JP2009148467A - Medical diagnostic system, ultrasonic diagnostic apparatus, ultrasonic probe, and x-ray diagnostic apparatus - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To eliminate troublesome coordination between operators of an ultrasonic diagnostic apparatus and other medical diagnostic apparatuses. <P>SOLUTION: An ultrasonic diagnostic apparatus side connecting section 18 of the ultrasonic diagnostic apparatus 1 and an X-ray diagnostic apparatus side connecting section 33 of an X-ray diagnostic apparatus 2 are connected. A directing signal generated at an X-ray diagnostic apparatus operating section 111 arranged on an ultrasonic probe 11 of the ultrasonic diagnostic apparatus 1 is transmitted via the connecting sections to the X-ray diagnostic apparatus 2 side. With such a configuration, an operator of the ultrasonic diagnostic apparatus 1 can operate each unit of the X-ray diagnostic apparatus 2. <P>COPYRIGHT: (C)2009,JPO&INPIT

Description

  The present invention relates to a medical diagnostic system, an ultrasonic diagnostic apparatus, an ultrasonic probe, and an X-ray diagnostic apparatus, and particularly used when an ultrasonic diagnostic apparatus and an X-ray diagnostic apparatus are used together as an aid for treatment of a body cavity such as a blood vessel. The present invention relates to a medical diagnostic system, an ultrasonic diagnostic apparatus, an ultrasonic probe, and an X-ray diagnostic apparatus.

  A plurality of different types of medical diagnostic apparatuses for the purpose of improving the treatment efficiency by using different types of medical diagnostic apparatuses such as an X-ray diagnostic apparatus, an ultrasonic diagnostic apparatus, an X-ray CT apparatus, and a magnetic resonance imaging apparatus together There are many medical diagnostic systems having However, there are also adverse effects caused by using different medical diagnostic apparatuses together.

  Here, a combination example of an X-ray diagnostic apparatus and an ultrasonic diagnostic apparatus will be taken up.

  Catheter treatment is performed as a method for diagnosing and treating ischemic heart diseases such as angina pectoris and myocardial infarction that develop when the coronary arteries of the heart are stenotic and the blood supply is reduced or interrupted. The catheter is an elongated tube made of a synthetic resin, and the catheter treatment is performed by inserting a catheter from a peripheral artery such as a patient's thigh or arm, and advancing the distal end of the catheter to the affected area for diagnosis and treatment.

  Conventionally, an X-ray diagnostic apparatus has been widely used to assist an operator when inserting a catheter. The X-ray diagnostic apparatus transmits X-rays into a subject and images the transmission image. As means for acquiring X-ray images, strong X-rays are radiated in a short period of time, "imaging" to obtain a clearer image, and weak X-rays are emitted when X-rays are continuously emitted. Then there is “perspective” to obtain an image.

  X-ray diagnostic apparatuses have a wide range of applications, and various apparatuses have been developed for different diagnostic purposes. An example of a procedure for catheter treatment using this X-ray diagnostic apparatus will be described. First, the doctor inserts the catheter into the affected area while checking the catheter in the blood vessel using the X-ray fluoroscopic image obtained by the X-ray diagnostic apparatus, and after the catheter reaches the affected area, the affected area can be imaged from all angles by X-rays. Done.

  Thereafter, the confirmed affected area was treated with a catheter. However, in recent years, in order not to overlook lesions that cannot be confirmed by fluoroscopy and radiography using X-rays, attention has been focused on a method for identifying an affected area using an ultrasonic diagnostic apparatus (see, for example, Patent Document 1).

  In particular, in the case of catheter treatment for pediatric patients, in order to avoid exposure, it is necessary to suppress the X-ray irradiation amount and irradiation time as compared with the case of adult patients. Even in such a case, the combined use of the X-ray diagnostic apparatus and the ultrasonic diagnostic apparatus is effective.

  The ultrasound diagnostic device uses an ultrasound probe in which a plurality of ultrasound transducers are arranged to perform ultrasound transmission and reception in multiple directions within the subject, and an image generated based on the ultrasound echo obtained at this time The data is displayed on the monitor, and it is possible to observe 2D images and 3D images in the body in real time with a simple operation by simply bringing the ultrasound probe into contact with the body surface. Widely used for functional diagnosis.

By using this ultrasonic diagnostic apparatus together with an X-ray diagnostic apparatus at the time of catheter treatment, exposure to a patient during surgery can be reduced.
JP-A-5-84248

  However, when the X-ray diagnostic apparatus and the ultrasonic diagnostic apparatus are used in combination, since the operator who performs the imaging differs for each apparatus, troublesome cooperation is required between the respective operators of the X-ray diagnostic apparatus and the ultrasonic diagnostic apparatus. . For example, in the case of X-ray irradiation, the operator of the X-ray diagnostic apparatus confirms that the operator's hand of the ultrasonic diagnostic apparatus has been withdrawn from the X-ray irradiation field, and performs fluoroscopy and imaging with the X-ray. It must be made.

  The present invention has been made in consideration of such circumstances, and its purpose is to eliminate troublesome cooperation between operators of the ultrasonic diagnostic apparatus and other medical diagnostic apparatuses. .

  In order to achieve the above object, a medical diagnostic system according to claim 1 of the present invention transmits an ultrasonic pulse from an ultrasonic probe to a subject in response to an instruction from an operation unit, and is reflected from the subject. An ultrasonic diagnostic apparatus that receives an ultrasonic echo, generates and displays an ultrasonic image based on the received ultrasonic echo, and a medical diagnostic apparatus having a function different from the ultrasonic diagnostic apparatus are wired communication Or by wireless communication, the ultrasonic diagnostic apparatus generates an instruction signal for the medical diagnostic apparatus, and transmits an instruction signal transmission means for transmitting the instruction signal to the medical diagnostic apparatus. The medical diagnostic apparatus is provided in an ultrasonic probe, the medical diagnostic apparatus receives the instruction signal transmitted from the ultrasonic diagnostic apparatus, and the medical diagnosis apparatus based on the received instruction signal. Characterized in that a control means for controlling the operation of the disconnection device.

  An ultrasonic diagnostic apparatus according to claim 10 of the present invention is based on an ultrasonic probe that transmits an ultrasonic pulse to a subject and receives an ultrasonic echo reflected from the subject, and the ultrasonic echo. An ultrasonic diagnostic apparatus comprising ultrasonic image generating means for generating an ultrasonic image and ultrasonic image display means for displaying the ultrasonic image, wherein the medical diagnostic apparatus has a function different from that of the ultrasonic diagnostic apparatus And an instruction signal transmitting means for generating an instruction signal for the medical diagnostic apparatus and transmitting the instruction signal to the medical diagnostic apparatus, the operation unit, or the ultrasonic probe. It is characterized by providing in.

  An ultrasonic probe according to claim 19 of the present invention transmits an ultrasonic pulse to a subject, receives an ultrasonic echo reflected from the subject, and performs ultrasonic processing based on the received ultrasonic echo. An ultrasonic diagnostic apparatus that generates and displays a sound image, has a function different from that of the ultrasonic diagnostic apparatus, and generates an instruction signal to the medical diagnostic apparatus connected to the ultrasonic diagnostic apparatus by wired communication or wireless communication. And an instruction signal transmitting means for transmitting the instruction signal to the medical diagnostic apparatus.

  An X-ray diagnostic apparatus according to claim 28 of the present invention is configured to irradiate the subject with X-rays, detect the X-rays transmitted through the subject, and obtain the subject obtained from the detected X-rays. An X-ray image is generated and displayed based on the X-ray absorption information of the specimen, an ultrasonic pulse is transmitted from the ultrasonic probe to the subject in response to an instruction from the operation unit, and the ultrasound reflected from the subject It is connected with an ultrasonic diagnostic apparatus that receives an echo and generates and displays an ultrasonic image based on the received ultrasonic echo by wired communication or wireless communication, and has been transmitted from the ultrasonic diagnostic apparatus It is characterized by comprising receiving means for receiving the instruction signal and control means for controlling the operation based on the received instruction signal.

