JPH08238235A - Medical image diagnosing/treating system - Google Patents

Abstract

PURPOSE: To obtain a medical image diagnosing/treating system with higher operating ratio in modality by moving a carrier base of a first modality to a position to allow the acquiring of diagnosis information of a second modality while the second modality is treated. CONSTITUTION: A carrier base 3 for CT is arranged on the left centering on a CT scanner 1 and a radiographic apparatus on the right. The CT scanner 1 and the radiographic apparatus are allowed to move and run along a wiring of a guide rail 4. The radiographic apparatus mainly comprises an X-ray photographing system 7 and a carrier base 8 for carrying a subject for radiography. Moreover, the X-ray photographing system 7 is constituted of an X-ray generation system 5 having an X-ray bulb and an X-ray stop and an image intensifier 6 arranged facing the X-ray generation system 5 and the components are always supported in a fixed positional relationship. In operation, an X-ray CT device having the CT scanner 1 and a subject carrier base 3 and the radiographic apparatus having the X-ray photographing system 7 and the subject carrier base 8 are operated independently.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical image diagnostic / treatment system having a plurality of medical image diagnostic apparatuses (hereinafter referred to as "modality") and an operating table, and particularly to a same subject using a plurality of modalities. The present invention relates to a medical image diagnostic treatment system that diagnoses, treats, or simultaneously diagnoses and treats a plurality of subjects.

[0002]

2. Description of the Related Art Recently, while observing the inside of a subject with a modality called interventional radiology (hereinafter referred to as "IVR"), a device such as a catheter is inserted into the affected area for excision or medication. In many cases, it is performed in place of what has been conventionally performed by a surgical operation, such as a surgical operation or a stent placement. In addition, since a single modality may not be able to qualify the affected area of the subject, it is possible to combine multiple modalities for diagnosis,
More often treated. For example, the actual exploitation 61-
As in 196715, there is a combination of an X-ray CT system and an X-ray system for a floor-moving circulator. In addition, an overhead traveling image intensifier (hereinafter, referred to as “II”) having a first X-ray tube device and a film cassette on a mounting base of the X-ray device and arranged to face the mounting base. There is also a CT apparatus for IVR which has a second X-ray tube apparatus. Further X in the operating room
There are also a radiographic CT device and an X-ray imaging device. In this way, the medical image diagnostic and treatment system in which a plurality of modalities are combined can be used as an IV system as a dedicated system combined with each other.
R was taking place.

[0003]

In the above-mentioned prior art, a medical image diagnostic and treatment system combining a plurality of modalities is a dedicated system, and although the price of the system is high, a patient visiting a hospital receives an IVR. Since some modalities are not used for diagnosis, there is a problem that it is uneconomical in terms of operating rates of the plurality of modalities.

[0004] As modalities for operating rooms, there are X-ray CT devices and X-ray tube devices. In addition to a plurality of modalities, there are various measuring instruments such as an electrocardiograph. There is a problem that it occupies most of the space and deteriorates workability. Furthermore, when adding a new modality to the modality currently owned by the user as a function of the IVR, there is a problem that there is a constraint condition such as a structure of a room in which the modality owned is owned.

The present invention has been made to solve the above problems, and an object of the present invention is to provide a medical image diagnostic / treatment system in which the operating rates of a plurality of modalities are improved. Another object of the present invention is to provide a medical image diagnostic treatment system that effectively utilizes the space in the operating room. Another object of the present invention is to provide a medical image diagnostic and treatment system in which the constraint conditions for the installation of a new modality added to the modality owned by the user for IVR are less than in the past.

[0006]

The above object is to provide a medical image diagnostic and treatment system that comprises a mounting base for mounting a subject and arranges a plurality of modalities for obtaining diagnostic information inside the subject in close proximity to each other. 1 modality mounting base is 2nd
This is achieved by providing a means for moving the second modality and moving to a position where the diagnostic information of the modality can be acquired.

Further, in a medical image diagnostic treatment system in which an operating table on which a subject is mounted and a mounting base on which the subject is mounted are provided, and a plurality of modalities for obtaining diagnostic information inside the subject are arranged in proximity to each other, This is achieved by providing the operating table with a unit that moves to a position where the diagnostic information of the specified modality can be acquired and the mounting table of the specified modality retracts. Further, there is a room in which the plurality of modalities or operating tables are respectively arranged, and a wall for partitioning and opening and closing each room and a mounting table or operating table for a specific modality are provided with means for moving the rooms to each other. Achieved by the system.

[0008]

In the above means, the mounting base of the first modality moves to a position where the diagnostic information of the second modality can be acquired, and the second modality retreats. Patients who need IVR on the modality mounting base can be diagnosed and treated, and patients who do not need IVR can be diagnosed as individual modalities, so that it is possible to provide a modality with improved operating rates of a plurality of modalities.

In addition, the operating table moves to a position where the diagnostic information of the modality arbitrarily designated can be acquired,
Since the modalities need not be arranged in the operating room because the means for retreating on the mounting base of the designated modality is provided, the space in the operating room can be effectively used.

