JP5512012B2 - Fixture, subject support system, and MRI apparatus - Google Patents

Description

  The present invention relates to a fixture for fixing both hands and wrists of a subject.

  MRI devices are beginning to be used to diagnose arthritis. Among arthritis, rheumatoid arthritis has a characteristic that it occurs at a position symmetrical to the human body axis. This feature has become one of the criteria for distinguishing rheumatoid arthritis from other arthritis. Therefore, when the patient has arthritis in the hands and wrists, it is desirable to image both hands and wrists of the patient at the same time in order to diagnose whether or not the disease is rheumatoid arthritis.

JP 2006-26076 A

  However, patients who develop arthritis often have difficulty in holding their arms in the same position for a long time, and there is a problem that the patient is burdened during imaging.

  In view of the above circumstances, an object of the present invention is to provide a fixture that reduces the burden on the subject during imaging.

  In the first aspect, the first placement unit having a first placement surface on which the right hand and the right wrist of the subject are placed, and the second place on which the left hand and the left wrist of the subject are placed. A second fixture having a second placement surface, wherein the first placement surface and the second placement surface are arranged in a lateral direction.

  In the second aspect, the first placement portion has a first recess, the second placement portion has a second recess, and the bottom surface of the first recess is the first recess. The fixing device according to the first aspect, which is a mounting surface, and a bottom surface of the second recess is the second mounting surface.

  In the third aspect, the first mounting surface and the second mounting surface are the fixtures according to the first or second aspect, which can be deformed by applying pressure.

  In a fourth aspect, the first placement portion has a first deformable member that is deformed when pressure is applied, and the second placement portion is deformed when pressure is applied. Having a second deformable member, the bottom surface of the first deformable member is the first mounting surface, and the bottom surface of the second deformable member is the second mounting surface; It is a fixture of the 3rd viewpoint.

  In a fifth aspect, the first placement portion has a first support portion that supports the first deformable member, and the second placement portion is the second deformable member. It is a fixing tool of the 4th viewpoint which has the 2nd support part which supports the.

  In a sixth aspect, the first placement surface is any one of the first to fifth aspects of the fixture that is connected to the second placement surface.

  In a seventh aspect, the fixture according to any one of the first to fifth aspects, including a partition part that separates the first placement surface and the second placement surface.

  In an eighth aspect, the fixture according to any one of the first to seventh aspects, including an angle adjustment mechanism that adjusts an angle between the first placement surface and the second placement surface.

  In a ninth aspect, a first pressing portion having a first pressing surface for pressing the right hand and the right wrist, and a second pressing portion having a second pressing surface for pressing the left hand and the left wrist, The fixture according to any one of the first to eighth aspects.

  In a tenth aspect, the ninth aspect has a presser cover having the first presser part and the second presser part, and a corner on the rear side of the presser cover has a cutout shape. It is a fixing tool.

  In an eleventh aspect, the fixture according to any one of the first to tenth aspects, including a height adjustment mechanism that adjusts a height of the first placement portion and a height of the second placement portion. It is.

  In a twelfth aspect, the fixture according to any one of the first to eleventh aspects includes first conversion means for converting MR signals from both hands and / or both wrists of the subject into electrical signals. .

  In a thirteenth aspect, the first conversion means is the fixture according to the twelfth aspect, having a plurality of coil elements.

  In a fourteenth aspect, a twelfth having a mounting table main body having the first mounting unit, the second mounting unit, and the first conversion unit, and a mounting table base to which the mounting table is attached. Or it is a fixture of 13 viewpoints.

  In a fifteenth aspect, the mounting table main body is the fixture according to the fourteenth aspect, which is detachably attached to the mounting table base.

  In a sixteenth aspect, the fixture according to any one of the tenth to fifteenth aspects includes second conversion means for converting MR signals from both hands and / or both wrists of the subject into electric signals.

  In a seventeenth aspect, the second conversion means is the fixture according to the sixteenth aspect, having a plurality of coil elements.

  In an eighteenth aspect, the presser cover includes a presser cover body having the first presser part, the second presser part, and the second conversion means, and a presser cover base to which the presser cover body is attached, The fixture according to the sixteenth or seventeenth aspect.

  In a nineteenth aspect, the presser lid main body is the fixture according to the eighteenth aspect, which is detachably attached to the presser lid base.

  In a twentieth aspect, a subject support system that supports a subject, the subject support system including any one of the first to nineteenth viewpoints.

  In a twenty-first aspect, the subject support system according to the twentieth aspect includes an upper body support member that supports the upper body of the subject.

  In a twenty-second aspect, the subject support system according to the twentieth or twenty-first aspect includes an elbow support member that supports both elbows of the subject.

  In a twenty-third aspect, the elbow support member includes a right elbow support that supports the right elbow from below, a left elbow support that supports the left elbow from below, and a belt that supports the right and left elbows from the side. This is a subject support system according to a twenty-second aspect.

  The fixture of the present invention has a first placement surface on which the right hand and the right wrist are placed, and a second placement surface on which the left hand and the left wrist are placed. Accordingly, the subject can easily place the arm portion in the same posture for a long time by placing the right hand and the right wrist on the first placement surface and placing the left hand and the left wrist on the second placement surface. Can be retained.