  According to the present invention, troublesome cooperation between operators of an ultrasonic diagnostic apparatus and other medical diagnostic apparatuses in treatment can be omitted. For this reason, improvement of treatment efficiency is achieved.

  Embodiments of the present invention will be described below with reference to the drawings.

  The configuration of the ultrasonic diagnostic apparatus 1, the X-ray diagnostic apparatus 2, and the ultrasonic probe 11 included in the medical diagnostic system 100 in this embodiment will be described with reference to FIGS.

  In this embodiment, the X-ray diagnostic apparatus 2 is used as another medical diagnostic apparatus in combination with the ultrasonic diagnostic apparatus 1. However, the present invention is not limited to this, and the magnetic resonance imaging apparatus is another medical diagnostic apparatus. Or an X-ray CT apparatus may be used.

(Constitution)
(Configuration of the ultrasonic diagnostic apparatus 1)
The ultrasonic diagnostic apparatus 1 of the present embodiment shown in FIG. 1 transmits an ultrasonic wave to a diagnosis target part of a subject P, and converts a plurality of ultrasonic waves obtained by converting the ultrasonic echo obtained by the transmission into an electric signal. The ultrasonic probe 11 provided with the ultrasonic transducer 112 (see FIG. 2) and a drive signal for transmitting ultrasonic pulses in a predetermined direction of the subject P are supplied to each ultrasonic transducer 112. A transmission / reception unit 12 that performs phasing addition of the reception signals of a plurality of channels obtained from the acoustic transducer 112, an ultrasonic data generation unit 13 that generates ultrasonic data by performing signal processing on the reception signal after phasing addition, An image data generation unit 14 that generates two-dimensional image data and three-dimensional image data using the ultrasonic data obtained by two-dimensional scanning and three-dimensional scanning on the specimen P, and a display unit 15 that displays these image data. The Eteiru.

  The ultrasonic diagnostic apparatus 1 also includes an operation unit 16 for inputting information on the subject P, setting image data collection conditions, setting image data display conditions, inputting various command signals, and the like, two-dimensional scanning and three-dimensional. A control unit 17 is provided for performing scanning control and overall control for each unit described above.

  Further, the ultrasonic probe 11 of the ultrasonic diagnostic apparatus 1 has an X-ray diagnostic apparatus operation unit 111 for operating the X-ray diagnostic apparatus 2, and the ultrasonic diagnostic apparatus 1 includes the ultrasonic diagnostic apparatus 1 and the X-ray diagnostic apparatus 1. An ultrasonic diagnostic apparatus side connection unit 18 for connecting the line diagnostic apparatus 2 is provided.

  The transmission / reception unit 12 includes a transmission unit 121 that supplies a drive signal to the transmission ultrasonic transducer 112 selected from the ultrasonic transducers 112 in the ultrasonic probe 11, and the ultrasonic transducer 112. A receiving unit 122 that performs phasing addition on the received signal obtained by the selected ultrasonic transducer for reception 112 is provided.

  The ultrasonic data generation unit 13 performs a predetermined process on the reception signal after the phasing addition output from the reception unit 122 of the transmission / reception unit 12 to generate B-mode data, and the subject P The data storage unit 132 sequentially stores B-mode data obtained by ultrasonic transmission / reception in a plurality of directions.

  The image data generation unit 14 includes a two-dimensional image data generation unit and a three-dimensional image data generation unit (not shown). The two-dimensional image data generation unit has an image processing unit and a two-dimensional image data storage unit, and the image processing unit in a predetermined two-dimensional region read from the two-dimensional data storage unit of the data storage unit 132 in the ultrasonic data generation unit 13. The B-mode data is arranged based on the transmission / reception direction information added to the B-mode data to generate volume data, and the volume data is rendered to generate three-dimensional image data.

  The display unit 15 includes a display data generation unit, a data conversion unit, and a monitor (not shown). The display data generation unit combines the two-dimensional image data generated by the two-dimensional image data generation unit of the image data generation unit 14 with the three-dimensional image data generated by the three-dimensional image data generation unit. Display data is generated by adding incidental information such as P information. The data conversion unit performs D / A conversion and display format conversion on the display data and displays the display data on the monitor.

  The operation unit 16 includes input devices such as a display panel (not shown), a keyboard, various switches, selection buttons, a mouse, and a trackball. The operation unit 16 inputs information on the subject P, 2D image data collection conditions, and 3D image data. Setting of acquisition conditions, setting of image data display conditions, selection of an ultrasonic data acquisition mode, input of various command signals, and the like are performed using the aforementioned display panel and input device.

  The control unit 17 includes a scanning control unit 171 and a main control unit 172. The main control unit 172 includes a CPU and a storage circuit (not shown), and the storage circuit stores information on the subject P input / set / selected by the operation unit 16 and image data collection conditions. The CPU comprehensively controls each unit of the ultrasonic diagnostic apparatus 1 based on the input information, setting information, and selection information.

  The ultrasonic diagnostic apparatus side connection unit 18 connects the X-ray diagnostic apparatus 2 and the ultrasonic diagnostic apparatus 1 in order to send an instruction signal from the ultrasonic diagnostic apparatus 1 to the X-ray diagnostic apparatus 2 described later. Is provided. In the present embodiment, as shown in FIG. 11, the ultrasonic diagnostic apparatus side connecting portion 18 is provided with a cable 181 from the outer shell of the ultrasonic diagnostic apparatus 1 and further includes a first connector 182 at the tip thereof. A second connector 331 constituting the X-ray diagnostic apparatus side connecting portion 33 to which the first connector 182 is connected is provided on the outer shell of the X-ray diagnostic apparatus 2.

  The arrangement of the cable 181 and the second connector 331 with the first connector 182 attached to the tip is not limited as described above. For example, the cable 181 with the first connector 182 attached to the outside of the X-ray diagnostic apparatus 2 is not limited. The second connector 331 may be provided on the outer shell of the ultrasonic diagnostic apparatus 1 on the shell.

  Further, the connection between the ultrasonic diagnostic apparatus 1 and the X-ray diagnostic apparatus 2 is not limited to using the method of connecting the two apparatuses with the cable 181 as described above. For example, the ultrasonic diagnostic apparatus side connection unit 18 and X A method may be used in which the line diagnosis apparatus-side connection unit 33 has a wireless communication function and wirelessly connects both apparatuses.

(Configuration of X-ray diagnostic apparatus 2)
The X-ray diagnostic apparatus 2 in the present embodiment shown in FIG. 1 is suitable for a circulatory device, and supplies high voltage power to an X-ray irradiation unit 21 for irradiating X-rays and an X-ray tube. A high voltage generator 22 for detecting X-rays for detecting X-rays transmitted through the subject P, an X-ray irradiator 21 and an X-ray detector 23 are held at both ends, and are C-shaped. A curved C arm 24, an arm support mechanism 25 that supports the C arm 24 so as to be rotatable and slidable, a top plate 26 on which the subject P is placed during the examination, and a top plate for moving the top plate 26 The moving mechanism unit 27 is configured.

  In addition, an image data generation unit 28 for performing gradation processing on the video signal obtained from the X-ray detection unit 23, a display unit 29 for displaying the image, and a memory for storing the obtained image A CPU 30 or a memory for controlling the unit 30, an operation unit 31 for an operator to appropriately operate each unit, the high voltage generation unit 22, the X-ray detection unit 23, the arm support mechanism unit 25, and the top plate moving mechanism unit 27. And a control unit 32 having

  Furthermore, an X-ray diagnostic imaging apparatus side connection unit 33 for connecting the above-described ultrasonic diagnostic apparatus 1 and X-ray diagnostic apparatus 2 is provided.

