Disclosure of Invention
The invention has the task of achieving a simplified operation of the instrument.
This object is achieved by a method according to claim 1 and by a system according to claim 10. Further advantageous features of the invention are contained in the dependent claims.
The solution according to the invention with reference to the task of the claimed method and the claimed system is set forth below. The features, advantages, or alternative embodiments mentioned herein can be used not only in the claimed method but also in the claimed system. In other words, the product claims (e.g., for a system) are amended with such features that are also described or claimed in methods. The corresponding functional features of the method are formed by the corresponding product model.
The invention relates in particular to a method for operating a medical instrument having a gantry, comprising the following steps:
-displaying a graphical user interface for operating the medical instrument in a first output unit of a display screen of a first touch-sensitive type;
-inputting operation information by means of a graphical user interface through a first input unit of a display screen of the first touch-sensitive type;
-wherein the display screen of the first touch sensitive type is arranged at and/or near the bucket rack.
The graphical user interface according to the invention is adapted to enable operation of a medical instrument. The graphical user interface implements, among other things, one or more of the following operational steps: patient registration, selection of exam reports, e.g., scan reports, patient positioning, topology planning, diagnostic examinations, quality control, graphical reconstruction, display of diagnostic images, standard image operations such as zoom in/out/rotation (zoom/pan), viewing images, filtering (windows), simple measurement, analysis and selection of automated image processing results, selection and compilation of results on film, paper and other media, and similar operational steps.
According to a preferred aspect of the invention the method comprises the steps of:
-displaying a graphical user interface on a second output unit;
-inputting operation information through the second input unit by means of the graphical user interface;
-wherein the medical instrument is arranged for radiotherapy of a patient with ionizing radiation;
-wherein the second output unit and the second input unit are arranged in a region remote from the medical instrument with respect to a separating wall for shielding ionizing radiation.
The invention relates to a region of a separating wall remote from a medical device, through which the separating wall is protected against ionizing radiation. Wherein the partition wall can be fixedly built in the examination room and/or between the examination room and the control room. However, the partition wall can also be embodied movably, for example movably, foldably or freely movably (portable, movable, rollable, etc.). The partition wall can also be mounted, in particular, fixedly or movably, on the medical instrument. There can also be one or more partition walls with one or more windows. Whereby a plurality of persons can observe the instrument from different directions simultaneously and if necessary. The partition wall according to the invention is suitable for shielding, mitigating or absorbing ionizing radiation. This is achieved by selecting the respective construction material and wall thickness according to the kind and magnitude of the shielding ionizing radiation. The partition wall can be made transparent in its entirety or in sections. This can be achieved, for example, by lead glass.
The following first touch panel is a display screen of a first touch-sensitive type. According to the present invention, the medical instrument can be operated by the first touch panel disposed on and/or near the gantry. According to another aspect of the invention the medical device is fully operable via the first touch panel. Furthermore, one or more first panels can be provided, in particular arranged to the left and/or right, in front of and/or behind the bucket rack or in the vicinity of the bucket rack. In order to improve the touching performance, the first touch panel can be arranged on the bucket rack, for example, by an extension arm that can be rotated relative to the bucket rack. The first touch panel is designed in particular for controlling the entire patient examination, in particular the subsequent preparation work including the acquisition. In particular, the quality control, the 3D image reconstruction and the documentation, for example in the form of film documentation, including the acquisition can be controlled entirely, without further input devices, in particular by corresponding touch gestures, only via the first touch panel.
The invention therefore allows a very space-saving construction of the medical device and a correspondingly simple, structured and intuitive operation. The medical device can then be operated in particular by an operator who is located in the vicinity of the patient.
According to a further aspect of the invention, assistance to the operator and/or to the patient can be output by a suitable display on the first touch panel. This assistance can include, among other things, the positioning possibilities for the patient, the available support assistance and its handling, the use and illustration of EKG electrodes, etc. These aids can be output in particular by means of images and/or sound. These aids can be output via a graphical user interface, in particular, depending on the selected examination report and/or the interaction of the patient and/or the operator.
