JP2007313252A - X-ray device for bedside examination - Google Patents

X-ray device for bedside examination Download PDF

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JP2007313252A
JP2007313252A JP2006149018A JP2006149018A JP2007313252A JP 2007313252 A JP2007313252 A JP 2007313252A JP 2006149018 A JP2006149018 A JP 2006149018A JP 2006149018 A JP2006149018 A JP 2006149018A JP 2007313252 A JP2007313252 A JP 2007313252A
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ray
image
imaging
operator
carriage
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JP4656001B2 (en
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Hajime Takemoto
肇 武本
Hiroshi Miyata
博 宮田
Toshiaki Nakamura
俊晶 中村
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Shimadzu Corp
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Shimadzu Corp
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Abstract

<P>PROBLEM TO BE SOLVED: To solve a problem with an X-ray device for bedside examination wherein a supporting column exists at the front of a carriage shielding part of a field of vision ahead of an operator when advancing, requiring a certain degree of width because a weight is incorporated in the support, so that the operator needs to move his/her face right and left for safely advancing, causing much trouble to the operator. <P>SOLUTION: The X-ray device for bedside examination comprises a TV camera 14 and a TV camera 15 respectively installed on front surfaces in the vicinity of floor surface of the support 8 and the carriage 1. In a display device 4 to display X-ray images X-ray photographed, views ahead taken by the cameras are displayed while advancing. The operator 16 is thus capable of advancing safely by watching the images. <P>COPYRIGHT: (C)2008,JPO&INPIT

Description

本発明は病棟内等で回診することができるよう移動可能に構成された回診用X線装置に関する。   The present invention relates to a roundabout X-ray apparatus configured to be movable so that a roundabout can be performed in a ward or the like.

回診用X線装置は歩行困難な被検者をX線撮影するために病棟内等でベッドサイドまで移動させて使用するものである。以下図4および図5によりフラットパネル型検出器(以下FPDと記載する)を用いた回診用X線装置の構成例および動作例について説明する。図4は回診用X線装置の外観を示すものであり、図4(a)は側面図、図4(b)は操作者16側から見た図である。また図5は回診用X線装置の画像読取表示制御の回路構成を示すブロック図である。   The round-trip X-ray apparatus is used by moving to the bedside in a ward or the like in order to X-ray the subject who has difficulty walking. Hereinafter, a configuration example and an operation example of a roundabout X-ray apparatus using a flat panel detector (hereinafter referred to as FPD) will be described with reference to FIGS. 4A and 4B show the appearance of the round-trip X-ray apparatus. FIG. 4A is a side view and FIG. 4B is a view as seen from the operator 16 side. FIG. 5 is a block diagram showing a circuit configuration of image reading and display control of the round X-ray apparatus.

左右一対づつの前輪および後輪により走行可能な台車1上の前部に旋回自在に立設された支柱8に沿って上下動可能に取り付けられたX線管支持腕5は伸縮可能に構成され、その先端にX線管2およびコリメータ3が取り付けられている。そして支柱8内にはX線管支持腕5、X線管2およびコリメータ3と重量的にバランスをとるためのおもり9が設けられており、支柱8の上部に取り付けられた定滑車7に掛着されたワイヤ6の両端におもり9およびX線管支持腕5がそれぞれ繋着されている。そして走行時には安全のため図4に示すようにX線管支持腕5を台車1の上部に接するまで下降させ、X線管支持腕5内に設けられた支持腕固定棒10を降下させ、台車1の上部に設けられた孔部(図示しない)に挿入して固定することにより支柱8の旋回およびX線管支持腕5の上下動を禁止している。   The X-ray tube support arm 5 attached to the front portion of the carriage 1 that can be driven by a pair of left and right front wheels and rear wheels so as to be able to move up and down along a support column 8 is configured to be extendable. The X-ray tube 2 and the collimator 3 are attached to the tip. A weight 9 is provided in the column 8 to balance the weight of the X-ray tube support arm 5, the X-ray tube 2, and the collimator 3, and is attached to a fixed pulley 7 attached to the top of the column 8. A weight 9 and an X-ray tube support arm 5 are connected to both ends of the attached wire 6. For safety, as shown in FIG. 4, the X-ray tube support arm 5 is lowered until it comes into contact with the upper portion of the carriage 1, and the support arm fixing rod 10 provided in the X-ray tube support arm 5 is lowered. By inserting and fixing in a hole (not shown) provided at the top of 1, turning of the support column 8 and vertical movement of the X-ray tube support arm 5 are prohibited.