  The X-ray irradiation unit 21 includes an X-ray tube that irradiates the subject P with X-rays and an X-ray diaphragm device for limiting the irradiation range of the X-rays irradiated from the X-ray tube. . This X-ray tube is a vacuum tube that generates X-rays. Electrons are accelerated by a high voltage supplied from the high-voltage generating unit 22 and are caused to collide with a tungsten target to generate X-rays. The X-ray diaphragm is located between the X-ray tube and the subject P placed on the top plate 26, and has a function of narrowing the X-ray beam emitted from the X-ray tube to the image receiving size and obtaining a clear image. Have.

  The high voltage generator 22 converts the power supply voltage to a high voltage and supplies it to the X-ray tube, and has a large output capacity of 80 KW to 100 KW by an inverter method.

  The X-ray detection unit 23 may be composed of a combination of an image intensifier (II), an optical system, and a TV camera, or may be composed of a flat panel detector (hereinafter referred to as “FPD”). Good. Note that even if the FPD is a direct conversion type in which the charge generated when the photoconductor absorbs X-rays is directly used as a signal, the XPD is once absorbed as a phosphor and the generated light is charged by a photodiode. It may be either an indirect conversion type that converts the signal into a signal.

  The image intensifier has an X-ray image receiving surface (not shown) on which X-rays transmitted through the subject P are incident, and controls the electrode voltage to input the X-ray input field size (FOV) on the X-ray image receiving surface. ) Can be adjusted.

  The arm support mechanism unit 25 rotates the C arm 24 that supports the X-ray irradiation unit 21 and the X-ray detection unit 23 around the subject P by an operation from the operation unit 31 and moves the C arm 24 to a desired position.

  The top plate 26 is a bed on which the subject P is placed during X-ray imaging, and a material that easily transmits X-rays is used. The top plate 26 is arranged between the X-ray irradiation unit 21 and the X-ray detection unit 23 arranged at a predetermined interval by the C arm 24, and in order to image a predetermined part of the subject P in the body axis direction. It is possible to move.

  The top plate moving mechanism unit 27 moves the top plate 26 on which the subject P is placed in the longitudinal direction, moves in the width direction, and moves in the vertical direction, and performs a top plate position setting operation from the operation unit 31. The top plate 26 can be moved and set at a desired position.

  The image data generation unit 28 generates various image data from the X-ray projection data output in units of lines from the X-ray detection unit 23, and also includes subject information, imaging time, imaging angle, magnification rate, sky, and the like in the image data. Information on imaging conditions such as plate position, presence / absence of contrast medium injection, still image or moving image is attached.

  The image data generation unit 28 obtains the DA image (Digital) from the fluoroscopic image data from the X-ray projection data output from the X-ray detection unit 23 or from the X-ray projection data in a state where a contrast agent is injected into the blood vessel of the subject P. Angiography) has a function of generating data.

  Also, the image data generation unit 28 performs DSA (Digital Subtraction) by differential processing of mask image data and contrast image data obtained under almost the same imaging conditions such as the imaging angle before and after the injection of the contrast medium into the blood vessel of the subject P. Angiography) has a function of generating image data.

  Further, the image data generation unit 28 has a function of generating perspective road map image data from reference image data such as DA image data and DSA image data at the same shooting angle as the perspective image data, along with the generation of the perspective image data. ing.

  The display unit 29 synthesizes image data such as fluoroscopic image data and fluoroscopic road map image data generated by the image data generation unit 28, reduced image data, and the like by combining numbers and various characters that are incidental information. A display data generation circuit (not shown) that generates data, a conversion circuit (not shown) that generates a video signal by performing D / A conversion and TV format conversion on the image data and the accompanying information data, and displays the video signal A liquid crystal panel or CRT monitor 291 is provided.

  The storage unit 30 stores the image data generated by the image data generation unit 28. It is also possible to add a comment input from the operation unit 31 to the image data and save it.

  The operation unit 31 is an interactive interface including an input device such as a keyboard, a trackball, a joystick, and a mouse, a display panel, and various switches. The subject information, the input of the imaging target region, and the X-ray irradiation conditions Setting of shooting conditions, comments on reduced image data, etc., and input of various commands.

  The control unit 32 is a central control circuit that performs control related to the collection of X-ray fluoroscopic image data and control related to the image processing of the collected image data, and controls the video system in mask image shooting and contrast image shooting during DSA image display. Control of the entire system including subtraction control of mask image and contrast image.

  The X-ray diagnostic imaging apparatus side connection unit 33 is connected to the above-described ultrasonic diagnostic apparatus side connection unit 18 and is provided to receive an instruction signal sent from the ultrasonic diagnostic apparatus 1 to the X-ray diagnostic apparatus 2. is there. In the present embodiment, a second connector 331 is provided on the X-ray diagnostic apparatus 2 side with respect to a first connector 182 provided at the tip of a cable 181 as shown in FIG. 11 attached to the ultrasonic diagnostic apparatus 1 side.

(Configuration of the ultrasonic probe 11)
Next, the configuration of the ultrasonic probe 11 will be described.

  Although not shown, the ultrasonic probe 11 has two-dimensionally arranged ultrasonic transducers 112 at its distal end, and a cable 113 connected to the ultrasonic diagnostic apparatus 1 with this distal end contacting the patient's body surface. Ultrasonic waves are transmitted and received via Each of the ultrasonic transducers 112 in the ultrasonic probe 11 is connected to the transmission / reception unit 12 via a multi-core cable (not shown). The ultrasonic transducer 112 is an electroacoustic transducer, and has a function of converting an electric pulse (drive signal) into an ultrasonic pulse at the time of transmission, and converting an ultrasonic echo into an electric reception signal at the time of reception. Yes.

  In addition, as shown in FIG. 2, an X-ray diagnostic apparatus receives an instruction signal for obtaining an X-ray fluoroscopic image or an X-ray image by irradiating a subject P with an X-ray diagnostic apparatus 2 to be described later. The X-ray diagnostic apparatus operating unit 111 of the fluoroscopic switch 111a for transmitting to the radiograph 2, the imaging switch 111b, and the X-ray irradiation enable / disable switch 111c is provided in the ultrasonic probe 11.

  The X-ray diagnostic apparatus operation unit 111 is connected to the ultrasonic diagnostic apparatus side connection unit 18 provided in the main body of the ultrasonic diagnostic apparatus 1 through a control line, and a signal generated from the switch is transmitted via the control line. It is sent to the X-ray diagnostic apparatus 2.

  In order to obtain an X-ray fluoroscopic image, it is necessary to continuously irradiate the subject P with low-power X-rays. Therefore, the X-ray diagnostic apparatus 2 continues to irradiate the subject P with X-rays while the fluoroscopic switch 111a is being pressed. When the fluoroscopic switch 111a is returned to the original state, the X-ray irradiation is stopped.

  As for the imaging switch 111b, high-power X-rays for X-ray imaging images are emitted each time the switch is pressed.

  The arrangement of the fluoroscopic switch 111a and the photographing switch 111b is not limited to that shown in FIG.

  Further, as shown in FIG. 2, the ultrasonic probe 11 is provided with a contact sensor 114 at the tip thereof.

  When the operator brings the ultrasonic probe 11 into contact with the body surface of the subject P, a signal is sent from the contact sensor 114 to the control unit 32 of the X-ray diagnostic apparatus 2 via the control line. 2, even if an operator of the X-ray diagnostic apparatus 2 accidentally operates to irradiate X-rays, the operation can be invalidated. This eliminates bothersomeness and prevents unnecessary exposure to the operator's hand holding the ultrasonic probe 11.

