JP2014198271A - X-ray machine - Google Patents

X-ray machine Download PDF

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JP2014198271A
JP2014198271A JP2014153394A JP2014153394A JP2014198271A JP 2014198271 A JP2014198271 A JP 2014198271A JP 2014153394 A JP2014153394 A JP 2014153394A JP 2014153394 A JP2014153394 A JP 2014153394A JP 2014198271 A JP2014198271 A JP 2014198271A
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sensor
ray
patient
image
ray imaging
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淳平 坂口
Junpei Sakaguchi
俊晶 中村
Toshiaki Nakamura
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Shimadzu Corp
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Shimadzu Corp
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Abstract

PROBLEM TO BE SOLVED: To provide an X-ray machine in which a patient oneself can be prevented from seeing an X-ray photography image immediately after X-ray photography.SOLUTION: A sensor detects whether a patient exists at a photographing position of an X-ray photography table 5 or an X-ray photography stand 6. As the sensor, a pressure sensor 7 or a mat sensor 9 is used. When the patient does not exist at the photographing position, displaying an X-ray photography image displayed on an image display unit 4 and an X-ray tube holding device control panel 11 is stopped. As a patient detection sensor used for determining whether the patient exists at the photographing position, any one of sensors may be used, such as a pressure detection sensor described above, a capacitance change sensor, a photoelectric sensor, and a human sensing pyroelectric sensor. As an alternative of the sensor, a mechanism may be provided that stops displaying the image after a predetermined time elapses, the predetermined time corresponding to a time until when the patient moves to be able to see the image displayed after x-ray photography is finished.

Description

本発明は、実時間で画像を表示できる方式の医療用のX線撮影装置で撮影された画像表示に係り、撮影室内での撮影画像を表示するか否かの制御機構を設けたX線撮影装置に関する。   The present invention relates to an image display taken by a medical X-ray imaging apparatus capable of displaying an image in real time, and an X-ray imaging provided with a control mechanism for determining whether or not to display an image taken in an imaging room. Relates to the device.

近年、X線撮影装置に使用されていたX線フィルムやイメージングプレートに代わり、半導体素子からなる平面X線検出器(Flat Panel Detector以下単にFPDと称する)などのX線検出器を用いて、電子的な画像データとして記録するものが知られている。   In recent years, an X-ray detector such as a flat panel detector (hereinafter simply referred to as an FPD) made of a semiconductor element is used instead of an X-ray film or an imaging plate used in an X-ray imaging apparatus. What is recorded as typical image data is known.

FPDなどを用いたX線撮影装置では、フィルムやイメージングプレートなどを用いた従来から病院等で採用されている装置と異なり、実時間で撮影画像を画像表示部に表示できる。
この種のX線撮影装置は、実時間での撮影画像表示が可能であり、撮影室内に画像表示装置を設置し、撮影の可否を即座に観察できるので利便性が著しく向上する(特許文献1参照)。
An X-ray imaging apparatus using an FPD or the like can display a captured image on an image display unit in real time, unlike an apparatus conventionally used in a hospital or the like using a film or an imaging plate.
This type of X-ray imaging apparatus can display a captured image in real time, and can be provided with an image display apparatus in the imaging room so that the availability of imaging can be observed immediately. reference).

特開平8−46869号公報JP-A-8-46869

実時間で画像を表示できる方式のX線撮影装置においては、X線撮影画像が撮影直後に検査室内の画像表示部やX線保持装置の画像表示部に表示され、X線撮影の成否を確認できるが、一方で被検体である患者自身が撮影画像をその場で見る可能性がある。
患者ががんなどの重篤な病気の場合、医師の適切な説明以前に、画像表示部に表示されているX線撮影画像を見て、がんなどの病状を知ると、精神的に好ましくない状況となる場合もあり、患者自身がX線撮影直後にX線撮影画像を見ることを防止する必要がある。
In an X-ray imaging system that can display images in real time, the X-ray imaging image is displayed on the image display unit in the examination room or the image display unit of the X-ray holding device immediately after imaging to confirm the success or failure of the X-ray imaging. On the other hand, there is a possibility that the patient who is the subject himself / herself sees the captured image on the spot.
If the patient has a serious illness such as cancer, it is mentally preferable to know the medical condition such as cancer by looking at the X-ray image displayed on the image display unit before the appropriate explanation by the doctor. In some cases, it is necessary to prevent the patient from seeing the X-ray image immediately after the X-ray image.

