CN111281413A - Subject support device for nuclear medical diagnostic apparatus - Google Patents

Subject support device for nuclear medical diagnostic apparatus Download PDF

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Publication number
CN111281413A
CN111281413A CN201911100290.6A CN201911100290A CN111281413A CN 111281413 A CN111281413 A CN 111281413A CN 201911100290 A CN201911100290 A CN 201911100290A CN 111281413 A CN111281413 A CN 111281413A
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subject
diagnostic apparatus
medical diagnostic
support
nuclear medical
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CN111281413B (en
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宇田川晴英
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Shimadzu Corp
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Shimadzu Corp
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/04Positioning of patients; Tiltable beds or the like
    • A61B6/0407Supports, e.g. tables or beds, for the body or parts of the body
    • A61B6/0421Supports, e.g. tables or beds, for the body or parts of the body with immobilising means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/02Arrangements for diagnosis sequentially in different planes; Stereoscopic radiation diagnosis
    • A61B6/03Computed tomography [CT]
    • A61B6/037Emission tomography
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/50Apparatus 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
    • A61B6/502Apparatus 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 breast, i.e. mammography

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Engineering & Computer Science (AREA)
  • Optics & Photonics (AREA)
  • Biomedical Technology (AREA)
  • Biophysics (AREA)
  • High Energy & Nuclear Physics (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Public Health (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Nuclear Medicine (AREA)

Abstract

The invention provides a subject support device for a nuclear medicine diagnosis device, which can easily maintain a lateral state of a subject. A subject support device for a nuclear medicine diagnosis device is provided with: a sheet member (31) placed on the placement section (11), and a plurality of support members (32, 33) arranged at the end of the sheet member (31). When the subject support device for a nuclear medical diagnostic apparatus is used to support a subject under examination, a sheet member (31) is initially placed on a placement unit (11) of the nuclear medical diagnostic apparatus. Then, the support member (33) is fixed to the sheet member (31) by a surface fastener.

