invasive intervention, such as conduit thrombectomy then are executed by X-ray angiographic apparatus 3 in this position.
Here, carrying out the perspective (G) in different angle as needed.
By X-ray angiographic apparatus 3 obtain data be forwarded to computer 15 in preparation for, when necessary with meter
It the Registration of Measuring Data of the preparation of calculation machine fault angiography device 2 and is exported on screen 16.
After successfully intervening, patient setup's platform 4 can drive in diagnostic position again, and can calculate immediately
Machine fault angiography device 2(H) or carry out examining (H) to the successful of intervention on screen 16.
If successful examine (I) in further determine that damage, such as thrombus, can immediately by it is next its
Its successful examines (I) to continue minimally invasive intervention (H).
If successful inspection be it is positive, meet the interrupt condition of method, X-ray apparatus 3 can drive into and park position
Hereafter setting (K) and treating terminates.
It is last it is pointed out here that, structure described in detail above and described method flow are only embodiments, can be with
It is modified by those skilled in the art without departing from the scope of the present invention.Especially shown equipment can also have any other portion
Part and device characteristics, such as the protective bulkhead or protection curtain of the scattering radiation for being protected from X-ray apparatus.For being described
Be applicable in claim: term "a" or "an" is not read restrictively.When the term, which is interpreted as number, to be illustrated, then this
It is clearly identified for example, by the term of " individually " in the present description and claims.That is, term " one " is in the specification
In can with but "at least one" need not be pronounced.Further noted that although exemplary describe this method for paralytic,
Using being not limited to this application, but equally there is advantage for other application, such as in tumor patient etc. is suitable.Together
Sample, the present invention not only can be used meaningfully on human patients, but be also used to treat animal and other right for checking
As only referring to corpse as an example herein.
Claims (7)
1. a kind of for generating the medical technical device of the projection of the inside of object, comprising:
- two different medical technology imaging systems (2,3),
Patient setup's platform (4), and
Movable machinery (8,9,10,11), wherein the movable machinery is directly or indirectly by two imagings of medical technical device
System and the patient setup platform common for two imaging systems are connected to each other, these components are movable with respect to each other
And two imaging systems can jointly relative to patient setup's platform longitudinal movement,
Wherein, the movable machinery (8,9,10,11) is suitable for, and makes described two medical technology imaging systems (2,3) jointly
Or individually relative to patient setup's platform (4) and/or be movable with respect to each other,
Wherein, each imaging system (2,3) all has at least one detector (14) and at least one x-ray source (13),
And it is connected to each other and exchanges via interface to described two imaging system (2,3) signalling techniques and be related to the imaging system
One of (2,3) relative to patient setup's platform (4) position and/or be related to position relative to each other and/or be related to
The signal of the operational mode of one of the imaging system (2,3),
Wherein, one of described imaging system (3) is X-ray apparatus (3), and another imaging system (2) is that computerized tomography is made
Shadow equipment (2),
Wherein, the X-ray apparatus (3) connect with the front side end of the computer tomograph (2),
Wherein, the movable machinery (8,9,10,11) includes sliding rail (9), interconnecting piece (10,11),
Wherein, sliding rail (9) is connect with the frame housing (12a) of computer tomograph (2), and the X-ray apparatus
(3) it is movably coupled with the sliding rail (9) to make the X-ray apparatus (3) can be relative to institute on the sliding rail (9)
Computer tomograph (2) movement is stated,
Wherein, the X-ray apparatus (3) tool there are two it is to be moved alone, both by individual interconnecting piece (10,11) with
The component (5,6) of computer tomograph (2) connection,
Wherein, two components (5,6) of the X-ray apparatus (3) and the sliding rail (9) are coupled as enabling both parts
On the sliding rail (9) at least in the same direction or oppositely relative to the longitudinal central axis line of patient setup's platform (4) horizontally and/or
Vertical ground motion, and/or moved on the circle line around the longitudinal central axis line of patient setup's platform (4).
2. medical technical device according to claim 1, wherein the detector (14) of described two imaging systems (2,3)
And/or x-ray source (13) is arranged in identical or parallel to each other Plane of rotation.
3. medical technical device according to claim 2, wherein can change relative to each other in described two imagings
The distance between detector and/or x-ray source of the inside of at least one of system (2,3).
4. medical technical device according to any one of the preceding claims, wherein one of described imaging system (2) generates
The three-dimensional X-ray image data of object on patient setup's platform (4), and another imaging system (3) generation is located at
The two-dimensional surface of object on patient setup's platform (4) projects.
5. medical technical device according to claim 1, wherein two components (5,6) of the X-ray apparatus (3) exist
It can be travelled around the longitudinal axis of patient setup's platform (4) up to stand, in the stand on the sliding rail (9)
In, two components (5,6) of the X-ray apparatus (3) are arranged side by side in the side of patient setup's platform (4).
6. medical technical device according to any one of claim 1 to 3, wherein one or both of imaging system (2,3)
Detector (14) and x-ray source (13) be configured to and/or be arranged so that it can be inclined in the medical technical device
Around the longitudinally extending axis deflection transverse to patient setup's platform (4) in angle range.
7. medical technical device according to claim 6, wherein in the deflection that two deflect at least one of direction
Angular region is at least 5 degree.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DE102012215922.3A DE102012215922B4 (en) | 2012-09-07 | 2012-09-07 | Medical device and method for generating images |
| DE102012215922.3 | 2012-09-07 |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN103654813A CN103654813A (en) | 2014-03-26 |
| CN103654813B true CN103654813B (en) | 2019-02-01 |
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|---|---|---|---|
| CN201310407334.6A Active CN103654813B (en) | 2012-09-07 | 2013-09-09 | For generating the medical technical device and method of image |
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| KR (1) | KR20140032919A (en) |
| CN (1) | CN103654813B (en) |
| DE (1) | DE102012215922B4 (en) |
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| 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 |
| DE102016202847A1 (en) * | 2016-02-24 | 2017-08-24 | Siemens Healthcare Gmbh | X-ray device and method for medical imaging |
| WO2018085602A1 (en) | 2016-11-04 | 2018-05-11 | 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 |
| 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 |
| 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 |
| DE102020205546A1 (en) * | 2020-04-30 | 2021-11-04 | Siemens Healthcare Gmbh | Monitoring procedure 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 |
| DE102021203171B4 (en) * | 2021-03-30 | 2023-04-27 | Siemens Healthcare Gmbh | Medical imaging device and method for operating a medical imaging device |
Family Cites Families (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPH03176033A (en) * | 1989-12-06 | 1991-07-31 | Toshiba Corp | Apparatus for roentgenography |
| DE19802405B4 (en) * | 1998-01-22 | 2004-07-08 | Siemens Ag | X-ray diagnostic device with a computer tomograph |
| JP3953997B2 (en) * | 2003-09-26 | 2007-08-08 | ジーイー・メディカル・システムズ・グローバル・テクノロジー・カンパニー・エルエルシー | Angio CT system |
| JP4675654B2 (en) * | 2005-03-18 | 2011-04-27 | 株式会社東芝 | Medical diagnostic imaging equipment |
| 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 |
| US8175220B2 (en) * | 2008-08-05 | 2012-05-08 | General Electric Company | Method and apparatus for shortening footprint of multi-modality imaging system |
| 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 |
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- 2012-09-07 DE DE102012215922.3A patent/DE102012215922B4/en active Active
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| DE102012215922A1 (en) | 2014-03-13 |
| CN103654813A (en) | 2014-03-26 |
| DE102012215922B4 (en) | 2019-03-07 |
| KR20140032919A (en) | 2014-03-17 |
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