また台車1の内部には支持腕固定棒10が孔部に挿入されたときその先端部によりマイクロスイッチ11のレバーが押される位置にマイクロスイッチ11が取り付けられている。マイクロスイッチ11の出力は回診用X線装置を移動させるための台車1の後輪を駆動するモータ(図示しない)の最高回転速度を切り替えるために使われる。具体的には操作者16が、例えば二重の円筒構造の速度制御握り棒17の外筒を一杯に回したときのモータの回転速度が、マイクロスイッチ11のレバーが押されているときに比べて押されていないときは半分になるように設定されて、例えばベッドサイド等でX線管支持腕5が固定されていないときは高速で移動できないように安全上の配慮がなされている。さらにマイクロスイッチ11のレバーが押されているとき、システム制御部22はX線制御部29によるX線発生の動作を禁止している。   Further, inside the carriage 1, the microswitch 11 is attached at a position where the lever of the microswitch 11 is pushed by the tip when the support arm fixing rod 10 is inserted into the hole. The output of the micro switch 11 is used to switch the maximum rotation speed of a motor (not shown) that drives the rear wheel of the carriage 1 for moving the round-trip X-ray apparatus. Specifically, the rotational speed of the motor when the operator 16 fully turns the outer cylinder of the speed control gripping rod 17 having a double cylindrical structure, for example, is compared to when the lever of the micro switch 11 is pressed. When the X-ray tube support arm 5 is not fixed at the bedside or the like, for example, safety is taken into consideration so that it cannot move at high speed. Further, when the lever of the micro switch 11 is pressed, the system control unit 22 prohibits the X-ray generation operation by the X-ray control unit 29.

上記のように構成された回診用X線装置によって被検者のX線撮影を行うとき、回診用X線装置を被検者(図示しない)が仰臥するベッド(図示しない)の近くまで移動させ、X線管支持腕5を支柱8に沿って適当な高さまで上昇させた後、X線管2およびコリメータ3を支柱8の旋回機能およびX線管支持腕5の伸縮機能により被検者の上方の撮影に適した位置に配置する。その後移動時に台車1に収納されていたFPD12を被検者とベッドの間に挿入して位置決め配置した後、台車1の上部に設けられた操作パネル21を操作してX線照射を指示すると、台車1に内蔵されたX線制御部29の制御下でX線撮影が行われる。   When performing X-ray imaging of a subject with the round-trip X-ray apparatus configured as described above, the round-trip X-ray apparatus is moved to a position close to a bed (not shown) on which the subject (not shown) lies. After the X-ray tube support arm 5 is raised to an appropriate height along the support column 8, the X-ray tube 2 and the collimator 3 are moved by the turning function of the support column 8 and the expansion / contraction function of the X-ray tube support arm 5. Arrange it at a position suitable for upper shooting. Then, after the FPD 12 stored in the carriage 1 at the time of movement is inserted and positioned between the subject and the bed, the X-ray irradiation is instructed by operating the operation panel 21 provided on the upper part of the carriage 1. X-ray imaging is performed under the control of the X-ray control unit 29 built in the carriage 1.

撮影された画像はFPD12から画像処理装置20の画像処理部26に入力され、適当な画像処理がなされて画像記憶部27に記憶されるとともに、画像表示制御部28を経て表示装置支持金具13により台車1に取り付けられた表示装置4に表示される。なおシステム制御部22は回診用X線装置全体の動作を制御するものであり、たとえばマイクロコンピュータ等により構成される(例えば特許文献1参照)。
特開2006−55434
The captured image is input from the FPD 12 to the image processing unit 26 of the image processing device 20, subjected to appropriate image processing and stored in the image storage unit 27, and via the image display control unit 28 by the display device support bracket 13. It is displayed on the display device 4 attached to the carriage 1. The system control unit 22 controls the operation of the entire round X-ray apparatus, and is configured by, for example, a microcomputer (see, for example, Patent Document 1).
JP 2006-55434 A