  When it is necessary to acquire an ultrasonic image and an X-ray image at the same time during the examination, the ultrasonic probe 11 is brought into contact with the subject P, and the subject of the ultrasonic probe 11 is acquired during acquisition of the ultrasonic image. It is necessary to irradiate the contact point with P with X-rays by the X-ray diagnostic apparatus 2. In this case, the X-ray irradiation enable / disable switch 111c is switched to an X-ray irradiation enabled state (ON side in FIG. 2) to enable the X-ray irradiation while the ultrasonic probe 11 is in contact with the subject P. To. Usually, the X-ray irradiation enable / disable switch 111c is switched to an X-ray irradiation disabled state (OFF side in FIG. 2) in order to prevent erroneous exposure of X-rays.

  When acquiring an X-ray fluoroscopic image, the operator always keeps pressing the fluoroscopic switch 111a or presses the fluoroscopic switch 111a once while acquiring the image. A mechanism for returning the switch to the original state may be used.

  As described above, regarding the various X-ray diagnostic apparatus operation units 111 of the X-ray diagnostic apparatus 2 provided in the ultrasonic probe 11, the fluoroscopic switch 111 a and the imaging switch 111 b are used when the operator holds the ultrasonic probe 11. All the operation units are arranged on one side of the ultrasonic probe 11 so that the operation can be performed with the thumb with respect to the other various X-ray diagnostic apparatus operation units 111 with the index finger and the middle finger. Thus, the operator can use various X-ray diagnostic apparatus operation units 111 of the X-ray diagnostic apparatus 2 provided on the ultrasonic probe 11 with only one hand, and the operability can be improved.

  Various X-ray diagnostic apparatus operation units 111 provided in the ultrasonic probe 11 are conceivable and are not limited to the above example.

  The X-ray diagnostic apparatus operation unit 111 according to the present invention is provided in the ultrasonic probe 11, but a display panel (not shown) included in another unit of the ultrasonic diagnostic apparatus 1, for example, the operation unit 16 of the ultrasonic diagnostic apparatus 1 An input device such as a keyboard, various switches, a selection button, a mouse, or a trackball can have an operation function of the X-ray diagnostic apparatus 2.

(Operation)
Next, the operation of the medical diagnostic system 100 configured as described above will be described.

  Here, a usage example of the fluoroscopic switch 111a and the imaging switch 111b of the X-ray diagnostic apparatus operation unit 111 provided in the ultrasonic probe 11 will be taken up.

  FIG. 12 is a flowchart for explaining the operation of the medical diagnostic system 100 in the present embodiment.

  The operator connects the first connector 182 provided at the distal end of the cable 181 provided in the outer shell of the ultrasonic diagnostic apparatus 1 and the second connector 331 provided in the outer shell of the X-ray diagnostic apparatus 2 shown in the figure. Then, a signal can be transmitted and received between the ultrasonic diagnostic apparatus 1 and the X-ray diagnostic apparatus 2 (S1 in FIG. 12). At that time, the main control unit 172 included in the ultrasonic diagnostic apparatus 1 and the control unit 32 included in the X-ray diagnostic apparatus 2 recognize that they are connected to other diagnostic apparatuses.

  Subsequently, the ultrasonic probe 11 is activated by using the operation unit 16 included in the ultrasonic diagnostic apparatus 1 so that an ultrasonic pulse can be irradiated (S2 in FIG. 12).

  Subsequently, the X-ray diagnostic apparatus operation unit 111 provided in the ultrasonic probe 11 is activated using the operation unit 16 included in the ultrasonic diagnostic apparatus 1, and various switches can be used (S3 in FIG. 12).

  Next, the operator irradiates the subject P with X-rays and presses the fluoroscopic switch 111 a or the radiographic switch 111 b provided on the ultrasonic probe 11 in order to acquire an X-ray fluoroscopic image or an X-ray radiographic image. (S4 in FIG. 12).

  At that time, when the ultrasound probe 11 is in contact with the body surface of the subject, that is, when the operator acquires an ultrasound image of the subject using the ultrasound probe 11, one hand of the operator is X-rayed. If X-rays are in the FOV of the diagnostic apparatus 2 and are irradiated as they are, there is a risk of irradiating one hand of the operator with X-rays and causing unnecessary exposure.

  Therefore, when the ultrasonic probe 11 is in contact with the body surface of the subject, the main control unit 172 of the ultrasonic diagnostic apparatus 1 starts from the contact sensor 114 provided at the tip of the ultrasonic probe 11 before X-ray irradiation. The main control unit 172 recognizes that the ultrasonic probe 11 is in contact with the body surface of the subject (S5 in FIG. 12).

  When the ultrasonic probe 11 is not in contact with the body surface of the subject, the X-ray diagnostic apparatus 2 irradiates the subject with X-rays (S6 in FIG. 12).

  When the ultrasonic probe 11 is in contact with the body surface of the subject, the main control unit 172 is in a state where X-ray irradiation is possible (ON side in FIG. 2) or in a state where X-ray irradiation is impossible (FIG. 2). (S7 in FIG. 12). In the former case, the X-ray diagnostic apparatus 2 irradiates the subject with X-rays. In the latter case, the fluoroscopic switch 111a and the imaging switch 111b The operation is disabled.

  After X-ray irradiation, the X-ray detector 23 detects X-rays that have passed through the subject P, and acquires an X-ray fluoroscopic image and an X-ray image based on the detected data (S8 in FIG. 12).

  When acquiring an X-ray fluoroscopic image, the operator always keeps pressing the fluoroscopic switch 111a while acquiring an image. In the case of a mechanism in which the fluoroscopic switch 111a is kept pressed by the stopper when pressed once, when the fluoroscopic switch 111a is pressed once and the acquisition of the fluoroscopic image is finished, the fluoroscopic switch 111a is pressed again, Return to the state.

(effect)
When the medical diagnostic system 100 in which the ultrasonic diagnostic apparatus 1 and the X-ray diagnostic apparatus 2 are connected in this way is used for, for example, catheter surgery, troublesome cooperation between the operators of the ultrasonic diagnostic apparatus 1 and the X-ray diagnostic apparatus 2 is achieved. Can be omitted. Furthermore, unnecessary exposure to the operator of the ultrasonic diagnostic apparatus 1 can be prevented.

  Next, Example 2 of the present invention will be described with reference to FIGS. Descriptions of the configurations of the ultrasonic diagnostic apparatus 1 and the X-ray diagnostic apparatus 2 and a part of the configuration and operation of the ultrasonic probe 11 have been made in the above-described first embodiment, and will be omitted.

(Constitution)
In the present embodiment, as shown in FIG. 3A, the ultrasonic probe 11 is provided with a joystick 111d. The joystick 111d is used by the operator of the ultrasonic diagnostic apparatus 1 to move the C arm 24 of the X-ray diagnostic apparatus 2 to a position suitable for examination.

  The operation of the C arm 24 is not limited to the joystick 111d. A cross key or the like can be used as long as the C arm 24 can be operated in two axes simultaneously.

(Operation)
Next, the operation of the medical diagnostic system 100 configured as described above will be described.

  Here, a usage example of the joystick 111d provided in the ultrasonic probe 11 will be taken up.

  FIG. 13 is a flowchart for explaining the operation of the medical diagnosis system 100 in the present embodiment.

  Note that the description in S1 to S3 in FIG. 13 has been made in the above-described first embodiment, and therefore will be omitted, and here, the explanation after S4 will be given.

  The operator operates the joystick 111d shown in FIG. 3A (S4 in FIG. 13). At that time, an instruction signal relating to the movement of the C-arm 24 from the joystick 111d is sent to the arm support mechanism portion of the X-ray diagnostic apparatus 2 via the ultrasonic diagnostic apparatus side connection section 18, the X-ray diagnostic apparatus side connection section 33, and the control section 32. 25. In accordance with the instruction signal, the arm support mechanism 25 rotates the C arm 24 (S5 in FIG. 13).

  For example, as shown in FIG. 14B, when the joystick 111d is operated up and down, the C arm 24 rotates about the x axis, and when operated left and right, the C arm 24 rotates about the z axis and changes its position.

