TWI558433B - A mobile x-ray unit and a method for dosimetry control - Google Patents

A mobile x-ray unit and a method for dosimetry control Download PDF

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TWI558433B
TWI558433B TW101120419A TW101120419A TWI558433B TW I558433 B TWI558433 B TW I558433B TW 101120419 A TW101120419 A TW 101120419A TW 101120419 A TW101120419 A TW 101120419A TW I558433 B TWI558433 B TW I558433B
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TW201350165A (en
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德 文恩 約翰納 賽門 凡
拔思 伍德史塔
約翰 漢寧
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紐克雷創營運公司
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Description

移動式X光單元及劑量控制方法 Mobile X-ray unit and dose control method

本發明係有關於一種移動式X光單元包括一基座用以容置一控制單元及一電源供應器,且更包括一鉸接可位移式臂以支撐具一X光管之一X光裝療器,用以透過一出口視窗發出一X光射束以幅射一目標。 The invention relates to a mobile X-ray unit comprising a base for accommodating a control unit and a power supply, and further comprising an articulated displaceable arm for supporting an X-ray treatment with an X-ray tube The device emits an X-ray beam through an exit window to illuminate a target.

本發明更有關於一種從移動式X光單元發出之X光射束之劑量測定控制方法。 More particularly, the present invention relates to a dosimetry control method for an X-ray beam emitted from a mobile X-ray unit.

皮膚癌在20世紀的近10年來發病率有增加的驅勢,專業醫療人員在早期診斷、物資(logistics)及提供適當治療方面需投入大量的精神。然而,值得欣慰的是每年超過130萬種新的皮膚癌被確診,且以每年約5%的速度增加。在沒有皮膚保護的情況下增加在太陽下曝曬的機會及臭氧層的減少是最主要的原因-估計每年將耗資超過10億歐元在此項疾病的醫療費用上。超過80%的皮膚癌是發生在頭部及頸部區域,且50%是發生在超過60歲的患者身上。相較於現在的人口統計資料,預計到2025年時老年人口將會是現今的兩倍。 The incidence of skin cancer has increased in the past 10 years in the 20th century, and professional medical personnel need to invest a lot of spirit in early diagnosis, logistics and providing appropriate treatment. However, it is gratifying that more than 1.3 million new skin cancers are diagnosed each year and increase at a rate of about 5% per year. Increasing exposure to the sun and reduction of the ozone layer without skin protection is the main reason - it is estimated that more than 1 billion euros will be spent each year on the medical costs of the disease. More than 80% of skin cancers occur in the head and neck areas, and 50% occur in patients over 60 years of age. Compared to current demographics, it is expected that by 2025 the elderly population will be twice as large as today.

實質上為表面病變(superficial lesions)之非增生 性癌(non proliferated cancer)可以以不同的方式治療。首先,可考慮手術。然而,缺點在於等待時間安排很長且術後治療複雜,而且於術後創傷可能造成感染的風險亦高。其次,可考慮用軟X光(soft X-ray)電子照射。此種方式具有非侵入性之優點,其每一處理療程可短至2分鐘,值得高興的是通常用於放射治療技術作為整理治療時是包括一定數量之療程。 Substantially non-proliferative of superficial lesions Non proliferated cancer can be treated in different ways. First, surgery can be considered. However, the disadvantage is that the waiting time is long and the postoperative treatment is complicated, and the risk of infection may be high after the postoperative trauma. Second, soft X-ray electron irradiation can be considered. This approach has the advantage of being non-invasive, with each treatment being as short as 2 minutes, and it is gratifying that radiation therapy techniques are commonly used as a finishing treatment to include a certain number of treatments.

因此,越多越多的皮膚癌發病率及老年人口部份在人口統計整體中比例的增加,對癌症治療處理物資上構成實質上的挑戰。 Therefore, the more the incidence of skin cancer and the increase in the proportion of the elderly population in the overall demographics, pose a substantial challenge to cancer treatment and treatment materials.

近年來,通常建議使用移動式及可攜式X光單元,其可用於醫院之放射治療部門。此類的可攜式單元的實施例如專利公開號US2007/0076851中所述。此已知的單元包括一X光裝療器包括一X光源提供有一過濾裝置具有複數個濾器,可旋轉地對應配置相對於X光管的一聚焦點(focal point),用以因應需求而改變過濾特性。複數個濾器是配置於過濾裝置中,橫向地相對於X光管之一縱軸而配置。這樣的配置需要有其它的考量,以提供X光射束朝向濾器平面。此已知裝置係使用將X光裝療器相對於患者皮膚一些距離而定位。 In recent years, it has been generally recommended to use mobile and portable X-ray units, which can be used in the hospital's radiation therapy department. An implementation of such a portable unit is described, for example, in Patent Publication No. US2007/0076851. The known unit includes an X-ray device including an X-ray source and a filter device having a plurality of filters rotatably corresponding to a focal point relative to the X-ray tube for changing according to needs Filtering characteristics. A plurality of filters are disposed in the filter device and are disposed laterally relative to one of the longitudinal axes of the X-ray tube. Such a configuration requires additional considerations to provide an X-ray beam toward the filter plane. This known device uses a distance from the X-ray applicator relative to the patient's skin.

此已知X光管的缺點在於從X光裝療器所發出之X光射束至患者之待治療區域之間的實際界定(delineation)控制不易。 A disadvantage of this known X-ray tube is that the actual delineation control between the X-ray beam emitted from the X-ray device to the patient's area to be treated is not easy.

本發明之一目的係提供一種改良的移動式X光單元。更特別的是,本發明之一目的係提供一種移動式X光單元,其中X光射束可以依可控制之方式而提供。 It is an object of the present invention to provide an improved mobile X-ray unit. More particularly, it is an object of the present invention to provide a mobile X-ray unit in which the X-ray beam can be provided in a controllable manner.

基於此,依據本發明之移動式X光單元包括一基於假體(phantom-based)之劑量測定系統(dosimetry system)適於進行線上(on-line)或即時(real time)對X光射束做劑量測定檢查。 Based on this, the mobile X-ray unit according to the present invention comprises a phantom-based dosimetry system adapted to perform on-line or real time versus X-ray beams. Do a dosimetry check.

在本文中所用之”移動式(mobile)”及”可攜式(portable)”是可互換的,且其意義等同於一可輕易移動或運輸之裝置,舉例來說,可由單一個人所移動或運輸之裝置。 As used herein, "mobile" and "portable" are interchangeable and are equivalent to a device that can be easily moved or transported, for example, by a single individual or Transport device.

可以發現,依據本發明之X光單元提供一基於假體之劑量測定系統的優點在於,可得到一快速且牢固的裝置,其可保證且具幅射安全控制。 It has been found that the advantage of providing a prosthetic-based dosimetry system in accordance with the X-ray unit of the present invention is that a fast and robust device is provided which is guaranteed and has radiation safety control.

更好的是,基於假體之劑量測定系統包括一預先製造(pre-manufactured),更好的是固體、假體塊(phantom block)提供有一或多個空間以容置適合之劑量計(dose meter)。更好的是,劑量計可以為薄膜(film)、電離室(ionization chamber)或半導體偵測器(semiconductor detector)。對於有利於薄膜劑量測定來說,假體可提供有可延伸之容部(drawer)用以容置一或多個薄膜部於其既定停留位置(dwell position)。而對於電離室及半導體偵測器來說,假體可包括既定凹部(cavity)配合於所容納之劑 量計之尺寸。假體可更好的是以具有對應於人體皮膚劑量性質之特性的材料製造。在一特別之實施例中,假體可以不只是對應於人體劑量性質,更可以是模擬其外型的,例如手部、脖子、耳朵、臉部、胸部、鼻子或任何其他之非平坦表面可實現於假體上。可以發現,對確保適當之治療方案及治療配給來說是特別重要的。更特別的是,假體可包括適當之嵌件(inserts),其係用於前置方案劑量測定如同在治療中一樣。舉例來說,假體可包括耳朵及鼻子嵌件,以確保這些器官被照射時,具有電子平衡及適當之劑量分佈。可以想見的,可提供不同外型及尺寸之人型假體,舉例來說,以照顧不同外型之成人,以及孩童與成人之間不同之尺寸。 More preferably, the prosthetic-based dosimetry system includes a pre-manufactured, more preferably a solid, phantom block providing one or more spaces to accommodate a suitable dosimeter (dose Meter). More preferably, the dosimeter can be a film, an ionization chamber or a semiconductor detector. For facilitating film dosimetry, the prosthesis can be provided with an extendable drawer for receiving one or more of the film portions at their intended dwell position. For ionization chambers and semiconductor detectors, the prosthesis can include a predetermined cavity to accommodate the contained agent. The size of the gauge. The prosthesis may be more preferably made of a material having properties corresponding to the nature of the human skin. In a particular embodiment, the prosthesis may not only correspond to the nature of the human dose, but may also simulate its appearance, such as the hand, neck, ears, face, chest, nose or any other non-flat surface. Implemented on the prosthesis. It can be found to be particularly important to ensure proper treatment regimens and therapeutic rations. More particularly, the prosthesis can include suitable inserts for use in the pre-dose dosimetry as in therapy. For example, the prosthesis can include ear and nose inserts to ensure that these organs are illuminated with an electronic balance and appropriate dose distribution. It is conceivable to provide human prostheses of different shapes and sizes, for example, to cater for different sizes of adults, and for different sizes between children and adults.

在一實施例中,劑量測定系統可配置為連接至X光裝療器之容室(receptacle)中,雖然一個既定之容室可以被設想,更好的是,劑量測定系統是連接至一準直儀容室(collimator receptacle)。基於此目的,基於假體之劑量測定系統可提供有類似於準直儀連接至準直儀容室之連接裝置。劑量測定系統可連接至X光裝療器的實施例,之後將參考第5a和5b圖做說明。 In one embodiment, the dosimetry system can be configured to be coupled to a receptacle of the X-ray applicator, although a given chamber can be envisioned, and more preferably, the dosimetry system is coupled to a quasi-acceptance Collimator receptacle. For this purpose, a prosthetic based dosimetry system can be provided with a connection device similar to a collimator connected to a collimator chamber. The dosimetry system can be connected to an embodiment of an X-ray applicator, which will be described later with reference to Figures 5a and 5b.