一般的な回診用X線装置は例えば上記のように構成されているが、上述したように台車の前部に、内蔵されたおもりの横幅等により決まる横幅を有する支柱が存在し、走行時に操作者の前方の視界の一部を遮蔽する。また台車自身もある程度の高さと横幅を有し前方の視界の一部を遮蔽している。その結果操作者は回診用X線装置を移動させるとき安全な走行のためにしばしば顔を左右に移動させ支柱や台車の陰の部分を確認しなければならないが、このことは操作者にとって手間のかかることである。本発明はこの問題を解決するためのものである。   A general X-ray apparatus for round trips is configured as described above, for example. As described above, there is a support column having a width determined by the width of the built-in weight, etc. at the front of the carriage, which is operated during traveling. To block part of the field of vision in front of the person. Also, the cart itself has a certain height and width and shields a part of the front view. As a result, the operator often has to move his / her face to the left and right to check the shadows of the columns and trolleys for safe driving when moving the X-ray device for round trips. That's it. The present invention is intended to solve this problem.

請求項1記載の発明は上記の目的を達成するために、X線を照射するX線管と、X線撮影を行うX線撮影手段と、撮影されたX線画像を表示する表示手段を有する回診用X線装置において、前記回診用X線装置の前方を撮影するための撮影手段と、前記X線撮影手段と前記撮影手段のいずれの出力画像を前記表示手段に表示するかを切り替える入力切替手段を設けた回診用X線撮影装置を提供する。   In order to achieve the above object, the invention described in claim 1 includes an X-ray tube for irradiating X-rays, X-ray imaging means for performing X-ray imaging, and display means for displaying the X-ray image taken In the X-ray apparatus for round trips, an imaging unit for imaging the front of the X-ray apparatus for round trips, and input switching for switching which output image of the X-ray imaging unit or the imaging unit is displayed on the display unit An X-ray imaging apparatus for round visits provided with means is provided.

請求項2記載の発明は上記の目的を達成するために、前記撮影手段が1台または複数台のテレビカメラにより構成される請求項1記載の回診用X線撮影装置を提供する。   According to a second aspect of the present invention, in order to achieve the above object, the roundabout X-ray imaging apparatus according to the first aspect is provided, wherein the imaging means is constituted by one or a plurality of television cameras.

請求項3記載の発明は上記の目的を達成するために、前記X線管が移動可能に構成された請求項1または請求項2記載の回診用X線装置において、前記X線管を固定する手段と、前記X線管が固定されたことを検出する検出手段を設け、前記入力切替手段は前記検出手段の出力に応じて前記X線撮影手段からの画像と前記撮影手段からの画像の切り替えを行う回診用X線装置を提供する。   According to a third aspect of the present invention, in order to achieve the above object, in the X-ray apparatus for round visits according to the first or second aspect, the X-ray tube is fixed. And detecting means for detecting that the X-ray tube is fixed, and the input switching means switches between an image from the X-ray imaging means and an image from the imaging means in accordance with an output of the detecting means. An X-ray apparatus for round visits is provided.

本発明により操作者は回診用X線装置を移動させるとき、回診用X線装置に取り付けられたTVカメラにより撮影され、X線画像等を表示するための表示装置に表示された前方の景色を観察することにより、顔を左右に移動させることなく支柱や台車の陰の部分まで確認することができるので、移動時の負担が大幅に軽減される。   According to the present invention, when the operator moves the round X-ray apparatus, the operator can view a front view displayed on a display device for displaying an X-ray image or the like, which is taken by a TV camera attached to the round X-ray apparatus. By observing, it is possible to confirm even the shaded part of the column and the carriage without moving the face left and right, so that the burden during movement is greatly reduced.

X線撮影を行うX線撮影手段と、撮影されたX線画像を表示する表示手段を有する回診用X線装置において、前記回診用X線装置の前方の景色を撮影するための風景撮影手段と、前記X線撮影手段と前記風景撮影手段のいずれの出力画像を前記表示手段に表示するかを切り替える入力切替手段を設けたもので、風景撮影手段としてはTVカメラが利用され、しかも複数台備えられるのが望ましい。   In a roundabout X-ray apparatus having an X-ray radiographing means for performing X-ray radiography and a display means for displaying the radiographed X-ray image, a landscape radiographing means for photographing a scene in front of the roundabout X-ray apparatus; , Provided with an input switching means for switching which output image of the X-ray imaging means or the landscape imaging means is displayed on the display means, a TV camera is used as the landscape imaging means, and a plurality of images are provided. It is desirable that

