JP2017196427A - X-ray diagnostic apparatus - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide an X-ray diagnostic apparatus which automatically reduces radiation exposure of a portion which is subjected to radiation exposure reduction.SOLUTION: An X-ray diagnostic apparatus 1 includes X-ray generation means 11, X-ray detection means 16, image generation means 28, display means 43, portion detection means, and protection means. The X-ray generation means 11 generates X-rays to be emitted to a subject P. The X-ray detection means 16 detects the X-rays emitted to the subject P. The image generation means 28 generates an X-ray image on the basis of the detected X-rays. The display means 43 displays the X-ray image. The portion detection means detects a portion subjected to radiation exposure reduction on the basis of the X-ray image. The protection means protects a region including the detected portion from the X-rays.SELECTED DRAWING: Figure 1

Description

  Embodiments described herein relate generally to an X-ray diagnostic apparatus.

  In recent years, aneurysms and clogging of cerebral blood vessels may be treated with a catheter under fluoroscopy with an X-ray diagnostic apparatus. Such endovascular treatment with a catheter is called IVR (interventional radiology).

  On the other hand, the amount of X-ray absorption differs depending on the patient's site. For example, parts such as the lens (eyes) and the thyroid gland have high absorption. However, the X-ray conditions for IVR are determined to obtain the information necessary for the catheter procedure. That is, the difference in the amount of absorption depending on the site is not considered in the X-ray conditions of IVR. For this reason, in the case of an X-ray condition in which a long fluoroscopic time is set, there is a concern that highly sensitive parts such as the eyes and the thyroid gland are exposed to high exposure.

  On the other hand, in X-ray diagnostic equipment, a compensation filter such as a metal plate is inserted into an arbitrary irradiation field to reduce the exposure by attenuating X-rays, and a diaphragm such as a lead plate is used other than the arbitrary irradiation field. A technique for inserting and shielding X-rays to prevent exposure is known.

JP 2007-159913 A

  However, since the X-ray diagnostic apparatus as described above needs to manually operate the compensation filter and the diaphragm, the exposure of the highly sensitive region within the X-ray irradiation range is not automatically reduced. In particular, the compensation filter is originally a filter used for preventing halation and the like, and therefore is not automatically used for reducing exposure.

  However, in an X-ray diagnostic apparatus, it is desirable to automatically reduce the exposure of a highly sensitive part of a patient. In addition, it is desirable to reduce the exposure not only to the highly sensitive part of the patient but also to parts such as the hand of the operator at the time of puncture and the hand of the supporter at the time of PPI (percutaneous peripheral intervention). In summary, there is a demand for an X-ray diagnostic apparatus that can automatically reduce the exposure of a highly sensitive part of a patient or a part that is subject to exposure reduction, such as a hand of a technician or supporter.

  The problem to be solved by the present invention is to provide an X-ray diagnostic apparatus that can automatically reduce the exposure of a site to be reduced in exposure.

  The X-ray diagnostic apparatus according to the embodiment includes an X-ray generation unit, an X-ray detection unit, an image generation unit, a display unit, a part detection unit, and a protection unit.

  The X-ray generation means generates X-rays irradiated on the subject.

  The X-ray detection means detects X-rays irradiated on the subject.

  The image generation unit generates an X-ray image based on the detected X-ray.

  The display means displays the X-ray image.

  The part detection unit detects a part to be reduced in exposure based on the X-ray image.

  The protection means protects a region including the detected part from the X-ray.

It is a block block diagram of the X-ray diagnostic apparatus which concerns on 1st Embodiment. It is a top view for demonstrating the aperture blade in the embodiment. It is a top view for demonstrating the compensation filter in the embodiment. It is a flowchart for demonstrating the operation | movement in the embodiment. It is a schematic diagram for demonstrating the operation | movement in the embodiment. It is a schematic diagram for demonstrating the operation | movement in the embodiment. It is a flowchart for demonstrating operation | movement of the X-ray diagnostic apparatus which concerns on 2nd Embodiment. It is a flowchart for demonstrating the operation | movement in the embodiment. It is a flowchart for demonstrating operation | movement of the X-ray diagnostic apparatus which concerns on 3rd Embodiment. It is a flowchart for demonstrating the operation | movement in the embodiment.

  Each embodiment will be described below with reference to the drawings. In the following description, components having substantially the same function and configuration are denoted by the same reference numerals, and redundant description will be given only when necessary.