According to a preferred aspect of the invention, the second input unit is touch-sensitive, wherein the second input unit and the second output unit together form a display screen of a second touch-sensitive type. The following second touch panel is a display screen of a second touch-sensitive type. The features of the second output unit and the second input unit in the example of the second touch panel are set forth below without being limited to the conventional inventive concept. A corresponding configuration is suitable for the case in which the second output unit and the second input unit do not form a display screen of the touch-sensitive type. For example, the second output unit can be a display and the second input unit a keyboard and/or a mouse. The display and the keyboard and/or mouse can be connected, for example, to a control unit of the medical instrument.
The examination of the examination region, for example an organ of a patient, can be triggered on the first touch panel or on a second touch panel, which is arranged in a region remote from the medical instrument with respect to the separating wall. In particular, a delay for finding a region shielded from ionizing radiation is specified when triggered on the first touch panel. According to another aspect of the invention, the second touch panel is arranged in a region that is shielded from ionizing radiation released by the medical instrument by a partition wall. According to the present invention, the medical instrument can be operated by the second touch panel. According to another aspect of the invention the medical instrument can be operated completely through the second touch panel.
The examination can be tracked in particular on the second touch panel and possibly be intervened in. In particular, an observation scan process (scan) including the acquisition as well as a complex contrast check, for example triggered by a contrast threshold, can be performed on the second touch panel. The topology can be observed in particular during the generation process on the second touch panel and, if possible, manually stopped when the covering of the organ and/or the examination area is effected. Image reconstruction can be achieved in particular by the second touch panel during the course of the real-time visual tracking scan. In particular, the flow of the contrast agent can be controlled during the contrast examination and the examination region can be adequately covered and possibly intervened.
According to a preferred aspect of the invention, the method comprises performing the action controlled by the graphical user interface by means of one or more control buttons.
The control buttons can be designed in particular in the form of hardware. Control buttons for starting, stopping and/or interrupting the examination, in particular by means of an x-ray scan, are optionally provided for performing further actions controlled on the first and/or second touch panel, for manual desktop control, etc.
According to a preferred aspect of the invention, the method comprises configuring, user-dependently and/or inspection-dependently, at least one element selected from the group consisting of a first touch-sensitive display screen, a second output unit, a second input unit, a graphical user interface and combinations thereof.
The main components operated by the first and/or second touch panel comprise a large amount of Web or network based configuration software that can be used in the configuration unit. By configuration implementation, actual acquisition software on the first and/or second touch panel in standard processes is reduced and operations can be simplified by touch gestures. In particular, parameterization of inspection reports, reconstruction draft, automatic graphic data processing, data compilation, distribution film layout, classification schemes, directory and file configuration, parameter adjustment, photocopying switching, DICOM nodes, transmission control, etc. can be configured.
The graphical user interface can be clearly divided in particular by this configuration. Furthermore, a sufficient number of processes can be pre-configured during configuration, so that the operation on the first and/or second touch panel is substantially reduced to simple operating steps and selections. In the case of image reconstruction, as many image reconstructions as possible can be automatically achieved and the necessary adjustments can be determined by algorithms or by definitions of the diagnostic or therapeutic specialties. In case the user has to intervene manually, it can intervene by simple touch gestures, such as rotating, moving, pulling the image and selecting the provided options. Topological and/or technical patient data can optionally be entered and/or corrected during configuration. New patients can be registered at configuration time through the Web interface, for example when there is no information system such as RIS or KIS.
According to another aspect of the invention, the method includes providing the patient list and other parameters and corresponding software via a Web interface such that the patient list and other parameters are accessible thereon via a static, portable or tablet computer and/or other suitable mobile and authorized device. In this way, when the patient arrives at the examination room, the current patient can already be registered on the medical device for examination and as many preparations, for example the selection of examination reports, can be carried out as possible. By means of this registration, the patient and the operator can be provided with an action indication already corresponding to the selected examination report when the patient arrives at the medical device, for example by means of the first touch panel. The invention thus achieves a simplified and time-reduced working process.
According to a preferred aspect of the invention, the method comprises selecting and/or displaying an active or passive operating state of the first and/or second input unit via the graphical user interface, wherein the active and passive operating states are differentiated with respect to the input operating information.