上記課題を解決するために、本発明は、実時間で画像を表示でき、少なくとも1個の画像表示部を撮影室内に設置した医療用のX線撮影装置であり、撮影位置に患者の存在を判別するセンサを設け、このセンサの信号によりX線撮影画像の表示を制御する機構を制御し、X線撮影画像の表示と画像表示の停止を行う機構を設ける。   In order to solve the above-described problems, the present invention is a medical X-ray imaging apparatus that can display an image in real time and has at least one image display unit installed in an imaging room. A sensor for discriminating is provided, a mechanism for controlling the display of the X-ray image is controlled by a signal of the sensor, and a mechanism for displaying the X-ray image and stopping the image display is provided.

患者が撮影位置に存在しているかの検出センサとしては、圧力センサ、距離計、RFタグなどのセンサを使用する。   A sensor such as a pressure sensor, a distance meter, an RF tag, or the like is used as a sensor for detecting whether the patient is present at the imaging position.

また、検出センサの代わりに、X線撮影終了後、所定の時間が経過したら画像表示を終了しても良い。   Instead of the detection sensor, the image display may be terminated when a predetermined time has elapsed after the end of X-ray imaging.

X線撮影直後に同一検査室内に設置された画像表示部にX線撮影画像を表示しても、患者がX線撮影画像を見ることを防止できる。   Even if an X-ray image is displayed on an image display unit installed in the same examination room immediately after X-ray imaging, the patient can be prevented from seeing the X-ray image.

本発明の実施例によるX線撮影装置の概要を示す図である。It is a figure which shows the outline | summary of the X-ray imaging apparatus by the Example of this invention. 本発明の実施方法を示す、フロー図である。It is a flowchart which shows the implementation method of this invention. 本発明の変形実施例を示す概略図である。It is the schematic which shows the modification Example of this invention. 本発明の別の変形実施例を示す概略図である。It is the schematic which shows another modified example of this invention.

本発明を実施するための形態について図面を参照しながら説明する。   DESCRIPTION OF EMBODIMENTS Embodiments for carrying out the present invention will be described with reference to the drawings.

本発明のX線撮影装置は、図1に示すとおりにX線管を保持するX線管保持装置2と、X線撮影テーブル5あるいは立位撮影をするX線撮影スタンド6のいずれか一方、または両方を一つの検査室Rに配置し、X線撮影テーブル5の上に載置された患者10を挟んでX線管装置1とFPDなどのX線検出器8が対向配置されている。   As shown in FIG. 1, the X-ray imaging apparatus of the present invention includes an X-ray tube holding device 2 that holds an X-ray tube, and an X-ray imaging table 5 or an X-ray imaging stand 6 that performs standing imaging, Alternatively, both are arranged in one examination room R, and the X-ray tube device 1 and the X-ray detector 8 such as an FPD are arranged opposite to each other with the patient 10 placed on the X-ray imaging table 5 interposed therebetween.

図2は本実施形態を示すフロー図である。X線管装置1から被検体である患者10にX線可動絞り3で限定された照射範囲にX線が曝射される(ステップ1以下ステップをSと略記)とX線検出器8から出力されるX線検出データをデータ処理部(図示せず)で処理し、X線撮影領域に対応するX線撮影画像(2次元デジタルX線画像)を作成するとともに、作成されたX線撮影画像を検査室内画像表示部4とX線管保持装置制御パネル11で表示(S2)する構成になっている。   FIG. 2 is a flowchart showing this embodiment. When an X-ray is irradiated from the X-ray tube apparatus 1 to the patient 10 as the subject within an irradiation range limited by the X-ray movable diaphragm 3 (step 1 and steps are abbreviated as S), the X-ray detector 8 outputs The X-ray detection data to be processed is processed by a data processing unit (not shown) to generate an X-ray image (two-dimensional digital X-ray image) corresponding to the X-ray image area, and the generated X-ray image Is displayed (S2) on the examination room image display unit 4 and the X-ray tube holding device control panel 11.

