EP1258176A1 - Method and arrangement relating to an x-ray imaging apparatus - Google Patents

Method and arrangement relating to an x-ray imaging apparatus

Info

Publication number
EP1258176A1
EP1258176A1 EP01942852A EP01942852A EP1258176A1 EP 1258176 A1 EP1258176 A1 EP 1258176A1 EP 01942852 A EP01942852 A EP 01942852A EP 01942852 A EP01942852 A EP 01942852A EP 1258176 A1 EP1258176 A1 EP 1258176A1
Authority
EP
European Patent Office
Prior art keywords
adjusting
ray
arrangement
pedals
control unit
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
EP01942852A
Other languages
German (de)
French (fr)
Inventor
Rolf Eriksson
Mats Danielsson
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Philips Digital Mammography Sweden AB
Original Assignee
Mamea Imaging AB
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from SE0000197A external-priority patent/SE522570C2/en
Application filed by Mamea Imaging AB filed Critical Mamea Imaging AB
Publication of EP1258176A1 publication Critical patent/EP1258176A1/en
Withdrawn legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
    • A61B6/50—Clinical applications
    • A61B6/502—Clinical applications involving diagnosis of breast, i.e. mammography
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
    • A61B6/06—Diaphragms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
    • A61B6/50—Clinical applications
    • A61B6/505—Clinical applications involving diagnosis of bone
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
    • A61B6/54—Control of apparatus or devices for radiation diagnosis
    • A61B6/545—Control of apparatus or devices for radiation diagnosis involving automatic set-up of acquisition parameters
    • H—ELECTRICITY
    • H05—ELECTRIC TECHNIQUES NOT OTHERWISE PROVIDED FOR
    • H05G—X-RAY TECHNIQUE
    • H05G1/00—X-ray apparatus involving X-ray tubes; Circuits therefor
    • H05G1/08—Electrical details
    • H05G1/26—Measuring, controlling or protecting
    • H05G1/30—Controlling
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
    • A61B6/46—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment with special arrangements for interfacing with the operator or the patient
    • A61B6/467—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment with special arrangements for interfacing with the operator or the patient characterised by special input means