According to another aspect of the present invention, the graphic user interface can be simultaneously displayed in the first output unit and the second display unit. The operation of the first touch panel and the second touch panel can be realized in particular according to the requirements of the patient and/or the operator and/or according to the requirements of the examination. When actively accessing the touch panel, the corresponding input unit is in an active operating state on the graphical user interface. The medical instrument can be operated by inputting the operation information by the input unit in the active operation state when the touch panel is actively accessed. The medical instrument cannot be operated by inputting the operation information by the input unit in the passive operating state when the touch panel is passively acquired. The interaction performed on the touch panel can optionally be displayed on the graphical user interface by passive access on the touch panel for passive access.
According to a further aspect of the invention, the graphical user interface enables changing the operating state of the first input unit by inputting to the first and/or to the second input unit. According to a further aspect of the invention, the graphical user interface enables changing the operational state of the second input unit by inputting to the first and/or second input unit. Active access to the respective touch panel can thus be required and/or output, in particular.
The method according to the invention enables the identification of different operators working simultaneously, the operating panel of which has active access to a graphical user interface. For this purpose, an access signal system such as a signaling light (for example green or active operating state, in particular active access to a graphical user interface, yellow or passive operating state, in particular no active access to a graphical user interface) is proposed, which clearly indicates at each point in time which touch panel has active access and which touch panel only passively displays these interactions.
According to a further aspect of the invention, the graphical user interface has at least temporarily a signal button (switching button) which indicates, for example by color, whether the operating state of the input unit is active or passive. In particular, it is possible to transfer the active access from the first touch panel to the second touch panel and/or to a control unit in the control room (relinquishing access control) at each point in time via the signal button. In particular, active access to each touch panel (active access control) can be requested by a touch gesture of operating a signal button.
According to another aspect of the invention, interactions of the active input unit, such as moving graphical elements, positioning lines, etc., can be displayed, inter alia, by arranging the graphical user interface on the output unit on the passive input unit. The mirror display of the image user interface in the passive operating state on the image user interface in the active operating state enables the operation of the medical instrument to be taken over at a suitable point in time, for example by a further operator on a further touch panel. The invention also makes it possible to evaluate and, if necessary, correct the state before or after taking over the active access on the respective other touch panel.
This method of taking over access and mirroring the graphical initiative in particular enables a remote access (remote scanning) check. If the topology design is made graphically, the gantry is in the vicinity of the first touch panel and is based on real patient images or on manual design images (Avatar), then all necessary information is available by taking over the control on, for example, the remotely located control unit and/or the second touch panel, which information allows to professionally check the patient location and the design of the examination that has been completed or is still in progress before the actual execution, adjust it if possible and check it by remote access.
According to a preferred aspect of the invention, the method comprises integrating image information based on the contour and/or position of the patient in a graphical user interface.
According to a preferred aspect of the invention, the method comprises selecting and/or displaying the examination region relative to the patient via a graphical user interface.
Patient positioning can be realized, for example, by means of a collimator, in particular a laser-based collimator, wherein a patient positioning device of the medical instrument is manually controlled. The planning of the positioning can also be performed on real patient images which are horizontally arranged on the patient support device. In particular, a positioning line can be input and displayed on the first and/or second touch panel. The invention allows, inter alia, visual inspection of the positioning results on the first touch panel and/or the second touch panel in the vicinity of the gantry.
According to another aspect of the invention, 2D and/or 3D images of the patient are acquired by a camera. The image is used as a design basis for automatic patient positioning. The vertical height of a transfer plate for supporting a patient, for example for the purpose of positioning the examination area at an equivalent center of a medical instrument, can be determined, in particular, by acquiring 3D images supported horizontally on a patient support device and automatically analyzing the contour and position of the patient. The acquisition of the designed topology (profile) can be triggered, for example, on the first touch panel on the gantry and by controlling the delay for leaving the radiation active area. The patient position or the topology (start scan, length scan, direction) on the real patient image can be displayed and/or modified, in particular by remote access, on the first touch panel and/or the second touch panel and/or the control unit.
According to a preferred aspect of the invention, the method comprises processing and/or displaying graphical data recorded by the medical instrument via a graphical user interface.