Further, there is a room for arranging each of the plurality of modalities or operating tables, and a wall for partitioning and opening each room and means for moving a mutual mounting room or operating table of a specific modality are provided. Since the patient who performs IVR can be moved to each room for diagnosis and treatment, it is possible to reduce the constraint conditions for installing a new modality for IVR in addition to the modality owned by the user.

[0011]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS An embodiment of the medical image diagnosis and treatment system of the present invention will be described with reference to the drawings. FIG. 1 is a diagram showing a combination of an X-ray CT apparatus and an X-ray imaging apparatus for a circulatory organ as an example of combining modalities of the medical image diagnosis and treatment system of the present invention, and FIG. 2 is a diagram showing modalities combined as shown in FIG. FIG. 3 is a diagram showing a mechanism for moving one of the mounting bases to a measurable range of the other modality, and FIG. 3 shows a mode in which various modalities of the medical image diagnosis and treatment apparatus are arranged in a room and move to a designated room. It is a figure.

First, as shown in FIG. 1, the medical image diagnostic and treatment system of the present invention comprises a CT mount 1 on the left side of the drawing and a CT mount 3 on the right side of the CT scanner 1 as an X-ray imaging apparatus.
The CT scanner 1 and the X-ray imaging apparatus can move and run along the wiring of the guardrail 4. In the figure, the guardrail 4 is placed on the floor and each device is of the ground traveling type, but it is also possible to perform ceiling traveling or wall traveling, and this guardrail is defined as a line that defines the movement trajectory of each device.

The X-ray imaging apparatus mainly comprises an X-ray imaging system 7 and a mounting table 8 on which a subject for X-ray imaging is mounted. The X-ray imaging system 7 includes an X-ray tube and an X-ray diaphragm device. And an I.I.5 arranged to face the X-ray generation system 6, the X-ray generation system 6 and the I.I.5 are always in a fixed positional relationship. Is supported as. This support is formed by various members such as a C-shaped or U-shaped arm or an I-shaped member such as a conventional cassette type photographing table.

Next, a usage mode of the above-mentioned device configuration will be described. The first embodiment includes an X-ray CT apparatus including a CT scanner 1 and a CT object mounting base 3, and an X-ray imaging apparatus including an X-ray imaging system 7 and an X-ray imaging object mounting base 8. It is possible to operate and measure each device independently.

The second mode is a case where the X-ray CT apparatus is used as a main apparatus and the X-ray imaging apparatus is used as a slave apparatus. That is, the X-ray imaging system 7 is moved along the guardrail 4,
It is arranged near the right opening surface of the CT scanner 1. In this state, when changing from CT measurement to X-ray imaging, the table feed amount of the mounting table 3 on which the subject is mounted is set to a large amount on the right side of the drawing, the scanner gantry 2 is passed through, and the X-ray imaging system 7 is operated.
That is, the X-ray imaging is performed by moving to a range in which the X-ray imaging is possible, setting the imaging position of the X-ray imaging system 7.

The third mode is a case where the X-ray imaging apparatus is used as a main apparatus and the X-ray CT apparatus is used as a slave apparatus. That is, when changing from X-ray imaging to X-ray CT measurement,
As shown in FIG. 1, the CT scanner 1 is moved to the right in the drawing along the guardrail 4 and is arranged near the X-ray imaging apparatus, and the X-ray imaging system 7 is retracted so as not to collide with the CT scanner 1. For example, it moves rightward in the drawing along the guardrail 4. Then, the CT scanner 1 is further moved so that the object mounting base 8 for X-ray imaging is set in the scanner gantry 2, and measurement by the X-ray CT apparatus becomes possible. Also, instead of moving the CT scanner 1 as described above, although not shown, the subject mounting base 8 for X-ray imaging is moved to the scanner gantry 2 for setting, or the top plate portion of the mounting base 8 is set. It is also possible to move and set only.

The fourth mode is a case where the subject after the fluoroscopic radiography procedure is moved without being lowered from the bed. That is, X
The subject mounting base 8 for radiography is moved along the guardrail 4 and arranged near the X-ray CT apparatus. The top plate of the object mounting base for X-ray imaging is sent as it is, and measurement is performed by the X-ray CT apparatus, or the position of the top plate of the object mounting base 3 for X-ray CT is slightly changed and the two are overlapped. It is possible to send the top plate and transfer the subject.

Next, one embodiment of the above-mentioned floor movement of each apparatus will be described with reference to FIG. In the example of FIG. 2A, a U-shaped guardrail 4 is buried under the floor surface, and a wheel 10 which can be rotatably moved is fitted therein, and the rotation shaft of this wheel is connected to the device supporting rod 9. The support rod 9 is fixed to the device installation surface. Further, if the support rod 9 is structured to be rotatable in the axial direction, the device can be moved freely and will not be disengaged from the guard rail 4, which is advantageous in terms of safety.