依據本發明一實施例之X光單元中,劑量測定系統包括數位讀取裝置(digital readout means),其特別有利於提供線上(on-line)及/或即時(real time)劑量測定系統適於直接數據傳遞至一適合之數據處理單元,其可以配置成與X光單元之控制器電性連通。 In an X-ray unit according to an embodiment of the invention, the dosimetry system comprises a digital readout means which is particularly advantageous for providing an on-line and/or real time dosimetry system. The direct data is passed to a suitable data processing unit that can be configured to be in electrical communication with a controller of the X-ray unit.

依據本發明另一實施例之X光單元中,劑量測定系統可配置成可識別所產生之X光範圍之至少一劑量深度比例(percentage depth dose)、一射束平整度(beam flatness)及一劑量率(dose rate)。 In an X-ray unit according to another embodiment of the present invention, the dosimetry system can be configured to recognize at least one dose depth dose, one beam flatness, and one of the generated X-ray ranges. Dose rate.

更好的是,不同之實施例可以被考慮。首先,可設置劑量測定薄膜(dosimetric film)用以感應(sensitive)X光管所產生的X光,其方向大致相同於所發出之X光射束之一縱軸。據此,劑量深度比例可被量測。另外,一或多個上述薄膜可被設置,藉以進行其他偏離中心(off-center)之量測。 More preferably, different embodiments can be considered. First, a dosimetric film can be provided to sense the X-rays produced by the X-ray tube in a direction substantially the same as one of the longitudinal axes of the emitted X-ray beams. Accordingly, the dose depth ratio can be measured. Additionally, one or more of the above films may be provided for other off-center measurements.

接著,可提供一定數量之熱釋光測年法劑量測定儀(thermoluminescent dosimeters,TLD)於假體中沿著對應於X光範圍之中心軸之射束一既定深度處。同樣的,偏離中心之量測亦可以透過在所欲位置適當定位劑量計(dose meter)而得到。熱釋光測年法劑量測定儀的輻射可被一既定之讀取單元而讀出,且此些數據可被進一步的分析。舉例來說,熱釋光測年法劑量測定儀的讀取器可輸出一電腦檔案至一適合之數據處理單元。 Next, a number of thermoluminescent dosimeters (TLDs) can be provided in the prosthesis along a given depth of the beam corresponding to the central axis of the X-ray range. Similarly, off-center measurements can also be obtained by properly positioning a dose meter at the desired location. The radiation of the thermoluminescence dating method can be read by a given reading unit and such data can be further analyzed. For example, the reader of the thermoluminescence dating method can output a computer file to a suitable data processing unit.

接著,假體(phantom)可提供有一或多個凹部(cavity)用以容置一或多個電離室(ionization chamber),或一或多個半導體偵測裝置(semiconductor device)。此些劑量計可連接至一量測單元適於提供線上劑量測定數據。從量測單元發出之一訊號可供應至依據本發明之移動式X光單元之控制單元,用以紀錄劑量測定數據及/或用以調整高壓 電源供應器之設定,如果需要的話。 Next, the phantom may provide one or more cavities for housing one or more ionization chambers, or one or more semiconductor devices. Such dosimeters can be coupled to a metrology unit adapted to provide on-line dosimetry data. A signal sent from the measuring unit can be supplied to the control unit of the mobile X-ray unit according to the invention for recording dosimetry data and/or for adjusting the high voltage Power supply settings, if needed.

更好的是使用微小型電離室組。或者是,上述凹部可提供有二極體輻射偵測器(diode radiation detector),包括第一組定位於基於假體之劑量測定系統之表面,以及第二組定位於深度5mm處。更好的是,第二組之獨立偵測器是定位於遠離第一組之偵測器之陰影處(shadow)的外側。在一特定實施例中,10~15個偵測器可提供於深度5mm處,10~15個偵測器可提供於深度10mm處,即遠離較高位置處之偵測器的陰影處。更好的是,用以提供偵測器組之第一深度和第二深度之絕對值可選擇為不同的。 It is even better to use a micro-sized ionization chamber set. Alternatively, the recess may be provided with a diode radiation detector comprising a first set of surfaces positioned on the prosthesis-based dosimetry system and a second set positioned at a depth of 5 mm. More preferably, the second set of independent detectors are positioned outside of the shadow of the detectors of the first group. In a particular embodiment, 10 to 15 detectors can be provided at a depth of 5 mm, and 10 to 15 detectors can be provided at a depth of 10 mm, that is, away from the shadow of the detector at a higher position. More preferably, the absolute values of the first depth and the second depth used to provide the detector group can be selected to be different.

在依據本發明另一實施例之X光單元中,劑量測定系統係依據劑量深度比例之絕對劑量而校準。可以發現其特別有利於當基於假體之劑量測定系統適於提供線上或即時之絕對劑量數據時。此些已知技術更好的是校準量測是需要的,以劑量測定薄膜、電離室或半導體偵測器進行絕對校準。 In an X-ray unit in accordance with another embodiment of the present invention, the dosimetry system is calibrated based on the absolute dose of the dose depth ratio. It can be found to be particularly advantageous when the prosthetic based dosimetry system is adapted to provide on-line or immediate absolute dose data. It is even better that such known techniques are required for calibration measurements to be absolutely calibrated with a dosimetric film, ionization chamber or semiconductor detector.

在依據本發明另一實施例之X光單元中,假體之表面提供有瞄準圖樣(alignment pattern)。 In an X-ray unit according to another embodiment of the present invention, the surface of the prosthesis is provided with an alignment pattern.

可以發現提供有瞄準圖樣於假體之表面及/或內側是特別有利的。更好的是,內部圖樣是可視覺化(visualization)的,此圖樣材質需大致上為透明(transparent)的。 It may be found to be particularly advantageous to provide a targeting pattern on the surface and/or inside of the prosthesis. Even better, the internal pattern is visualizable and the material of the pattern needs to be substantially transparent.

更好的是,瞄準圖樣可用於辨識介於所欲之X光範圍和實際之X光範圍之間的幾何對應(geometric correspondence),利用一光源指示器將全部或部分視覺化。更好的是,上述之幾何對應於X光裝療器在不同角度位置時被檢查。 More preferably, the aiming pattern can be used to identify the geometrical correspondence between the desired X-ray range and the actual X-ray range (geometric Correspondence), using a light source indicator to visualize all or part of it. More preferably, the geometry described above corresponds to the X-ray applicator being inspected at different angular positions.

劑量測定系統,如薄膜或適合之裝置(TLD、電離室或半導體偵測器),可包括複數個量測點,更好的是分佈於一平面上,當此些裝置定位於X光範圍中時,所讀取之數據被處理以建立橫跨應用範圍之劑量數據。舉例來說,在中心軸之數據以及數個在周圍之數據將被讀取,更好的是在不同半徑距離上時。基於此,不只在中心範圍之絕對劑量之訊息被得到,橫跨範圍之射束平整訊息亦被得到。更好的是,基於此目的,薄膜劑量測定可以得到。 A dosimetry system, such as a film or suitable device (TLD, ionization chamber or semiconductor detector), may include a plurality of measurement points, preferably distributed on a plane, when such devices are positioned in the X-ray range The read data is processed to establish dose data across the application range. For example, the data on the central axis and several surrounding data will be read, preferably at different radii distances. Based on this, not only the information of the absolute dose in the center range is obtained, but also the beam flattening information across the range is obtained. More preferably, a film dosimetry is available for this purpose.

依據本發明另一實施例之移動式X光單元,其更包括一指示器,用以視覺化至少一部份之從出口視窗發出之X光射束。 A mobile X-ray unit according to another embodiment of the present invention further includes an indicator for visualizing at least a portion of the X-ray beam emitted from the exit window.

可以發現,當提供有指示器以視覺界定至少一部份之所產生的X光射束時,如其之一中心軸及/或全部射束幾何外型,可以發現治療的效率可大幅的改進。 It has been found that when an indicator is provided to visually define at least a portion of the resulting X-ray beam, such as one of its central axes and/or all of the beam geometry, it can be found that the efficiency of the treatment can be substantially improved.

更特別的是,此指示可有利於假體之劑量測定系統相對於X光射束之定位。更好的是,指示器包括一光源,此光源可配置於X光裝療器中,或者是其可配置於環繞著X光裝療器之外表面。在前一個例子中,光指示器可配置以界定X光射束之中心軸及/或全部之射束幾何外型,而在後一個例子中,光指示器可配置以界定X光射束之中心軸,更好的是從X光裝療器相距一既定距離處。上述特徵有利 於當X光裝療器是使用於距離患者皮膚一標準距離時。然而,更好的是配置環繞著X光裝療器之光指示器是可調整的,藉以從距X光裝療器不同軸向距離上指示出X光射束之中心軸。當具有軸向視覺化時,其更好的是使用透明假體提供有內部瞄準圖樣藉以辨識介於假體中心軸和X光範圍之中心射束之間的共平面對準。 More particularly, this indication may facilitate positioning of the prosthetic dosimetry system relative to the X-ray beam. More preferably, the indicator includes a light source that can be disposed in the X-ray applicator or that can be disposed on an outer surface surrounding the X-ray applicator. In the former example, the light indicator can be configured to define a central axis of the X-ray beam and/or all of the beam geometry, while in the latter example, the light indicator can be configured to define an X-ray beam. The central axis, more preferably, is a predetermined distance from the X-ray device. The above characteristics are favorable When the X-ray device is used for a standard distance from the patient's skin. More preferably, however, the configuration of the light indicator surrounding the X-ray device is adjustable to indicate the central axis of the X-ray beam from different axial distances from the X-ray device. When with axial visualization, it is better to use a transparent prosthesis to provide an internal aiming pattern to identify coplanar alignment between the central beam of the prosthesis and the central beam of the X-ray range.

或者是,劑量測定系統可連接至X光裝療器,使得在使用時X光射束所穿過之出口表面可與基於假體之劑量測定系統之一上表面相接觸。 Alternatively, the dosimetry system can be coupled to the X-ray applicator such that the exit surface through which the X-ray beam passes can be in contact with the upper surface of one of the prosthetic based dosimetry systems.