Description

Subject support device for nuclear medical diagnostic apparatus
Technical Field
The present invention relates to a subject support device for a nuclear medical diagnostic apparatus used for the nuclear medical diagnostic apparatus.
Background
For example, in a nuclear medicine diagnostic apparatus for breast examination for examining a breast of a subject, the breast of the subject to which a radiopharmaceutical has been administered in advance is inserted into a ring-shaped radiation detection unit in which a tunnel-shaped examination space is formed, and annihilation photons emitted from the breast of the subject are detected by the radiation detection unit. Then, the time at which the photon is detected is measured, and when the difference between the detection times of the two detectors in the radiation detection unit is within a fixed time, the two detected photons are counted as a pair of annihilation photons, and the annihilation occurrence point is determined as the position on the straight line of the detected detector pair. The emission data thus obtained is stored, and image reconstruction is performed using the stored emission data, thereby acquiring a PET image. Then, the acquired PET image is displayed on a monitor and transmitted to a server in the hospital.
In such a nuclear medicine diagnostic apparatus for breast examination, as a method of positioning a radiation detection unit with respect to a breast of a subject, there are two methods: positioning the subject by bringing the radiation detection unit close to the subject after the subject is fixed at a fixed position such as a bed or a chair; and a radiation detection unit which is fixed in advance and into which the breast of the subject is inserted and positioned.
Patent document 1 discloses a table for performing a medical treatment in which a subject is placed on a table top having an insertion opening into which a breast of the subject is inserted, and the breast of the subject is placed in a state of hanging down via the insertion opening, thereby bringing the breast close to an X-ray imaging apparatus and positioning the breast. The platform described in patent document 1 is configured such that: a replaceable insert having a large-diameter insertion opening or a small-diameter insertion opening is selectively used based on the size of the breast of the subject.
Patent document 2 discloses a nuclear medical diagnostic apparatus for a breast, which can examine the breast and the armpit of a subject. The nuclear medicine diagnostic apparatus described in patent document 2 includes a ring-shaped (annular) detector unit for imaging the breast of the subject M in a sitting position, and an arm rest for supporting the arm inserted into the detector unit. The detector unit in the nuclear medical diagnostic apparatus has a hole into which an arm on a side close to the breast can be inserted, and the inner diameter of the hole is larger than the distance from the shoulder on the arm side to the root of the breast.
Documents of the prior art
Patent document
Patent document 1: japanese patent laid-open publication No. 2016-185349
Patent document 2: japanese patent laid-open publication No. 2015-94697
Disclosure of Invention
Problems to be solved by the invention
As described in patent document 2, when a subject is examined in a sitting posture, there are the following problems: since the examination takes about 10 minutes at most, the subject feels pain by maintaining the same posture. Therefore, as described in patent document 1, it is preferable to have a structure that enables examination of the breast and the armpit of a lying subject. However, a nuclear medical diagnostic apparatus having such a structure has not been realized.
In contrast, in order to perform an examination of the breast and the armpit portion of the subject placed on the placement portion in a lying state as described in patent document 1, it is conceivable to employ a radiation detection portion having an examination space of a size in which the breast and the armpit portion of the subject can be disposed, and to employ a configuration in which a space capable of accommodating the arm portion of the subject is formed below the radiation detection portion. In the case of such a configuration, the subject can receive the examination in the lying position, and the burden on the subject is reduced.
In order to examine the breast and the armpit portion using such a nuclear medicine diagnostic apparatus, the examinee needs to insert the arm portion into the internal space through the arm insertion opening of the radiation detection unit while maintaining the lateral side lying state. As described above, since the examination takes about 10 minutes at most, it is difficult for the subject to keep the body still lying on his side, and the subject is painful.
The present invention has been made to solve the above-described problems, and an object thereof is to provide a subject support device for a nuclear medical diagnostic apparatus, which allows a subject to easily maintain a lateral position.
Means for solving the problems
The invention described in claim 1 is a subject support device for a nuclear medical diagnostic apparatus, which is used for a nuclear medical diagnostic apparatus capable of inspecting an armpit of a subject, the subject support device for the nuclear medical diagnostic apparatus including: an annular radiation detection unit in which an inspection space is formed; and a bed having a placement portion of the subject formed with an opening portion communicating with the examination space of the radiation detection portion on an upper surface thereof, the subject support device for a nuclear medical diagnosis apparatus further including: a sheet member mounted on the mounting portion; and a support member arranged at an end of the sheet member and supporting the subject.
The invention described in claim 2 is the invention described in claim 1, further comprising a connecting member that detachably connects the sheet member and the support member.
In the invention according to claim 3, in the invention according to claim 2, the connecting member is a surface fastener disposed on an upper surface of the sheet member and a lower surface of the support member.
The invention described in claim 4 is the invention described in any one of claims 1 to 3, wherein a plurality of the support members are provided, and the plurality of support members are arranged so as to overlap.
The invention described in claim 5 is the invention described in claim 4, further comprising a coupling member that detachably couples the plurality of support members.
In the invention according to claim 6, in the invention according to claim 5, a concave portion is formed in one of the plurality of support members, and a convex portion that engages with the concave portion is formed in the other support member, and the plurality of support members are coupled to each other by engaging the concave portion with the convex portion.
ADVANTAGEOUS EFFECTS OF INVENTION
According to the invention described in claim 1, the sheet member on the placement portion can be fixed by the body of the subject, and the subject can be supported by the support member disposed at the end of the sheet member. Therefore, the subject supported by the support member can easily maintain the lateral position without suffering.