  Further, when the joystick 111d is operated in an oblique direction, the C arm 24 performs two-axis simultaneous operation.

(effect)
When the medical diagnostic system 100 in which the ultrasonic diagnostic apparatus 1 and the X-ray diagnostic apparatus 2 are connected in this way is used for, for example, catheter surgery, troublesome cooperation between the operators of the ultrasonic diagnostic apparatus 1 and the X-ray diagnostic apparatus 2 is achieved. Can be omitted. Furthermore, the contact accident with the C arm 24 with respect to the operator of the ultrasonic diagnostic apparatus 1 can be prevented.

  Next, Embodiment 3 of the present invention will be described with reference to FIGS. Descriptions of the configurations of the ultrasonic diagnostic apparatus 1 and the X-ray diagnostic apparatus 2 and a part of the configuration and operation of the ultrasonic probe 11 have been made in the above-described first embodiment, and will be omitted.

(Constitution)
In the present embodiment, as shown in FIG. 4, the ultrasonic probe 11 is provided with an auto positioning number selector 111e and an auto position start switch 111f. As shown in FIG. 4, the automatic positioning number selection unit 111 e is a dial type, and the operator of the ultrasonic diagnostic apparatus 1 turns the dial to select predetermined position data from a plurality of position data of the C arm 24. . The auto position start switch 111f transmits an instruction signal to the X-ray diagnostic apparatus 2 side so as to move the C arm 24 according to the position data of the selected C arm 24 described above.

  The auto-positioning number selection unit 111e and the auto-position start switch 111f are not limited to this form. For example, the auto-positioning number selection unit 111e has a switch function so that the position data of the C-arm 24 can be selected by turning the dial. When the dial is pressed, the operation signal according to the position data of the selected C arm 24 is sent from the auto positioning number selection unit 111e to the arm support mechanism unit 25 via the control unit 32 of the X-ray diagnostic apparatus 2. And the C-arm 24 can be moved.

(Operation)
Next, the operation of the medical diagnostic system 100 configured as described above will be described.

  Here, a usage example of the auto positioning number selection unit 111e and the auto position start switch 111f provided in the ultrasonic probe 11 will be described.

  FIG. 14 is a flowchart for explaining the operation of the medical diagnosis system 100 in the present embodiment.

  Note that the description in S1 to S3 in FIG. 14 has been made in the above-described first embodiment, and is therefore omitted.

  The operator selects predetermined position data from a plurality of position data of the C arm 24 stored in the storage unit 30 of the X-ray diagnostic apparatus 2 using the auto positioning number selection unit 111e, and presses the auto position start switch 111f. (S4 in FIG. 14).

  At that time, the selection signal of the position data of the selected C-arm 24 is sent from the ultrasonic diagnostic apparatus 1 side to the control section 32 of the X-ray diagnostic apparatus 2, and the control section 32 stores the position data corresponding to the selection signal. The data is read from the storage unit 30 and sent to the arm support mechanism unit 25. According to the sent position data, the arm support mechanism 25 moves the C arm 24 (S5 in FIG. 14).

(effect)
When the medical diagnostic system 100 in which the ultrasonic diagnostic apparatus 1 and the X-ray diagnostic apparatus 2 are connected in this way is used for, for example, catheter surgery, troublesome cooperation between the operators of the ultrasonic diagnostic apparatus 1 and the X-ray diagnostic apparatus 2 is achieved. Can be omitted. Furthermore, the operator of the ultrasonic diagnostic apparatus 1 can easily angle the C arm 24 alone.

  Next, Example 4 of the present invention will be described with reference to FIGS. Descriptions of the configurations of the ultrasonic diagnostic apparatus 1 and the X-ray diagnostic apparatus 2 and a part of the configuration and operation of the ultrasonic probe 11 have been made in the above-described first embodiment, and will be omitted.

(Constitution)
In this embodiment, as shown in FIG. 5, the ultrasonic probe 11 is provided with an FOV operation switch 111g and an X-ray aperture adjustment switch 111h. The FOV operation switch 111g is for adjusting the input field size (FOV) of the X-ray on the X-ray image receiving surface of the X-ray detection unit 23 to a specified level. The X-ray diaphragm adjustment switch 111h is made of a material that does not transmit X-rays such as lead in order to define the irradiation range of X-rays generated and diffused from the X-ray tube. Adjust the throttle device provided.

  The FOV operation switch 111g is not limited to this form, but may be a dial type like the auto positioning number selection unit 111e.

(Operation)
Next, the operation of the medical diagnostic system 100 configured as described above will be described.

  Here, a usage example of the X-ray aperture adjustment switch 111h and the FOV operation switch 111g provided in the ultrasonic probe 11 will be taken up.

  FIG. 15 is a flowchart for explaining the operation of the medical diagnosis system 100 in the present embodiment.

  The description in S1 to S3 in FIG. 15 is omitted because it is performed in the above-described first embodiment, and here, the description after S4 is performed.

  The operator selects desired data from the prescribed FOV data using the FOV operation switch 111g. A selection signal is transmitted from the FOV operation switch 111g to the X-ray diagnostic apparatus 2 side, and the control unit 32 reads desired data from the FOV data stored in the storage unit 30 according to the selection signal, and the X-ray detection unit 23 receives the selected data. The FOV data is transmitted, and the X-ray detection unit 23 adjusts the X-ray FOV on the X-ray image receiving surface along the transmitted FOV data (S4 in FIG. 15).

  Thereafter, the operator adjusts the diaphragm provided in the X-ray irradiation unit 21 of the X-ray diagnostic apparatus 2 using the X-ray diaphragm adjustment switch 111h (S5 in FIG. 15).

  For example, as shown in FIG. 5B, when the vertical switch of the X-ray aperture adjustment switch 111h is pressed, the X-ray irradiation field on the subject P is changed in the vertical direction, and when the horizontal switch is pressed. Change the irradiation field horizontally. At that time, the operation signal of the X-ray diaphragm device emitted from the X-ray diaphragm adjustment switch 111 h is sent to the X-ray irradiation unit 21 via the control unit 32.

(effect)
When the medical diagnostic system 100 in which the ultrasonic diagnostic apparatus 1 and the X-ray diagnostic apparatus 2 are connected in this way is used for, for example, catheter surgery, troublesome cooperation between the operators of the ultrasonic diagnostic apparatus 1 and the X-ray diagnostic apparatus 2 is achieved. Can be omitted. Furthermore, the operator of the ultrasonic diagnostic apparatus 1 can adjust the X-ray irradiation field independently.

  Next, a fifth embodiment of the present invention will be described with reference to FIGS. Descriptions of the configurations of the ultrasonic diagnostic apparatus 1 and the X-ray diagnostic apparatus 2 and a part of the configuration and operation of the ultrasonic probe 11 have been made in the above-described first embodiment, and will be omitted.

(Constitution)
In this embodiment, as shown in FIG. 6, the ultrasonic probe 11 is provided with a display changeover switch 111i. The display changeover switch 111i shown in FIG. 6 is used to display the ultrasonic image acquired by the ultrasonic diagnostic apparatus 1 on the same screen as the X-ray image on the display unit 29 of the X-ray diagnostic apparatus 2. .

(Operation)
Next, the operation of the medical diagnostic system 100 configured as described above will be described.

  Here, a usage example of the display changeover switch 111i provided in the ultrasonic probe 11 will be taken up.

  FIG. 16 is a flowchart for explaining the operation of the medical diagnosis system 100 in the present embodiment.

  Note that the description in S1 to S3 in FIG. 16 has been made in the above-described first embodiment, and therefore will be omitted, and here, the description after S4 will be given.