Definitions

  • the present invention relates to a method and an arrangement for adjusting a number of settings in an x-ray imaging apparatus for recurrent mammography examinations, said apparatus comp ⁇ sing at least one x-ray source, a collimator arrangement and compression pedals for positioning and compressing the breast of a patient to be examined
  • the arrangement comp ⁇ ses control units for adjusting said number of settings of said x-ray imaging apparatus based on an identity of said person to be examined and data stored in a database, said data including a set of setting-data from at least one recent x-ray examination of said patient, a mam control unit communicating with a control unit for adjusting characte ⁇ stics of x-ray radiations from said x-ray source, a control unit for adjusting the position of said x-ray source, and an identity input device
  • the adjustment of an x-ray imaging apparatus and specially a mammogrphic imaging apparatus is normally a time consuming and labou ⁇ ous work, specially for a nurse or the operator responsible of the per- adjustment
  • the settings include the physical features of the apparatus such as the height of the x-ray source and the breast compression arrangement, respectively, with respect to the physical appearance of the patient, and the x-ray intensity and spectrum, e g through adjustment of the amount of power to the radiation source, the current between the anode and cathode of the x-ray tube and filtration of the x-rays
  • US 5,349,625 desc ⁇ bes an x-ray diagnostics installation for pe ⁇ pheral angiography examinations includes a control unit having an a ⁇ thmetic unit that, on the basis of subject- related data supplied thereto, effects a pre-setting of the elect ⁇ cal parameters of the installation required for every exposure, plus the step length and the number of steps of the relative adjustment of the exposure unit and the patient support relative to one another, as well as the required diaphragm setting.
  • the pre-setting stress on the patient is reduced, and since the overall time per examination is also reduced, patient throughput can be increased.
  • a patient positioning device in a medical panorama X-ray photographing apparatus in which after data of the relative position of the subject to the X-ray photographing apparatus supplied from a sensor is compared with data of the relative position of a tomographic zone to the X-ray photographing apparatus thus to produce compa ⁇ son data which is in turn transmitted to a d ⁇ ve circuit, a tomograph forming assembly and/or the subject is moved from coinciding with each other
  • the device further includes a compa ⁇ ng a ⁇ thmetic circuit in which the detected position data of the subject and position data of the tomographic zone are a ⁇ thmetically compared in order to improve operatabi ty and positioning accuracy
  • the device furthermore includes a sensor, which is adjustable for angular and vertical setting with the use of sensing position changing means in order to improve adaptability to individualities of the subject.
  • What is needed is an arrangement that allows an x-ray imaging apparatus, specially an apparatus for mammographic examination, to automatically assume settings specific for a certain person to be examined.
  • Advantages with the arrangement according to the present invention are that the burden on the operator and the patient reduces and the number of persons which can be examined and the examination flow increase as the pre-adjustment time reduces.
  • the initially mentioned arrangement further comp ⁇ ses a device for adjusting collimator slots widths based on information ret ⁇ eved from said database and/or a position of said pedals Moreover, the arrangement comp ⁇ ses means to detect the positions of said pedals, a compression sensor for sensing a pressure exerted by said pedals onto said breast and adjusting said pressure and position sensors for positioning said x-ray source
  • the identity input device is any one of a card reading device, a fmger p ⁇ nt sensor, a pin-code input device or a keyboard
  • the invention also relates to a method in initially mentioned arrangement, which is characte ⁇ sed by the steps of claiming an identity of said patient, upon receiving said identity ret ⁇ eving a set of setting data from at least one last x-ray examination of said person and/or a position of said pedals, and adjusting collimator slots' widths based on said information
  • a substantially manual adjustment is earned out and results of said substantially manual adjustment are registered for later examinations
  • Fig 1 is a schematic diagram illustrating an x-ray imaging according to the present invention
  • Fig 1 is a schematic diagram of a system employing an arrangement according to the invention, specially for mammography examming apparatus
  • the essential parts of the system 10 comp ⁇ se a radiation source 11, collimator means 12 and a pedal pares, including first and second compression pedals 13a and 13b, respectively
  • the female breast 14 is positioned between the compression pedals 13a and 13b
  • the upper compression pedal 13a is at least partly transparent to the x-ray radiation while lower pedal 13b can contain a film or a detector assembly (not shown).
  • the arrangement according to the invention mamly comp ⁇ ses a main control unit 15 and connected to it sub-control units 16-19.
  • the sub-control unit 16 is an x-ray source controller and for instance controls the x-ray intensity by controlling power level to the tube and the current between the cathode and anode of the x-ray tube
  • the sub-controller 17 is a step motor or the like for relocating the x-ray source 11 ho ⁇ zontal and/or vertical directions with respect to the breast's 14 position.
  • the sub-controller denoted 18 adjusts the collimator 12 features, e.g the width of the collimator slots.
  • the sub-controller 19 is a device, such as a step motor which displaces the pedals 13a, 13b relative each other and controls the pressure exerted onto the breast 14. It is also possible to move the entire apparatus including the x-ray source and the pedals 13a/13b vertically to adopt it to the patient's height.
  • collimator slit's width can be adjusted with regard to the patient data and/or the compressed breast thickness (distance between the pedals) to adjust the radiation dose. Hence, there is no need to adjust the slits' widths (in multi slits colhmators) under the examining.
  • the main control unit 15 also includes or communicates with an input device 20 and a data storage unit (database) 21.
  • the function of the control unit includes controlling the sub-control units based on the input from the input device and the storage unit.
  • the input device may be any of a card reading device, a biomet ⁇ c sensor, a PIN code input device, keyboard etc., well known for a skilled person.
  • the storage unit may be any of a memory unit, hard disk, CD-ROM etc., used for sto ⁇ ng data.
  • the storage unit may be implemented as a part of a Local Area Network (LAN), Wide Area Network (WAN), Internet, Intranet etc., with which the mam control unit communicates
  • the ma control unit has a computer unit structure of known type and mamly comp ⁇ ses a processing unit (not shown), memory and interfaces for communication with the other units or devices
  • the invention is most suitable for recurrent x-ray examinations, e.g mammographic examinations and specially for mass screening situations, as the settings of the system are depending on the patient's physical appearance, such as length, breast thickness etc.
  • the invention may also be used for bone densitometry examination. Following non limiting example simplifies the underrating of the invention:
  • the height of the pedals 13a, 13b, and the x-ray source is adjusted in a known way with respect to the height of the patient and the breast of the person is placed in between the compression pedals 13a, 13b exercising an amount of pressure on the breast.
  • the height of the pedals and the source are registered automatically by means of sensors ( or manually) and stored in a database 21 with relation to the patient identity.
  • the intensity, and exposure area and time of the x-ray beam is adjusted by adjusting the power and the current to the tube and possibly by adjusting the collimator 12. All settings are stored in the above-mentioned database for later use Sensors are provided for reading the setting values, however, a manual reading and data ente ⁇ ng may occur
  • the system is activated by ente ⁇ ng her identity through the input device 20, which can be an identity number, a social secu ⁇ ty number, a f ger p ⁇ nt or any other unique identifying code.
  • the main control unit Based on the identity of the person to be examined, and preferably after an identity check, the main control unit ret ⁇ eves the height, pedal pressure, x-ray intensity, focussing and exposure time and other relevant data from the database 21.
  • the mam control unit controls the sub-control units 16-19 with respect to the data ret ⁇ eved from the database
  • the step motor 17 positions the x-ray source 11 in a correct height
  • the pedals 13a and 13b are brought into correct height and the operator helps placing the breast of the patient between the pedals, which then brought together by the step motor 19 to compress the breast into a substantially flat body for best contrast.
  • the x-ray source is controlled based on the breast thickness to radiate with correct power. If there is a need for readjustment of the settings, the new settings are stored.
  • the system may be expanded by sto ⁇ ng the x-ray images in digital form, which for example can be used to inspect tumour changes
  • the invention is not limited the shown embodiments but can be va ⁇ ed in a number of ways without departing from the scope of the appended claims and the arrangement and the method can be implemented in va ⁇ ous ways depending on application, functional units, needs and requirements etc.