本発明の実施例を図1および図2を用いて説明する。図1は本発明の回診用X線装置の外観を示すものであり、図1(a)は側面図、図1(b)は操作者16側から見た図である。また図2は本発明の回診用X線装置の画像読取表示制御の回路構成を示すブロック図である。ここで図1に示す回診用X線装置の従来の装置との最大の相違点は支柱8および台車1の床面付近の前面にそれぞれTVカメラ14およびTVカメラ15を取り付けた点である。なおこれらの図において図4または図5と同じ符号で示される部品等は図4または図5と同じものなのでそれらについての説明は省略する。   An embodiment of the present invention will be described with reference to FIGS. FIGS. 1A and 1B show the appearance of a roundabout X-ray apparatus of the present invention. FIG. 1A is a side view and FIG. 1B is a view as seen from the operator 16 side. FIG. 2 is a block diagram showing a circuit configuration of image reading and display control of the roundabout X-ray apparatus of the present invention. Here, the greatest difference between the round-trip X-ray apparatus shown in FIG. 1 and the conventional apparatus is that the TV camera 14 and the TV camera 15 are attached to the front surface of the support column 8 and the carriage 1 near the floor surface, respectively. In these drawings, the parts and the like denoted by the same reference numerals as those in FIG. 4 or 5 are the same as those in FIG. 4 or FIG.

回診用X線装置を被検者(図示しない)が仰臥するベッド(図示しない)の近くまで移動させた後X線撮影を行うとき、操作者16はX線管支持腕5を支柱8に沿って適当な高さまで上昇させた後、支柱8の旋回機能およびX線管支持腕5の伸縮機能によりX線管2およびコリメータ3を被検者の上方の撮影に適した位置に配置する。その後移動時に台車1に収納されていたFPD12を被検者とベッドの間に挿入して位置決め配置した後、台車1の上部に設けられた操作パネル21を操作してX線照射を指示すると、たとえばマイクロコンピュータ等により構成されシステム制御部22は台車1に内蔵されたX線制御部29にX線照射の指示を伝達するとともに、入力切替部25によりFPD12からの画像が画像処理部26に入力されるように切り換える。その後X線制御部29の制御下でX線撮影が行われると、撮影された画像はFPD12から画像処理部26に入力され、適当な画像処理がなされて画像記憶部27に記憶されるとともに、画像表示制御部28を経て表示装置4に表示される。その後操作者16はさらに撮影を行ったり、操作パネル21を操作して画像記憶部27に記憶された画像を表示装置4に再生表示して観察する等の作業を行う。   When X-ray imaging is performed after the round-trip X-ray apparatus is moved to the vicinity of a bed (not shown) on which a subject (not shown) lies, the operator 16 moves the X-ray tube support arm 5 along the column 8. Then, the X-ray tube 2 and the collimator 3 are arranged at a position suitable for imaging above the subject by the turning function of the support column 8 and the expansion / contraction function of the X-ray tube support arm 5. Then, after the FPD 12 stored in the carriage 1 at the time of movement is inserted and positioned between the subject and the bed, the X-ray irradiation is instructed by operating the operation panel 21 provided on the upper part of the carriage 1. For example, the system control unit 22 configured by a microcomputer or the like transmits an X-ray irradiation instruction to an X-ray control unit 29 built in the carriage 1, and an image from the FPD 12 is input to the image processing unit 26 by the input switching unit 25. Switch as expected. Thereafter, when X-ray imaging is performed under the control of the X-ray control unit 29, the captured image is input from the FPD 12 to the image processing unit 26, subjected to appropriate image processing, stored in the image storage unit 27, and The image is displayed on the display device 4 via the image display control unit 28. Thereafter, the operator 16 performs further operations such as photographing or operating the operation panel 21 to reproduce and display the image stored in the image storage unit 27 on the display device 4 for observation.