In this way, the image results can be automatically examined by an algorithm based on sufficient contrast agent flow, according to examination reports and/or the coverage of the area of motion injury, for example after the examination has been completed and before the patient leaves the medical instrument. Alternatively or additionally, the image results can be examined by manually viewing a display module (browser) integrated in the graphical user interface and/or by selecting a different display method, for example by a maximum intensity scheme with nodule coverage for quality-related contrast agent flow. The graphical user interface for processing and/or displaying image data captured by the medical instrument can in particular have an integrated display module for displaying reconstructed single-layer images and image series generated by an algorithm, for example. Scanning is achieved by touch gestures, inter alia, by a series, zoom/pan, window, measurement operations, etc. for pitch estimation, angle estimation, ROI estimation, etc.
The reconstructed images and/or the algorithmically generated series of images or single layer images can be displayed on the touch panel, automatically or after manual selection, in different virtual film scans, the layout selected and the images printed. Operation on small, e.g., ten inch, touch panels is simple, efficient and can be achieved with minimal interaction consumption through a special algorithm, optionally loaded with a corresponding selected layout with integrated structures.
The reconstructed image and/or the image series or single layer image generated by the algorithm can be selected after completion or by touch gestures and automatically sent, for example, to the DICOM nodule. It is possible in particular to end the check on the first touch panel on the bucket rack and to start another check.
The invention further relates to a system for operating a medical device having a rack, comprising:
a display screen of a first touch sensitive type arranged at and/or near the gantry,
-wherein the display screen of the first touch sensitive type has a first output unit for displaying a graphical user interface for operating the medical instrument,
-wherein the display screen of the first touch-sensitive type has a touch-sensitive first input unit for inputting operating information via a graphical user interface.
The barrel rack according to the invention constitutes a support structure for medical instruments. The gantry is particularly adapted to absorb forces and moments acting on the medical instrument and transmit them to the support structure. The support structure can be, for example, a floor, in particular a floor, a wall of an examination room and a cover. The gantry comprises in particular an image recording area and/or a treatment area in space, in which the part of the patient to be examined that is to be photographed and/or treated is located. For example, the channel-like opening of the gantry can form an image recording region and/or a treatment region. The first touch panel is then arranged near the gantry when the first touch panel and the patient to be examined, positioned by the medical instrument, are simultaneously within range of the operator.
According to a preferred aspect of the invention, a medical device for the radiotherapy of a patient with ionizing radiation is provided, wherein the system has a wall which is shielded from ionizing radiation, wherein a second output unit for displaying a graphical user interface and a second input unit for displaying operating information via the graphical user interface are arranged in a region which is remote from the medical device with respect to the separating wall.
According to a preferred aspect of the invention, the second input unit is touch-sensitive, wherein the second input unit and the second output unit together constitute a display screen of a second touch-sensitive type.
According to a preferred aspect of the invention, the system has one or more control buttons for performing actions controlled by the graphical user interface.
According to a preferred aspect of the invention, the system has a control unit for operating the medical instrument. The control unit can be arranged in a control room outside the examination room, in particular in a region shielded from ionizing radiation. The control unit has a control input unit and a control output unit.
According to a preferred aspect of the invention, the control output unit is configured to display a graphical user section and the control input unit is configured to input the operation information through the graphical user interface. According to another aspect of the invention, the control input unit is constituted by a second input unit and/or the control output unit is constituted by a second screen.
The control unit according to the invention is suitable for, in particular, enabling the operation of the medical instrument independently of the first and second touch panels. According to another aspect of the present invention, the medical instrument may be independently operated by the control unit on the first and/or second touch panel. The independence of the first control panel, the second control panel and the control unit enables the most individualized adjustment of the operation to the needs of the operator and/or the patient and/or to the requirements of the examination. The invention also enables the corresponding mode of operation of an operator or a plurality of operators to be optimized in a system comprising a plurality of touch-sensitive screens, an input unit and/or an output unit.
According to a preferred aspect of the invention, the system has a configuration unit for user-dependent and/or examination-dependent configuration of at least one element selected from the group consisting of a first touch-sensitive display screen, a second output unit, a second input unit, a graphical user interface and combinations thereof.