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  • Life Sciences & Earth Sciences (AREA)
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  • General Health & Medical Sciences (AREA)
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Abstract

The present invention relates to an arrangement for adjusting a number of settings in an x-ray imaging apparatus (10) for recurrent mammography examinations, said apparatus comprising at least one x-ray source (11), a collimator arrangement (12) and compression pedals (13a, 13b) for positioning and compressing the breast (14) of a patient to be examined. The arrangement comprises: control units (16-19) for adjusting said number of settings of said x-ray imaging apparatus based on an identity of said person to be examined and data stored in a database (21), said data including a set of setting-data from at least one recent x-ray examination of said patient, a main control unit (15) communicating with a control unit (16) for adjusting characteristics of x-ray radiations from said x-ray source (11), a control unit (17) for adjusting the position of said x-ray source (11) and an identity input device (20). The arrangement further comprises a device (19) for adjsuting collimator slots widths based on information retrieved from said database and/or a position of said pedals.

Description

METHOD AND ARRANGEMENT RELATING TO AN X-RAY IMAGING APPARATUS
TECHNICAL FIELD OF THE INVENTION
The present invention relates to a method and an arrangement for adjusting a number of settings in an x-ray imaging apparatus for recurrent mammography examinations, said apparatus compπsing at least one x-ray source, a collimator arrangement and compression pedals for positioning and compressing the breast of a patient to be examined The arrangement compπses control units for adjusting said number of settings of said x-ray imaging apparatus based on an identity of said person to be examined and data stored in a database, said data including a set of setting-data from at least one recent x-ray examination of said patient, a mam control unit communicating with a control unit for adjusting characteπstics of x-ray radiations from said x-ray source, a control unit for adjusting the position of said x-ray source, and an identity input device
BACKGROUND OF THE INVENTION
The adjustment of an x-ray imaging apparatus and specially a mammogrphic imaging apparatus is normally a time consuming and labouπous work, specially for a nurse or the operator responsible of the per- adjustment For each person to be examined, usually several settings must be modified The settings include the physical features of the apparatus such as the height of the x-ray source and the breast compression arrangement, respectively, with respect to the physical appearance of the patient, and the x-ray intensity and spectrum, e g through adjustment of the amount of power to the radiation source, the current between the anode and cathode of the x-ray tube and filtration of the x-rays
US 5,349,625 descπbes an x-ray diagnostics installation for peπpheral angiography examinations includes a control unit having an aπthmetic unit that, on the basis of subject- related data supplied thereto, effects a pre-setting of the electπcal parameters of the installation required for every exposure, plus the step length and the number of steps of the relative adjustment of the exposure unit and the patient support relative to one another, as well as the required diaphragm setting. By virtue of the pre-setting, stress on the patient is reduced, and since the overall time per examination is also reduced, patient throughput can be increased.
In US 4,907,251, a patient positioning device in a medical panorama X-ray photographing apparatus in which after data of the relative position of the subject to the X-ray photographing apparatus supplied from a sensor is compared with data of the relative position of a tomographic zone to the X-ray photographing apparatus thus to produce compaπson data which is in turn transmitted to a dπve circuit, a tomograph forming assembly and/or the subject is moved from coinciding with each other The device further includes a compaπng aπthmetic circuit in which the detected position data of the subject and position data of the tomographic zone are aπthmetically compared in order to improve operatabi ty and positioning accuracy The device furthermore includes a sensor, which is adjustable for angular and vertical setting with the use of sensing position changing means in order to improve adaptability to individualities of the subject.
These documents, however, do not consider the specific problems related to mammography, i.e. placing the breast of the patient in a correct position and compressing it to obtain an even tissue compression for obtaining good resolution
SUMMARY OF THE INVENTION
What is needed is an arrangement that allows an x-ray imaging apparatus, specially an apparatus for mammographic examination, to automatically assume settings specific for a certain person to be examined.
Advantages with the arrangement according to the present invention are that the burden on the operator and the patient reduces and the number of persons which can be examined and the examination flow increase as the pre-adjustment time reduces.
For this reason the initially mentioned arrangement further compπses a device for adjusting collimator slots widths based on information retπeved from said database and/or a position of said pedals Moreover, the arrangement compπses means to detect the positions of said pedals, a compression sensor for sensing a pressure exerted by said pedals onto said breast and adjusting said pressure and position sensors for positioning said x-ray source The identity input device is any one of a card reading device, a fmger pπnt sensor, a pin-code input device or a keyboard