<First Embodiment>
FIG. 1 is a block diagram of the X-ray diagnostic apparatus according to the first embodiment. In the following description, the horizontal width direction of the subject P is the x direction, the body axis direction of the subject P is the y direction, and the thickness direction of the subject P is the z direction.

  The X-ray diagnostic apparatus 1 includes an X-ray tube 11, an X-ray diaphragm 13, a compensation filter unit 15, an X-ray detector 16, a bed 17 and a C arm 19 as a data collection system. The C arm 19 is arranged with the X-ray tube 11 and the X-ray detector 16 facing each other. The X-ray diagnostic apparatus 1 includes, as a data processing system, a system control unit 25, an operation unit 27, an image generation unit 28, an X-ray controller 29, a high voltage generator 31, an aperture control unit 33, a compensation filter control unit 35, A holding device control unit 37, an external device data input device 41, an image display unit 43, and an image data analysis unit 45 are provided.

  The X-ray tube 11 is a vacuum tube that generates X-rays, and generates X-rays by accelerating electrons with a high voltage from the high-voltage generator 31 and colliding with a target.

  The bed 17 has a mechanism capable of moving up and down while positioning the subject P.

  The X-ray restrictor 13 is provided between the X-ray tube 11 and the subject P, forms an X-ray irradiation region R on the detection surface of the X-ray detector 16, and prevents unnecessary exposure to the subject P. It is an aperture device for preventing. The X-ray diaphragm 13 has a plurality of X-ray diaphragm blades 13a to 13d that can move independently so as to limit the irradiation region R of the X-ray irradiated to the subject P to the region of interest. (See FIG. 2). In FIG. 2, the x direction and the y direction in which the X-ray diaphragm blades 13a to 13d can move are orthogonal to the X-ray irradiation direction. Each of the X-ray diaphragm blades 13a to 13d is formed of lead or the like that shields X-rays. The region of interest is set as a region including a predetermined instrument projected on the X-ray image by the image data analysis unit 45.

  The compensation filter unit 15 is a filter that is provided between the X-ray restrictor 13 and the subject P and attenuates the X-rays that are irradiated to the exposure reduction target region, and is a plurality of independently movable compensation filters. 15a and 15b (see FIG. 3). Each compensation filter 15a, 15b is formed of a metal plate having a rectangular shape, for example. For example, the compensation filters 15a and 15b are arranged so that their longitudinal directions are orthogonal to each other in the initial state, and can be translated in the x direction or the y direction by moving the both ends by an equal distance from each other. It can be rotated in the θ direction or the φ direction by moving it by different distances. In FIG. 3, the x direction, the y direction, the θ direction, or the φ direction in which the compensation filters 15a and 15b can move are orthogonal to the X-ray irradiation direction. The number of compensation filters 15a and 15b is not limited to two, but may be one or three or more.

  The X-ray detector 16 is a flat panel detector (FPD) provided with a detection surface facing the X-ray tube 11 via a bed 17. The FPD has, for example, a scintillator and a photodiode array, generates electron holes by applying X-rays transmitted through the subject P to the photoelectric film, accumulates them in a semiconductor switch, and reads them as electrical signals. X-ray signals are detected.

  The bed 17 has a mechanism capable of moving up and down while positioning the subject P.

  The system control unit 25 is a central processing unit that performs control related to collection of image data and control related to image processing and image reproduction processing of the collected image data.

  The operation unit 27 includes a keyboard, a mouse, a button, an operation lever, and the like for inputting instructions regarding the setting, deformation, and movement of the X-ray irradiation region R and the exposure reduction region, and specification regarding a highly sensitive region. The exposure reduction region means a region on the detection surface of the X-ray detector 16 where X-rays are attenuated by the compensation filters 15a and 15b.

  The image generation unit 28 generates an X-ray image (non-contrast image, contrast image, difference image) based on the X-ray data obtained by the X-ray detector 16. The non-contrast image is an X-ray image before contrast agent administration, and is a projection image having a bone image. A contrast image is an X-ray image after contrast medium administration, and is a projection image having bone and blood vessel images. The difference image is an X-ray image representing a difference between the contrast image and the non-contrast image, and is a projection image having a blood vessel image. For example, the difference image can be generated by the image calculation unit 28b calculating the difference between the non-contrast image stored in the image storage unit 28a and the contrast image based on the X-ray data obtained by the X-ray detector 16. ing.

