GB2533807A - Method and apparatus for performing an imaging procedure of an object of interest - Google Patents

Method and apparatus for performing an imaging procedure of an object of interest Download PDF

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Publication number
GB2533807A
GB2533807A GB1423395.1A GB201423395A GB2533807A GB 2533807 A GB2533807 A GB 2533807A GB 201423395 A GB201423395 A GB 201423395A GB 2533807 A GB2533807 A GB 2533807A
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Prior art keywords
ray source
trajectory
interest
arm
planar
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GB1423395.1A
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GB201423395D0 (en
GB2533807B (en
Inventor
Louis Wilfrid Muller Serge
Gabriel Iordache Razvan
Vancamberg Laurence
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General Electric Co
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General Electric Co
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Priority to US14/984,865 priority patent/US10070835B2/en
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
    • A61B6/02Devices for diagnosis sequentially in different planes; Stereoscopic radiation diagnosis
    • A61B6/027Devices for diagnosis sequentially in different planes; Stereoscopic radiation diagnosis characterised by the use of a particular data acquisition trajectory, e.g. helical or spiral
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
    • A61B6/44Constructional features of apparatus for radiation diagnosis
    • A61B6/4429Constructional features of apparatus for radiation diagnosis related to the mounting of source units and detector units
    • A61B6/4458Constructional features of apparatus for radiation diagnosis related to the mounting of source units and detector units the source unit or the detector unit being attached to robotic arms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
    • A61B6/02Devices for diagnosis sequentially in different planes; Stereoscopic radiation diagnosis
    • A61B6/025Tomosynthesis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
    • A61B6/50Clinical applications
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
    • A61B6/50Clinical applications
    • A61B6/502Clinical applications involving diagnosis of breast, i.e. mammography

Abstract

A method of performing X-ray imaging, particularly for medical purposes like mammography, comprises placing the object of interest (e.g. the breast) on a support plate 6 above an X-ray detector (4 in figure 1), moving the X-ray source relative to the object along a non-planar trajectory 34, and activating the X-ray source 2 and detector to obtain the images. The X-ray source is mounted on a positioning assembly which comprises an arm (12 in figure 1), which can be robotic and controlled by the physician in a collaborative way (cobot) or by a computer. The non-planar trajectory 34 can be achieved by rotating and/or translating arm portions 12a,b,c of the arm through mechanical joints 12a,b. The method may further comprise simultaneously moving an auxiliary interventional or biopsy device 20b along a non-planar trajectory using a similar robotic arm 20, and the trajectories can be selected to avoid a collision between the X-ray source and the secondary device. Alternatively, the trajectory can be computed by taking into account the environment, the patient position, or pre-examination data.

Description

Method and Apparatus for Performing an Imaging Procedure of an Object of Interest
Technical Field
[0001] The present disclosure relates to the field of medical examination methods.
More particularly, the present disclosure relates to a method and an apparatus for performing an imaging procedure of an object of interest, in particular mammography.
Background
[0002] Breast cancer is a prolific cause of life threatening disease that affects millions worldwide. Because early detection greatly improves survival rates, screening methods, such as mammography, have been established to detect malignant lesions as early as possible, resulting.in earlier diagnosis and treatment.
[0003] Mammography devices, also referred as mammographs, conventionally comprise at least one x-ray source and a console which is arranged opposite said source and intended to receive and support the patient's breast. This console integrates a detector for detecting the x-rays after they have passed through the patient's breast (array of sensors, x-ray sensitive film cassette, etc.) and is associated with a breast compression paddle which is designed to compress the breast against the console when images are being taken. The x-ray source is supported by a mechanical arm of the mammograph, while the x-ray detector is placed under the console. The arm and the console are movable relative to one another and are mechanically coupled.
[0004] The mammograph, in order to perform the examination, has to move the x-ray source above the breast so as to acquire the x-ray images and it can move it only along a predetermined path (linear or arc-shaped) defined by the architecture of the mammograph itself The trajectories performed by the arm are planar.
[0005] The mammographs can be further provided with devices for an assisted manipulation of an instrument, such as for example an echographic probe, which the physician may want to use to conduct an additional examination over an area in which there is a possible lesion. However the physician, in order to use such devices, has to localize the lesion to be evaluated by mentally "superimposing" the image acquired by the mammograph over the breast. This requires a lot of efforts and often leads to imprecise localization of the lesion, which may be particularly detrimental.