依據本發明一實施例之移動式X光單元,指示器包括二或多個光源,同心地(concentrically)排列環繞著X光裝療器。僅管只提供單一光源產生一窄光束即足夠指示X光射束之中心軸,可以發現更有利的是提供複數個光源以產生個別之窄光束在距離X光裝療器之出口表面一既定距離上交會。基於此實施例,在距離假體一既定距離處裝設X光裝療器,其如同將劑量測定系統相對於X光射束而裝設一樣。為了確保目標部份正確地被X光射束所涵蓋,X光裝療器可被定位使得所指示之X光射束的中心是定位大致上於假體的中心,更好的是,提供有瞄準圖樣時。此實施例之功能是由規則外型之X光射束所實現,舉例來說當使用圓形、矩形、橢圓形、或三角形之準直儀以成形X光射束時。 In accordance with an embodiment of the present invention, a mobile X-ray unit includes two or more light sources that are concentrically arranged around the X-ray device. Although it is sufficient to provide only a single light source to produce a narrow beam, i.e., sufficient to indicate the central axis of the X-ray beam, it has been found to be more advantageous to provide a plurality of light sources to produce individual narrow beams at a predetermined distance from the exit surface of the X-ray treatment. Shanghai International Trade Fair. Based on this embodiment, an X-ray applicator is placed at a predetermined distance from the prosthesis as if the dosimetry system were installed relative to the X-ray beam. In order to ensure that the target portion is properly covered by the X-ray beam, the X-ray device can be positioned such that the center of the indicated X-ray beam is positioned substantially at the center of the prosthesis, and more preferably, provided When aiming at the pattern. The function of this embodiment is achieved by a regular shaped X-ray beam, for example when a circular, rectangular, elliptical, or triangular collimator is used to shape the X-ray beam.

依據本發明一實施例之移動式X光單元,指示器包括一光源容置於X光裝療器內側,以產生一光束預設為準直 儀所截取(intercepted),以提供從出口表面發出之X光範圍(X-ray field)之光影像(light image)。 According to an embodiment of the present invention, in the mobile X-ray unit, the indicator includes a light source disposed inside the X-ray treatment device to generate a beam preset for collimation. The instrument is intercepted to provide a light image of the X-ray field emitted from the exit surface.

在本實施例中,可以發現更好的是當X光射束之全部外型被界定時。舉例來說,當不規則(irrdgular)射束外型被使用時之情況下。在此例中,光源可提供於靠近目標、或透過一鏡面、偏軸(off-axis),以產生一光束預設為準直儀所截取。更好的是,光束延伸的方向是相同於X光射束延伸的方向。在一實施例中,當使用一鏡面時,光源可有利地偏軸定位。 In this embodiment, it can be found that it is better when the entire shape of the X-ray beam is defined. For example, when an irregular (irrdgular) beam profile is used. In this case, the light source can be provided close to the target, or through a mirror, off-axis, to produce a beam that is preset as a collimator. More preferably, the direction in which the beam extends is the same as the direction in which the X-ray beam extends. In an embodiment, when a mirror is used, the light source can advantageously be positioned off-axis.

依據本發明另一實施例之移動式X光單元,指示器包括一光源及一光纖,配置以提供來自光源的光為準直儀所截取。 In accordance with another embodiment of the present invention, a mobile X-ray unit includes a light source and an optical fiber configured to provide light from the light source for intercepting by the collimator.

在本實施例之優點在於,光源可定位於X光裝療器外側,以不影響整體之尺寸。舉例來說,光源可配置於X光單元之基座,且光纖可從基座往X光裝療器之內側,以適當地照明準直儀,進而得到所產生之X光射束的光影像。 An advantage of this embodiment is that the light source can be positioned outside of the X-ray device without affecting the overall size. For example, the light source can be disposed on the base of the X-ray unit, and the optical fiber can be from the base to the inside of the X-ray device to properly illuminate the collimator to obtain the optical image of the generated X-ray beam. .

依據本發明另一實施例之移動式X光單元,指示器包括複數個光纖,分佈於X光裝療器中位於準直儀之上的區域,用以照明一準直儀開口,使準直儀開口截取(intercept)一結果光範圍。本實施例可有利於得到具有較強強度之光範圍。 In accordance with another embodiment of the present invention, a mobile X-ray unit includes a plurality of optical fibers distributed in an area of the X-ray treatment device above the collimator for illuminating a collimator opening for collimation The instrument opening intercepts a range of resulting light. This embodiment can be advantageous in obtaining a light range having a strong intensity.

依據本發明另一實施例之移動式X光單元,指示器包括一光源射出一窄光束,配置於X光裝療器之內側,以界定X光射束之一縱軸。更好的是使用微型雷射源 (miniature laser source)。 In accordance with another embodiment of the present invention, the mobile X-ray unit includes a light source that emits a narrow beam of light disposed on the inside of the X-ray device to define a longitudinal axis of the X-ray beam. Better yet, use a miniature laser source (miniature laser source).

依據本發明另一實施例之X光單元,其中,一幅射偵測器可提供於一外殼體中,用以偵測X光射束。 According to another embodiment of the present invention, an X-ray unit can be provided in an outer casing for detecting an X-ray beam.

更好的是,依據本發明之X光單元包括一主要計時器(primary timer),其設定一時間用於高壓供應器以提供一既定幅射劑量。容置於X光裝療器內的幅射感測器可以為一第二計時器(secondary timer)之一部份,其迴路適於依據既定幅射劑量達到時關閉高壓供應器。以此方式,幅射安全控制可以被改進。 More preferably, the X-ray unit in accordance with the present invention includes a primary timer that is set for a time for the high voltage supply to provide a predetermined radiation dose. The radiation sensor housed in the X-ray device can be part of a second timer, the loop of which is adapted to close the high voltage supply when the predetermined radiation dose is reached. In this way, radiation safety control can be improved.

可以發現,提供一獨立裝置用以偵測所產生之X光射束存在與否是有利的。更好的是,在一實施例中,當劑量測定系統是可操作以提供線上或即時之絕對幅射劑量數據時,來自於劑量測定系統的訊號可除了從依據本發明之X光單元內建阻隔之執行質量控制之內建幅射偵測器之訊號以外被使用。 It can be found that it is advantageous to provide a separate device for detecting the presence or absence of the generated X-ray beam. More preferably, in one embodiment, when the dosimetry system is operable to provide on-line or immediate absolute radiation dose data, the signal from the dosimetry system can be built in addition to the X-ray unit in accordance with the present invention. It is used in addition to the signal of the built-in radiation detector that performs quality control.

依據本發明之一態樣,提供一種從移動式X光單元發出之一X光射束之劑量測定控制方法,其移動式X光單元包括一基座用以容置一控制單元、一電源供應器及一冷卻器,且更包括一鉸接可位移式臂以支撐具一X光管之一X光裝療器,用以發出一X光射束,此方法包括: According to an aspect of the present invention, a dosimetry control method for emitting an X-ray beam from a mobile X-ray unit is provided. The mobile X-ray unit includes a base for accommodating a control unit and a power supply. And a cooler, and further comprising a hinged displaceable arm for supporting an X-ray device having an X-ray tube for emitting an X-ray beam, the method comprising:

提供一基於假體之劑量測定系統,用以識別X光射束之至少一劑量深度比例。 A prosthetic based dosimetry system is provided for identifying at least one dose depth ratio of the X-ray beam.

更好的是,一實體假體提供有一或多個劑量計(dose meter),用以檢查劑量深度比例、射束平整度及劑量率。 依據本發明一態樣之假體可以由具有對應於人體皮膚劑量特性之材質而製造。在一特別之實施例中,假體是類似於人體(humanoid)的,模擬人體之一部分的外表面,例如耳朵、手部、鼻子、胸部、脖子等等。 More preferably, a physical prosthesis provides one or more dose meters for checking dose depth ratio, beam flatness, and dose rate. A prosthesis according to an aspect of the present invention can be manufactured from a material having a dose characteristic corresponding to human skin. In a particular embodiment, the prosthesis is humanoid-like, simulating the outer surface of a portion of the human body, such as the ears, hands, nose, chest, neck, and the like.

依據本發明另一實施例之方法中,一指示器提供於或靠近於X光裝療器,用以視覺化界定至少一部分之X光射束,以定位基於假體之劑量測定系統。更好的是,此指示器包括一光源配置成產生一光範圍,預設為一準直儀開口所截取,以提供視覺化之X光射束。或者是,指示器可包括一光源配置成用以界定X光射束之一縱軸。 In accordance with another embodiment of the present invention, an indicator is provided at or adjacent to the X-ray applicator for visually defining at least a portion of the X-ray beam to position the prosthesis-based dosimetry system. More preferably, the indicator includes a light source configured to generate a range of light that is preset to be captured by a collimator opening to provide a visualized X-ray beam. Alternatively, the indicator can include a light source configured to define one of the longitudinal axes of the X-ray beam.

為使本發明之上述目的、特徵和優點能更明顯易懂,下文特舉較佳實施例並配合所附圖式做詳細說明,然其僅用以例示說明而已,並非用以限定本發明的範圍。 The above described objects, features, and advantages of the invention will be apparent from the embodiments of the invention. range.

本發明具體之實施例揭示之形態內容將配合圖示加以詳細說明。 The details disclosed in the specific embodiments of the present invention will be described in detail in conjunction with the drawings.

第1a圖係顯示依據本發明一實施例之移動式X光單元的示意圖。移動式X光單元(mobile X-ray unit)10包括一基座(base)2,其包括至少一電源供應單元、一冷卻系統以及一控制單元用以控制一X光裝療器(X-ray applicator)4的操作,其包括一X光管容置於一外殼體中。X光裝療器4利用軟性纜線(flexible cable)3與基座2連接,其可至少部份地容納於一可位移式面板(displaceable panel)5 中。X光裝療器4由一鉸接可位移式臂(articulated displaceable arm)4a所支撐,其可包括一樞軸用以改變X光裝療器4在空間中的位置。X光裝療器4包括一縱軸及一出口視窗(exit window)8,透過此所產生之X光射束可射出。鉸接可位移式臂4a也可與可位移式面板5機械式地連接,藉以改變X光裝療器4在垂直方向上的位置。更好的是,可位移式面板5提供有握把(handle)6,藉此可輕易地操作。可位移式面板5可由適當之軌條(rail)所引導,藉以在位移時實質上為平順(smooth)且無撞擊(shock-free)的。 Figure 1a is a schematic diagram showing a mobile X-ray unit in accordance with an embodiment of the present invention. The mobile X-ray unit 10 includes a base 2 including at least one power supply unit, a cooling system, and a control unit for controlling an X-ray device (X-ray). The operation of the applicator 4 includes an X-ray tube housed in an outer casing. The X-ray device 4 is connected to the base 2 by a flexible cable 3, which can be at least partially housed in a displaceable panel 5 in. The X-ray applicator 4 is supported by an articulated displaceable arm 4a which may include a pivot for changing the position of the X-ray applicator 4 in space. The X-ray treatment device 4 includes a longitudinal axis and an exit window 8 through which the X-ray beam generated can be emitted. The hinged displaceable arm 4a can also be mechanically coupled to the displaceable panel 5 to change the position of the x-ray applicator 4 in the vertical direction. More preferably, the displaceable panel 5 is provided with a handle 6, whereby it can be easily operated. The displaceable panel 5 can be guided by a suitable rail so as to be substantially smooth and shock-free when displaced.