  The X-ray controller 29 controls the high voltage generator 31 that generates a high voltage to be applied to the X-ray tube 11.

  The high voltage generator 31 generates a high voltage based on the control signal supplied from the X-ray controller 29 and supplies it to the X-ray tube 11.

  The diaphragm control unit 33 performs movement control on the X-ray diaphragm blades 13a to 13d in order to set, move, and deform the X-ray irradiation region R. For example, the aperture control unit 33 irradiates the region of interest set by the image data analysis unit 45 with X-rays, and each X-ray aperture blade so as to shield the portion detected by the image data analysis unit 45 from the X-rays. The movement control of 13a-13d is performed. At this time, the X-ray aperture blades 13a to 13d and the aperture control unit 33 constitute a protection unit that protects the region including the portion detected by the image data analysis unit 45 from X-rays.

  The compensation filter control unit 35 performs movement control on the compensation filters 15a and 15b in order to set, deform, and move the exposure reduction region. For example, the compensation filter control unit 35 performs movement control of the compensation filters 15a and 15b so as to cover the part detected by the image data analysis unit 45 from the X-rays. At this time, the compensation filters 15a and 15b and the compensation filter control unit 35 constitute protection means for protecting the region including the part detected by the image data analysis unit 45 from X-rays.

  The holding device control unit 37 controls the top plate of the bed 17 in accordance with an instruction from the system control unit 25.

  The X-ray detector control unit 39 controls the operation of the X-ray detector 16.

  As the external device data input device 41, a device that provides a CT image or a 3D workstation can be used as appropriate. For example, the external device data input device 41 sends a CT image to the display data generation unit 43 a and sends a template image to the image data analysis unit 45. The CT image is an image obtained by imaging the subject P with a CT apparatus (not shown). The template image is a three-dimensional image of a human body model having bone and blood vessel images, or a whole-body projection image for each representative angle.

  The image display unit 43 displays the X-ray image generated by the image generation unit 28, and specifically includes a display data generation unit 43a and a monitor 43b.

  The display data generation unit 43a generates display data including at least the X-ray image generated by the image generation unit 28, and sends the display data to the monitor 43b. Note that the display data includes the CT image and the X-ray image generated by the image generation unit 28 when there is a CT image transmitted from the external device data input device 41. That is, it is essential to display the X-ray image generated by the image generation unit 28, but it is not essential to display CT images from other devices.

  The monitor 43b displays the display data received from the display data generation unit 43a.

  The image data analysis unit (part detection unit) 45 detects a part to be subjected to exposure reduction based on the X-ray image generated by the image generation unit 28. For example, the image data analysis unit 45 includes a storage unit (not shown) that stores a template image that includes a portion that is subject to exposure reduction, and compares the template image with the X-ray image, thereby obtaining an X-ray image. You may detect the site | part of the said exposure reduction object in.

  Here, the X-ray image to be compared is a projected image in the visual field direction when the template image is a three-dimensional image of a human body model, and is closest to the representative angle when the template image is a projected image of the whole body. It is an angle projection image. In addition, as a three-dimensional image of a human body model, for example, a three-dimensional-head blood vessel X-ray contrast image (a three-dimensional image having a bone and a blood vessel image) can be used as appropriate. The whole-body projection image in the template image is a bone projection image when the generated X-ray image is a non-contrast image, and a bone and blood vessel image when the generated X-ray image is a contrast image. If the generated X-ray image is a difference image, it is a projection image of a blood vessel.

  “By comparing” may be read as, for example, “by comparing and performing pattern matching”. This pattern matching means that a characteristic structure map (the template image described above) is provided and matching with the structure is performed.

  In addition, the image data analysis unit 45 estimates the region of the field of view and compares the pattern matching range before the template image and the X-ray image are compared, and supports the function (i) or (ii) may be provided.

  (i) The angle of the C arm 19 acquired from the system control unit 25, the position of the bed 17, the SID (source-image distance), the FOV (field of view), the subject (patient) A function for estimating the position of the subject P and the visual field based on the information (height / weight) and the subject (patient) body position information, and estimating the region of the visual field.

  (ii) A function for estimating the region of the visual field from the target region registered in the examination protocol or imaging program acquired from the system control unit 25.