  In the fixture according to the present invention, the first placement surface and the second placement surface are arranged in the lateral direction. Therefore, the right hand and the right wrist, and the left hand and the left wrist can be arranged in substantially the same plane, and both hands or both wrists of the subject can be imaged simultaneously.

It is a perspective view which shows the MRI apparatus which images a subject. It is a side view of FIG. 3 is a perspective view of the fixture 100. FIG. It is a perspective view of the fixing tool 100 in a state where the presser lid 300 is opened. It is a figure which shows the fixing tool 100 in the state which separated the presser lid 300 from the fixing tool main body 200. FIG. FIG. 4 is an exploded perspective view of a fixture main body 200. 4 is an exploded view of the mounting table 120. FIG. 4 is an exploded perspective view of the mounting table main body 40. FIG. 4 is a rear view of the support member 42. FIG. It is AA sectional drawing of FIG. It is a front view of the mounting base 30 shown in FIG. FIG. 8 is a right side view of the mounting table base 30 shown in FIG. 7. It is AA sectional drawing of the mounting base 30 shown in FIG. 2 is an exploded view of two legs 110. FIG. 4 is a top view of the lower leg 101. FIG. It is a figure which shows the leg part 110 from which height differs. It is a front view of the mounting base 120 and the two leg parts 110 before attachment. FIG. 18 is a right side view of FIG. 17. FIG. 6 is a front view of the mounting table 120 and the two leg portions 110 after the two leg portions 110 are inserted into the gap 38. FIG. 20 is a right side view of FIG. 19. 4 is a front view of the mounting table 120 and the two leg portions 110 after the mounting table 120 is rotated with respect to the two leg portions 110. FIG. FIG. 22 is a right side view of FIG. 21. 3 is an exploded view of a presser lid 300. FIG. It is explanatory drawing of what kind of posture the subject 8 is held. It is a figure which shows the both hands and both wrists which were mounted in mounting surface 50R and 50L.

  In the following, the best mode for carrying out the invention will be described with respect to a fixture used when imaging a subject with an MRI apparatus. However, the fixture of the present invention is not limited to this form.

  FIG. 1 is a perspective view showing an MRI apparatus for imaging a subject 8, and FIG. 2 is a side view of FIG.

  The MRI apparatus 1 has a magnet system 2. A table 4 is attached to the magnet system 2. The table 4 has a cradle 5. The cradle 5 moves in the Z direction and the -Z direction. The subject 8 is laid down on the credor 5. The upper body of the subject 8 is raised obliquely by the upper body support member 500. The subject 8 is provided with a fixture 100 according to an embodiment of the present invention. The fixture 100 fixes both hands and wrists of the subject 8. Further, both elbows of the subject 8 are supported by an elbow support member 600 and a belt 700. When the cradle 5 moves in the Z direction, the subject 8 is carried into the bore 3 of the magnet system 2, and when the credoll 5 moves in the −Z direction, the subject 8 is carried out from the bore 3.

  Next, the fixture 100 according to one embodiment of the present invention shown in FIGS. 1 and 2 will be described in detail.

  FIG. 3 is a perspective view of the fixture 100.

  The fixture 100 fixes the both hands and wrists of the subject 8 so as not to move during imaging.

  The fixture 100 includes a fixture main body 200 and a presser lid 300 that covers an upper portion of the fixture main body 200. The presser lid 300 is configured to be able to stand up.

  FIG. 4 is a perspective view of the fixture 100 with the presser lid 300 open.

  The presser lid 300 is fixed to the fixture main body 200 so as to be rotatable around the Y axis within an angle θ range.

  FIG. 5 is a view showing the fixing device 100 in a state where the presser lid 300 is separated from the fixing device main body 200.

  The fixture 100 has two hinges 400R and 400L. The hinge 400 </ b> R has a flat plate portion 401 </ b> R attached to the fixture main body 200 and a flat plate portion 402 </ b> R attached to the presser lid 300. Further, the hinge 400L has a flat plate portion 401L attached to the fixture main body 200 and a flat plate portion 402L attached to the presser lid 300. By attaching the two hinges 400R and 400L to the fixture main body 200 and the presser lid 300, the presser lid 300 is in the range of an angle θ around the Y axis (see FIG. 4) with respect to the fixture main body 200. It can be rotated.

  Returning to FIG. 4, the description will be continued.

  The fixture main body 200 includes a right placement surface 50R on which the right hand and the right wrist of the subject 8 are placed, and a left placement surface 50L on which the left hand and the left wrist of the subject are placed. Yes. The right placement surface 50R and the left placement surface 50L are provided so as to be arranged in the horizontal direction (Y direction). When imaging both hands and both wrists of the subject 8 using the MRI apparatus 1, the right hand and the right wrist of the subject 8 are placed on the right placement surface 50R, and the left hand and the left wrist of the subject 8 are for the left side. It is mounted on the mounting surface 50L. Thereafter, the presser lid 300 is tilted down. When the presser lid 300 is tilted, the presser surface 51R of the presser lid 300 presses the right hand and the right wrist of the subject 8, and the presser surface 51L of the presser lid 300 presses the left hand and the left wrist of the subject 8. Therefore, both hands and wrists of the subject 8 can be fixed between the fixture main body 200 and the presser lid 300.

  Next, the structure of the fixture main body 200 and the presser lid 300 will be described in order.