被検者に対する必要な作業が終了して回診用X線装置を別の場所に移動させるとき、操作者16は支柱8を旋回させ、さらにX線管支持腕5を下降させて、図1に示すようにX線管支持腕5内に設けられた支持腕固定棒10を降下させ、台車1の上部に設けられた孔部(図示しない)に挿入してX線管支持腕5を固定する。このとき支持腕固定棒10の先端部によりマイクロスイッチ11のレバーが押されると、背景技術の項で述べたようにマイクロスイッチ11の出力がシステム制御部22に入力されて、X線制御部29によるX線の発生が禁止され、かつ台車1の後輪を駆動するモータ(図示しない)の最高回転速度が低速から高速に切り換えられるとともに、AD変換部23を経て入力切替部25に入力されたTVカメラ14からの支柱8の前方の景色が画像処理部26に入力され、画像表示制御部28を経て表示装置4に表示される。   When the necessary work for the subject is completed and the round-trip X-ray apparatus is moved to another location, the operator 16 turns the support column 8 and lowers the X-ray tube support arm 5, as shown in FIG. As shown, the support arm fixing rod 10 provided in the X-ray tube support arm 5 is lowered and inserted into a hole (not shown) provided in the upper portion of the carriage 1 to fix the X-ray tube support arm 5. . At this time, when the lever of the micro switch 11 is pushed by the tip of the support arm fixing rod 10, the output of the micro switch 11 is input to the system control unit 22 as described in the background art section, and the X-ray control unit 29. The generation of X-rays is prohibited, and the maximum rotational speed of a motor (not shown) that drives the rear wheels of the carriage 1 is switched from low speed to high speed, and is input to the input switching section 25 via the AD conversion section 23. The scenery in front of the column 8 from the TV camera 14 is input to the image processing unit 26 and displayed on the display device 4 via the image display control unit 28.

この結果操作者16は表示装置4に表示されたTVカメラ14による画像を見ながら回診用X線装置を走行させることができる。さらに操作者16は操作パネル21を操作してTVカメラ15による床面付近の画像をAD変換部24等を経て表示装置4に表示させることもできるし、TVカメラ14および15による2画像を同時に表示装置4に表示させることもできる。また必要なら操作パネル21を操作して画像記憶部27に記憶された画像を再生表示させてそれまでに撮影されたX線画像を確認することもできる。   As a result, the operator 16 can run the round trip X-ray apparatus while viewing the image by the TV camera 14 displayed on the display device 4. Further, the operator 16 can operate the operation panel 21 to display an image near the floor surface by the TV camera 15 on the display device 4 via the AD conversion unit 24 or the like, or two images by the TV cameras 14 and 15 can be simultaneously displayed. It can also be displayed on the display device 4. Further, if necessary, the operation panel 21 can be operated to reproduce and display the image stored in the image storage unit 27 and confirm the X-ray images taken so far.

上記実施例では支柱8および台車1の床面付近の前面にそれぞれTVカメラ14およびTVカメラ15を取り付けたが、そのうちの1個を取り外し、どちらか1台だけの構成にしてもよい。   In the above embodiment, the TV camera 14 and the TV camera 15 are attached to the front surface of the support column 8 and the carriage 1 near the floor, respectively, but one of them may be removed and only one of them may be configured.

上記実施例では支持腕固定棒10によりマイクロスイッチ11のレバーが押されているか否かにより、FPD12によるX線画像またはTVカメラ14あるいはTVカメラ15による前方の景色のいずれの入力画像を表示装置4に表示するかを切り替え、TVカメラ14と15の切替およびこれらの入力画像と画像記憶部27からの再生画像との切替は操作パネル21を操作して行ったが、X線画像と前方の景色の切替についても操作パネル21を操作して行ってもよい。   In the above embodiment, the display device 4 displays either an X-ray image by the FPD 12 or an input image of the front scene by the TV camera 14 or the TV camera 15 depending on whether or not the lever of the micro switch 11 is pushed by the support arm fixing rod 10. Switching between the TV cameras 14 and 15 and switching between the input image and the reproduced image from the image storage unit 27 were performed by operating the operation panel 21. Switching may also be performed by operating the operation panel 21.

また図3(b)に示すように、台車31に比較的短い支柱38が取り付けられ、支柱38の上端部に、紙面に平行な面上で回転可能に保持され先端部にX線管32をとりつけたX線管支持腕35を有する回診用X線装置の場合、例えばTVカメラ34を図3(a)に示すように台車31の前面部に取り付け、その位置から見える景色を表示装置4に表示してもよい。   Further, as shown in FIG. 3B, a relatively short column 38 is attached to the carriage 31, and is held at the upper end of the column 38 so as to be rotatable on a plane parallel to the paper surface. In the case of a roundabout X-ray apparatus having an attached X-ray tube support arm 35, for example, a TV camera 34 is attached to the front surface of the carriage 31 as shown in FIG. It may be displayed.