  Moreover, as a site | part of exposure reduction object, a highly sensitive site | part, such as an eyeball or a thyroid gland, and arbitrary designation | designated site | parts correspond. As an arbitrary designated part, for example, a part of the hand of the operator at the time of puncture or a part of the supporter's hand at the time of PPT (percutaneous peripheral intervention) can be used as appropriate.

  The exposure reduction target part in the template image is, for example, a range designated on the template image, or another position information (position information on the subject or structure information that can identify laboratory coordinates, Can be specified).

  The image data analysis unit (setting unit) 45 detects a predetermined instrument projected on the X-ray image based on the X-ray image generated by the image generation unit 28, and determines a region of interest including the instrument. It may be set. For example, the image data analysis unit 45 includes a storage unit (not shown) that stores a template image representing a predetermined instrument, and compares the template image with the X-ray image to thereby compare the template image with the X-ray image. A predetermined instrument may be detected. Here, as the predetermined instrument, for example, a catheter or an ultrasonic probe can be used as appropriate.

  Next, the operation of the X-ray diagnostic apparatus configured as described above will be described with reference to the flowchart of FIG. Here, as an example of shooting, the case of a perspective mode for the purpose of moving image acquisition is taken as an example. However, regardless of this, it is also possible to apply the same imaging operation to the main imaging mode in which the X-ray irradiation intensity is stronger than the fluoroscopic imaging and the purpose is to obtain a still image. Alternatively, the image generation unit 28 may generate an X-ray image so that the inside of the X-ray irradiation region R is a moving image and the outside of the X-ray irradiation region R is a still image. Similarly, the X-ray generation unit 28 may generate an X-ray image so that the inside of the exposure reduction region r is a still image and the outside of the exposure reduction region r is a moving image. That is, the image generation unit 28 may generate an X-ray image by combining the current moving image and the still image immediately before protection by the protection unit. The same applies to the following embodiments.

  First, after confirmation of information (patient name, etc.) on the subject P, an appropriate X-ray condition (tube voltage, tube current, fluoroscopy time) for the subject P by an operator such as a doctor or an engineer. Etc.) is input via the operation unit 27 (step ST1). In general, the tube current is set to be small in the fluoroscopic imaging as compared with the main imaging, and is controlled to an appropriate X-ray condition by auto brightness control (ABC). Further, the operator selects the control of the X-ray irradiation region R or the control of the exposure reduction region by operating the operation unit 27 (ST2). This selection is not limited to directly specifying “control of the X-ray irradiation region R” or “control of the exposure reduction region”, but indirectly by specifying “non-brain” as the X-ray irradiation target. A method of selecting “control of the irradiation region R” may be adopted. Note that when “brain” is designated as the X-ray irradiation target, a wide field of view is required, so “control of the exposure reduction region” is selected indirectly. “Control of X-ray irradiation region R” may be read as “control of X-ray diaphragm blades 13a to 13d”, and “control of exposure reduction region” may be read as “control of compensation filters 15a and 15b”. Good.

  Next, under the control of the system control unit 25, the subject P placed on the bed 17 is irradiated with X-rays from the X-ray tube 11 via the X-ray controller 29 and the high voltage generator 31 (step ST3). . At this stage, the X-ray diaphragm blades 13a, 13b, 13c, and 13d of the X-ray diaphragm 13 are controlled by the diaphragm controller 33 so that the X-ray irradiation region R is maximized. Similarly, the compensation filters 15a and 15b of the compensation filter unit 15 are held by the compensation filter control unit 35 at positions where the exposure reduction region is minimized so as not to attenuate the X-ray irradiation.

  Next, an X-ray image is generated and displayed based on the X-ray transmitted through the subject P (step ST4). That is, the X-ray detector 16 detects X-rays that have passed through the subject P and converts them into electrical signals. This conversion may be direct conversion that converts an X-ray to an electric signal, or may be indirect conversion that converts an X-ray to an electric signal via light. The electrical signal collected by the X-ray detector 16 is subjected to desired image processing, converted to a TV video signal by the image generation unit 28, and displayed on the image display unit 43 as an X-ray fluoroscopic image.

  Next, the image data analysis unit 45 detects an exposure reduction target part and a predetermined instrument from the generated X-ray image according to the selection result of step ST2 (ST5).