  For example, when it is desired to simultaneously display an ultrasonic image and an X-ray image on the monitor 291 of the display unit 29 in the X-ray diagnostic apparatus 2 as shown in FIG. 9, an ultrasonic image display mode (FIG. 6 (ON side in FIG. 16) (S4 in FIG. 16). The instruction signal is sent to the image data generation unit 14 of the ultrasonic diagnostic apparatus 1, and a command is issued to send the image signal of the ultrasonic image being acquired to the display unit 29 of the X-ray diagnostic apparatus 2, and based on the command An image signal is sent from the image data generation unit 14 of the ultrasonic diagnostic apparatus 1 to the display unit 29 of the X-ray diagnostic apparatus 2. Based on the sent image signal, an ultrasonic image is displayed together with the X-ray image on the monitor 291 of the display unit 29 of the X-ray diagnostic apparatus 2 as shown in FIG. 9A (S5 in FIG. 16).

  When the display changeover switch 111i is used to switch to the ultrasound image non-display mode (OFF side in FIG. 6), the monitor 291 included in the display unit 29 of the X-ray diagnostic apparatus 2 is X as shown in FIG. 9B. Only the line image is displayed (S6 in FIG. 16).

  Alternatively, only the ultrasonic image may be displayed on the monitor 291 by turning the display changeover switch 111i to the OFF side.

  In this embodiment, the display on the display unit 29 of the X-ray diagnostic apparatus 2 is switched. However, the present invention is not limited to this, and the display on the display unit 15 of the ultrasonic diagnostic apparatus 1 is switched. The display changeover switch 111i may perform this.

(effect)
When the medical diagnostic system 100 in which the ultrasonic diagnostic apparatus 1 and the X-ray diagnostic apparatus 2 are connected in this way is used for, for example, catheter surgery, troublesome cooperation between the operators of the ultrasonic diagnostic apparatus 1 and the X-ray diagnostic apparatus 2 is achieved. Can be omitted. Furthermore, when taking an ultrasonic image, the operator can check the X-ray image without taking his eyes off the ultrasonic image. In addition, an ultrasonic image and an X-ray image can be easily compared.

  Next, Embodiment 6 of the present invention will be described with reference to FIGS. Descriptions of the configurations of the ultrasonic diagnostic apparatus 1 and the X-ray diagnostic apparatus 2 and a part of the configuration and operation of the ultrasonic probe 11 have been made in the above-described first embodiment, and will be omitted.

(Constitution)
In the present invention, as shown in FIG. 7, the ultrasonic probe 11 is provided with an image selection switch 111j. The image selection switch 111j shown in FIG. 7 is used to select and display an X-ray image acquired in the past on the display unit 29 of the X-ray diagnostic apparatus 2.

(Operation)
Next, the operation of the medical diagnostic system 100 configured as described above will be described.

  Here, a usage example of the image selection switch 111j provided in the ultrasonic probe 11 will be taken up.

  FIG. 17 is a flowchart for explaining the operation of the medical diagnosis system 100 in this embodiment.

  In addition, since description in S1-S3 in FIG. 17 is performed in the above-mentioned Example 1, it abbreviate | omits and demonstrates after S4 here.

  The operator reads a plurality of X-ray images acquired in the past on the display screen using the image selection switch 111j from the storage unit 30 of the X-ray diagnostic apparatus 2 (S4 in FIG. 17). Then, the images a to n are displayed on the screen as shown in FIG. An image to be displayed, here image a, is selected by the image selection switch 111j (S5 in FIG. 17).

  Thereafter, a signal emitted from the image selection switch 111j is sent to the display unit 29 of the X-ray diagnostic apparatus 2, and an X-ray image selected based on the signal is displayed on the X-ray diagnostic apparatus 2 as shown in FIG. The image is displayed on the monitor 291 included in the display unit 29 (S6 in FIG. 17).

(effect)
When the medical diagnostic system 100 in which the ultrasonic diagnostic apparatus 1 and the X-ray diagnostic apparatus 2 are connected in this way is used for, for example, catheter surgery, troublesome cooperation between the operators of the ultrasonic diagnostic apparatus 1 and the X-ray diagnostic apparatus 2 is achieved. Can be omitted. Furthermore, it is possible for an operator of the ultrasound diagnostic apparatus 1 to display an X-ray image captured in the past on the monitor 291 while capturing an ultrasound image and compare the captured images.

  Next, Example 7 of the present invention will be described with reference to FIGS. Descriptions of the configurations of the ultrasonic diagnostic apparatus 1 and the X-ray diagnostic apparatus 2 and a part of the configuration and operation of the ultrasonic probe 11 have been made in the above-described first embodiment, and will be omitted.

(Constitution)
In this embodiment, an emergency stop switch 111k is provided in the ultrasonic probe 11 as shown in FIG.

  Usually, since the operator of the ultrasonic diagnostic apparatus 1 is located on the opposite side of the operator of the X-ray diagnostic apparatus 2 with the top plate 26 in between, the operator of the X-ray diagnostic apparatus 2 The operator's position may become a blind spot due to the C-arm 24 or the like. The emergency stop switch 111k stops the operation of the X-ray diagnostic apparatus 2 by itself when the operator of the ultrasonic diagnostic apparatus 1 comes into contact with the C-arm 24, etc. It is for avoiding.

(Operation)
Next, the operation of the medical diagnostic system 100 configured as described above will be described.

  In addition, the usage example of the emergency stop switch 111k provided in the ultrasonic probe 11 is taken up here.

  FIG. 18 is a flowchart for explaining the operation of the medical diagnosis system 100 in the present embodiment.

  Note that the description in S1 to S3 in FIG. 18 has been made in the above-described first embodiment, and is omitted, and here, the explanation after S4 will be given.

  When the emergency stop switch 111k is pressed (S4 in FIG. 18), an emergency stop command signal for the C-arm 24 is sent to the arm support mechanism unit 25 via the control unit 32 of the X-ray diagnostic apparatus 2, and based on that signal. The arm support mechanism 25 stops the operation of the C arm 24 (S5 in FIG. 18).

  In this embodiment, only the operation of the C-arm 24 is stopped by the emergency stop switch 111k. However, the present invention is not limited to this, and the ultrasonic pulse irradiation of the ultrasonic diagnostic apparatus 1 and the X-ray diagnostic apparatus 2 are performed. Various functions of the medical diagnostic system 100 including the X-ray irradiation may be stopped by the emergency stop switch 111k.

(effect)
When the medical diagnostic system 100 in which the ultrasonic diagnostic apparatus 1 and the X-ray diagnostic apparatus 2 are connected in this way is used for, for example, catheter surgery, troublesome cooperation between the operators of the ultrasonic diagnostic apparatus 1 and the X-ray diagnostic apparatus 2 is achieved. Can be omitted. Furthermore, the driving of the C arm 24 can be stopped at the judgment of the operator of the ultrasonic diagnostic apparatus 1, and the risk of contact between the operator and the C arm 24 can be avoided.

The block diagram which shows the medical diagnostic system which concerns on this invention. The figure which shows the X-ray diagnostic apparatus operation part arrange | positioned at the ultrasonic probe of Example 1 in this invention. The figure which shows the X-ray diagnostic apparatus operation part arrange | positioned at the ultrasonic probe of Example 2 in this invention. The figure which shows the X-ray diagnostic apparatus operation part arrange | positioned at the ultrasonic probe of Example 3 in this invention. The figure which shows the X-ray diagnostic apparatus operation part arrange | positioned at the ultrasonic probe of Example 4 in this invention. The figure which shows the X-ray diagnostic apparatus operation part arrange | positioned at the ultrasonic probe of Example 5 in this invention. The figure which shows the X-ray diagnostic apparatus operation part arrange | positioned at the ultrasonic probe of Example 6 in this invention. The figure which shows the X-ray diagnostic apparatus operation part arrange | positioned at the ultrasonic probe of Example 7 in this invention. The figure which shows the mode of the monitor which the display part of the X-ray diagnostic apparatus at the time of use uses the operation switch of the X-ray diagnostic apparatus arrange | positioned at the ultrasonic probe of Example 5 in this invention. The figure which shows the mode of the monitor which the display part of an X-ray diagnostic apparatus uses at the time of using the operation switch of the X-ray diagnostic apparatus arrange | positioned at the ultrasonic probe of Example 6 in this invention. The figure which shows the ultrasonic diagnostic apparatus side connection part and X-ray diagnostic apparatus side connection part in this invention. The flowchart which shows operation | movement of the medical diagnostic system of Example 1 in this invention. The flowchart which shows operation | movement of the medical diagnostic system of Example 2 in this invention. The flowchart which shows operation | movement of the medical diagnostic system of Example 3 in this invention. The flowchart which shows operation | movement of the medical diagnostic system of Example 4 in this invention. The flowchart which shows operation | movement of the medical diagnostic system of Example 5 in this invention. The flowchart which shows operation | movement of the medical diagnostic system of Example 6 in this invention. The flowchart which shows operation | movement of the medical diagnostic system of Example 7 in this invention.