  FIG. 6 is an exploded perspective view of the fixture main body 200.

  The fixture main body 200 includes a mounting table 120 for mounting both hands and wrists of the subject, and two legs 110 that support the mounting table 120.

  FIG. 7 is an exploded view of the mounting table 120.

  The mounting table 120 includes a mounting table base 30 and a mounting table main body 40 attached to the mounting table base 30.

  The mounting base 30 has six screw holes 31A to 31F. The mounting table main body 40 has six through holes 41A to 41F corresponding to the six screw holes 31A to 31F of the mounting table base 30. The mounting table main body 40 is attached to the mounting table base 30 by six screws 121A to 121F. In addition, in the fixing tool 100 of this form, the user who uses the fixing tool 100 can tighten the screws 121A to 121F or remove the tightened screws 121A to 121F. Therefore, the mounting table body 40 is configured to be detachably attached to the mounting table base 30 by a user using the fixture 100.

  FIG. 8 is an exploded perspective view of the mounting table main body 40.

  The mounting table main body 40 includes a low repulsion member 47 and a support member 42 that supports the low repulsion member 47.

  On the surface of the support member 42, a protruding portion 44 extending along the side surfaces 431, 432, and 433 is formed. Six through holes a <b> 1 to f <b> 1 are formed in the raised portion 44. Further, another raised portion 45 provided separately from the raised portion 44 is formed on the surface of the support member 42. A recess 46 is formed between the raised portion 44 and the raised portion 45 by the raised portions 44 and 45. The recess 46 extends to the two side edges 43R and 43L of the support member 42. An inclined portion 144 is formed between the recessed portion 46 and the raised portion 44, and an inclined portion 145 is formed between the recessed portion 46 and the raised portion 45.

  The low repulsion member 47 is a deformable member that deforms when pressure is applied, but slowly returns to its original shape when the pressure is removed. The low repulsion member 47 is affixed to the surface of the support member 42. The low repulsion member 47 has six through holes a2 to f2 corresponding to the six through holes a1 to f1 of the support member 42. Therefore, when the low repulsion member 47 is attached to the surface of the support member 42, the through holes a2 to f2 of the low repulsion member 47 are connected to the through holes a1 to f1 of the support member 42, respectively. As a result, six through holes are obtained. 41A to 41F (see FIG. 7) are formed.

  Further, since the low repulsion member 47 has flexibility, when the low repulsion member 47 is attached to the surface of the support member 42, the low repulsion member 47 is deformed into the same shape as the surface shape of the support member 42. Therefore, the low repulsion member 47 has the raised portions 441 and 451 corresponding to the raised portions 44 and 45 of the support member 42 by being attached to the support member 42. Due to the two raised portions 441 and 451, a recess 461 is formed between the raised portion 441 and the raised portion 451 in the low resilience member 47. The concave portion 461 includes a right concave portion 461R on which the right hand and right wrist of the subject 8 are placed, and a left concave portion 461L on which the left hand and left wrist of the subject 8 are placed. The bottom surface of the right recess 461R is used as the placement surface 50R, and the bottom surface of the left recess 461L is used as the placement surface 50L.

  In this embodiment, the placement surface 50R is formed so as to be connected to the placement surface 50L. However, a partition for separating the placement surface 50R from the placement surface 50L may be provided between the placement surface 50R and the placement surface 50L.

  In addition, without providing the recessed part 461 in the low-repulsion member 47, the surface of the low-repulsion member 47 may be made flat, and the mounting surfaces 50R and 50L may be provided on this flat surface.

  FIG. 9 is a rear view of the support member 42.

  The back surface of the support member 42 includes five back surfaces 44a, 45a, 46a, 144a, and 145a.

  The back surfaces 44a and 45a are the back surfaces of the raised portions 44 and 45 (see FIG. 8), respectively. The back surface 46a is the back surface of the recess 46 (see FIG. 8). The back surfaces 144a and 145b are the back surfaces of the inclined portions 144 and 145, respectively.

  Four coil elements CR, CL, CC, and CE for receiving MR signals are formed on the back surface 46a of the support member 42. The coil elements CR, CL, and CC are loop coil elements, and the coil element CE is an 8-shaped coil element.

  The loop coil element CR is a coil element for receiving an MR signal from the right hand. The loop coil element CL is a coil element for receiving an MR signal from the left hand. The 8-shaped coil element CE is a coil element for receiving MR signals from the right wrist and the left wrist. The loop coil element CC is a coil element for receiving MR signals from the right and left thumbs.

  A power feeding circuit 48 and a decoupling circuit 49 connected to the coil elements CR, CL, CC, and CE are mounted on the back surface of the support member 42. Further, a balun (balanced-unbalanced circuit) BU connected to each power supply circuit 48 is also mounted on the back surface of the support member 42.

  FIG. 10 is a cross-sectional view taken along the line AA of FIG.

  The balun BU is mounted on the back surface 144a of the inclined portion 144.

  The balun BU may be mounted on the back surface 46a of the recess 46 instead of being mounted on the back surface 144a of the inclined portion 144. In FIG. 10, the balun BU mounted on the back surface 46 a of the recess 46 is indicated by a broken line. However, when the balun BU is mounted on the back surface 46a of the recess 46, the thickness t of the support member 42 increases (t = T ') depending on the dimensions of the balun BU. On the other hand, when the balun BU is mounted on the back surface 144a of the inclined portion 144, the thickness t of the support member 42 is smaller than T ′ (t = T). Therefore, the thickness of the support member 42 can be reduced by mounting the balun BU on the back surface 46 a of the recess 46.