According to another aspect of the invention, the configuration unit is at least temporarily connected for configuration with the first and second screens, the first and second input units and the graphical user interface, respectively. The connection can be implemented in a fixed and/or wireless manner. The configuration unit and the first touch panel and/or the second touch panel can be connected, in particular, to a data transmission network, for example the Web. Any computer authorized in the network can in particular form the configuration unit.
According to a preferred aspect of the invention, the first and/or second input unit can assume an active operating state and a passive operating state, respectively, wherein the active and passive operating states are differentiated with respect to the operational information that can be input, wherein the graphical user interface has at least one transient device for selecting and/or for displaying the operating state of the first and/or second input unit.
The invention enables, in particular, a work process to be divided into and to carry out three main work steps by configuring three persons and stations. Operator a can query the patient's waiting room and download patient data and examination reports by remotely accessing the system. The operator B positions the patient on the medical instrument, designs the topology, in particular the starting point, the length and the direction of the radiation, via a graphical interface on the first touch panel, and informs the operator C at the control unit that the patient is ready for examination, either by automatic positioning or manually positioning the patient, for example by taking over an active visit. Operator C views the user's image including the location line and current position in a graphical user interface, can adjust the plan, calibrate the patient's location in the gantry and check if necessary. After a quality check of the diagnostic image, the graphical user interface can be opened in subsequent work and the first touch panel on the gantry can be released by taking over the next patient access. In one cycle, while person 1 is in the waiting room, person 3 completes the examination of the current patient and may start the next new patient.
According to a preferred aspect of the invention, the image data based on the contour and/or position of the patient is integrated at least temporarily in a graphical user interface. According to another aspect of the invention, the system includes a camera for acquiring 2D and/or 3D images of the patient.
According to a preferred aspect of the invention, the graphical user interface has, at least temporarily, means for selecting and/or for displaying an examination region relative to the patient.
According to a preferred aspect of the invention, the graphical user interface has, at least temporarily, means for processing and/or for displaying images recorded by the medical instrument.
According to a preferred aspect of the invention, the system and its variants are arranged for carrying out the different aforementioned aspects of the method according to the invention.
According to a preferred aspect of the invention, the medical device is selected from the group consisting of a computed tomography scanner, a single photon emission computed tomography Scanner (SPECT), a positron emission tomography scanner (PET), a magnetic resonance imager, and combinations thereof. The medical device can be, in particular, an X-ray apparatus, a computed tomography apparatus, a SPECT-CT apparatus, a PET-CT apparatus, a radiotherapy apparatus, and the like.
Detailed Description
Fig. 1 shows an embodiment of a system 1 for handling a medical instrument 2 having a gantry 20 according to the present invention. A first touch sensitive display screen 31 is arranged on the gantry 20. The display screen 31 of the first touch sensitive type has a first output unit 41 for displaying 51 a graphical user interface 3 for operating the medical instrument 2. The display screen 31 of the first touch-sensitive type also has a first input unit 43 for touch-reaction for inputting 52 operating information via the graphical user interface 3.
The medical instrument 2 has an image acquisition zone 4 which is formed by a tunnel-like opening of the gantry. The medical instrument 2 has a patient support device 10 for positioning a patient 13 in an image acquisition zone 4 for examination by means of the medical instrument 2. The first touch panel 31 and the positioned patient 13 for examination by means of the medical instrument 2 are simultaneously within the effective distance of the operator 8.
The medical device 2 is designed for the radiation treatment of a patient 13 by means of ionizing radiation. In the embodiment of the invention illustrated herein, the medical instrument 2 is not limited to the conventional inventive concept of the computed tomography scanner 2. The system 1 has a separating wall 16 for shielding ionizing radiation. In the region 17 of the separating wall 16 remote from the medical instrument 2, a second output unit 42 for displaying 53 the graphical user interface 3 and a second input unit 44 for inputting 54 operating information via the graphical user interface 3 are arranged.
The second input unit 44 is touch-responsive and forms, together with the second output unit 42, the display screen 32 of the second touch-sensitive type.