更好的是,X光裝療器容置有X光管(X-ray tube)具有同軸幾何結構,其中,X光射束(X-ray beam)8a預想以照射一目標區域於一患者(patient)P之一表面(surface)P’,其延伸過出口視窗8具有一射束軸(beam axis)8b大致上對應於X光管之縱軸。舉例來說,此可以藉由設置X光管之陽極之一縱軸大致上是平行於X光裝療器4之縱軸而達成。 More preferably, the X-ray tube accommodates an X-ray tube having a coaxial geometry, wherein the X-ray beam 8a is intended to illuminate a target area to a patient ( One of the surfaces P of the patient P, which extends through the exit window 8 has a beam axis 8b substantially corresponding to the longitudinal axis of the X-ray tube. For example, this can be achieved by setting the longitudinal axis of one of the anodes of the X-ray tube substantially parallel to the longitudinal axis of the X-ray device 4.

依據本發明之一態樣,一基於假體(phantom-base)之劑量測定系統(dosimetry system)9a、9b被提供以提供至少所發出之X光範圍之劑量深度比例(percentage depth dose)。更好的是,對劑量測定系統9a、9b來說,可選擇一系統其可產生線上(on-line)數據。電離室(ionization chamber)及固態偵測器(solid state detector),舉例來說半導體偵測器可適於用於此目的。此些偵測器不但配置 於基於假體之劑量測定系統的表面,同時也於既定深度處,如5mm深度處。透過提供複數個量測點藉由輻射劑量計參數之量測,使得劑量深度比例及射束平整度可被得到。更好的是,劑量測定系統可被操作以提供相關數據,如絕對劑量測定以執行一調校。在量測劑量深度比例時,可使用數個劑量計(dose meter)9d(至少有二個)於中心軸8b既定深度處。對於軟X光(50~130KV)來說,其已足夠量測在表面及在5mm深度處的數據。更好的是,劑量計組可以有10~20個或甚至於50個偵測器。為了避免其在基於假體之劑量測定系統彼此的干擾,位於深度(depth)9c的劑量計可更好的是定位於對應位於表面9b之劑量計之陰影處的外側。更好的是,來自於劑量測定單元的訊號可供應至X光設備之控制單元(control unit)21,以線上劑量供給控制及/或中斷。 In accordance with one aspect of the invention, a phantom-base based dosimetry system 9a, 9b is provided to provide a dose depth dose of at least the emitted X-ray range. More preferably, for the dosimetry system 9a, 9b, a system can be selected which produces on-line data. An ionization chamber and a solid state detector, for example, a semiconductor detector can be adapted for this purpose. These detectors are not only configured The surface of the prosthetic-based dosimetry system is also at a predetermined depth, such as a depth of 5 mm. The dose depth ratio and beam flatness can be obtained by providing a plurality of measurement points by measuring the radiation dosimeter parameters. More preferably, the dosimetry system can be operated to provide relevant data, such as an absolute dosimetry to perform a calibration. When measuring the dose depth ratio, several dose meters 9d (at least two) can be used at a given depth of the central axis 8b. For soft X-rays (50~130KV), it is sufficient to measure the surface and the data at a depth of 5mm. Even better, the dosimeter group can have 10 to 20 or even 50 detectors. In order to avoid interference with the prosthetic-based dosimetry systems, the dosimeter at depth 9c may be better positioned to the outside of the shadow corresponding to the dosimeter at surface 9b. More preferably, the signal from the dosimetry unit can be supplied to a control unit 21 of the X-ray device for on-line dose supply control and/or interruption.

更好的是,將X光裝療器4及劑量測定系統9a彼此對應的定位,X光裝療器提供有一指示器(indicator)配置於X光裝療器4中,以視覺化界定(visually delineate)X光管所產生之X光範圍。更好的是,指示器包括一光源,如發光二極體、雷射等等。 More preferably, the X-ray device 4 and the dosimetry system 9a are positioned corresponding to each other, and the X-ray device provides an indicator disposed in the X-ray device 4 to be visually defined (visually Delineate) The range of X-rays produced by an X-ray tube. More preferably, the indicator includes a light source such as a light emitting diode, a laser, and the like.

光源可配置於X光裝療器4內側、或環繞著X光裝療器4、或可遠端定位(remotely position)舉例來說於基座2上。在後者的例子中,來自光源(圖上未顯示)的光可利用適當之一或多個光纖(opical fiber)導引朝向X光裝療器。更詳細之描述之後將配合圖式第4a~4c圖做說明。 The light source can be disposed on the inside of the X-ray device 4, or around the X-ray device 4, or can be remotely positioned, for example, on the base 2. In the latter example, light from a light source (not shown) can be directed toward the X-ray applicator using one or more suitable optical fibers. A more detailed description will be described later with reference to Figures 4a-4c of the drawings.

更好的是,移動式X光單元10包括基座2裝設有一顯示器(display)7,用以回饋(feeding-back)所需之使用者訊息。顯示器7可配置有觸控螢幕(touch-sensitive screen),用以對系統輸入適當之數據資料。舉例來說,顯示面板包括開關光源指示器的裝置,又或者,當X光單元開啟時,光源指示器可以永遠為開啟的狀態。使用者介面(user interface)可更用於輸入處方劑量(prescribed dose)及可能的處方劑量分佈(distribution),特別是當劑量修改器(dose modifier)是用於導入橫跨X光範圍之劑量分佈梯度(gradient in the dose profile)時。使用者介面可同樣配置以顯示在治療期間,實際劑量供給及劑量供應分佈之數據。更好的是利用劑量測定系統,劑量供給方案可與實際劑量供給做比較,且如果需要的話,實際劑量供給可在下一階段時做修正,使既定及供給劑量之間的差異發生超過1%。 More preferably, the mobile X-ray unit 10 includes a base 2 equipped with a display 7 for feeding-backing the desired user information. The display 7 can be configured with a touch-sensitive screen for inputting appropriate data to the system. For example, the display panel includes means for switching the light source indicator, or alternatively, when the X-ray unit is turned on, the light source indicator can be always on. The user interface can be used to enter a prescribed dose and a possible prescription dose distribution, especially when a dose modifier is used to introduce a dose distribution across the X-ray range. When the gradient is in the dose profile. The user interface can be configured to display data on actual dose supply and dose supply distribution during treatment. More preferably, the dosimetry system is utilized, the dosing regimen can be compared to the actual dose supply, and if desired, the actual dose supply can be corrected at the next stage, causing the difference between the established and supply doses to exceed 1%.

第1b圖係顯示依據本發明一實施例之移動式X光單元之可位移式面板的示意圖。在此放大示意圖式中,元件符號10a係指可位移式面板5的具體元件。基於此,握把6可作為一機械件用以拉動或推動可位移式面板5。或者,握把6可以配置成電子致動器,用以觸發馬達(圖上未顯示)而位移可位移式面板5。舉例來說,當握把6被拉動(pull)使馬達被啟動時,可使得可位移式面板5可沿方向A位移,而推動(push)握把6則可使得可位移式面板5可沿方向B下降。更好的是,移動式X光單元包括用以限制可位移式 面板5之位移距離的裝置。這樣的好處在於,一方面可確保系統的機械穩定性(最高高度限制,limitation of the upper level),另一方面可有助於避免電纜的損壞(最低高度限制,limitation of the lower level)。更好的是,可位移式面板5可利用內建之軌條(rail)而移動,其長度可被選擇以所需之方式限制可位移式面板5之移動範圍。 Figure 1b is a schematic diagram showing a displaceable panel of a mobile X-ray unit in accordance with an embodiment of the present invention. In the enlarged schematic form, the component symbol 10a refers to a specific component of the displaceable panel 5. Based on this, the grip 6 can be used as a mechanical member to pull or push the displaceable panel 5. Alternatively, the grip 6 can be configured as an electronic actuator for triggering the motor (not shown) to displace the displaceable panel 5. For example, when the grip 6 is pulled to cause the motor to be activated, the displaceable panel 5 can be displaced in the direction A, and pushing the grip 6 can cause the displaceable panel 5 to be along Direction B drops. More preferably, the mobile X-ray unit is included to limit the displacement A device for shifting the distance of the panel 5. This has the advantage of ensuring the mechanical stability (limitation of the upper level) of the system on the one hand and the limitation of the lower level on the other hand. More preferably, the displaceable panel 5 can be moved using a built-in rail, the length of which can be selected to limit the range of movement of the displaceable panel 5 in a desired manner.

基座2更好的是包括顯示器(display)7,其可作為合適之使用者介面(user interface)7a之功能,舉例來說,患者的資料如患者的照片及/或病徵的相片可顯示於視窗(window)7b上,而與此相關之患者訊息如出生日、性別、劑量處方(dose prescription)、及劑量配給方案(dose delivery protocol)等等皆可顯示於視窗(window)7c上。按鍵(button)7d可提供觸控功能以輸入資料,或者是,適合之硬體開關或按鍵亦可適當地提供。 The pedestal 2 preferably includes a display 7, which can function as a suitable user interface 7a, for example, a patient's data such as a photo of the patient and/or a photo of the condition can be displayed. On the window 7b, the related patient information such as birthday, gender, dose prescription, and dose delivery protocol can be displayed on the window 7c. A button 7d can provide a touch function to input data, or a suitable hardware switch or button can be provided as appropriate.