[0006] In addition to the above, the mammographs can also be provided with an apparatus for performing the breast biopsy called biopsy positioner. Such positioner is an auxiliary device fixed, in a manner per se known, to the mammograph, to be used to perform a breast biopsy.
[0007] Collaborative robot or "cobot" are moreover well known in the art. A cobot makes possible a direct physical collaboration between a person and a computer controlled manipulator. Cobots may take a number of configurations common to conventional robots. In place of the actuators that move standard robots, cobots use variable transmission elements whose transmission ratio is adjustable under computer control by use of small steering motors. Cobots guide, redirect or steer motions that originate with the human operator. Thus, both the cobot and the human operator apply forces on a common object, which may be for example a tool.
[0008] Cobots are used in medical applications, for example applied to devices for performing a biopsy. However, in the medical field cobots are used only for small tools, which are light and easy to move, due to the difficulty in applying cobots design to big devices.
[0009] A problem with the common methods for performing an imaging procedure of an object of interest such as mammography is that the x-ray source can be moved only along a predetermined trajectory because the console is mechanically linked to the arm and because the number of degrees of freedom is limited. This limited set of planar trajectories is not optimal and limits artefacts corrections possibilities. It also causes ergonomic problems for the patient as she has to adapt her position to the system to avoid collision between the x-ray source and herself It also prevents the physician from easily accessing the breast. A further problem is that, when using the mammograph with this limited set of trajectories, for performing a breast biopsy, guided by stereotaxy or digital breast tomosynthesis, the biopsy positioner is fixed relatively to the detector, thus resulting in two limitations: some images cannot be acquired because of collision risk between x-ray source and biopsy device and images are partially unusable because the biopsy device itself hides a too big portion of the x-ray detector. In addition, the trajectory is the same as for standard mammography and it is not adapted to this configuration. Accordingly, there is the need to improve methods for performing imaging procedures such as mammography to increase patient comfort and enable physicians to perform more precise examinations by moving the mammograph arm along a safer and optimal path above the patient's breast allowing, at the same time, the ability to perform additional interventional steps such as a biopsy in a more comfortable way.
Summary of the invention
[0010] The embodiment of the present invention described herein is directed to a method and an apparatus for performing an imaging procedure of an object of interest, in particular a mammography (e.g. a method for performing a mammography examination or procedure) which solves the problems and disadvantages with the background art. This can be achieved by the features as defined by the independent claim. Further enhancements are characterized in the dependent claims.
[0011] In one aspect, the present disclosure is directed to a method for performing an imaging procedure by an imaging device comprising an x-ray source, an x-ray detector placed under a support plate for supporting an object of interest and arranged to detect the x-rays coming from the x-ray source after they have passed through the object of interest, and a positioning assembly for positioning the x-ray source with respect to the support plate comprising an arm. The method comprises placing an object of interest on the support plate, moving the x-ray source relative with the object of interest along a non-planar trajectory and activating the x-ray source and the x-ray detector so as to detect the x-rays coming from the x-ray source after they have passed through the object of interest, thus obtaining a set of x-ray images.
[0012] In another aspect of the present disclosure, the non-planar trajectory extends in a tridimensional space and not lies in a plane, such trajectory having at least a starting point, a next first intermediate point, a next second intermediate point and a next ending point non-planar.
[0013] In another aspect of the present disclosure, each portion of the trajectory between two consecutive points is non-planar.
[0014] In another aspect of the present disclosure, the x-ray source is moved by rotating and/or translating arm portions of the arm through mechanical joints connecting such arm portions to be controlled, so as to obtain collaborative guides and/or redirection of the motions of the x-ray source.
[0015] In another aspect of the present disclosure, the x-ray source is moved along a non-planar trajectory so as to avoid collision with an interventional device associated to the imaging device.
[0016] In another aspect of the present disclosure, an interventional device is moved along a non-planar trajectory above the object of interest so as to avoid collision between the interventional device and the x-ray source.
[0017] In another aspect of the present disclosure, the x-ray source is moved along a non-planar trajectory computed by taking into account the environment, and/or the patient position, and/or the biopsy device position, and/or the auxiliary arm position and/or a priori/pre-exam.