  For example, when the control of the X-ray irradiation region R is selected (ST5; Y), the image data analysis unit 45 detects the exposure reduction target region based on the X-ray image and projects it on the X-ray image. A predetermined instrument is detected (ST6), and a region of interest including the instrument is set. Specifically, as shown in FIG. 5, the image data analysis unit 45 sends the angle of the generated X-ray image (current X-ray contrast image) to the external device data input unit 41, thereby A template image having the same angle and specifying a high-sensitivity part in advance is acquired from the external device data input unit 41. Subsequently, the image data analysis unit 45 compares the acquired template image with the X-ray image generated by the image generation unit 28, detects a part to be reduced in exposure by pattern matching of both, and X A predetermined instrument projected on the line image is detected. Further, the image data analysis unit 45 sends part region data indicating a region including the detected region and region of interest data indicating a region of interest to the aperture control unit 33 via the system control unit 25.

  In addition, since the region region data has individual differences in the position and size of the portion targeted for exposure reduction, the region region data may be a region having an arbitrary margin, and the margin may be corrected by the operation of the operation unit 27. For example, when a part to be reduced in exposure appears in an X-ray image, the part is designated on the X-ray image, the outline of the part is drawn with a cursor trace or the like, and separated from the outline by a predetermined interval or more. The margin may be adjusted automatically.

  The aperture control unit 33 irradiates the region of interest including the instrument with X-rays based on the region region data and the region-of-interest data, and each X-ray aperture blade 13a˜ The movement control of 13d is performed (ST7). Each of the X-ray diaphragm blades 13a to 13d moves independently so as to limit the X-ray irradiation region R irradiated to the subject P to the region of interest. Hereinafter, the X-ray diagnostic apparatus 1 repeatedly executes the processes of steps ST6 to ST7.

  On the other hand, when the control of the exposure reduction region is selected (ST5; N), the image data analysis unit 45 detects the site of the exposure reduction target based on the X-ray image (ST8). Specifically, as shown in FIG. 6, the image data analysis unit 45 compares the template image acquired from the external device data input unit 41 with the X-ray image generated by the image generation unit 28 as described above, The part of the exposure reduction target is detected by pattern matching between them. Further, the image data analysis unit 45 sends part region data indicating a region including the detected part to the compensation filter control unit 35 via the system control unit 25.

  Based on the part region data, the compensation filter control unit 35 performs movement control of the compensation filter 15a so as to cover the exposure reduction target part from the X-rays (ST9). The compensation filter 15a moves independently so as to attenuate the X-rays irradiated to the exposure reduction region r. Hereinafter, the X-ray diagnostic apparatus 1 repeatedly executes the processes of steps ST8 to ST9. However, the X-ray diagnostic apparatus 1 excludes the exposure reduction region r from the estimation of the X-ray condition (the X-ray condition is controlled by the image information of the part excluding the compensation filter position). The same applies to the following embodiments.

  As described above, according to the present embodiment, the part of the exposure reduction target part is detected based on the X-ray image, and the region including the detected part is protected from the X-ray by the configuration. Exposure can be reduced automatically.

  Supplementally, the compensation filters 15a and 15b can be inserted so as to detect a highly sensitive part or an object to be avoided by pattern matching or the like, further detect the tip of the catheter that is currently being operated, and cover the highly sensitive part. Alternatively, it is possible to set a region of interest for aperture positioning-linked fluoroscopy (perspective in which the aperture automatically enters the specified region of interest) so as to avoid a highly sensitive region. Therefore, it is possible to reduce the exposure of the exposure reduction target part during fluoroscopy / imaging.

  In addition, the X-ray diaphragm blades 13a to 13d or the compensation filters 15a and 15b are automatically moved so as to protect the exposure reduction target site without performing manual operation, thereby reducing the work burden on the operator at the time of diagnosis. It can be reduced.

<Second Embodiment>
Next, an X-ray diagnostic apparatus according to the second embodiment will be described.

  The present embodiment is a specific example of the first embodiment, in which the X-ray image is a non-contrast image or a contrast image facing the front of the head, the exposure target region is an eyeball, and the predetermined instrument is a catheter. Shows the case. The configuration of the X-ray diagnostic apparatus 1 is the same as that in the first embodiment.

  In this case, the X-ray diagnostic apparatus 1 executes steps ST1 to ST4 as described above.

  Next, the image data analysis unit 45 detects an exposure reduction target part and a predetermined instrument from the generated X-ray image according to the selection result of step ST2 (ST5).