第1c圖係顯示依據本發明一實施例之X光單元具可位移功能裝療器的示意圖。依據本發明之一態樣,移動式X光單元的機構被開發且作成可支撐X光裝療器4以具有較大的移動及轉動位移範圍。 Fig. 1c is a schematic view showing an X-ray unit with a displaceable function medical device according to an embodiment of the present invention. In accordance with one aspect of the present invention, the mechanism of the mobile X-ray unit is developed and constructed to support the X-ray applicator 4 to have a greater range of movement and rotational displacement.

元件符號11所指係顯示X光裝療器位於停駐位置(parked position)之示意實施方式。為清楚顯示起見,未繪示有線路及光纖。在此位置時,可適於傳遞移動式X光單元朝向一房間(booth)及/或具機動性地在患者附近。為了將X光裝療器盡可能地縮回靠近基座2,鉸接可位移式臂4a在可位移式面板5的外部(outer portion)5a下是可 彎曲的。為了確保移動式X光單元在其機動時的穩定度,一靠近地板的加載塊(load block)2a被提供以降低整體結構之重力點的絕對位置。 Reference numeral 11 denotes a schematic embodiment in which the X-ray applicator is located in a parked position. For the sake of clarity, lines and fibers are not shown. In this position, it may be adapted to transmit the mobile X-ray unit towards a room and/or to be mobile near the patient. In order to retract the X-ray applicator as close as possible to the base 2, the hinged displaceable arm 4a is available under the outer portion 5a of the displaceable panel 5. Bent. In order to ensure the stability of the mobile X-ray unit during its maneuvering, a load block 2a close to the floor is provided to reduce the absolute position of the gravity point of the overall structure.

元件符號12所指係顯示X光裝療器4位於其中一工作位置(working position)之示意實施方式,其具有一X光出口表面(x-ray exit surface)8朝向患者(patient)P,為了使X光裝療器相對於患者P有合適之位置,可位移式面板可移動至一既定停留位置(dwell position)介於可位移式面板5的最低位置和最高位置之間。鉸接臂4a可用於適當地依一旋轉軸轉動X光裝療器。更好的是,選擇旋轉軸是配合X光射束(beam)之假想方向,從出口表面以垂直面向X光裝療器。 Reference numeral 12 denotes a schematic embodiment in which the X-ray treatment device 4 is located in one of the working positions, having an x-ray exit surface 8 facing the patient P, in order to The X-ray applicator has a suitable position relative to the patient P, and the displaceable panel is movable to a predetermined dwell position between the lowest position and the highest position of the displaceable panel 5. The articulated arm 4a can be used to properly rotate the X-ray applicator in accordance with a rotational axis. More preferably, the choice of the axis of rotation is the imaginary direction of the X-ray beam, and the X-ray device is oriented vertically from the exit surface.

元件符號13所指係顯示X光裝療器4位於最低位置之示意實施方式,基於此目的,可位移式面板5可位於其最低位置且鉸接可位移式臂4a可以所需方式面向X光裝療器。 Reference numeral 13 denotes an exemplary embodiment in which the X-ray treatment device 4 is located at the lowest position, for which purpose the displaceable panel 5 can be located at its lowest position and the hinged displaceable arm 4a can be oriented to the X-ray in a desired manner. Therapy.

第2圖係顯示依據本發明一實施例之移動式X光單元之架構示意圖。依據本發明之移動式X光單元包括一高壓供應器(high voltage supply),更好的是,適於在一合適之X光管(X-ray tube)產生50~75KV的X光,一冷卻系統用以在使用時冷卻X光管,以及一控制系統用以在使用時控制X光單元之次單元(sub-unit)的電子(electronic)和電性參數(electric parameter)。元件符號20所指係顯示控制單元(control system)21和X光裝療器(X-ray applicator)22的主要單元。然而,X光管同樣可配置成可在50~130KV的範圍操作。 2 is a block diagram showing the structure of a mobile X-ray unit according to an embodiment of the present invention. The mobile X-ray unit according to the present invention comprises a high voltage supply, and more preferably, is adapted to generate 50-75 KV X-rays in a suitable X-ray tube, a cooling The system is used to cool the X-ray tube during use, and a control system is used to control the electronic and electrical parameters of the sub-unit of the X-ray unit when in use. The component symbol 20 refers to a display control unit 21 and an X-ray treatment device (X-ray). The main unit of applicator)22. However, the X-ray tube can also be configured to operate in the range of 50 to 130 KV.

控制單元21更好的是包括一硬接線(hard wired)之使用者介面(user interface)21a,用以切換高壓供應器(high voltage supply)21b的開和關。更好的是,高壓供應器21b包括一高壓產生器(high voltage generator)21c具有改良之緩升(ramp-up)和緩降(ramp-down)特性。更佳的是,緩升時間(ramp-up time)約為100ms。硬接線使用者介面21a可配置成當高壓產生器開啟時,可自動啟動冷卻系統(cooling system)21d。另外,控制系統21可包括一主要控制器(primary controller)21e,配置以控制X光裝療器使用時之劑量配給(dose delivery)。此主要控制器21e可提供有一主計算器(primary counter)在X光照射初始化後用以將已登錄資料刪除。此主計算器可在達到既定之劑量後自動關閉至X光管之高壓供應器。更好的是,既定之劑量是至少視產生X光的能量及劑量速率而定。其中,上述情況可事先校準,盡可能地提供對應之校準數據,使得主要控制器之主要劑量配給控制可被達成。更好的是,一次要控制器(secondary controller)21f提供用以啟動劑量配給控制之一獨立迴路,次要控制器21f可連接至一劑量表(dose meter)容納於X光裝療器中,在準直儀(collimator)之前X光範圍內。據此,劑量表可對應實際劑量配給,考慮到在高壓源緩升(ramp up)及緩降(ramp down)期間劑量的變化,而提供即時數據。同樣更好的是, 控制系統可更包括一安全控制器(safety controller)21g,適於從主要控制器21e比對讀取數據,及次要控制器21f在所欲劑量配給之後關閉高壓產生器21c。另外,或者說,安全控制器21g可連接至一緊急停機系統(emergency stop)、門鎖裝置(door interlock)及產生器鎖定裝置(generator interlock)。 The control unit 21 preferably includes a hard wired user interface 21a for switching the opening and closing of the high voltage supply 21b. More preferably, the high voltage supply 21b includes a high voltage generator 21c having improved ramp-up and ramp-down characteristics. More preferably, the ramp-up time is approximately 100 ms. The hardwired user interface 21a can be configured to automatically activate a cooling system 21d when the high voltage generator is turned on. Additionally, control system 21 can include a primary controller 21e configured to control dose delivery when the X-ray device is in use. The primary controller 21e can provide a primary counter to delete the logged-in data after the X-ray illumination is initialized. This master calculator automatically shuts down the high pressure supply to the X-ray tube after reaching the established dose. More preferably, the established dose is at least dependent on the energy and dose rate at which X-rays are produced. Wherein, the above situation can be calibrated in advance, and corresponding calibration data is provided as much as possible, so that the main dose distribution control of the main controller can be achieved. More preferably, the secondary controller 21f provides an independent loop for initiating dose dispensing control, and the secondary controller 21f can be coupled to a dose meter for accommodation in the X-ray device. In the X-ray range before the collimator. Accordingly, the dose meter can be assigned to the actual dose, providing immediate data in view of changes in the dose during ramp up and ramp down of the high pressure source. Equally better, The control system may further include a safety controller 21g adapted to read data from the main controller 21e, and the secondary controller 21f turns off the high voltage generator 21c after the desired dose is dispensed. Alternatively, or in addition, the safety controller 21g can be coupled to an emergency stop, a door interlock, and a generator interlock.

控制系統可更包括一劑量控制器(dosimetry control)21h,適於與基於假體之劑量測定系統電連通,更好的是線上(on-line)的。然而,也可能是劑量控制器21h可接收分析劑量範圍之數據及更新之劑量配給數據。 The control system can further include a dose control 21h adapted to be in electrical communication with the prosthesis-based dosimetry system, and more preferably on-line. However, it is also possible that the dose controller 21h can receive data for the analyzed dose range and updated dose dispensing data.

劑量控制器21h更好的是配置以提供一中斷訊號(interrupt signal),將線上劑量和既定劑量及所量測之劑量之間的差異做一量測。舉例來說,劑量控制器21h可提供一適當之中斷訊號予高壓產生器21c。 The dose controller 21h is preferably configured to provide an interrupt signal that measures the difference between the on-line dose and the established dose and the measured dose. For example, the dose controller 21h can provide a suitable interrupt signal to the high voltage generator 21c.

控制系統可更包括一指示控制器(indicator controller)21i,用以控制光源以界定至少一部分之X光射束。雖然將指示控制器21i連結至電源供應單元(power supply unit)21b以在系統開啟時開啟光源能簡化其結構,更好的是,光源能視需要而開關的。據此,指示控制器當使用者觸發時可配置以提供電力於光源,使用者可透過如使用者介面之裝置提供一適當之觸發訊號,或者舉例來說,透過一專用硬體開關。 The control system can further include an indicator controller 21i for controlling the light source to define at least a portion of the X-ray beam. Although the instructing controller 21i is coupled to the power supply unit 21b to turn on the light source when the system is turned on, the structure can be simplified, and more preferably, the light source can be switched as needed. Accordingly, the instructing controller can be configured to provide power to the light source when triggered by the user, and the user can provide an appropriate trigger signal through a device such as a user interface or, for example, through a dedicated hardware switch.