[0018] In another aspect of the present disclosure, x-ray source is dynamically moved along a non-planar trajectory computed by taking into account the environment, and/or the patient position, and/or the biopsy device position, and/or the auxiliary arm position and/or a priori/pre-exam and/or per-exam information.
[0019] In another embodiment the present invention is directed to an imaging device for acquiring images of an object of interest, comprising an x-ray source and an x-ray detector placed under a support plate for supporting an object of interest and arranged to detect the x-rays coming from the x-ray source after they have passed through object of interest, wherein the x-ray source is movable relative to the object of interest along a non-planar trajectory between an initial position and an ending position.
[0020] In another aspect of the present disclosure, the x-ray source is movable relative to the object of interest along a non-planar trajectory extending in a tridimensional space and not lying in a plane, such trajectory having a starting point, a next first intermediate point, a next second intermediate point and a next ending point, each portion of the trajectory between two consecutive points being non-planar.
[0021] In another aspect of the present disclosure, the imaging device further comprises an arm supporting the x-ray source and wherein the x-ray source is movable by rotating and/or translating arm portions through mechanical joints connecting such arm portions, so as to obtain collaborative guides and/or redirection of the motions of the x-ray source.
[0022] In another aspect of the present disclosure, the x-ray source is movable along a non-planar trajectory so as to avoid collision with an interventional device associated to the imaging device.
[0023] At least one of the above embodiments provides one or more solutions to the problems and disadvantages of the background art. One advantage that may be realized in the practice of some embodiments of the described method for performing an imaging procedure such as mammography is that easy displacement of the x-ray source can be obtained and an optimized screening, diagnostic or interventional breast procedures can be performed. Other technical advantages of the present disclosure will be readily apparent to one skilled in the art from the following description and claims. Various embodiments of the present application obtain only a subset of the advantages set forth. No one advantage is critical to the embodiments. Any claimed embodiment may be technically combined with any other claimed embodiment(s).
Brief description of the Drawings
[0024] The accompanying drawings illustrate exemplary embodiments of the disclosure and serve to explain, by way of example, the principles of the disclosure.
[0025] FIG. 1 is a perspective view of a mammography device used in a method for performing mammography according to an exemplary embodiment of the invention; [0026] FIG. 2 shows a perspective view of a mammography device used in a method for performing mammography according to an alternative embodiment of the invention; [0027] FIG. 3 shows a patient placed near the breast support plate of the device of FIG. 1 and the trajectory followed by the x-ray source according to the prior art; [0028] FIG. 4 is a mammography device according to the prior art; [0029] FIG. 5 is a front view of the plane on which lies the trajectory followed by the x-ray source of the mammography device of FIG. 4; [0030] FIG. 6 shows a patient placed near the breast support plate of the device of FIG. 1 and the trajectory followed by the x-ray source according to an embodiment of the present invention; [0031] FIG. 7 is a top view of the device of FIG. 1 with the arm in three different positions; [0032] FIG. 8 shows the prior art mammograph device of FIG. 4 provided with an auxiliary interventional device; [0033] FIG. 9 shows the device of FIG. 2 and the trajectory followed by the x-ray source according to an embodiment of the present invention; [0034] FIG. 10 is a signal reconstructed after detection from an x-ray detector when applying a method according to the prior art; [0035] FIG. 11 is a signal reconstructed after detection from an x-ray detector when applying a method according to an embodiment of the present invention; and [0036] FIG. 12 shows a flow chart of a method for performing mammography according to an exemplary* embodiment of the invention.
Detailed description
[0037] With reference first to FIG. 1, an imaging device for performing an imaging procedure such as mammography (e.g a mammography method used, for example, to conduct a breast examination or another x-ray imaging procedure) according to an exemplary embodiment of the method of the present invention is generally indicated by reference numeral 1. The device 1 generally comprises an x-ray source 2, an x-ray detector 4 placed under a support plate 6 supported by a supporting element 8, and a positioning assembly 10 for positioning the x-ray source 2 with respect to the support plate 6.
[0038] The support plate 6 is arranged to receive and support an object of interest, in particular a patient's breast; the x-ray detector 4 is arranged to detect the x-rays coming from the x-ray source 2 after they have passed through the patient's breast. The device 1 further comprises, in a manner per se known, a breast compression paddle (not shown in the figures) which is designed to compress the breast against the breast support plate when images are being taken.