  For example, as shown in FIG. 7, when the control of the X-ray irradiation region R is selected (ST5; Y), the image data analysis unit 45 detects the eyeball (the portion to be reduced in exposure) based on the X-ray image. At the same time, the catheter tip (predetermined instrument) projected on the X-ray image is detected (ST6), and a region of interest including the catheter tip is set. Further, the image data analysis unit 45 sends the region region data indicating the region including the detected eyeball and the region-of-interest data indicating the region of interest to the aperture control unit 33 via the system control unit 25.

  The aperture control unit 33 irradiates the region of interest including the catheter tip based on the region region data and the region of interest data with X-rays and moves the X-ray aperture blades 13a to 13d so as to shield the eyeball from the X-rays. Control is performed (ST7). Each of the X-ray diaphragm blades 13a to 13d moves independently so as to limit the X-ray irradiation region R irradiated to the subject P to the region of interest. Hereinafter, the X-ray diagnostic apparatus 1 repeatedly executes the processes of steps ST6 to ST7.

  On the other hand, as shown in FIG. 8, when the control of the exposure reduction region is selected (ST5; N), the image data analysis unit 45 detects the eyeball (the portion of the exposure reduction target) based on the X-ray image ( ST8). Further, the image data analysis unit 45 sends part region data indicating the region including the detected eyeball to the compensation filter control unit 35 via the system control unit 25.

  The compensation filter control unit 35 performs movement control of the compensation filter 15a so as to cover the eyeball from the X-ray based on the part region data (ST9). The compensation filter 15a moves independently so as to attenuate the X-rays irradiated to the exposure reduction region r. Hereinafter, the X-ray diagnostic apparatus 1 repeatedly executes the processes of steps ST8 to ST9.

  As described above, according to the present embodiment, even when the X-ray image is a non-contrast image or contrast image facing the front of the head, the exposure target region is an eyeball, and the predetermined instrument is a catheter, the first The same effect as that of the embodiment can be obtained.

<Third Embodiment>
Next, an X-ray diagnostic apparatus according to the third embodiment will be described.

  This embodiment is another specific example of the first embodiment, in which the X-ray image is a non-contrast image, a contrast image, or a difference image in PPI (percutaneous peripheral intervention), and an exposure reduction target region is This shows the case where the predetermined instrument is an ultrasonic probe in the hands of an operator or a support person. In other words, the present embodiment assumes a situation in which clogged blood vessels are observed with an ultrasonic diagnostic apparatus during the treatment of limbs. The configuration of the X-ray diagnostic apparatus 1 is the same as that of the first embodiment.

  In this case, the X-ray diagnostic apparatus 1 executes steps ST1 to ST4 as described above.

  Next, the image data analysis unit 45 detects an exposure reduction target part and a predetermined instrument from the generated X-ray image according to the selection result of step ST2 (ST5).

  For example, as shown in FIG. 9, when the control of the X-ray irradiation region R is selected (ST5; Y), the image data analysis unit 45 detects the hand (the part to be reduced in exposure) based on the X-ray image. At the same time, an ultrasonic probe (predetermined instrument) projected on the X-ray image is detected (ST6), and a region of interest including the ultrasonic probe is set. Further, the image data analysis unit 45 sends the region region data indicating the region including the detected hand and the region-of-interest data indicating the region of interest to the aperture control unit 33 via the system control unit 25.

  The aperture control unit 33 irradiates the region of interest including the ultrasonic probe with X-rays based on the region region data and the region-of-interest data, and also blocks each of the X-ray aperture blades 13a to 13d so as to shield the hand from the X-rays. Movement control is performed (ST7). Each of the X-ray diaphragm blades 13a to 13d moves independently so as to limit the X-ray irradiation region R irradiated to the subject P to the region of interest. Hereinafter, the X-ray diagnostic apparatus 1 repeatedly executes the processes of steps ST6 to ST7.

  On the other hand, as shown in FIG. 10, when the control of the exposure reduction region r is selected (ST5; N), the image data analysis unit 45 detects a hand (a part of the exposure reduction target) based on the X-ray image. (ST8). Further, the image data analysis unit 45 sends part region data indicating the region including the detected hand to the compensation filter control unit 35 via the system control unit 25.