The invention also relates to a method in initially mentioned arrangement, which is characteπsed by the steps of claiming an identity of said patient, upon receiving said identity retπeving a set of setting data from at least one last x-ray examination of said person and/or a position of said pedals, and adjusting collimator slots' widths based on said information According to the method under a first time examination of said person, a substantially manual adjustment is earned out and results of said substantially manual adjustment are registered for later examinations
BRIEF DESCRIPTION OF THE DRAWING
In the following, the invention will be further descπbed in a non limiting way with reference to the accompanying drawing, in which
Fig 1 is a schematic diagram illustrating an x-ray imaging according to the present invention
DETAILED DESCRIPTION OF ONE EMBODIMENT
Fig 1 is a schematic diagram of a system employing an arrangement according to the invention, specially for mammography examming apparatus
The essential parts of the system 10 compπse a radiation source 11, collimator means 12 and a pedal pares, including first and second compression pedals 13a and 13b, respectively The female breast 14 is positioned between the compression pedals 13a and 13b The upper compression pedal 13a is at least partly transparent to the x-ray radiation while lower pedal 13b can contain a film or a detector assembly (not shown).
The arrangement according to the invention mamly compπses a main control unit 15 and connected to it sub-control units 16-19. The sub-control unit 16 is an x-ray source controller and for instance controls the x-ray intensity by controlling power level to the tube and the current between the cathode and anode of the x-ray tube The sub-controller 17 is a step motor or the like for relocating the x-ray source 11 hoπzontal and/or vertical directions with respect to the breast's 14 position. The sub-controller denoted 18 adjusts the collimator 12 features, e.g the width of the collimator slots. The sub-controller 19 is a device, such as a step motor which displaces the pedals 13a, 13b relative each other and controls the pressure exerted onto the breast 14. It is also possible to move the entire apparatus including the x-ray source and the pedals 13a/13b vertically to adopt it to the patient's height.
One important feature is that the collimator slit's width can be adjusted with regard to the patient data and/or the compressed breast thickness (distance between the pedals) to adjust the radiation dose. Hence, there is no need to adjust the slits' widths (in multi slits colhmators) under the examining.
The main control unit 15 also includes or communicates with an input device 20 and a data storage unit (database) 21. The function of the control unit includes controlling the sub-control units based on the input from the input device and the storage unit. The input device may be any of a card reading device, a biometπc sensor, a PIN code input device, keyboard etc., well known for a skilled person. The storage unit may be any of a memory unit, hard disk, CD-ROM etc., used for stoπng data. Clearly, the storage unit may be implemented as a part of a Local Area Network (LAN), Wide Area Network (WAN), Internet, Intranet etc., with which the mam control unit communicates The ma control unit has a computer unit structure of known type and mamly compπses a processing unit (not shown), memory and interfaces for communication with the other units or devices
The invention is most suitable for recurrent x-ray examinations, e.g mammographic examinations and specially for mass screening situations, as the settings of the system are depending on the patient's physical appearance, such as length, breast thickness etc. The invention may also be used for bone densitometry examination. Following non limiting example simplifies the underrating of the invention:
If it is the first time examining a person, the height of the pedals 13a, 13b, and the x-ray source is adjusted in a known way with respect to the height of the patient and the breast of the person is placed in between the compression pedals 13a, 13b exercising an amount of pressure on the breast. The height of the pedals and the source are registered automatically by means of sensors ( or manually) and stored in a database 21 with relation to the patient identity. Depending on the breast or tissue thickness, the intensity, and exposure area and time of the x-ray beam is adjusted by adjusting the power and the current to the tube and possibly by adjusting the collimator 12. All settings are stored in the above-mentioned database for later use Sensors are provided for reading the setting values, however, a manual reading and data enteπng may occur
If the examination concerns a person having been examined before and her relevant data is stored in the database, the system is activated by enteπng her identity through the input device 20, which can be an identity number, a social secuπty number, a f ger pπnt or any other unique identifying code. Based on the identity of the person to be examined, and preferably after an identity check, the main control unit retπeves the height, pedal pressure, x-ray intensity, focussing and exposure time and other relevant data from the database 21. The mam control unit controls the sub-control units 16-19 with respect to the data retπeved from the database When the patient is placed on the x-raymg, the step motor 17 positions the x-ray source 11 in a correct height, the pedals 13a and 13b are brought into correct height and the operator helps placing the breast of the patient between the pedals, which then brought together by the step motor 19 to compress the breast into a substantially flat body for best contrast. Then the x-ray source is controlled based on the breast thickness to radiate with correct power. If there is a need for readjustment of the settings, the new settings are stored.
The system may be expanded by stoπng the x-ray images in digital form, which for example can be used to inspect tumour changes
The invention is not limited the shown embodiments but can be vaπed in a number of ways without departing from the scope of the appended claims and the arrangement and the method can be implemented in vaπous ways depending on application, functional units, needs and requirements etc.