The system 1 has a plurality of control buttons 33 for performing 55 actions for adjustment by means of the graphical user interface 3. The plurality of control buttons 33 are configured in the form of hardware. A first portion of the plurality of control buttons 33 is disposed on the tub 20. A second part of the plurality of control buttons 33 is arranged in a region 17 remote from the medical device 2 with respect to the partition wall 16.
The system 1 has a control unit 36 for operating the medical instrument 2. The control unit 36 is arranged in the region 16 shielded from ionizing radiation, optionally in a control room outside the examination room 15, in which the gantry 20 is mounted. The control unit 36 has a control output unit 38 and a control input unit 39. Optionally, the control output unit 38 is designed to display 51 the graphical user interface 3 and the control input unit 39 is designed to input 52 operating information via the graphical user interface 3.
The system 1 has a configuration unit 40 in the form of a computer 40, which configuration unit 40 is used to configure 50 the first 31 and second 32 touch panels and the graphical user interface 3 according to a user and/or according to an examination. The system 1 further comprises a mobile tablet computer 49 by means of which tablet computer 49 the patient list and other parameters can be accessed.
The first touch panel 31, the second touch panel 32, the control unit 36, the configuration unit 40, and the mobile tablet computer 49 are connected to a data transmission network, for example, the Web. The connection is optionally realized in a fixed manner and/or in a wireless manner, respectively. The system 1 has a camera 29 for acquiring 2D and 3D images of the patient 13.
Fig. 2 shows an embodiment of a graphical user interface 3 for use in accordance with the invention.
The first input unit 42 and the second input unit 44 can adopt an active operating state and a passive operating state, respectively, wherein the active operating state and the passive operating state are distinguished with respect to the operational information that can be input. The graphical user interface 3 has, at least temporarily, means 45 for selecting 56 and for displaying 56 the operating state of the first and/or second input unit. The graphical user interface 3 has a signal button 45, which signal button 45 displays, for example by means of a color, whether the operating state of the input units 43, 44 is active or passive. The active access of the first touch panel 31 is handed over at each point in time to the second touch panel 32 and/or the control unit 36 in the control room, in particular by means of the signal button 45. Active access to the respective touch panel 31, 32 can be requested by a touch gesture of operating the signal button 45, among others.
Image information 71 based on the contour and position of the patient 13 is integrated at least temporarily in the graphical user interface 3. The graphical user interface 3 displays a real patient image 71, for example, acquired with the camera 29.
The graphical user interface 3 has at least temporarily means 73, 74, 75, 76 for selecting 59 and for displaying 60 an examination region 72 relative to the patient 13. The graphical user interface 3 displays, among other things, a topological planning relative to a real patient image 71. The starting position and/or topology of the examination region 72 is displayed and selected, inter alia, by means of a starting location line 73. The end position and topology of the examination region 72 are selected and displayed, inter alia, by means of the end location line 74. In addition, the laser layer is shown by laser alignment lines 75. In addition, the scanning direction is shown and selected by arrow 76.
The graphical user interface 3 has, at least temporarily, means 80 for processing 61 and for displaying 62 image data recorded by the medical instrument 2. The graphical user interface 3 has an integrated display module 80 for displaying the reconstructed single image and/or the series of images generated by the algorithm. The graphical user interface 3 is configured, inter alia, for a series of browsing, zooming/panning, windowing, measuring operations by touch gestures, inter alia for attitude assessment, angle assessment, ROI assessment, etc.
Fig. 3 shows a flow chart of an embodiment of a method according to the invention for operating a medical instrument 2 having a gantry 20. The method according to the invention is characterized by steps 51 and 52. Preferably the method comprises steps 51, 52, 53, 54. Optionally the method comprises one or more of steps 50 and 55 to 62.
The system 1 according to the invention for handling medical devices 2 having a gantry 20 is designed such that it is capable of carrying out the method steps according to the invention and/or of controlling the respective device for carrying out the method according to the invention.
Although the invention is illustrated and described in further detail by means of advantageous embodiments, the invention is not limited by the disclosed examples and other variants can be derived therefrom by the person skilled in the art without departing from the scope of protection of the invention.