本発明はX線画像を表示する表示装置4を備えた回診用X線装置全般に適用できるものであり、FPD12を用いた回診用X線装置に限定するものではない。   The present invention can be applied to all round X-ray apparatuses provided with the display device 4 for displaying X-ray images, and is not limited to the round X-ray apparatus using the FPD 12.

本発明は病棟内等で回診することができるよう移動可能に構成された回診用X線装置に関する。   The present invention relates to a roundabout X-ray apparatus configured to be movable so that a roundabout can be performed in a ward or the like.

本発明の回診用X線装置の実施例を説明するための図である。It is a figure for demonstrating the Example of the X-ray apparatus for round trips of this invention. 本発明の実施例を説明するための回路構成を示すブロック図である。It is a block diagram which shows the circuit structure for demonstrating the Example of this invention. 本発明の回診用X線装置の実施例を説明するための図である。It is a figure for demonstrating the Example of the X-ray apparatus for round trips of this invention. 従来の回診用X線装置の構成を説明するための図である。It is a figure for demonstrating the structure of the conventional X-ray apparatus for round trips. 従来の回診用X線装置の画像処理装置を中心にしたブロック図である。It is a block diagram centering on the image processing apparatus of the conventional X-ray apparatus for round trips.

符号の説明Explanation of symbols

1:台車
2:X線管
3:コリメータ
4:表示装置
5:X線管支持腕
6:ワイヤ
7:定滑車
8:支柱
9:おもり
10:支持腕固定棒
11:マイクロスイッチ
12:FPD
13:表示装置支持金具
14:TVカメラ
15:TVカメラ
16:操作者
17:速度制御握り棒
20:画像処理装置
21:操作パネル
22:システム制御部
23:AD変換部
24:AD変換部
25:入力切替部
26:画像処理部
27:画像記憶部
28:画像表示制御部
31:台車
32:X線管
34:TVカメラ
35:X線管支持腕
38:支柱
1: Cart 2: X-ray tube 3: Collimator 4: Display device 5: X-ray tube support arm 6: Wire 7: Fixed pulley 8: Strut 9: Weight 10: Support arm fixing rod 11: Micro switch 12: FPD
13: Display device support bracket 14: TV camera 15: TV camera 16: Operator 17: Speed control gripping rod 20: Image processing device 21: Operation panel 22: System control unit 23: AD conversion unit 24: AD conversion unit 25: Input switching unit 26: image processing unit 27: image storage unit 28: image display control unit 31: carriage 32: X-ray tube 34: TV camera 35: X-ray tube support arm 38: support column

Claims (3)

X線を照射するX線管と、X線撮影を行うX線撮影手段と、撮影されたX線画像を表示する表示手段を有する回診用X線装置において、前記回診用X線装置の前方を撮影するための撮影手段と、前記X線撮影手段と前記撮影手段のいずれの出力画像を前記表示手段に表示するかを切り替える入力切替手段を設けたことを特徴とする回診用X線装置。 An X-ray apparatus for rounds having an X-ray tube for irradiating X-rays, an X-ray imaging unit for performing X-ray imaging, and a display unit for displaying the captured X-ray images. An X-ray apparatus for round visits comprising: an imaging unit for imaging; and an input switching unit for switching which output image of the X-ray imaging unit or the imaging unit is displayed on the display unit. 前記撮影手段が1台または複数台のテレビカメラにより構成されることを特徴とする請求項1記載の回診用X線装置。 2. The round X-ray apparatus according to claim 1, wherein the imaging means is composed of one or a plurality of television cameras. 前記X線管が移動可能に構成された請求項1または請求項2記載の回診用X線装置において、前記X線管を固定する手段と、前記X線管が固定されたことを検出する検出手段を設け、前記入力切替手段は前記検出手段の出力に応じて前記X線撮影手段からの画像と前記撮影手段からの画像の切り替えを行うことを特徴とする回診用X線装置。 3. A roundabout X-ray apparatus according to claim 1, wherein the X-ray tube is configured to be movable, and means for fixing the X-ray tube and detection for detecting that the X-ray tube is fixed. And the input switching means switches between the image from the X-ray imaging means and the image from the imaging means in accordance with the output of the detection means.
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