According to the inventions described in claim 2 and claim 3, the support member can be selectively used, or the attachment position of the support member to the sheet member can be changed.
According to the invention described in claim 4, the number of support members to be used can be selected in accordance with the physique of the subject or the like.
According to the inventions described in claim 5 and claim 6, the plurality of support members can be easily coupled by the coupling means such as engagement of the concave portion and the convex portion.
Drawings
Fig. 1 is a perspective view of a nuclear medical diagnostic apparatus to which a subject support apparatus for a nuclear medical diagnostic apparatus according to an embodiment of the present invention is applied.
Fig. 2 is a schematic side view showing a case where an examination of the subject M is performed by the nuclear medical diagnostic apparatus.
Fig. 3 is a perspective view showing a state in which the sheet member 31 in the subject support device for a nuclear medical diagnostic apparatus according to the embodiment of the present invention is placed on the placement unit 11 in the nuclear medical diagnostic apparatus.
Fig. 4 is a perspective view showing a state in which the sheet member 31 and the plurality of support members 32 and 33 in the subject support device for a nuclear medical diagnostic apparatus according to the embodiment of the present invention are placed on the placement portion 11 in the nuclear medical diagnostic apparatus.
Fig. 5 is a perspective view of the plurality of support members 32, 33.
Fig. 6 is a bottom view of the support member 33.
Fig. 7 is a partial cross-sectional view showing the engagement state of the sheet member 31 with the support members 32 and 33.
Fig. 8 is a partial cross-sectional view showing the engagement state of the sheet member 31 with the support members 32 and 33.
Description of the reference numerals
11: a placement part; 12: an insertion opening; 13: a recess; 14: a bed; 15: a radiation detection section; 16: a main body cover; 19: a detection range of the radiation; 20: a space; 21: an opening part; 22: an arm support member; 31: a sheet member; 32: a support member; 33: a support member; 34: a hole portion; 35: a convex portion; 41: a face connector; 42: a face connector; m: the subject to be examined.
Detailed Description
Embodiments of the present invention will be described below with reference to the drawings. Fig. 1 is a perspective view of a nuclear medical diagnostic apparatus to which a subject support apparatus for a nuclear medical diagnostic apparatus according to an embodiment of the present invention is applied. Fig. 2 is a schematic side view showing a case where the nuclear medical diagnostic apparatus is used to perform an examination of the subject M.
In particular, the nuclear medical diagnostic apparatus to which the present invention is applied can examine the breast of the subject together with the armpit of the subject. This nuclear medicine diagnostic apparatus is also called a PET (Positron emission tomography) apparatus for breast, for example, and includes a bed 14, and a placement unit 11 for placing a subject M is disposed above the bed 14. The placement portion 11 is formed with a recess 13 for placing the head of the subject M and an insertion opening 12 for inserting the breast and the armpit of the subject M. Further, a space 20 having a size capable of accommodating the arm of the subject M is formed below the placement portion 11 of the bed 14 and inside the body cover 16. In a state where the subject M lies on the mount 11 in the prone position, the radiation detection units 15 are disposed in a ring shape around the breasts and armpit portions of the subject M inserted into the space 20 from the insertion opening 12 of the mount 11.
The nuclear medical diagnostic apparatus is used for examining the breast and the axilla of a subject M. In this nuclear medicine diagnostic apparatus, the breast and the armpit of the subject M to which a radiopharmaceutical has been administered in advance are inserted from the insertion opening 12 into the ring-shaped radiation detection unit 15 in which the tunnel-shaped examination space is formed, and the 511keV annihilation photons emitted from the subject M are detected by the radiation detection unit 15. Then, the time at which the photon is detected is measured, and when the difference between the detection times of the two detectors in the radiation detection unit 15 is within a fixed time, the detected photon is counted as a pair of annihilation photons, and the annihilation occurrence point is determined as the position on the straight line of the detected pair of detectors. The emission data thus obtained is stored in the console 6, and image reconstruction is performed using the emission data stored in the console 6, thereby acquiring a PET image. The acquired PET image is displayed on the display unit 7 and transmitted to a server in the hospital via the in-hospital network 8.
In this case, the breast and the armpit portion of the subject M need to be disposed within the detection range 19 of the radiation in the radiation detection unit 15. In order to realize this arrangement, the size of the radiation detection section 15 is determined so that the detection range 19 of the radiation formed by the radiation detection section 15 has a size in which the breast and the armpit of the subject M can be arranged.
As shown in fig. 2, when examining the breast and the armpit of the subject M, the arm of the subject M is accommodated in the space 20 formed inside the body cover 16 below the placement portion 11 of the bed 14. In this case, the examination using the nuclear medicine diagnosis apparatus may take about 10 minutes. Therefore, an arm support member 22 for supporting the arm of the subject M is disposed in the space 20.
The arm support member 22 has a structure in which a soft material such as sponge is surrounded by synthetic leather or the like. The size and shape of the arm support member 22 are changed in accordance with the physique of the subject M, the posture of the subject M during the examination, and the like. Further, the arm of the subject M may be supported by the plurality of arm supporting members 22 as needed.
In this nuclear medicine diagnostic apparatus, an opening 21 that communicates with a space 20 that can accommodate the arm of the subject M is formed in a side surface of the body cover 16 of the bed 14. The opening 21 is formed on both side surfaces of the body cover 16 which are located on the side of the subject M on the placement portion 11 of the bed 14.
When examining the breast and the armpit of the subject M, the subject M needs to insert an arm from the insertion opening 12 formed in the placement portion 11 into the space 20 formed inside the main body cover 16 as shown in fig. 2. At this time, if the space 20 is closed, the subject M cannot recognize the shape of the space 20 when inserting the arm into the space 20 through the insertion port 12, and thus feels uneasy. However, since the opening 21 communicating with the space 20 for accommodating the arm of the subject M is formed in this nuclear medicine diagnostic apparatus, the subject M can recognize what the space 20 is, and the subject M does not feel such anxiety.