  The compensation filter control unit 35 performs movement control of the compensation filter 15a so as to cover the hand from the X-ray based on the part region data (ST9). The compensation filter 15a moves independently so as to attenuate the X-rays irradiated to the exposure reduction region r. Hereinafter, the X-ray diagnostic apparatus 1 repeatedly executes the processes of steps ST8 to ST9.

  As described above, according to the present embodiment, the X-ray image is a non-contrast image, a contrast image, or a difference image in the PPI, the exposure reduction target site is the hand of the operator or supporter, and the predetermined instrument is super Even in the case of an acoustic probe, the same effects as those of the first embodiment can be obtained.

  If caught, according to this embodiment, exposure of the hand of the operator at the time of puncture and exposure of the supporter's hand at the time of PPI (percutaneous peripheral intervention) can be suppressed.

  According to at least one embodiment described above, an exposure reduction target part is detected based on an X-ray image, and a configuration that detects a part of the exposure reduction target and protects the area including the detected part from X-rays. Can be automatically reduced.

  In addition, although some embodiment of this invention was described, these embodiment is shown as an example and is not intending limiting the range of invention. These novel embodiments can be implemented in various other forms, and various omissions, replacements, and changes can be made without departing from the scope of the invention. These embodiments and modifications thereof are included in the scope and gist of the invention, and are included in the invention described in the claims and the equivalents thereof.

  DESCRIPTION OF SYMBOLS 1 ... X-ray diagnostic apparatus, 11 ... X-ray tube, 13 ... X-ray aperture, 13a ... 13d ... Aperture blade, 15 ... Compensation filter part, 15a, 15b ... Compensation filter, 16 ... X-ray detector, 17 ... Bed , 19 ... C-arm, 25 ... System control unit, 27 ... Operation unit, 28 ... Image generation unit, 28a ... Image storage unit, 28b ... Image calculation unit, 29 ... X-ray controller, 31 ... High voltage generator, 33 ... Aperture control unit, 35 ... compensation filter control unit, 37 ... holding device control unit, 41 ... external device data input device, 43 ... image display unit, 43a ... display data generation unit, 43b ... monitor, 45 ... image data analysis unit , R: X-ray irradiation region, r: exposure reduction region.

Claims (4)

X-ray generation means for generating X-rays irradiated on the subject;
X-ray diaphragm means having a movable opening, wherein a part of the X-rays emitted by the X-ray generation means passes through the opening toward the subject, and the X-ray generation means The X-ray diaphragm means for shielding a portion other than the part of the emitted X-rays by a portion outside the opening;
X-ray detection means for detecting X-rays irradiated on the subject;
Image generating means for generating an X-ray image based on the detected X-ray;
Display means for displaying the X-ray image;
A part detecting means for detecting a part of the exposure reduction target based on the X-ray image;
Setting means for setting a region of interest for the X-ray image;
Based on the part of the exposure reduction target detected by the part detection unit and the region of interest set by the setting unit, the X-ray irradiation region includes the region of interest, and the exposure reduction target X-ray diaphragm control means for controlling the X-ray diaphragm means so as not to include
An X-ray diagnostic apparatus comprising: A movable compensation filter provided to attenuate the X-rays irradiated to the subject;
Compensation filter control means for performing movement control of the compensation filter so as to attenuate the detected X-rays irradiated to the exposure reduction target site;
Selecting means for selecting one of the control of the X-ray diaphragm means and the control of the compensation filter;
When the control of the X-ray aperture means is selected by the selection means, the X-ray aperture control means includes an X-ray irradiation area that includes the region of interest and does not include a portion that is subject to exposure reduction. As described above, the X-ray diaphragm means is controlled,
When the control of the compensation filter is selected by the selection means, the compensation filter control means moves the compensation filter so as to attenuate the detected X-rays irradiated to the exposure reduction target site. The X-ray diagnostic apparatus according to claim 1, wherein control is performed. Further comprising a receiving means for accepting designation of information on an X-ray irradiation target site;
The X-ray diagnosis apparatus according to claim 2, wherein the selection unit selects one of control of the X-ray diaphragm unit and control of a compensation filter in accordance with information on the designated irradiation target region. X-ray condition setting means for controlling the X-ray condition based on the X-ray image,
The X-ray condition setting unit is based on an image of a portion of the X-ray image excluding a region where the X-ray is attenuated by the compensation filter when the selection unit selects control of the compensation filter. The X-ray diagnostic apparatus according to claim 2, wherein the X-ray condition is controlled.