Explanation of symbols

P Subject 100 Medical Diagnostic System 1 Ultrasound Diagnostic Device 11 Ultrasound Probe 111 X-ray Diagnostic Device Operation Unit 12 Transceiver 121 Transmitter 122 Receiver 13 Ultrasound Data Generator 131 Received Signal Processor 132 Data Storage Unit 14 Image Data Generation unit 15 Display unit 16 Operation unit 17 Control unit 171 Scan control unit 172 Main control unit 18 Ultrasound diagnostic apparatus side connection unit 2 X-ray diagnostic apparatus 21 X-ray irradiation unit 22 High voltage generation unit 23 X-ray detection unit 24 C arm 25 Arm support mechanism unit 26 Top plate 27 Top plate moving mechanism unit 28 Image data generation unit 29 Display unit 30 Storage unit 31 Operation unit 32 Control unit 33 X-ray diagnostic apparatus side connection unit

Claims (35)

In response to an instruction from the operation unit, an ultrasonic pulse is transmitted from the ultrasonic probe to the subject, an ultrasonic echo reflected from the subject is received, and an ultrasonic image is received based on the received ultrasonic echo. Is generated and displayed, and a medical diagnostic apparatus having a function different from that of the ultrasonic diagnostic apparatus is connected by wired communication or wireless communication,
The ultrasonic diagnostic apparatus comprises:
An instruction signal transmitting means for generating an instruction signal for the medical diagnostic apparatus and transmitting the instruction signal to the medical diagnostic apparatus is provided in the operation unit or the ultrasonic probe,
The medical diagnostic apparatus comprises:
Receiving means for receiving the instruction signal transmitted from the ultrasonic diagnostic apparatus;
A medical diagnostic system comprising: control means for controlling the operation of the medical diagnostic apparatus based on the received instruction signal. In response to an instruction from the operation unit, an ultrasonic pulse is transmitted from the ultrasonic probe to the subject, an ultrasonic echo reflected from the subject is received, and an ultrasonic image is received based on the received ultrasonic echo. And X-ray absorption of the subject obtained from the detected X-ray by irradiating the subject with X-rays and detecting the X-ray transmitted through the subject An X-ray diagnostic apparatus that generates and displays an X-ray image based on information is connected by wired communication or wireless communication,
The ultrasonic diagnostic apparatus comprises:
An instruction signal transmitting means for generating an instruction signal for the X-ray diagnostic apparatus and transmitting the instruction signal to the X-ray diagnostic apparatus is provided in the operation unit or the ultrasonic probe,
The X-ray diagnostic apparatus comprises:
Instruction signal receiving means for receiving the instruction signal transmitted from the ultrasonic diagnostic apparatus;
A medical diagnostic system comprising: control means for controlling the operation of the X-ray diagnostic apparatus based on the received instruction signal.   The medical diagnostic system according to claim 2, wherein the instruction signal transmission unit transmits the instruction signal instructing the X-ray irradiation of the X-ray diagnostic apparatus to the X-ray diagnostic apparatus.   3. The medical device according to claim 2, wherein the instruction signal transmission unit transmits the instruction signal that enables or disables the X-ray irradiation of the X-ray diagnostic apparatus to the X-ray diagnostic apparatus. Diagnostic system.   The instruction signal transmission means generates a signal instructing to move an arm included in the X-ray diagnostic apparatus, or selects angle information of the arm stored in a storage unit included in the X-ray diagnostic apparatus, and the angle The medical diagnosis system according to claim 2, wherein the instruction signal instructing to move the arm based on the information is transmitted to the X-ray diagnostic apparatus.   3. The medical diagnostic system according to claim 2, wherein the instruction signal transmission unit transmits the instruction signal for adjusting an X-ray irradiation field irradiated by the X-ray diagnostic apparatus to the X-ray diagnostic apparatus. The X-ray diagnostic apparatus includes an X-ray diagnostic apparatus side display unit,
The instruction signal transmission means transmits a signal for instructing display or non-display of the ultrasonic image on the X-ray diagnosis apparatus side display unit to the X-ray diagnosis apparatus, or displayed on the X-ray diagnosis apparatus side display unit. The medical diagnostic system according to claim 2, wherein the instruction signal for selecting the X-ray image to be transmitted is transmitted to the X-ray diagnostic apparatus. The ultrasonic diagnostic apparatus includes an ultrasonic diagnostic apparatus side display unit,
The instruction signal transmission means generates the instruction signal for instructing display or non-display of the X-ray image on the ultrasonic diagnostic apparatus-side display unit, or displays the X-ray on the ultrasonic diagnostic apparatus-side display unit. The medical diagnostic system according to claim 2, wherein the instruction signal for selecting an image is transmitted to the X-ray diagnostic apparatus.   3. The medical diagnosis system according to claim 2, wherein the instruction signal transmission unit transmits the instruction signal instructing to stop the operation of the X-ray diagnostic apparatus to the X-ray diagnostic apparatus. An ultrasonic probe that transmits an ultrasonic pulse to the subject and receives an ultrasonic echo reflected from the subject;
Ultrasonic image generating means for generating an ultrasonic image based on the ultrasonic echo;
An ultrasonic diagnostic apparatus comprising ultrasonic image display means for displaying the ultrasonic image,
It is connected to a medical diagnostic apparatus having a function different from that of the ultrasonic diagnostic apparatus by wired communication or wireless communication,
An ultrasonic diagnostic apparatus comprising: an instruction signal transmission unit that generates an instruction signal for the medical diagnostic apparatus and transmits the instruction signal to the medical diagnostic apparatus in the operation unit or the ultrasonic probe. An ultrasonic probe that transmits an ultrasonic pulse to the subject and receives an ultrasonic echo reflected from the subject;
Ultrasonic image generating means for generating an ultrasonic image based on the ultrasonic echo;
An ultrasonic diagnostic apparatus comprising ultrasonic image display means for displaying the ultrasonic image,
Irradiate the subject with X-rays, detect the X-rays transmitted through the subject, and generate and display an X-ray image based on the X-ray absorption information of the subject obtained from the detected X-rays Connected to the X-ray diagnostic apparatus by wired communication or wireless communication,
An ultrasonic diagnostic apparatus characterized in that an instruction signal transmitting means for generating an instruction signal for the X-ray diagnostic apparatus and transmitting the instruction signal to the X-ray diagnostic apparatus is provided in the operation unit or the ultrasonic probe.   The ultrasonic diagnostic apparatus according to claim 11, wherein the instruction signal transmitting unit transmits the instruction signal instructing the X-ray irradiation of the X-ray diagnostic apparatus to the X-ray diagnostic apparatus.   12. The super instruction according to claim 11, wherein the instruction signal transmission means transmits the instruction signal that enables or disables the X-ray irradiation to be performed by the X-ray diagnostic apparatus. Ultrasonic diagnostic equipment.   The instruction signal transmission means generates a signal instructing to move an arm included in the X-ray diagnostic apparatus, or selects angle information of the arm stored in a storage unit included in the X-ray diagnostic apparatus, and the angle The ultrasonic diagnostic apparatus according to claim 11, wherein the instruction signal instructing to move the arm based on information is transmitted to the X-ray diagnostic apparatus.   The ultrasonic diagnostic apparatus according to claim 11, wherein the instruction signal transmission unit transmits the instruction signal for adjusting an X-ray irradiation field irradiated by the X-ray diagnostic apparatus to the X-ray diagnostic apparatus. . The X-ray diagnostic apparatus includes an X-ray diagnostic apparatus side display unit,