患者が立位撮影の際には、同様にX線撮影スタンド6の前の患者10を挟んでX線管装置1とFPDなどのX線検出器12が対向配置されている。X線管装置1から被検体である患者10にX線が曝射されると(S1)X線検出器8から出力されるX線検出データをデータ処理部で処理してX線撮影領域に対応するX線撮影画像を作成するとともに、作成されたX線撮影画像を画像表示部4やX線管保持装置制御パネル11で表示する(S2)。   Similarly, when the patient is in a standing position, the X-ray tube apparatus 1 and an X-ray detector 12 such as an FPD are arranged opposite to each other with the patient 10 in front of the X-ray imaging stand 6 interposed therebetween. When X-rays are exposed from the X-ray tube apparatus 1 to the patient 10 as the subject (S1), the X-ray detection data output from the X-ray detector 8 is processed by the data processing unit to form an X-ray imaging region. A corresponding X-ray image is created, and the created X-ray image is displayed on the image display unit 4 or the X-ray tube holding device control panel 11 (S2).

第1の発明に係るX線撮影装置においては、X線撮影テーブル5の天板下部に設置された圧力センサ7があり、患者がX線撮影テーブル5に乗ると圧力変化を検出する。立位撮影をする場合には、患者の立位位置の下部に設置されたマットセンサ9の信号を検知する。   In the X-ray imaging apparatus according to the first invention, there is a pressure sensor 7 installed under the top plate of the X-ray imaging table 5, and a pressure change is detected when the patient gets on the X-ray imaging table 5. In the case of standing-up imaging, the signal of the mat sensor 9 installed at the lower part of the patient's standing position is detected.

検知された信号から被検体である患者10が撮影位置にいるかを検知し(S3)、患者がその場所に存在している場合には画像表示を継続する(S4)。移動してその場所にいないと検知した場合には、画像表示部4やX線管保持装置制御パネル11のX線撮影画像表示を停止する(S5)。   It is detected from the detected signal whether the subject patient 10 is at the imaging position (S3), and if the patient is present at that location, the image display is continued (S4). When it is detected that the user has not moved to the place, the X-ray image display on the image display unit 4 or the X-ray tube holding device control panel 11 is stopped (S5).

圧力センサ7はX線撮影テーブル5の天板上にしかれたマットセンサや非接触センサでもよい。   The pressure sensor 7 may be a mat sensor or a non-contact sensor placed on the top plate of the X-ray imaging table 5.

患者が撮影位置に存在しているかの判定に使用する患者検知センサとしては、圧力検知方式や静電容量変化方式さらには光電方式センサ、人感知焦電方式センサなどのいずれのセンサを用いても良い。また、センサの代わりにX線撮影終了後患者が移動して表示画像を見ることが可能になるまでに相当する所定の時間経過後に画像表示を停止する機構を設けてもよい。   As a patient detection sensor used to determine whether a patient is present at the imaging position, any sensor such as a pressure detection method, a capacitance change method, a photoelectric sensor, a human sensing pyroelectric sensor, etc. may be used. good. Further, instead of the sensor, a mechanism may be provided that stops the image display after a lapse of a predetermined time until the patient can move and view the display image after the X-ray imaging is completed.

第2の発明のX線撮影装置は、第1の発明の患者が撮影位置に存在しているかの判定に使用する患者検知センサとして図3に示すとおり、例えばX線可動絞り3の前面に設置された、X線管装置1の焦点から患者10の表面までの距離を計測するための超音波やレーザーなどを利用する距離計21を備えている。   The X-ray imaging apparatus of the second invention is installed, for example, in front of the X-ray movable diaphragm 3 as a patient detection sensor used for determining whether the patient of the first invention exists at the imaging position, as shown in FIG. A distance meter 21 using an ultrasonic wave, a laser, or the like for measuring the distance from the focal point of the X-ray tube apparatus 1 to the surface of the patient 10 is provided.

X線撮影時に距離計21で測定した距離情報L1がX線撮影終了後L2のように急変した場合に、被検体である患者10が撮影位置から移動したと判定し、画像表示部4やX線管保持装置制御パネル11のX線撮影画像の表示を停止する。   When the distance information L1 measured by the distance meter 21 during X-ray imaging changes suddenly as indicated by L2 after the X-ray imaging is completed, it is determined that the subject patient 10 has moved from the imaging position, and the image display unit 4 or X The display of the X-ray image on the tube holding device control panel 11 is stopped.

医療行為の実施場所での携帯端末によるデータの入出力を一元的に集中管理して医療行為の情報をリアルタイムに把握できると共に医療作業を円滑に行い易く、患者を支援する病院情報システムとして患者にRFタグ(無線ICタグ)を装着することが提案されている。   Centralized management of data input and output by mobile terminals at the place where medical practice is conducted, and it is possible to grasp medical practice information in real time and to facilitate medical work smoothly. It has been proposed to attach an RF tag (wireless IC tag).