The example of FIG. 2 (b) is an example in which a wheel 10 for supporting the movement of the apparatus and its own weight and a wheel 11 for separating the guide direction and the moving direction of the guard rail 4 are separated.

The example of FIG. 2C is an example in which a linear ball nut structure is further arranged instead of the guide-moving directional wheel of FIG. 2B, and the nut portion 12 is fixed to the device supporting rod 9. In this example, the ball screw 13 rotates to linearly move the device.

Further, as a matter of course, movement of each device,
Needless to say, a set moving body shape is required, and the wheels are electrically driven, there is a brake structure for the wheels, and a lock structure between the guardrail and each device. Further, although the main body of measurement is the modality of the X-ray imaging apparatus or the X-ray CT apparatus, it should be added that the operating table can be implemented in the same manner in place of the mounting table of each modality.

An example of the structure of a room in which each of the above modalities has an operating table will be described with reference to FIG. In FIG. 3, among measurement rooms in which modalities are linearly arranged (including an operation room in which an operating table is arranged (not shown)), X is used as an example.
A CT room for arranging the X-ray CT apparatus is provided on the left side of the drawing around the IVR room where the fluoroscopic imaging apparatus is arranged, and on the right side, such as a magnetic resonance imaging apparatus (MR) or a positron tomography apparatus (PET). Provide modality. Since each of these modalities is arranged in an individual measurement room, etc., each modality can be used independently. These modalities are arranged on the guardrail 4 and can be moved by traveling on the respective guardrails, and the guardrails also extend to the adjacent measurement room and the like. Further, on the wall surface partitioning the measurement room or the like in which the guardrail 4 is arranged, there is arranged an openable / closable sliding door 20 through which each modality itself, a mounting table of each modality or an operating table can come and go. That is, when the modality or the like needs to be moved, the slide door 20 may be opened and the modality or the like may be moved on the guardrail 4 as needed. Also,
As a matter of course, the wiring cable for the power supply etc. to be supplied to each modality, etc. should have a sufficient length, or be provided with a guardrail 4 and a new overhead wire, etc. like an electric railroad to give sufficient consideration to insulation etc. Then, you may wire.

In the embodiment described above, the guardrail 4 is used to move the modality or the like, but the guardrail 4 is not used when it is relatively lightweight or has a low center of gravity and is hard to tip over. You may move a modality etc. by having a moving mechanism only of a wheel. further,
Although the movement of each modality and the like has been described as a linear movement, the movement is not limited to a linear movement.

[0024]

The medical image diagnosis and treatment system of the present invention comprises:
With the above-described configuration, it is possible to diagnose and treat a patient who needs IVR on the mounting base of the first modality and to diagnose patients who do not need IVR as individual modalities. It is possible to provide a modality with an improved operation rate of the modality. Also,
Since the modality does not necessarily have to be arranged in the operating room, it is possible to effectively use the space in the operating room. Further, since the patient who performs IVR can be moved to each room for diagnosis and treatment, it is possible to reduce the constraint conditions for installing a new modality for IVR in addition to the modality owned by the user.

[Brief description of drawings]

FIG. 1 is a diagram showing an embodiment of a medical image diagnosis and treatment system of the present invention.

FIG. 2 is a diagram showing a moving mechanism of FIG.

FIG. 3 is a diagram in which the modalities shown in FIG. 1 are arranged in a room.

[Explanation of symbols]

 1 CT scanner 2 Scanner gantry 3 (CT device) mounting base 4 Guardrail 5 X-ray generation system 6 Image intensifier (II) 7 X-ray imaging system 8 (X-ray imaging device) mounting base 9 Device support Rod 10, 11 Wheel 12 Nut 13 Ball screw 20 Sliding door

Claims (3)

[Claims] 1. A medical image diagnostic and treatment system comprising a mounting base for mounting a subject, wherein a plurality of medical image diagnostic devices for obtaining diagnostic information inside the subject are arranged in proximity to each other.
The mounting base of the medical image diagnostic apparatus of moves to a position where the diagnostic information of the second medical image diagnostic apparatus can be acquired,
A medical image diagnostic and treatment system, characterized in that the second medical image diagnostic apparatus comprises means for retracting. 2. A medical image diagnostic treatment comprising an operating table on which a subject is mounted and a mounting table on which the subject is mounted, and a plurality of medical image diagnostic apparatuses for obtaining diagnostic information inside the subject are arranged in proximity to each other. In the system, there is provided means for moving the operating table to a position where the diagnostic information of the specified medical image diagnostic apparatus can be acquired and for retracting the mounting table of the specified medical image processing diagnostic apparatus. A medical image diagnosis and treatment system characterized by: 3. There is a room for arranging the plurality of medical image diagnostic apparatuses or an operating table respectively, and a wall for partitioning and opening each room and a mounting table for a specific medical image diagnostic apparatus or an operating table are mutually provided. The medical image diagnostic and treatment system according to claim 1 or 2, further comprising means for moving the room.