X光裝療器22更好的是可包括下列特徵:一X光管(X-ray tube)22a,預先封裝於一外殼體(outer shielding) 22k中。依據本發明之X光管可提供有共平面(coplanar)幾何結構之撞擊靶(target)、準直儀(collimator)及出口視窗(exit window),藉以使得所產生之X光射束延伸大致上平行於X光管之縱軸。更好的是,撞擊靶-準直儀(target-collimator)之間距約4~10公分之距離,更好的是約5~6公分。撞擊靶-準直儀之間距是等於介於撞擊靶板之外表面及準直儀之中間平面之間的距離。X光裝療器可更包括一射束硬化濾器(beam hardening filter)22b被選擇以攔截低能量幅射(low-energy radiation)以及一射束平整濾器(beam flattening filter)22c設計以攔截部份之X光幅射,用以在靠近X光裝療器出口表面處產生大體上平坦之射束外型。更進一步,X光裝療器22可包括一或多個準直儀(collimator)配置以定義出處理射束幾何結構。更好的是,可使用一組準直儀,舉例來說,其有直徑1、1.5、2、2.5、3、3.5、4、4.5、5公分。更佳的是,在此雖考慮為圓形準直儀(circular collimator),但任何形式的準直儀如方形(square)、橢圓形(elliptic)或客製化(custom made)準直儀接可被使用。可以發現提供有自動準直偵測裝置(automatic collimator detection mean)22f之X光裝療器22的好處在於,適於對使用中之準直儀自動發出訊號。更好的是,使用電阻感測,其中,每一準直儀提供有至少一對突出物(projection)用以橋接提供於準直儀容室(collimator receptacle)中之電阻路徑。此容室所產生的電阻構成正在使用中之準直儀的訊號代表。X 光裝療器22更好的是包括一內建溫度感測器(temperature sensor),適於發出X光管及/或其外殼體的溫度訊號。從溫度感測器發出的訊號被控制系統所接收,其上裝載有分析系統,一旦所量測之溫度升高超出允許範圍時,即會產生一警報信號,可選擇地,亦可提供一高壓產生器之關閉信號。X光裝療器22更包括幅射感測器(radiation sensor)22h,配置於外殼體22k內側,用以偵測X光管所發出之實際X光幅射量。更好的是,基於安全因素,X光裝療器22可更包括一非暫存式數據儲存器(non-volatile data storage)22i,用以紀錄至少X光管之操作參數。更進一步,為了增強幅射之安全性,X光裝療器22可提供有一幅射指示器(radiation indicator)22j,以提供一視覺及/或一音頻輸出,讓使用者及/或患者知道X光管之開/關狀態。更佳的是,幅射指示器22j可包括複數個訊號發射裝置(distributed signaling means),更好的是,至少一個訊號裝置,舉例來說,為一個發光二極體(LED)電連接於X光裝療器22。更好的是,訊號裝置提供於X光裝療器22上。 The X-ray device 22 preferably includes the following features: an X-ray tube 22a, pre-packaged in an outer shield 22k. The X-ray tube according to the present invention can provide a collision target, a collimator and an exit window with a coplanar geometry, whereby the generated X-ray beam extends substantially Parallel to the longitudinal axis of the X-ray tube. More preferably, the target-collimator is about 4 to 10 cm apart, more preferably about 5 to 6 cm. The distance between the impact target and the collimator is equal to the distance between the outer surface of the impact target and the median plane of the collimator. The X-ray treatment device may further include a beam hardening filter 22b selected to intercept low-energy radiation and a beam flattening filter 22c to intercept portions The X-ray radiation is used to produce a substantially flat beam profile near the exit surface of the X-ray applicator. Still further, the X-ray applicator 22 can include one or more collimator configurations to define the processing beam geometry. More preferably, a set of collimators can be used, for example, having diameters of 1, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5 cm. More preferably, although a circular collimator is considered here, any form of collimator such as square, elliptic or custom made collimator Can be used. It can be found that the X-ray treatment device 22 provided with the automatic collimator detection mean 22f has the advantage that it is suitable for automatically signaling the collimator in use. More preferably, resistance sensing is used wherein each collimator is provided with at least one pair of projections for bridging the resistive path provided in the collimator receptacle. The resistance generated by this chamber constitutes the signal representative of the collimator in use. X Preferably, the light therapy device 22 includes a built-in temperature sensor adapted to emit temperature signals from the X-ray tube and/or its outer casing. The signal from the temperature sensor is received by the control system and loaded with an analysis system. Once the measured temperature rises beyond the allowable range, an alarm signal is generated, optionally, a high voltage is also provided. The shutdown signal of the generator. The X-ray device 22 further includes a radiation sensor 22h disposed inside the outer casing 22k for detecting the actual X-ray radiation emitted by the X-ray tube. More preferably, based on safety factors, the X-ray charge device 22 can further include a non-volatile data storage 22i for recording at least the operational parameters of the X-ray tube. Further, in order to enhance the safety of the radiation, the X-ray treatment device 22 can provide a radiation indicator 22j to provide a visual and/or an audio output for the user and/or patient to know X. The on/off state of the light pipe. More preferably, the radiation indicator 22j may comprise a plurality of distributed signaling means. More preferably, at least one of the signal means, for example, a light emitting diode (LED) is electrically connected to the X Light therapy device 22. More preferably, the signal device is provided on the X-ray device 22.

第3圖係顯示依據本發明之X光單元具有基於假體劑量測定系統之示意圖,基於假體之劑量測定系統(phantom-based dosimetry system)100適於以一距離而相對於X光裝療器(X-ray applicator)4定位,此亦代表治療患者之位置。一般來說,上述距離約為0.5~2公分,然而,上述距離大到10分公亦是可以想見的。基於假體之劑量測定系 統100更好的是用於得到所有介於X光裝療器4及假體(phantom)Ph之間距離中的劑量數據,雖然為了清處顯示起見,在此假體Ph是顯示為平板結構,然假體Ph也可以是對應於人體或外部器官之非平面結構表面,此假體可以代表人體(humanoid)的假體。更好的是,人體假體具有質量Z對應於人體軟組織(human soft tissue)。 Figure 3 is a schematic diagram showing an X-ray unit according to the present invention having a prosthetic dosimetry system 100, the phantom-based dosimetry system 100 being adapted to be at a distance relative to the X-ray device (X-ray applicator) 4 positioning, which also represents the location of the patient. In general, the above distance is about 0.5 to 2 cm, however, it is conceivable that the above distance is as large as 10 cents. Prosthesis-based dosimetry Preferably, the system 100 is used to obtain all of the dose data between the X-ray device 4 and the phantom Ph, although for the sake of clearing the display, the prosthesis Ph is displayed as a tablet. Structure, however, the prosthesis Ph may also be a non-planar structural surface corresponding to a human or external organ, which may represent a humanoid prosthesis. More preferably, the human prosthesis has a mass Z corresponding to human soft tissue.

為了將假體Ph對齊於X光裝療器4,前者上提供有瞄準裝置(alignment means),而後者上可提供有用以視覺化(Visualizing)X光射束之裝置。而且,其最好是例如利用一雷射而足以僅視覺化X光射束8a的中心光束。 In order to align the prosthesis Ph with the X-ray applicator 4, the former is provided with alignment means, while the latter provides means for visualizing the X-ray beam. Moreover, it is preferred to utilize only a laser to visualize only the central beam of the X-ray beam 8a.

如前述及之X光裝療器4包括一X光管(X-ray tube)配置有一陽極(anode)1具有一撞擊靶範圍(target region)1a,用以產生一發散之X光射束8a,撞擊靶範圍1a大致上為平板狀且延伸大致垂直於陽極1之縱軸,雖然更好的是陽極1是傾向於與X光射束(及X光管)之射束軸8b為共軸,其他相對之方向亦為可能的。所產生的X光射束自X光裝療器從一出口表面(exit surface)8’發出,為了清楚顯示起見,X光管中適合之濾器(filter)、準直儀(collimator)及出口視窗(exit window)並未繪示出。據此,出口表面8’並非必需對應於X光管之出口視窗。 The X-ray device 4 as described above includes an X-ray tube configured with an anode 1 having a target region 1a for generating a divergent X-ray beam 8a. The impact target range 1a is substantially flat and extends substantially perpendicular to the longitudinal axis of the anode 1, although it is preferred that the anode 1 tends to be coaxial with the beam axis 8b of the X-ray beam (and X-ray tube). Other relative directions are also possible. The resulting X-ray beam is emitted from an X-ray applicator from an exit surface 8'. For clarity, suitable filters, collimators and outlets in the X-ray tube The exit window is not shown. Accordingly, the exit surface 8' does not necessarily correspond to the exit window of the X-ray tube.

更好的是,為了將X光裝療器4相對於患者之目標區域作定位,可使用一指示器。指示器可包括二個光源(light source)15a、15b,配置以產生窄光束光(narrow beam light),上述光源可裝設於對應之支撐臂(support arm) 16a、16b上,藉此些裝置而於X光裝療器4之外表面。更好的是,光源可配置以提供在空間(space)上有一聚點(point)C對應於射束軸8b。劑量測定系統(dosimetry system)可相對於聚點(point)C而集中,藉以截取(intercepting)X光射束。 More preferably, an indicator can be used to position the X-ray applicator 4 relative to the target area of the patient. The indicator may include two light sources 15a, 15b configured to generate a narrow beam light, the light source being mountable to a corresponding support arm 16a, 16b, by means of these devices on the outer surface of the X-ray device 4. More preferably, the light source is configurable to provide a point C on the space corresponding to the beam axis 8b. A dosimetry system can be concentrated relative to a point C to intercept the X-ray beam.

為了得到假體Ph之劑量深度比例(percentage depth dose)數據,可提供有複數個劑量計(dose meter),分佈於其中,舉例來說,一數量之劑量測定薄膜(dosimetric film)可提供於橫跨X光範圍於其特徵高度(characteristic depth)上,例如於5mm、1cm及5cm處。此些薄膜可在既定深度上檢查射束之平整度(beam flatness)。 In order to obtain the dose depth dose data of the prosthesis Ph, a plurality of dose meters may be provided, distributed therein, for example, a quantity of dosimetric film may be provided in the horizontal The cross-X-ray range is at its characteristic depth, for example at 5 mm, 1 cm and 5 cm. These films can check the beam flatness at a given depth.

或者是,可以提供一劑量測定薄膜延伸於假體Ph的垂直平面上且經過中心軸8b,如此之配置可用以提供連續之深度劑量數據。 Alternatively, a dose measuring film may be provided extending over the vertical plane of the prosthesis Ph and passing through the central axis 8b, such configuration being used to provide continuous depth dose data.

更好的是,假體Ph可用於多種方式配合有複數個幅射偵測器(radiation detector),其為現今可執行軟X光之劑量測定。此些習知技術可用於對應本實施例之假體Ph上。 More preferably, the prosthesis Ph can be used in a variety of ways with a plurality of radiation detectors, which are now available for soft X-ray dosimetry. These prior art techniques can be used to correspond to the prosthesis Ph of the present embodiment.