In addition, during the examination, the article used for the examination or the vomit of the subject M may fall into the space 20 from the insertion port 12. Even in this case, the fallen objects can be easily removed by using the opening 21 communicating with the space 20.
In an examination using the nuclear medicine diagnostic apparatus, an arm support member 22 for supporting an arm of the subject M is disposed in the space 20 in order to reduce fatigue of the subject M and prevent movement of an examination site of the subject M. The size and shape of the arm support member 22 need to be changed according to the physique of the subject M or the like. In this case, the arm support member 22 corresponding to the subject M is provided in the space 20 by the opening 21 communicating with the space 20, or the shape, size, number, and the like of the arm support member 22 are changed in accordance with the physique and the like of the subject M.
When the nuclear medicine diagnostic apparatus having the above-described configuration is used to perform the examination of the subject M, the subject M needs to maintain the lateral lying state in order to insert the arms into the space 20 through the insertion port 12, and it is difficult and painful to maintain the lateral lying state without moving the body until the examination is completed. Therefore, the subject support device for a nuclear medical diagnostic apparatus according to the present invention is used.
Next, the structure of the subject support device for a nuclear medical diagnostic apparatus according to the embodiment of the present invention will be described. Fig. 3 is a perspective view showing a state in which the sheet member 31 in the subject support device for a nuclear medical diagnostic apparatus according to the embodiment of the present invention is placed on the placement unit 11 in the nuclear medical diagnostic apparatus. Fig. 4 is a perspective view showing a state in which the sheet member 31 and the plurality of support members 32 and 33 in the subject support device for a nuclear medical diagnostic apparatus according to the embodiment of the present invention are placed on the placement portion 11 in the nuclear medical diagnostic apparatus. Fig. 5 is a perspective view of the plurality of support members 32, 33. Fig. 6 is a bottom view of the support member 33. Fig. 7 and 8 are partial sectional views showing the engagement state of the sheet member 31 with the support members 32 and 33.
As shown in fig. 4, 7, and 8, the subject support device for a nuclear medical diagnostic apparatus according to the embodiment of the present invention includes a sheet member 31 placed on a placement unit 11 of the nuclear medical diagnostic apparatus, and a plurality of support members 32 and 33 arranged at the end of the sheet member 31. As shown in fig. 3, a surface fastener 41 as a connecting member is disposed on the surface of the sheet member 31. As shown in fig. 6, a surface fastener 42 as a connecting member is provided on the lower surface of the support member 33. Further, a hole 34 is formed in the support member 33, and a projection 35 engageable with the hole 34 formed in the support member 33 is formed in the support member 32.
When the subject M under examination is supported by the subject support apparatus for a nuclear medical diagnostic apparatus, the sheet member 31 is first placed on the placement unit 11 in the nuclear medical diagnostic apparatus as shown in fig. 3. Then, as shown in fig. 4, the support member 33 is fixed to the sheet member 31 by the surface fasteners 41 and 42. In this fixing, the fixing position of the support member 33 can be finely adjusted by the action of the surface fasteners 41 and 42. Then, the support member 32 is engaged with the support member 33 as necessary.
Thus, as shown in fig. 4, the subject support device is configured on the placement unit 11 in the nuclear medicine diagnostic apparatus. At the time of examination, the sheet member 31 is fixed by the subject M lying on its side on the sheet member 31. The subject M in a lateral lying state can be supported by the plurality of support members 32 and 33. Thus, the subject M can easily maintain the lateral position without suffering pain. In this case, the support member 33 is selected and used in accordance with not only the physique and posture of the subject M but also the support member 32 is selected and used in accordance with the physique and posture of the subject M, or the attachment position of the support member 33 to the sheet member 31 is changed, whereby the subject M can more easily maintain the lateral position.
At this time, the convex portion 35 formed on the lower surface of the support member 32 has an asymmetrical shape in the direction orthogonal to the longitudinal direction of the support member 32. Therefore, as shown in fig. 7 or 8, the external shape of the support members 32 and 33 that are engaged with each other can be changed by changing the engagement direction of the support member 32 with respect to the support member 33. Therefore, by changing the outer shapes of the supporting members 32 and 33 in accordance with the physique and posture of the subject M, the subject M can be supported in the most comfortable state for each subject M.
In the above embodiment, the sheet member 31 and the support member 33 are detachably connected by the surface connectors 41 and 42, but the sheet member 31 and the support member 33 may be detachably connected by another connection mechanism such as a button.
In the above embodiment, the following structure is adopted: the hole 34 is formed in the support member 33, the convex portion 35 that engages with the hole 34 is formed in the support member 32, and the plurality of support members 32, 33 are coupled to each other by engaging the hole 34 with the convex portion 35. However, the support member 32 and the support member 33 may be detachably connected by a connecting member such as a surface fastener. Further, by disposing a soft material having a large friction coefficient such as rubber on the contact surface between the support member 32 and the support member 33, it is possible to prevent the support member 32 and the support member 33 from sliding, and to provide an instruction to the subject M by disposing one at an arbitrary position with respect to the other.
Further, in the above-described embodiment, the subject support apparatus for a nuclear medical diagnostic apparatus according to the embodiment of the present invention is applied to a nuclear medical diagnostic apparatus for examining the breast and the axilla of the subject M, but the subject support apparatus for a nuclear medical diagnostic apparatus according to the embodiment of the present invention may be applied to a nuclear medical diagnostic apparatus which can examine other parts of the subject M such as the head of the subject M in addition to the breast and the axilla of the subject M.