第3の発明のX線撮影装置は、第1の発明の患者が撮影位置に存在しているかの判定に使用する患者検知センサとして図4に示すとおりRFタグ(無線ICタグ)31を患者に装着し、X線撮影テーブル5やX線撮影スタンド6の近傍に設置された受信機32の信号の変化を検出し、変化が一定値を超えた場合、被検体である患者10が撮影位置にいないと判定し、画像表示部4とX線管保持装置制御パネル11のX線撮影画像の表示を停止する。なお、図1、図3、図4において同一符号によって示されたものは同一の機能を有する。   As shown in FIG. 4, the X-ray imaging apparatus according to the third invention uses an RF tag (wireless IC tag) 31 as a patient detection sensor used for determining whether the patient according to the first invention is present at the imaging position. When the change of the signal of the receiver 32 installed is detected near the X-ray imaging table 5 or the X-ray imaging stand 6 and the change exceeds a certain value, the patient 10 as the subject is at the imaging position. The display of the X-ray image of the image display unit 4 and the X-ray tube holding device control panel 11 is stopped. In addition, what was shown with the same code | symbol in FIG.1, FIG.3, FIG.4 has the same function.

本発明は医療用の実時間で画像を表示できる方式のX線撮影装置であり、撮影室内に少なくても1個以上の画像表示部のあるX線撮影装置において適応可能である。   The present invention is a medical X-ray imaging apparatus capable of displaying an image in real time, and can be applied to an X-ray imaging apparatus having at least one image display unit in an imaging room.

1 X線管装置
2 X線管保持装置
3 X線可動絞り
4 画像表示部
5 X線撮影テーブル
6 X線撮影スタンド
7 圧力センサ
8 X線検出器
9 マットセンサ
10 患者
11 X線管保持装置制御パネル
12 X線検出器
21 距離計
31 RFタグ
32 受信機
R 検査室
DESCRIPTION OF SYMBOLS 1 X-ray tube apparatus 2 X-ray tube holding apparatus 3 X-ray movable diaphragm 4 Image display part 5 X-ray imaging table 6 X-ray imaging stand 7 Pressure sensor 8 X-ray detector 9 Mat sensor 10 Patient 11 X-ray tube holding apparatus control Panel 12 X-ray detector 21 Distance meter 31 RF tag 32 Receiver R Inspection room

Claims (5)

実時間で画像を表示でき、少なくとも1個の画像表示部を撮影室内に設置した医療用のX線撮影装置であり、撮影位置に患者の存在を判別するセンサを設け、このセンサの信号により患者がいないと判別される場合にX線撮影画像の表示を非表示に制御する機構を設けたことを特徴とするX線撮影装置。   It is a medical X-ray imaging apparatus that can display an image in real time and has at least one image display unit installed in the imaging room. A sensor for determining the presence of the patient is provided at the imaging position, and the signal from this sensor An X-ray imaging apparatus comprising a mechanism for controlling the display of X-ray imaging images to be hidden when it is determined that there is no image. 前記センサとして患者の重量を検知する圧力センサを設けたことを特徴とする請求項1記載のX線撮影装置。   The X-ray imaging apparatus according to claim 1, wherein a pressure sensor for detecting the weight of a patient is provided as the sensor. 前記センサとして距離計を設けたことを特徴とする請求項1記載のX線撮影装置。   The X-ray imaging apparatus according to claim 1, wherein a distance meter is provided as the sensor. 前記センサとしてRFタグで構成したことを特徴とする請求項1記載のX線撮影装置。   The X-ray imaging apparatus according to claim 1, wherein the sensor is an RF tag. 実時間で画像を表示でき、少なくとも1個の画像表示部を撮影室内に設置した医療用のX線撮影装置であり、画像表示部に表示されるX線撮影画像の表示をX線撮影後患者が移動して表示画像を見ることが可能になるまでに相当する所定時間経過後に非表示に制御する制御機構を設けたことを特徴とするX線撮影装置。   It is a medical X-ray imaging apparatus that can display images in real time and has at least one image display unit installed in the imaging room, and displays the X-ray image displayed on the image display unit after X-ray imaging. An X-ray imaging apparatus comprising a control mechanism for controlling non-display after a lapse of a predetermined time corresponding to the time when the display moves and the display image can be viewed.
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