更好的是,假體之劑量測定系統100提供有線上讀取(on line reading),其可藉由利用適合之電纜(cabling)19連接至劑量控制單元21而提供,如第2圖中所示。更好的是,電纜19可配合一電子劑量計(eletronic dose meter)而使用,例如電離室(ionization chamber)或半導體偵測器(semiconductor detector)。 More preferably, the prosthetic dosimetry system 100 provides on line reading, which can be provided by connecting to the dose control unit 21 using a suitable cabling 19, as shown in FIG. Show. More preferably, the cable 19 can be used in conjunction with an eletronic dose meter, such as an ionization chamber or a semiconductor detector.

儘管上述實施例之劑量測定系統是參考X光裝療器提供有範圍界定裝置來做說明,本發明亦可以在沒有指示器界定X光範圍之情況下實施。 Although the dosimetry system of the above embodiment is described with reference to an X-ray applicator provided with a range defining device, the present invention can also be practiced without the indicator defining the X-ray range.

第4a圖係顯示依據本發明第一實施例之移動式X光單元之X光裝療器描繪有第一實施例之指示器的剖面示意圖,此指示器用以界定從X光裝療器發出之X光範圍。X光裝療器(X-ray applicator)30包括一外殼體(outer housing)36容置有X光管總成(X-ray tube assembly)35,具有外部遮罩(external shielding)35a。 Figure 4a is a cross-sectional view showing the indicator of the first embodiment of the X-ray device of the mobile X-ray unit according to the first embodiment of the present invention, the indicator being used to define the emission from the X-ray device X-ray range. The X-ray applicator 30 includes an outer housing 36 that houses an X-ray tube assembly 35 with an external shielding 35a.

依據本發明之一態樣,X光裝療器30更包括一光源(light source)48a與一反射鏡(mirror)48配合以發出光,即為由X光管所產生之X光射束的射束指示(beam indicative)。更好的是,X光具有一延伸軸(propagation axis)45a,配合於X光管之縱軸。光源48a及反射鏡48是配置成使得所產生之光束可延伸為大致上沿著X光管總成35之縱軸的。 According to one aspect of the present invention, the X-ray device 30 further includes a light source 48a that cooperates with a mirror 48 to emit light, that is, an X-ray beam generated by the X-ray tube. Beam indication. More preferably, the X-ray has a propagation axis 45a that fits the longitudinal axis of the X-ray tube. Light source 48a and mirror 48 are configured such that the resulting beam of light can extend substantially along the longitudinal axis of X-ray tube assembly 35.

當所形成之光束為準直儀(collimator)33所截取,X光射束之一視覺指示可有利於X光裝療器及患者之目標區域之間的準確對準。 When the resulting beam is intercepted by a collimator 33, one of the X-ray beams can be visually sensed to facilitate accurate alignment between the X-ray applicator and the target area of the patient.

更好的是,在撞擊靶(陽極)和準直儀(collimator)33之間的距離約為4~10公分,更好的是約為5~6公分,如此相對短之撞擊靶-準直儀距離有利於產生X光射束,具有大體上較窄之半影區(penumbra)(每20/80%行約1.5-1.8mm)及較佳之射束平整度(flatness)。 More preferably, the distance between the impact target (anode) and the collimator 33 is about 4 to 10 cm, more preferably about 5 to 6 cm, so that the relatively short impact target-collimation The instrument distance is advantageous for generating an X-ray beam having a substantially narrow penumbra (about 1.5-1.8 mm per 20/80% of the line) and a preferred beam flatness.

X光裝療器30更包括一濾器(filter)39以硬化從撞擊靶(target)45發出之X光射束、一射束平整濾器(beam flattening filter)40以平整射束外形、以及一準直儀33,插置於一準直儀容室(collimator receptacle)41上。 The X-ray applicator 30 further includes a filter 39 to harden the X-ray beam emitted from the impact target 45, a beam flattening filter 40 to flatten the beam profile, and a quasi-junction The straight gauge 33 is inserted into a collimator receptacle 41.

為了避免X光管使用時過熱,將提供一冷卻系統(cooling system)34,較有利的是間隔配置於X光管總成35及外部遮罩35a之間,且與X光管總成35的表面相接觸。合適之冷媒可利用一管路(pipe)31而提供,更好的是,冷媒是可循環的,且可以為水或壓縮氣體。X光裝療器30可更包括一溫度感測器(temperature sensor)37。 In order to avoid overheating of the X-ray tube during use, a cooling system 34 will be provided, advantageously disposed between the X-ray tube assembly 35 and the external mask 35a, and with the X-ray tube assembly 35. The surfaces are in contact. A suitable refrigerant can be provided by a pipe 31. More preferably, the refrigerant is recyclable and can be water or a compressed gas. The X-ray device 30 can further include a temperature sensor 37.

X光裝療器30可更包括一合適之幅射偵測器(radiation detector)38,連接至一幅射指示器(radiation indicator)43。更好的是,由幅射偵測器38所收集到的數據被儲存至數據儲存單元(data storage unit)44。 The X-ray applicator 30 can further include a suitable radiation detector 38 coupled to a radiation indicator 43. More preferably, the data collected by the radiation detector 38 is stored to a data storage unit 44.

為了保護X光裝療器30的X光出口表面在門診時免於受到污染,可提供一裝療器蓋(exchange cap)42以覆蓋至少X光裝療器30的出口表面。更好的是,裝療器蓋的厚度夠厚足以完全截斷X光裝療器所發出的二次電子(secondary electrons)。更好的是,裝療器蓋是由聚偏氟乙烯(PVDF,polyvinylidene fluoride)所製造,且橫跨視窗部份的厚度約為0.4~0.7公厘,更好的是0.6公厘,且具有約1.75~1.8的密度,更好的是為1.78的密度。或者是,裝療器蓋是由聚苯碸(PPSU,polyphenylsulfone)所製 造,且橫跨視窗部份的厚度約為0.3~0.6公厘,更好的是0.5公厘,且具有約1.30~1.45的密度,更好的是為1.39的密度。可以發現上述材料由於其在X光的影響下的穩定性而特別的適合用於此,且適於不同類型的消毒程序(sterilization),例如化學消毒或在高溫下消毒。 To protect the X-ray exit surface of the X-ray applicator 30 from contamination during the clinic, an exchange cap 42 may be provided to cover at least the exit surface of the X-ray applicator 30. More preferably, the thickness of the applicator cover is thick enough to completely intercept the secondary electrons emitted by the X-ray device. More preferably, the cap is made of polyvinylidene fluoride (PVDF) and has a thickness of about 0.4 to 0.7 mm, more preferably 0.6 mm, across the window portion. A density of about 1.75 to 1.8, more preferably a density of 1.78. Alternatively, the cap is made of polyphenylsulfone (PPSU). The thickness of the portion spanning the window is about 0.3 to 0.6 mm, more preferably 0.5 mm, and has a density of about 1.30 to 1.45, more preferably 1.39. It has been found that the above materials are particularly suitable for use herein due to their stability under the influence of X-rays and are suitable for different types of sterilization, such as chemical sterilization or sterilization at elevated temperatures.

第4b圖係顯示依據本發明第二實施例之移動式X光單元之X光裝療器描繪有第二實施例之指示器的剖面示意圖,在本實施例中,光纖(optical fiber)47a提供於準直儀容室41於準直儀33之上,光纖47a配置成以產生一光源範圍(light field)大致上以準直儀33之開口為中心,藉以模擬從準直儀所發出之X光射束,基於此目的,光纖47a是配置成相較於所預期之X光射束是有差異大致上較窄之射束。 Figure 4b is a cross-sectional view showing the indicator of the second embodiment of the X-ray device of the mobile X-ray unit according to the second embodiment of the present invention. In the present embodiment, an optical fiber 47a is provided. The collimator chamber 41 is above the collimator 33, and the optical fiber 47a is configured to generate a light field substantially centered on the opening of the collimator 33 to simulate X-rays emitted from the collimator. The beam, for this purpose, the fiber 47a is a beam that is configured to be substantially narrower than the expected X-ray beam.

或者是,其可以使用光纖47a用以將X光射束之中心軸(central axis)45a視覺化(visualizing)。在本例中,光纖較佳的是配置成發出較窄之射束光源產生一較小之光點於患者的表面。更好的是,光點的尺寸為小於5mm2,更佳的是光點的尺寸約為1mm2。一適合之發光二極體或雷射可用以產生從光纖47a所發出的光。更佳的是,發光二極體及雷射是遠端地相對於X光裝療器30而配置。可以理解,在另一選擇結構中可使用一或多個光源與一或多個光纖相配合。 Alternatively, it is possible to use an optical fiber 47a for visualizing the central axis 45a of the X-ray beam. In this example, the fiber is preferably configured to emit a narrower beam source to produce a smaller spot of light on the surface of the patient. More preferably, the size of the spot is less than 5 mm 2 , and more preferably the spot size is about 1 mm 2 . A suitable light emitting diode or laser can be used to generate light emitted from the optical fiber 47a. More preferably, the light emitting diode and the laser are disposed remotely relative to the X-ray applicator 30. It will be appreciated that one or more light sources may be used in conjunction with one or more optical fibers in another alternative configuration.

第4c圖係顯示依據本發明第三實施例之移動式X光單元之X光裝療器描繪有第三實施例之指示器的剖面示意 圖,在本實施例中,X光裝療器具有一撞擊靶(target)45用以產生具有X光縱軸45a之X光射束(X-ray beam)45c,其提供有外部指示器(external indicator)用以在從X光裝療器之底表面(lower surface)49之一既定距離(pre-determined distance)D中將縱軸45a視覺化,更好的是,底表面49是對應於如第1c圖所示之出口視窗,或對應於如第4圖所示之裝療器蓋。 Figure 4c is a cross-sectional view showing the indicator of the third embodiment of the X-ray device of the mobile X-ray unit according to the third embodiment of the present invention. In the present embodiment, the X-ray applicator has a strike target 45 for generating an X-ray beam 45c having an X-ray longitudinal axis 45a, which is provided with an external indicator (external The indicator is used to visualize the longitudinal axis 45a from a pre-determined distance D from the lower surface 49 of the X-ray device, and more preferably, the bottom surface 49 corresponds to The exit window shown in Fig. 1c corresponds to the applicator cover as shown in Fig. 4.