  11 is a front view of the mounting table base 30 shown in FIG. 7, FIG. 12 is a right side view of the mounting table base 30 shown in FIG. 7, and FIG. 13 is an AA cross section of the mounting table base 30 shown in FIG. FIG.

  The mounting base 30 includes a mounting base 30a to which the mounting base body 40 (see FIG. 7) is detachably attached. Six screw holes 31A to 31F (see FIG. 7) are formed in the mounting base 30a. In addition, two columnar protrusions 32 are provided on the front end 30b of the mounting base 30a. The projection 32 is formed with a shaft hole 32a through which the rotation shaft 111 (see FIG. 6) is passed.

  Two stoppers 33R and 33L are attached to the side of the mounting base 30a so as to prevent the presser lid 300 (see FIG. 2), which will be described later, from being opened.

  Moreover, the mounting base 30 has two outer side plates 34 as shown in FIG. As shown in FIG. 12, two curved through holes 35 and 36 are formed in each outer side plate 34.

  Moreover, the mounting base 30 has two inner side plates 37 below the mounting base 30a, as shown in FIG. The inner side plate 37 is provided such that a gap 38 is formed between the inner side plate 37 and the outer side plate 34.

  The mounting table base 30 is configured as described above. Two legs 110 (see FIG. 6) are attached to the mounting base 30.

  FIG. 14 is an exploded view of the two legs 110.

  The leg part 110 has a lower leg part 101, an upper leg part 102, and a stopper 103.

  The lower leg 101 has a rod-like body 11 extending in the x direction. Further, the lower leg portion 101 has two rectangular long plates 12 provided at both ends of the rod-like body 11. Further, the lower leg 101 has a flat plate 14 provided at the center of the rod-shaped body 11. The flat plate 14 is provided so as to spread in the xz plane. The flat plate 14 is formed with four pairs of through holes 15 to 18.

  FIG. 15 is a top view of the lower leg 101.

  The two long plates 12 are provided on the side surface α side of the rod-shaped body 11, and the flat plate 14 is provided on the side surface β side opposite to the rod-shaped body 11.

  Returning to FIG. 14, the description will be continued.

  The upper leg portion 102 has a sliding surface 24 that slidably contacts the flat plate 14 of the lower leg portion 101. Further, the upper leg portion 102 has a sliding surface 22 that slidably contacts the long plate 12 of the lower leg portion 101. The sliding surface 22 is provided on the side opposite to the side on which the sliding surface 24 is provided. Since the upper leg portion 102 has sliding surfaces 22 and 24, when the upper leg portion 102 is inserted into the lower leg portion 101, the upper leg portion 102 is slidable with respect to the lower leg portion 101. Fit (see FIG. 6).

  A convex portion 26 is formed at the upper corner portion of the upper leg portion 102. A shaft hole 26 a through which the rotation shaft 111 (see FIG. 6) is passed is formed in the convex portion 26.

  In addition, the upper leg portion 102 is formed with a screw hole 28 screwed into the fastener 131 (see FIG. 6) and a screw hole 29 screwed into the fastener 132 (see FIG. 6).

  Further, a pair of through holes 25 is formed inside the sliding surface 24 of the upper leg portion 102. By sliding the upper leg portion 102 on the lower leg portion 101, the pair of through holes 25 in the upper leg portion 102 communicate with the respective pairs 15 to 18 of the through holes in the lower leg portion 101.

  The stopper 103 has a pair of insertion shafts 103a. The pair 103a of insertion shafts is formed so as to be able to be inserted into the pair 25 of through holes of the upper leg portion 102 and the pairs 15 to 18 of the through holes of the lower leg portion 101.

  By using the stopper 103, the height of the leg 110 can be adjusted in four stages.

  FIG. 16 is a diagram showing the legs 110 having different heights.

  In FIGS. 16A to 16D, the legs 110 are shown in order of increasing height. In FIG. 16A, the pair 25 of through holes in the upper leg portion 102 communicates with the pair 15 of lowermost through holes in the lower leg portion 101 (see FIG. 14). The stopper 103 (not shown) communicates with the pair of through holes 25 in the upper leg portion 102 and the pair of through holes 15 in the lower leg portion 101 (see FIG. 14). In order to raise the height of the leg part 110, the upper leg part 102 may be slid upward and the stopper 103 (not shown) may be inserted into the through hole pair 16 (see FIG. 14) of the flat plate 14. (See FIG. 16 (b)). In a similar manner, the legs 110 can be made higher (see FIGS. 16 (c) and (d)). The leg 110 shown in FIG. 16D is the highest.

  As shown in FIG. 16, the height of the leg part 110 can be adjusted in four stages. In addition, the leg part 110 can also be comprised so that height cannot be adjusted.

  The two legs 110 configured as described above are attached to the mounting table 120 (see FIG. 6). How the two legs 110 are attached to the mounting table 120 will be described with reference to FIGS.

  FIG. 17 is a front view of the mounting table 120 and the two leg portions 110 before attachment, and FIG. 18 is a right side view of FIG.