Claims

1. An arrangement for adjusting a number of settings in an x-ray imaging apparatus (10) for recurrent mammography examinations, said apparatus comprising at least one x-ray source (11), a collimator arrangement (12) and compression pedals (13a, 13b) for positioning and compressing the breast (14) of a patient to be examined, said arrangement comprising:
- control units (16-19) for adjusting said number of settings of said x-ray imaging apparatus based on an identity of said person to be examined and data stored in a database (21), said data including a set of setting-data from at least one recent x-ray examination of said patient,
- a main control unit (15) communicating with a control unit (16) for adjusting characteπstics of x-ray radiations from said x-ray source (11),
- a control unit (17) for adjusting the position of said x-ray source (11), and
- an identity input device (20), characteπsed in that said arrangement further compπses a device (19) for adjusting collimator slots' widths based on information retπeved from said database and/or a position of said pedals.
2. The arrangement according to claim 1, compπsing means to detect the positions of said pedals (13a, 13b).
3. The arrangement according to claim 1 or 2, compπsing a compression sensor for sensing a pressure exerted by said pedals onto said breast and adjusting said pressure.
4. The arrangement according to any of preceding claims, characterised in that said identity input device is any one of a card reading device, a finger pπnt sensor, a pm- code input device or a keyboard.
5. The arrangement according to any of preceding claims, characterised in that it compπses position sensors for positioning said x-ray source
6. In an x-ray imaging apparatus (10) for recurrent mammography examinations, said apparatus compπsing at least one x-ray source (11), a collimator arrangement (12) and compression pedals (13a, 13b) for positioning and compressing the breast (14) of a patient to be examined, said arrangement compnsing-
- control units (16-19) for adjusting said number of settings of said x-ray imaging apparatus based on an identity of said person to be examined and data stored in a database (21), said data including a set of setting-data from at least one recent x-ray examination of said patient, - a main control unit (15) communicating with a control unit (16) for adjusting charactenstics of x-ray radiations from said x-ray source (11),
- a control unit (17) for adjusting the position of said x-ray source (11),
- an identity input device (20), a method of adjusting said settings, characterised by the steps of:
- claiming an identity of said patient,
- upon receiving said identity retπeving a set of setting data from at least one last x-ray examination of said person and/or a position of said pedals, and - adjusting collimator slots' widths based on said information
7. The method according to claim 6, characterised in that first time examination of said person, a substantially manual adjustment is earned out and results of said substantially manual adjustment are registered for later examinations.
EP01942852A 2000-01-24 2001-01-24 Method and arrangement relating to an x-ray imaging apparatus Withdrawn EP1258176A1 (en)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US17883900P 2000-01-24 2000-01-24
US178839P 2000-01-24
SE0000197 2000-01-24
SE0000197A SE522570C2 (en) 2000-01-24 2000-01-24 Arrangement relating to an X-ray imaging apparatus for adjusting a number of settings when performing recurrent mammography using recorded settings from recent X-rays
PCT/SE2001/000138 WO2001054463A1 (en) 2000-01-24 2001-01-24 Method and arrangement relating to an x-ray imaging apparatus

Publications (1)

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EP1258176A1 true EP1258176A1 (en) 2002-11-20

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JP (1) JP2003520115A (en)
AU (1) AU2001229016A1 (en)
WO (1) WO2001054463A1 (en)

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