[0039] The positioning assembly 10 comprises an arm 12 supported by a base 14, said arm 12 being decoupled from the x-ray detector 4 and having multiple degrees of freedom so that it can be easily moved in any desired direction above the object of interest. The arm 12 preferably comprises a plurality of arm portions 12a, 12b, 12c pivotally connected each other in respective joints 12a', 12b', so that each arm portion 12a, 12b, 12c can rotate with respect to its adjacent ones. Alternatively, the arm portions 12a, 12b, 12c are connected each other with other mechanical joints so that each arm portion 12a, 12b, 12c can translate with respect to its adjacent ones. Alternatively, the arm portions 12a, 12b, 12c can both rotate and translate relative to each other.
[0040] The arm 12 is a collaborative robot (cobot) which can be moved in a co-manipulated mode. This cobot is a computer-controlled robotic apparatus arranged to assist the physician by guiding and/or redirecting motions initiated by him/her. The cobot is therefore intended to physically interact with the physician in a predefined workspace and it includes for example at least a plurality of force sensors in each joint 12a', 12b', motors analysis units and/or sensitive surfaces. The cobot compensates for the gravity forces applied by the x-ray source 2 and enables the physician to manipulate the arm 12 easily. Alternatively, the arm 12 is a robot controlled by a computer.
[0041] The arm 12 can be moved independently from the support plate 6 and this allows the arm 12 to perform non-planar trajectories with respect to the x-ray detector 4. In the present description the term non-planar shall mean trajectories extending in a tridimensional space and not necessarily lying in a plane. The x-ray source trajectories can be determined by the knowledge of the patient position and/or the environment around the patient herself, in order to avoid obstacles in the work space of the device 1. The trajectories can be also computed based on a priori or pre-exam or per-exam information on the object to image.
[0042] In FIG. 2 is shown a perspective view of an imaging device according to an alternative embodiment of the invention. In this embodiment the device 1 further comprises an auxiliary arm 20 supported by a base 22 and arranged to cooperate with the x-ray source 2 and the x-ray detector 4 to perform an additional examination to mammography. The auxiliary arm 20 includes as non-limiting examples a US probe, a biopsy device, a compression system, or another interventional device that could be useful during mammography procedure. Preferably, the auxiliary arm 20 includes at least a first portion 20a supporting the interventional device 20b. The auxiliary arm 20 is a mechanical apparatus arranged to be manually positioned by the physician, or a robot or, more preferably, a cobot. The auxiliary arm 20 can also be moved along non-planar trajectories.
[0043] In FIG. 3 is shown a patient 30 placed near the support plate 6 and a trajectory 32 that is followed by the x-ray source when applying prior art methods for performing an imaging procedure such as mammography. In well-known prior art imaging devices such as mammographs, as shown for example in FIG.4, there is an x-ray source 50 supported by a gantry 51, which is an arm mechanically linked with a console 52 supporting the x-ray detector 54. The console 52 comprises a breast support plate 56 and the x-ray detector 54 is placed under the breast support plate 56. The gantry 51 can rotate around an axis, about a pivot joining it to the console 52, so that the x-ray source 50 moves above the x-ray detector 54 along a trajectory 32 lying in a plane 33 perpendicular to the surface of the breast support plate 56, as shown in FIG. 5. The trajectory 32 is fixed, preferably arc-shaped, and determined by the mechanical link between the console 52 and the arm 51 supporting the x-ray source 50. The arm 51 is a rigid element that makes the x-ray source 50 move along a curvilinear axis 58 (see FIG. 4), preferably arc-shaped, for a predetermined length. The arm 51 is pivotally connected, at one end thereof, to the console 52, and the x-ray source 50 is placed at the other end of the arm 51. Therefore, when the arm 51 pivots, the x-ray source 50 can only move along the fixed trajectory 32.
[0044] The trajectory 32 has a starting point 32a, which correspond to the initial position of the x-ray source 50 before that the arm 51 starts to pivot, and an ending point 32b, which correspond to the final position of the x-ray source 50 when the mammography examination or procedure is finished and the arm 51 has terminated its rotation about the pivot.