  The mounting table base 30 of the mounting table 120 has a gap 38 between the outer side plate 34 and the inner side plate 37. The two legs 110 are inserted into the gap 38.

  19 is a front view of the mounting table 120 and the two leg portions 110 after the two leg portions 110 are inserted into the gap 38, and FIG. 20 is a right side view of FIG.

  The leg part 110 has the upper leg part 102 (refer FIG. 17). A part of the upper leg 102 is inserted into the gap 38 of the mounting table 120. The width of the gap 38 is adjusted to be slightly wider than the width of the upper leg portion 102. Therefore, the upper leg portion 102 can slide on both the outer side plate 34 and the inner side plate 37.

  Further, in order to prevent the inserted leg 110 from dropping from the mounting table 120, the rotation shaft 111 (see FIG. 20) is inserted into the shaft hole 26 a of the leg 110 and the shaft hole 32 a of the mounting table 120. Is done. In this way, the two legs 110 are attached to the mounting table 120.

  The leg part 110 has two screw holes 28 and 29. The screw hole 28 of the leg part 110 is formed so as to be positioned inside the through hole 35 of the mounting table 120, and the screw hole 29 of the leg part 110 is positioned inside the through hole 36 of the mounting table 120. Is formed.

  Two legs 110 are attached to the mounting table 120 by a rotation shaft 111. Therefore, the mounting table 120 can be rotated with respect to the two legs 110.

  21 is a front view of the mounting table 120 and the two leg portions 110 after the mounting table 120 is rotated with respect to the two leg portions 110, and FIG. 22 is a right side view of FIG.

  The mounting table 120 can be rotated around an angle θ around the rotation axis 111. The through hole 35 of the mounting table 120 is formed along the arc SC1 centered on the rotation shaft 111, and the through hole 36 of the mounting table 120 extends along the arc SC2 centered on the rotation shaft 111. Is formed. Therefore, even if the mounting table 120 is rotated within the range of the angle θ, the screw hole 28 of the leg 110 is located inside the through hole 35 of the mounting table 120, and the screw hole 29 of the leg 110 is It is located inside the through hole 36 of the mounting table 120.

  By rotating the mounting table 120 within the range of the angle θ, the inclination angles of the right mounting surface 50R and the left mounting surface 50L of the mounting table 120 can be adjusted within the range of the angle θ. However, only by rotating the mounting table 120, the mounting table 120 returns to the position of the angle θ = 0 degrees (see FIG. 20) due to the weight of the mounting table 120. Therefore, in order to prevent the mounting table 120 from returning to the position of the angle θ = 0, the mounting table 120 is rotated by using the fasteners 131 and 132 (see FIG. 6). Fix to the legs 110. Specifically, the fastener 131 is screwed into the screw hole 28 of the leg 110 through the through hole 35 of the mounting table 120, and the fastener 132 is passed through the through hole 36 of the mounting table 120. Screwed into the screw hole 29. As a result, the fasteners 131 and 132 press the outer side plate 34 of the mounting table 120 against the upper leg 102 of the leg 110, so that the mounting table 120 is fixed to the leg 110.

  Returning to FIG.

  The fixture 100 has a presser lid 300 attached to the fixture main body 200.

  FIG. 23 is an exploded view of the presser lid 300.

  The presser cover 300 includes a presser cover base 310 and a presser cover main body 340 attached to the presser cover base 310.

  The presser lid base 310 has an attachment surface 312 to which the presser lid main body 340 is attached. Six screw holes 311 </ b> A to 311 </ b> F are formed in the attachment surface 312. The presser lid base 310 has a shape in which corners 313 and 314 on the rear side are notched (see FIG. 3).

  The presser lid main body 340 includes a support member 320 and a low repulsion member 330.

  The support member 320 has a raised portion 327 extending along the five side surfaces 322 to 326. In the raised portion 327, six through holes 321A to 321F corresponding to the six screw holes 311A to 311F of the presser lid base portion 310 are formed. Further, the support member 320 has another raised portion 328 provided separately from the raised portion 327. A concave portion 329 is formed between the raised portion 327 and the raised portion 328 by the raised portions 327 and 328. Four coil elements CR, CL, CC, and CE are formed on the back surface of the support member 320 as in the support member 42 of the fixture body 200 (see FIG. 9).

  The low repulsion member 330 is attached to the support member 320. The low repulsion member 330 has six through holes 331A to 331F corresponding to the six through holes 321A to 321F of the support member 320. Since the low repulsion member 330 has flexibility, when the low repulsion member 330 is attached to the support member 320, the low repulsion member 330 is deformed into a shape similar to the surface shape of the support member 320. Therefore, the low resilience member 330 has the raised portions 337 and 338 corresponding to the raised portions 327 and 328 of the support member 320 by being attached to the support member 320. Due to the two raised portions 337 and 338, a recess 339 is formed between the raised portion 337 and the raised portion 338 in the low resilience member 330. The bottom surfaces of the recesses 339 are used as the pressing surfaces 51R and 51L.

  The support member 320 is screwed to the presser lid base 310 with six screws 301A to 301F in a state where the low repulsion member 330 is attached. In addition, in the fixing tool 100 of this embodiment, the user who uses the fixing tool 100 can tighten the screws 301A to 301F or remove the tightened screws 301A to 301F. Therefore, the presser lid main body 340 is configured to be detachably attached to the presser lid base 310 by a user using the fixture 100.