The instruction signal transmission means transmits a signal for instructing display or non-display of the ultrasonic image on the X-ray diagnosis apparatus side display unit to the X-ray diagnosis apparatus, or displayed on the X-ray diagnosis apparatus side display unit. The ultrasonic diagnostic apparatus according to claim 11, wherein the instruction signal for selecting the X-ray image to be transmitted is transmitted to the X-ray diagnostic apparatus. The ultrasonic diagnostic apparatus includes an ultrasonic diagnostic apparatus side display unit,
The instruction signal transmission means generates the instruction signal for instructing display or non-display of the X-ray image on the ultrasonic diagnostic apparatus-side display unit, or displays the X-ray on the ultrasonic diagnostic apparatus-side display unit. The ultrasonic diagnostic apparatus according to claim 11, wherein the instruction signal for selecting an image is transmitted to the X-ray diagnostic apparatus.   The ultrasonic diagnostic apparatus according to claim 11, wherein the instruction signal transmission unit transmits the instruction signal instructing to stop the operation of the X-ray diagnostic apparatus to the X-ray diagnostic apparatus. Provided in an ultrasonic diagnostic apparatus that transmits an ultrasonic pulse to a subject, receives an ultrasonic echo reflected from the subject, generates and displays an ultrasonic image based on the received ultrasonic echo,
An instruction signal having a function different from that of the ultrasonic diagnostic apparatus, generating an instruction signal to the medical diagnostic apparatus connected to the ultrasonic diagnostic apparatus by wired communication or wireless communication, and transmitting the instruction signal to the medical diagnostic apparatus An ultrasonic probe comprising a transmission means. Provided in an ultrasonic diagnostic apparatus that transmits an ultrasonic pulse to a subject, receives an ultrasonic echo reflected from the subject, generates and displays an ultrasonic image based on the received ultrasonic echo,
Irradiate the subject with X-rays, detect the X-rays transmitted through the subject, and generate and display an X-ray image based on the X-ray absorption information of the subject obtained from the detected X-rays And an instruction signal transmitting means for generating an instruction signal to the X-ray diagnostic apparatus connected to the ultrasonic diagnostic apparatus by wired communication or wireless communication and transmitting the instruction signal to the X-ray diagnostic apparatus. Ultrasonic probe characterized by.   21. The ultrasonic probe according to claim 20, wherein the instruction signal transmission unit transmits the instruction signal instructing the X-ray irradiation of the X-ray diagnostic apparatus to the X-ray diagnostic apparatus.   21. The super signal according to claim 20, wherein the instruction signal transmission unit transmits the instruction signal that enables or disables the X-ray irradiation of the X-ray diagnostic apparatus to the X-ray diagnostic apparatus. Acoustic probe.   The instruction signal transmission means generates a signal instructing to move an arm included in the X-ray diagnostic apparatus, or selects angle information of the arm stored in a storage unit included in the X-ray diagnostic apparatus, and the angle The ultrasonic probe according to claim 20, wherein the instruction signal instructing to move the arm based on the information is transmitted to the X-ray diagnostic apparatus.   21. The ultrasonic probe according to claim 20, wherein the instruction signal transmitting unit transmits the instruction signal for adjusting an X-ray irradiation field irradiated by the X-ray diagnostic apparatus to the X-ray diagnostic apparatus. The X-ray diagnostic apparatus includes an X-ray diagnostic apparatus side display unit,
The instruction signal transmission means transmits a signal for instructing display or non-display of the ultrasonic image on the X-ray diagnosis apparatus side display unit to the X-ray diagnosis apparatus, or displayed on the X-ray diagnosis apparatus side display unit. 21. The ultrasonic probe according to claim 20, wherein the instruction signal for selecting the X-ray image to be transmitted is transmitted to the X-ray diagnostic apparatus. The ultrasonic diagnostic apparatus includes an ultrasonic diagnostic apparatus side display unit,
The instruction signal transmission means generates the instruction signal for instructing display or non-display of the X-ray image on the ultrasonic diagnostic apparatus-side display unit, or displays the X-ray on the ultrasonic diagnostic apparatus-side display unit. 21. The ultrasonic probe according to claim 20, wherein the instruction signal for selecting an image is transmitted to the X-ray diagnostic apparatus.   21. The ultrasonic probe according to claim 20, wherein the instruction signal transmission unit transmits the instruction signal instructing to stop the operation of the X-ray diagnostic apparatus to the X-ray diagnostic apparatus. Irradiate the subject with X-rays, detect the X-rays transmitted through the subject, and generate and display an X-ray image based on the X-ray absorption information of the subject obtained from the detected X-rays And
In response to an instruction from the operation unit, an ultrasonic pulse is transmitted from the ultrasonic probe to the subject, an ultrasonic echo reflected from the subject is received, and an ultrasonic image is received based on the received ultrasonic echo. Is connected to the ultrasonic diagnostic apparatus that generates and displays the image by wired communication or wireless communication,
Receiving means for receiving the instruction signal transmitted from the ultrasonic diagnostic apparatus;
An X-ray diagnostic apparatus comprising: control means for controlling an operation based on the received instruction signal.   29. The X-ray diagnostic apparatus according to claim 28, wherein the instruction signal transmission unit transmits the instruction signal instructing the X-ray irradiation of the X-ray diagnostic apparatus to the X-ray diagnostic apparatus.   The X-ray diagnostic apparatus according to claim 28, wherein the instruction signal transmission unit transmits the instruction signal that enables or disables the X-ray irradiation to be performed by the X-ray diagnostic apparatus. Line diagnostic equipment.   The instruction signal transmission means generates a signal instructing to move an arm included in the X-ray diagnostic apparatus, or selects angle information of the arm stored in a storage unit included in the X-ray diagnostic apparatus, and the angle 29. The X-ray diagnostic apparatus according to claim 28, wherein the instruction signal instructing to move the arm based on information is transmitted to the X-ray diagnostic apparatus.   29. The X-ray diagnostic apparatus according to claim 28, wherein the instruction signal transmitting unit transmits the instruction signal for adjusting an X-ray irradiation field irradiated by the X-ray diagnostic apparatus to the X-ray diagnostic apparatus. . The X-ray diagnostic apparatus includes an X-ray diagnostic apparatus side display unit,
The instruction signal transmission means transmits a signal for instructing display or non-display of the ultrasonic image on the X-ray diagnosis apparatus side display unit to the X-ray diagnosis apparatus, or displayed on the X-ray diagnosis apparatus side display unit. The X-ray diagnostic apparatus according to claim 28, wherein the instruction signal for selecting the X-ray image to be transmitted is transmitted to the X-ray diagnostic apparatus. The ultrasonic diagnostic apparatus includes an ultrasonic diagnostic apparatus side display unit,
The instruction signal transmission means generates the instruction signal for instructing display or non-display of the X-ray image on the ultrasonic diagnostic apparatus-side display unit, or displays the X-ray on the ultrasonic diagnostic apparatus-side display unit. 29. The X-ray diagnostic apparatus according to claim 28, wherein the instruction signal for selecting an image is transmitted to the X-ray diagnostic apparatus.   29. The X-ray diagnostic apparatus according to claim 28, wherein the instruction signal transmitting unit transmits the instruction signal instructing to stop the operation of the X-ray diagnostic apparatus to the X-ray diagnostic apparatus.

Images