[0045] Returning now to FIG. 3, it is clear that the patient 30 in certain positions may hide or obstruct a portion of the x-ray detector 4 and may also hide or obstruct a portion of her own breast (object of interest) because her head and shoulder areas are generally positioned directly above her breast. When acquiring images using the x-ray source 50 moving along the trajectory 32, the collision risk between the x-ray source 50 and the patient is high, therefore image acquisition may not be possible. To free the space above her breast to enable image acquisition, the patient has to straighten her back in an unnatural and uncomfortable manner.
[0046] In FIG. 6 is shown the patient 30 placed near the support plate 6 of the mammography device of FIG. 1 and a non-planar trajectory 34 having at least a starting point 34a, a first intermediate point 34b, a second intermediate point 34c and an ending point 34d, such trajectory 34 being followed by the x-ray source 2 when applying the method according to embodiments of the invention. The at least four points of the trajectory 34 are non-planar. Each portion of the trajectory 34, i.e a first portion between the starting point 34a and the first intermediate point 34b, a second portion between the first intermediate point 34b and the second intermediate point 34c, and a third portion between the second intermediate point 34c and the ending point 34d are non-planar. Alternatively, the first, second and third portions between two consecutive points of the trajectory 34 are planar but the trajectory points 34a, 34b, 34c and 34d are non-planar. The x-ray source 2 moves independently from the breast support plate 6 along a curvilinear non-planar trajectory, thus allowing the x-ray source 2 to avoid collision risks with the patient herself.
[0047] In FIG. 7 is shown a top view of the imaging device of FIG. 1 in which the arm 12 is depicted in three consecutive positions: in a first position 60 the arm 12 places the x-ray source 2 in the starting point 34a of the trajectory 34, then the arm 12 moves in a second position 62, corresponding to the first intermediate point 34b of the trajectory 34, and finally the arm 12 moves in a third position 64, corresponding either to the second intermediate point 34c of the trajectory 34 or to the ending point 34d of the trajectory 34.
[0048] The arm 12 is initially moved by the physician and then it automatically continues, guides, modifies and/or redirects the movement so as to complete it according to the desires of the physician. Thanks to the fat that the arm 12 is a collaborative robot arm, when its portions 12a, 12b, 12c are moved they can each collaborate with the source of the motion (the manual one) so as to adjust it. The cobot arm portions 12a, 12b, 12c guide, redirect and/or steer motions that originate with the human operator when he/she places the x-ray source 2 in the starting position 34a. Thus, both the cobot arm 12 and the human operator apply forces on the x-ray source 2, with the cobot arm 12 essentially guessing and/or interpreting the desired motions (rotations, translation, etc.) of the human operator. The cobot can also compensate for the x-ray source weight. The cobot arm portions 12a, 12b, 12c use variable transmission elements whose transmission ratios are adjustable under computer control by use of small steering motors.
[0049] In FIG. 8 is shown the prior art imaging device of FIG. 4 provided with an auxiliary interventional device 60, such as for example a biopsy positioner having a needle 62. If the needle 62 or an element of the interventional device 60 is placed on the trajectory 32 followed by the x-ray source 50, due to constructional constraints of the mammograph, the x-ray source 50 can be partially hidden or obstructed by the interventional device 60, thus resulting in poor image acquisition. In addition, a stereo control view of the acquired images or a digital breast tomosynthesis biopsy is improbable if not impossible due to likely collisions between the x-ray source 50 and the interventional device 60 (or a part thereof).
[0050] In FIG. 9 is shown the imaging device of FIG. 2 and the trajectory 34 followed by the x-ray source 2 according to an embodiment of the present invention. It is evident that the x-ray source 2 can be moved independently from the auxiliary arm supporting the interventional device 20b, thus avoiding collisions between the two devices. The x-ray source 2 can move around the interventional device 20b, thus allowing safer image acquisition and improvement of the image quality of the acquired images and optimization of the method for performing breast imagining procedures, due to minimization of the part of the x-ray detector 4 hidden by the interventional device 20b. Alternatively, the auxiliary arm can be moved around the x-ray source 2 along a non-planar trajectory as disclosed above, so that the interventional device 20b does not hit the x-ray source 2.