  In this embodiment, the pressing surface 51R is formed so as to be connected to the pressing surface 51L. However, a partition for separating the pressing surface 51R from the pressing surface 51L may be provided between the pressing surface 51R and the pressing surface 51L.

  In addition, without providing the recessed part 339 in the low-repulsion member 330, the surface of the low-repulsion member 330 may be a flat surface, and the pressing surfaces 51R and 51L may be provided on the flat surface.

  The presser lid 300 configured as described above is attached to the fixture main body 200, whereby the fixture 100 (see FIG. 2) is configured. Using the fixture 100, both hands and both wrists of the subject 8 are imaged (see FIG. 1).

  Next, how the subject 8 is placed on the table 4 (see FIG. 1) when the both hands and wrists of the subject 8 are imaged will be described.

  In order to obtain a high-quality MR image, it is desirable that the subject 8 keeps a constant posture while moving as little as possible during the imaging, while the subject 8 continues to maintain a constant posture. That is a big burden. Therefore, in this embodiment, the subject 8 is held in the following posture so that the subject 8 is not burdened even if the subject 8 continues to hold a constant posture.

  FIG. 24 is an explanatory diagram of the posture in which the subject 8 is held.

  First, the subject 8 is laid down on the table 4. The upper body of the subject 8 is raised obliquely by the upper body holding member 500.

  Next, both hands and wrists of the subject 8 are fixed by the fixture 100. For this reason, the technician of the MRI apparatus installs the fixture 100 on the subject 8 so that the body of the subject 8 is accommodated between the two legs 110 of the fixture 100. Thereafter, the presser lid 300 of the fixture 100 is opened. When the presser lid 300 is opened, the placement surfaces 50R and 50L are exposed. The right hand 8a and the right wrist 8b of the subject 8 are placed on the placement surface 50R, and the left hand 8c and the left wrist 8d of the subject 8 are placed on the placement surface 50L. Since both hands and wrists of the subject 8 are placed on the placement surfaces 50R and 50L, the subject 8 can easily hold both hands and both wrists at the same position for a long time during imaging. The burden on 8 is reduced.

  FIG. 25 is a diagram illustrating both hands and wrists placed on the placement surfaces 50R and 50L.

  The mounting surfaces 50R and 50L are provided in the same plane. Therefore, when the right hand 8a and the right wrist 8b are placed on the placement surface 50R and the left hand 8c and the left wrist 8d of the subject 8 are placed on the placement surface 50L, the right hand 8a and the right wrist 8b, the left hand 8c and the left hand are placed. The neck 8d is disposed in the same plane.

  The right hand 8 a is disposed on the loop coil element CR of the fixture main body 200. On the other hand, the left hand 8 b is disposed on the loop coil element CL of the fixture main body 200.

  The right wrist 8b and the left wrist 8d are disposed on the 8-shaped coil element CE of the fixture main body 200. The thumbs of the right hand 8a and the left hand 8c are arranged on the loop coil element CC.

  After placing both hands and wrists on the placement surfaces 50R and 50L as shown in FIG. 25, the presser lid 300 of the fixture 100 is closed.

  When the presser lid 300 is closed, the right hand 8a is disposed between the loop coil element CR (see FIG. 25) of the fixture main body 200 and the loop coil element CR (see FIG. 23) of the presser lid 300. On the other hand, the left hand 8b is disposed between the loop coil element CL (see FIG. 25) of the fixture main body 200 and the loop coil element CL (see FIG. 23) of the presser lid 300. Therefore, MR signals of the right hand 8a and the left hand 8c can be collected. Further, the right wrist 8b and the left wrist 8d are disposed between the 8-shaped coil element CE (see FIG. 25) of the fixture main body 200 and the 8-shaped coil element CE (see FIG. 23) of the presser lid 300. . Therefore, MR signals from the right wrist 8b and the left wrist 8d can be collected.

  The fixing body 200 is also provided with a loop coil element CC (see FIG. 25), and the presser lid 300 is also provided with a loop coil element CC (see FIG. 23). With these elements CC, high-quality MR images of the thumbs of the right hand 8a and the left hand 8c can be obtained.

  By closing the presser lid 300, the presser surface 51R (see FIG. 24) of the presser lid 300 presses the right hand 8a and the right wrist 8b, and the presser surface 51L (see FIG. 24) of the presser lid 300 holds the left hand 8c and the left wrist 8d. Press down. The mounting surfaces 50R and 50L are provided on the low-repulsion member 47 (see FIG. 8), and the pressing surfaces 51R and 51L are provided on the low-repulsion member 330 (see FIG. 23). The low resilience members 47 and 330 are deformed into the shape of both hands and wrists of the subject 8. Therefore, the fixture 100 can fix both hands and wrists of the subject 8 without causing the subject 8 to feel pain. As a material of the low resilience members 47 and 330, for example, urethane can be used. Further, instead of the low resilience members 47 and 330, an elastic member such as rubber can be used. The mounting surfaces 50R and 50L and the pressing surfaces 51R and 51L can be provided not on the low repulsion member but on a hard member that does not have elasticity.