Claims (6)

1. A subject support device for a nuclear medical diagnostic apparatus, which is used for a nuclear medical diagnostic apparatus capable of inspecting an armpit of a subject, the subject support device for the nuclear medical diagnostic apparatus comprising: an annular radiation detection unit in which an inspection space is formed; and a bed having a placement portion of the subject on an upper surface thereof, the placement portion of the subject having an opening portion formed therein that communicates with the examination space of the radiation detection portion, the subject support device for a nuclear medical diagnostic apparatus further including:
a sheet member mounted on the mounting portion; and
and a support member arranged at an end of the sheet member and supporting the subject.
2. The subject support apparatus for a nuclear medical diagnostic apparatus according to claim 1,
the sheet member is detachably connected to the support member by a connecting member.
3. The subject support apparatus for a nuclear medical diagnostic apparatus according to claim 2,
the connecting member is a surface connecting member disposed on an upper surface of the sheet member and a lower surface of the support member.
4. The subject support apparatus for a nuclear medical diagnostic apparatus according to any one of claims 1 to 3,
the support device is provided with a plurality of support members, and the support members are arranged in an overlapping manner.
5. The subject support apparatus for a nuclear medical diagnostic apparatus according to claim 4,
the support device further includes a connecting member that detachably connects the plurality of support members.
6. The subject support apparatus for a nuclear medical diagnostic apparatus according to claim 5,
a concave portion is formed in one of the plurality of support members, and a convex portion that engages with the concave portion is formed in the other support member, and the plurality of support members are coupled to each other by engaging the concave portion with the convex portion.
CN201911100290.6A 2018-12-06 2019-11-12 Subject support device for nuclear medicine diagnostic device Active CN111281413B (en)

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JP2018228628A JP7119963B2 (en) 2018-12-06 2018-12-06 Subject support device for nuclear medicine diagnostic equipment
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WO2011042513A1 (en) * 2009-10-07 2011-04-14 Franziska Rau Support cushion for supporting an infant
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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH04103104U (en) * 1991-01-22 1992-09-04 株式会社日立メデイコ Infant patient fixation device for X-ray CT
US20020095731A1 (en) * 2000-12-01 2002-07-25 Hall Toni L. Supports for appendages
WO2011042513A1 (en) * 2009-10-07 2011-04-14 Franziska Rau Support cushion for supporting an infant
JP3161989U (en) * 2010-04-08 2010-08-19 タカラベルモント株式会社 Biopsy biopsy examination table for mammo
CN103269670A (en) * 2010-11-18 2013-08-28 豪洛捷公司 Table for performing medical procedures
CN204394846U (en) * 2014-12-14 2015-06-17 丁丽华 A kind of Digestive System Department patient sick bed
JP2017121403A (en) * 2016-01-08 2017-07-13 公立大学法人福島県立医科大学 Mat for medical image diagnostic apparatus

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CN111281413B (en) 2024-01-12
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