[0051] With reference to FIG. 10, a signal reconstructed after detection from an x-ray detector when applying a method according to the prior art is generally indicated 40. The signal 40 is obtained by applying, using the mammography device of FIG. 4, a test on a Defrise phantom, wherein a plurality of samples of an x-ray signal coming from the x-ray source 50 are collected by the x-ray detector 54 when the x-ray source 50 moves above the phantom along the arc-shaped trajectory 32. The signal 40 is reconstructed from the x-ray detector 54 after receiving the original x-ray beam coming from the x-ray source 50. The signal level (y axis of the graph of FIG. 10) is depicted as a function of the distance to the chestwall, and the unit is the pixel of the image acquired by the mammograph. The signal quality degrades rapidly when going away from the chestwall.
[0052] In FIG. 11 is shown a signal 42 reconstructed after detection from an x-ray detector when applying a method according to an embodiment of the present invention. The signal 42 is obtained by applying, using the mammography device of FIG. 1, a test on a Defrise phantom, wherein a plurality of samples of the x-ray signal coming from the x-ray source 2 are collected by the x-ray detector 4 when the x-ray source 2 moves above the phantom along the zig-zag trajectory 34. The profile of the signal 42 detected by the x-ray detector 4 and corresponding to the original x-ray beam sent by the x-ray source 2 is better reconstructed with respect to the profile of the signal 40 depicted in FIG. 10. With the expression "better reconstructed" it is meant that the detected signal better and more uniformly matches the original phantom signal [0053] FIG. 12 shows a flow chart according to an embodiment of a method 100 for performing an imaging procedure using a device 1. As indicated above, the device 1 comprises an x-ray source 2, an x-ray detector 4 placed under a support plate 6 for supporting an object of interest, in particular a patient's breast, and arranged to detect the x-rays coming from the x-ray source 2 after they have passed through the object of interest, and a positioning assembly 10 for positioning the x-ray source 2 with respect to the support plate 6 comprising a collaborative robot arm 12. Said method comprises at least the steps set forth following.
[0054] According to a first method step 101 an object of interest is placed on the support plate 6. In method step 102 the x-ray source 2 is moved along a non-planar trajectory. In method step 103 the x-ray source 2 is activated and the x-ray detector 4 detects the object of interest, thus obtaining a set of x-ray images.
[0055] In method step 104 the arm portions 12a, 12b, 12c of the arm 12 are rotated and/or translated through the mechanical joints 12a', 12b' connecting such arm portions 12a, 12b, 12c to be controlled, thus obtaining collaborative guides and/or redirection of the motions. In method step 105 the auxiliary arm 20 is moved along a non-planar trajectory above the object of interest, to perform an additional examination such as, for example, a biopsy or an echography.
[0056] In method step 106 the x-ray source 2 is moved along a non-planar trajectory computed by taking into account the environment and the patient position, and/or the biopsy device position, and/or the auxiliary arm 20 position, and/or a priori/preexam/per-exam information. Preferably, the x-ray source is dynamically moved. The dynamically movement refers, in particular, to the fact that the trajectory of the x-ray source 2 is updated during the examination according to the patient's movements, the changes of the environment, etc. If the patient moves during the image acquisition, the arm 12 automatically adapts the trajectory of the x-ray source 2 to the new patient position. In each time instant the computer of the arm 12 calculates the optimal trajectory for the x-ray source 2 taking into account the position of the patient in the previous time instant, the movement of the patient, the presence of obstacles in the environment, etc. [0057] Thanks to the fact that non-planar trajectories are followed when applying the method according to an embodiment of the invention, the image quality increases and also the capability to adapt the trajectory to the actual patient position and/or to the environment around the patient and/or per-exam information is improved In this way, x-ray artefacts of the images are avoided; the final examination can be also adapted to a priori and/or pre-exam and/or per-exam information on the object to image and the position of the patient can be natural and ergonomic.
[0058] This description uses examples to disclose the invention, including the best mode, and also to enable any person skilled in the art to practice the invention, including making and using any devices or systems and performing any incorporated methods. The patentable scope of the invention is defined by the claims, and may include other examples that occur to those skilled in the art.