  After the presser lid 300 is closed, the presser lid 300 is fixed to the fixture main body 200 with the stoppers 33R and 33L so that the presser lid 300 does not open. Accordingly, the right hand 8a and the right wrist 8b, and the left hand 8c and the left wrist 8d are fixed by the fixture 100.

  Next, the elbow of the subject 8 is supported. To support the elbow, the right and left elbows are placed on a right elbow support 600 and a left elbow support (not shown), respectively (see FIG. 1). A belt 700 is attached to both elbows of the subject 8 (see FIG. 1). The belt 700 is attached to the subject 8 so that a force in the x1 direction (lateral direction) is applied to the right elbow and a force in the x2 direction (direction opposite to the x1 direction) is applied to the left elbow.

  The right elbow support base 600 and the left elbow support base (not shown) support the right elbow and the left elbow from below, respectively. On the other hand, the belt 700 supports the right and left elbows from the side by applying a force in the x1 direction (lateral direction) to the right elbow and applying a force in the x2 direction (direction opposite to the x1 direction) to the left elbow. . In this way, the elbow of the subject 8 is supported. By supporting the elbow of the subject 8, the subject 8 can deposit both elbows on the elbow support and belt during imaging. Therefore, it is possible to prevent the subject 8 from feeling pain even when the imaging time is long.

  Since the right hand 8a and the right wrist 8b and the left hand 8c and the left wrist 8d are arranged in the same plane, both hands and both wrists can be displayed on the MR image at the same time. Therefore, the right hand 8a and the right wrist 8b can be easily compared with the left hand 8c and the left wrist 8d.

  A user who uses the fixture 100 (for example, an engineer of the MRI apparatus 1) can detachably attach the mounting table body 40 to the mounting table base 30 or detachably attach the presser lid body 340 to the presser lid base 310. it can. Therefore, the user attaches another mounting table body having a coil element different from the mounting table body 40 to the mounting table base 30, or attaches another presser cover body having a coil element different from the presser cover main body 340 to the presser cover base. 310 can be attached. Since the fixture 100 has such a structure, the user can attach the mounting table main body and the presser lid main body having the coil element optimal for the MR image to be acquired to the mounting table base 30 and the presser cover base 310, respectively. It becomes possible. The mounting table main body 40 and the presser lid main body 340 may be structured such that they cannot be detached from the mounting table base 30 and the presser cover base 310, respectively.

  The two legs 110 of the fixture 100 can be adjusted in height in four stages. Therefore, the mounting table body 40 can be adjusted to an optimum height according to the physique of each subject. Note that the two legs 110 may be configured such that the height can be adjusted more finely, and conversely, it may be configured such that only coarser adjustment is possible.

  The fixture 100 can adjust the inclination angle θ of the mounting table main body 40 by rotating the mounting table 120. Therefore, both arms of the subject 8 can be fixed at an angle at which the subject 8 feels the least pain. Note that the fixture 100 can be configured such that the inclination angle θ of the mounting table body 40 cannot be adjusted.

  In this embodiment, the corners 313 and 314 (see FIG. 3) on the rear side of the presser lid 300 have a notched shape. Therefore, even if the fixture 100 is carried into the bore 3 with the inclination angle θ of the mounting table main body 40 being maximized, the corner portions 313 and 314 of the presser lid 300 are prevented from contacting the inner wall of the bore 3. Can do.

  Further, since both hands of the subject 8 are placed on the mounting table main body 40, when the subject 8 is carried into the bore 3, both hands of the subject 8 reach the position P1 above the magnet center MC. (See FIG. 2). Accordingly, both hands of the subject 8 are positioned above the magnet center MC of the MRI apparatus 1. In order to acquire a high-quality MR image, it is required that both hands that are imaging targets be as close to the magnet center MC as possible. Since both hands of the subject 8 are placed on the mounting base body 40 of the fixture 100 (see FIG. 24), the thickness of the mounting base body 40 is required to bring both hands of the subject 8 close to the magnet center MC. It is desirable to be as thin as possible. If the thickness of the mounting table main body 40 is reduced, the positions of both hands of the subject 8 can be lowered, so that both hands and both wrists of the subject 8 can be brought close to the magnet center MC. In this embodiment, in order to reduce the thickness of the mounting table main body 40 as much as possible, the balun BU attached to the support member 42 of the mounting table main body 40 (see FIG. 10) is the back surface 144a of the inclined portion 144 of the support member 42. It is mounted on. When the balun BU is mounted on the back surface 144a of the inclined portion 144, the thickness t of the support member 42 becomes thinner than when the balun BU is mounted on the back surface 46a of the recess 46, so the thickness of the mounting table body 40 is reduced. be able to. Therefore, the positions of both hands and both wrists of the subject 8 can be brought close to the magnet center MC.

  The fixture 100 has a role of fixing both hands and wrists of the subject 8 and a role of a receiving coil for receiving MR signals from the subject 8. However, the fixing tool 100 may be used as a dedicated instrument for fixing both hands and wrists of the subject 8, and MR signals may be received from the subject 8 by a coil prepared separately from the fixing tool 100. The fixture 100 can also be configured to have a role of a transmission coil that transmits an RF pulse to the subject 8.

  Further, the fixture 100 has a configuration including the presser lid 300, but may be configured not to include the presser lid 300.