LIST OF ELEMENTS
1 device for performing a mammography 2 x-ray source 4 x-ray detector 6 breast support plate 8 supporting element positioning assembly 12 arm 12a, 12b, 12c arm portions 12a', 12b' joints 14 base auxiliary arm 20a first portion 20b interventional device 22 base patient
32 prior art trajectory
34 trajectory
prior art diagram
42 diagram method 101 first method step 102 second method step 103 third method step 104 fourth method step fifth method step 106 sixth method step

Claims (12)

  1. What is claimed is: 1. A method for performing an imaging procedure using an imaging device comprising an x-ray source, an x-ray detector placed under a support plate for supporting an object of interest and arranged to detect the x-rays coming from the x-ray source after they have passed through the object of interest, and a positioning assembly for positioning the x-ray source with respect to the support plate comprising an arm, the method comprising: placing an object of interest on the support plate; moving the x-ray source relative with the object of interest along a non-planar trajectory; activating the x-ray source and the x-ray detector so as to detect the x-rays coming from the x-ray source after they have passed through the object of interest, thus obtaining a set of x-ray images.
  2. 2. The method according to claim 1, wherein the non-planar trajectory extends in a tridimensional space not lying in a plane, such trajectory having at least a starting point, a next first intermediate point, a next second intermediate point and a next ending point non-planar.
  3. 3. The method according to claim 2, wherein each portion of the trajectory between two consecutive points is non-planar.
  4. 4. The method according to any of the preceding claims, wherein the x-ray source is moved by rotating and/or translating arm portions of the arm through mechanical joints connecting such arm portions to be controlled, so as to obtain collaborative guides and/or redirection of the motions of the x-ray source.
  5. 5. The method according to any of the preceding claims, further comprising moving the x-ray source along a non-planar trajectory so as to avoid collision with an interventional device associated to the imaging device.
  6. 6. The method according to any of the preceding claims, further comprising moving an interventional device along a non-planar trajectory above the object of interest so as to avoid collision between the interventional device and the x-ray source.
  7. 7. The method according to any of the preceding claims, wherein the x-ray source is moved along a non-planar trajectory computed by taking into account the environment, and/or the patient position, and/or the biopsy device position, and/or the auxiliary arm position and/or a priori/pre-exam.
  8. 8. The method according to any of the claims 1 to 6, wherein the x-ray source is dynamically moved along a non-planar trajectory computed by taking into account the environment, and/or the patient position, and/or the biopsy device position, and/or the auxiliary arm position and/or a priori/pre-exam and/or per-exam information.
  9. 9. An imaging device for acquiring images of an object of interest, comprising an x-ray source; and and an x-ray detector placed under a support plate for supporting an object of interest and arranged to detect the x-rays coming from the x-ray source after they have passed through object of interest, wherein the x-ray source is movable relative to the object of interest along a non-planar trajectory between an initial position and an ending position.
  10. 10. The device according to claim 8, wherein the x-ray source is movable relative to the object of interest along a non-planar trajectory extending in a tridimensional space and not lying in a plane, such trajectory having a starting point, a next first intermediate point, a next second intermediate point and a next ending point, each portion of the trajectory between two consecutive points being non-planar.
  11. 11. The device according to claim 8 or 9, wherein the device further comprises an arm supporting the x-ray source and wherein the x-ray source is movable by rotating and/or translating arm portions through mechanical joints connecting such arm portions, so as to obtain collaborative guides and/or redirection of the motions of the x-ray source.
  12. 12. The device according to any of the claims 8 to 10, wherein the x-ray source is movable along a non-planar trajectory so as to avoid collision with an interventional device associated to the imaging device.
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Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4894855A (en) * 1985-10-09 1990-01-16 Siemens Aktiengesellschaft X-ray diagnostics system having suspended position adjustable components
US20110276179A1 (en) * 2008-10-14 2011-11-10 University Of Florida Research Foundation, Inc. Imaging platform to provide integrated navigation capabilities for surgical guidance
US20120029694A1 (en) * 2010-08-02 2012-02-02 Kuka Laboratories Gmbh Medical Work Station

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4894855A (en) * 1985-10-09 1990-01-16 Siemens Aktiengesellschaft X-ray diagnostics system having suspended position adjustable components
US20110276179A1 (en) * 2008-10-14 2011-11-10 University Of Florida Research Foundation, Inc. Imaging platform to provide integrated navigation capabilities for surgical guidance
US20120029694A1 (en) * 2010-08-02 2012-02-02 Kuka Laboratories Gmbh Medical Work Station

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