DESCRIPTION OF SYMBOLS 1 MRI apparatus 2 Magnet system 3 Bore 4 Table 5 Credor 8 Subject 8a Right hand 8b Right wrist 8c Left hand 8d Left wrist 11 Rod-like body 12 Long plate 14 Flat plate 15, 16, 17, 18, 25 Pair of through holes 22, 24 Moving surface 26 Protrusions 26a, 32a Shaft holes 28, 29 Screw holes 30 Mounting base 30a Mounting base 30b Front end 32 Protrusion 33R, 33L Stopper 34 Outer side plate 35, 36 Through hole 37 Inner side plate 38 Gap 40 Mounting base body 42, 320 Support members 43R, 43L Side edges 44, 45, 327, 328, 337, 338, 441, 451 Raised portions 46, 329, 339, 461 Recessed portions 46a, 46b Back surface 47, 330 Low repulsion member 48 Power feeding portion circuit 49 Decup Ring circuit 50R Right mounting surface 50R
50L Left mounting surface 50L
51R, 51L Holding surface 100 Fixing tool 101 Lower leg part 102 Upper leg part 103 Stopper 103a Insertion shaft pair 110 Leg part 111 Rotating shaft 120 Mounting base 131, 132 Fastening tool 200 Fixing tool body 300 Pressing cover 310 Pressing cover base part 312 Mounting surface 313, 314 Corner portion 322, 323, 324, 325, 326, 431, 432, 433 Side surface 340 Presser lid body 400R, 400L Hinge 401R, 401L, 402R, 402L Flat plate portion 461R Right side recess 461L Left side recess 500 Upper body support Member 600 Elbow support member 700 Belt

Claims (25)

A placement unit having a placement surface on which the right hand and the right wrist and the left hand and the left wrist of the subject are placed side by side;
A fixing device comprising: a pressing part having a pressing surface for pressing the right hand and the right wrist and the left hand and the left wrist. A first placement section having a first placement surface on which the right hand and right wrist of the subject can be placed; and
The fixture according to claim 1, further comprising a second placement portion having a second placement surface on which the left hand and the left wrist of the subject can be placed. The first placement portion has a first recess, the second placement portion has a second recess,
The fixture according to claim 2, wherein a bottom surface of the first recess is the first placement surface, and a bottom surface of the second recess is the second placement surface.   The fixture according to claim 2 or 3, wherein the first placement surface and the second placement surface can be deformed by applying pressure. The first placement portion has a first deformable member that is deformed when pressure is applied;
The second mounting portion has a second deformable member that is deformed when a pressure is applied,
The fixture according to claim 4, wherein a bottom surface of the first deformable member is the first placement surface, and a bottom surface of the second deformable member is the second placement surface. The first placement part has a first support part for supporting the first deformable member,
The fixture according to claim 5, wherein the second placement portion includes a second support portion that supports the second deformable member.   The fixture according to any one of claims 1 to 6, wherein the first placement surface is connected to the second placement surface.   The fixture according to any one of claims 1 to 6, further comprising a partition portion that separates the first placement surface and the second placement surface.   The fixture according to any one of claims 1 to 8, further comprising an angle adjustment mechanism that adjusts an angle between the first placement surface and the second placement surface. A first pressing portion having a first pressing surface for pressing the right hand and the right wrist; and a second pressing portion having a second pressing surface for pressing the left hand and the left wrist;
The fixture according to any one of claims 1 to 9, comprising: A presser lid having the first presser portion and the second presser portion;
The fixing device according to claim 10, wherein a corner portion on the rear side of the presser lid has a cutout shape.   The fixture according to any one of claims 1 to 11, further comprising a height adjustment mechanism that adjusts a height of the first placement portion and a height of the second placement portion.   The fixture according to any one of claims 1 to 12, further comprising first conversion means for converting MR signals from both hands and / or both wrists of the subject into electrical signals.   The fixture according to claim 13, wherein the first conversion means has a plurality of coil elements. A mounting table main body having the first mounting unit, the second mounting unit, and the first conversion means; and a mounting table base to which the mounting table is attached;
The fixing tool according to claim 13 or 14, comprising:   The fixture according to claim 15, wherein the mounting table main body is detachably attached to the mounting table base.   The fixture according to any one of claims 10 to 16, further comprising second conversion means for converting MR signals from both hands and / or both wrists of the subject into electrical signals.   The fixture according to claim 17, wherein the second conversion means includes a plurality of coil elements. The presser lid is
A presser lid body having the first presser part, the second presser part and the second conversion means, and a presser cover base to which the presser lid body is attached;
The fixture according to claim 17 or 18, comprising:   The fixture according to claim 19, wherein the presser lid body is detachably attached to the presser lid base. An object support system for supporting an object,
A subject support system comprising the fixture according to any one of claims 1 to 20.   The subject support system according to claim 21, further comprising an upper body support member that supports the upper body of the subject.   The subject support system according to claim 21 or 22, further comprising an elbow support member that supports both elbows of the subject. The elbow support member is
Right elbow support that supports the right elbow from below,
A left elbow support that supports the left elbow from below, and a belt that supports the right and left elbow from the side,
24. The subject support system according to claim 23.   An image of a subject having the fixture according to claim 1 or the subject support system according to claims 21 to 24 and having both hands placed on the fixture according to claim 1 to 20. MRI equipment.

Images