外部指示器包括一或多個光源(light source)52a、52b設置於對應之支撐臂(support arm)54a、54b上,以個別產生窄光束(light beam)53a、53b,此些射束是直接朝向縱軸45a且適於在從X光裝療器30之底表面49既定距離D處交會。更好的是,既定距離D是選擇於0.5~2公分之間。支撐臂54a、54b是配置成使光束53a、53b不會被X光裝療器擋住的狀態。 The external indicator includes one or more light sources 52a, 52b disposed on respective support arms 54a, 54b to individually generate light beams 53a, 53b, which are direct It is oriented towards the longitudinal axis 45a and is adapted to meet at a predetermined distance D from the bottom surface 49 of the X-ray applicator 30. Even better, the established distance D is chosen to be between 0.5 and 2 cm. The support arms 54a, 54b are in a state in which the light beams 53a, 53b are not blocked by the X-ray applicator.

當X光裝療器相對於患者P而定位時,前者必須以下述方式操作,光束53a、53b交會於患者之一表面上。然而,當治療方案應使用劑量增進材料(dose build-up material)時,光束53a、53b可穿越(cross)劑量增進材料之表面。更佳的是,支撐臂54a、54b是可調整的以從X光裝療器之底表面49不同距離處指示中心軸45a。 When the X-ray applicator is positioned relative to the patient P, the former must operate in such a manner that the beams 53a, 53b meet on one of the surfaces of the patient. However, when the treatment protocol should use a dose build-up material, the beams 53a, 53b can cross the surface of the dose enhancing material. More preferably, the support arms 54a, 54b are adjustable to indicate the central axis 45a at different distances from the bottom surface 49 of the X-ray applicator.

為了校準支撐臂之調整,可使用一透明校準假體(calibration phantom),其中已標示有中心軸及深度(depth)。可以理解的是,雖然第4a~4c圖是分別顯示不同實施例之指示器,然將其組合運用亦是可行的。舉例來說, 用以指示中心軸的指示器可與用以指示全部範圍之指示器相結合。另外,內部及外部指示器也可結合運用。 To calibrate the adjustment of the support arm, a transparent calibration phantom may be used in which the central axis and depth have been indicated. It can be understood that although the 4a-4c diagrams respectively show indicators of different embodiments, it is also feasible to use them in combination. for example, An indicator to indicate the center axis can be combined with an indicator to indicate the full range. In addition, internal and external indicators can also be combined.

第5a圖係顯示依據本發明一態樣之基於假體之劑量測定系統之示意圖,依據本發明之一實施例,X光裝療器4及基於假體之劑量測定系統是適於形成固定結構(affixed configuration)60的。舉例來說,基於假體之劑量測定系統可以為螺合(screwed)、扣合(clicked)、滑動接合(slide)或其他方式固定於X光裝療器4。在本實施例中,基於假體之劑量測定系統(phantom-based dosimetry system)61包括把手(handle)62用以握持構件。X光裝療器4或基於假體之劑量測定系統可提供有適合之本體部(body)64與適當數量之螺絲(screw)67a、67b相配合,以穩固地將劑量測定系統連接至X光裝療器。基於假體之劑量測定系統的本體(body)63可以塑膠材質製成,或更好的是等效組織材質(tissue equivalent material)製成。 Figure 5a is a schematic illustration of a prosthetic-based dosimetry system in accordance with an aspect of the present invention, in accordance with an embodiment of the present invention, an X-ray applicator 4 and a prosthesis-based dosimetry system are adapted to form a fixed structure (affixed configuration) 60. For example, a prosthetic based dosimetry system can be screwed, clicked, slided, or otherwise secured to the X-ray applicator 4. In the present embodiment, a phantom-based dosimetry system 61 includes a handle 62 for holding a member. The X-ray applicator 4 or prosthesis-based dosimetry system can be provided with a suitable body 64 that cooperates with an appropriate number of screws 67a, 67b to securely connect the dosimetry system to X-rays. Charger. The body 63 of the prosthesis-based dosimetry system can be made of a plastic material or, more preferably, a tissue equivalent material.

可以發現,提供基於假體之劑量測定系統可連接至X光裝療器4的好處在於,對不同角度之X光裝療器4可實施適合之劑量量測。 It has been found that the benefit of providing a prosthetic-based dosimetry system that can be coupled to the X-ray applicator 4 is that suitable dose measurements can be performed on X-ray applicators 4 of different angles.

第5b圖係顯示如第5a圖所示之基於假體之劑量測定系統之剖面圖,配合第5a圖所示,X光裝療器4提供X光幅射8a之射束,其係配置成照射於基於假體之劑量測定系統61上,更好的是,基於假體之劑量測定系統61可包括背景材料(background material)63及類似或不同之材質(material)66,用以容置適合之偵測器組。舉例來說,PCB 材質可用以容置偵測器。 Figure 5b is a cross-sectional view showing a prosthesis-based dosimetry system as shown in Figure 5a. As shown in Figure 5a, the X-ray device 4 provides a beam of X-ray radiation 8a, which is configured to Preferably, the prosthesis-based dosimetry system 61 can include a background material 63 and a similar or different material 66 for accommodation. Detector group. For example, PCB The material can be used to house the detector.

在一實施例中,提供有幅射偵測器於基於假體之劑量測定系統中,用以提供代表量測出之幅射劑量之訊號。舉例來說,背景材料63可包括傳送器(transmitter)68電性連接於偵測器且適於無線傳輸(wirelessly transmitting)對應之讀取訊號。傳送器68可提供於任何所欲之處,於假體上或內側,更好的是,位於X光射束之外側。或者是,假體上提供有電子裝置,其可利用適合之電纜連接至外部數據截取器(acquisition)或數據處理單元。習知技術可用於此以實現上述實施例中之數據傳輸單元。 In one embodiment, a radiation detector is provided in a prosthetic based dosimetry system for providing a signal representative of the measured radiation dose. For example, the background material 63 can include a transmitter 68 electrically coupled to the detector and adapted to wirelessly transmit the corresponding read signal. The conveyor 68 can be provided wherever desired, on the inside or inside of the prosthesis, and more preferably on the outside of the X-ray beam. Alternatively, the prosthesis is provided with an electronic device that can be connected to an external data interceptor or data processing unit using a suitable cable. Conventional techniques can be used to implement the data transfer unit in the above embodiments.

第6圖係顯示依據本發明另一實施例之移動式X光裝置之X光管的示意圖,第6E-E圖係顯示一實施例之X光裝療器之縱向剖面示意圖,第6F-F圖係顯示如第6E-E圖之實施例其顯示有陰極。X光管(X-ray tube)100具有本體(body)102,一端為封閉端,另一端為一端視窗(end window)104,X光由此射出。端視窗係由鈹金屬板(thin sheet of Beryllium)所製作。藉由一裝療器蓋(applicator cap)106覆蓋住端視窗104以保護視窗部份免於損傷,以及保護免於金屬之毒性(toxic)影響。裝療器蓋106較佳是由塑膠材質製成。 Figure 6 is a schematic view showing an X-ray tube of a mobile X-ray device according to another embodiment of the present invention, and Figure 6E-E is a longitudinal sectional view showing an X-ray device of an embodiment, 6F-F The figure shows an embodiment as shown in Figures 6E-E which shows a cathode. The X-ray tube 100 has a body 102 with a closed end at one end and an end window 104 at the other end, from which X-rays are emitted. The end window is made of thin sheet of Beryllium. The end window 104 is covered by an applicator cap 106 to protect the window portion from damage and to protect against metal toxic effects. The applicator cover 106 is preferably made of a plastic material.

在管本體102中,一撞擊靶(target)108位於距準直儀(collimator)130約4~10公分處,且更好的是位於距準直儀130約4~6公分處(見第6F-F圖),此距離是等於介於撞擊靶平板之外表面及準直儀130之中間平面(midplane) 之間的距離。撞擊靶108是由鎢金屬(Tungsten metal)製作,以提供所需之X光光譜(X-ray spectrum)。撞擊靶108的鎢末端是裝設於一大的陽極總成(anode assembly)110上,其同樣提供作為在撞擊靶108中以傳導出因生成X光而產生的熱之功能。大多數的陽極總成是以銅製作。陰極(cathode)112是位於稍微偏軸靠近端視窗,從陰極射出的電子被加速跨過陰極和陽極之間電位差的差距,在本例中設定為約70KV,如習知技術同,到達撞擊靶108,在此撞擊且使X光產生,從撞擊靶108射出的X光在經過準直儀130及經過在裝療器蓋106上的出口表面(exit surface)124之前,先經過一射束硬化濾器(beam hardening filter)122。準直儀130可被裝設於適合之準直儀容室(collimator receptacle)128上。 In the tube body 102, a strike target 108 is located about 4 to 10 centimeters from the collimator 130, and more preferably about 4 to 6 centimeters from the collimator 130 (see section 6F). -F map), this distance is equal to the outer plane of the impact target plate and the midplane of the collimator 130 the distance between. The impact target 108 is fabricated from Tungsten metal to provide the desired X-ray spectrum. The tungsten tip of the impact target 108 is mounted on a large anode assembly 110, which is also provided as a function in the impact target 108 to conduct heat generated by the generation of X-rays. Most anode assemblies are made of copper. The cathode 112 is located slightly off-axis near the end window, and the electrons emitted from the cathode are accelerated across the potential difference between the cathode and the anode, which is set to about 70 KV in this example, and reaches the impact target as in the prior art. 108, where the X-ray is struck and X-rays are generated, and the X-rays emitted from the impacting target 108 are subjected to a beam hardening before passing through the collimator 130 and passing through an exit surface 124 on the medicated cap 106. Beam hardening filter 122. The collimator 130 can be mounted on a suitable collimator receptacle 128.

陽極總成110裝設於本體102中且其電性絕緣,數種已知技術及習知材料皆可用於提供所需之陽極和本體102之間之絕緣程度。 The anode assembly 110 is mounted in the body 102 and is electrically insulated. Several known techniques and conventional materials can be used to provide the desired degree of insulation between the anode and the body 102.

如同習知技術,X光的生成會產生大量的廢熱,因此,需要將管冷卻維持在一安全溫度以下。多種冷卻機構已為周知且可被使用。在本實施例中,管的冷卻是由水強制圍繞著陽極區域之裝置而冷卻,水藉由導管(conduit)116裝置而進入管的後面,且藉由第二導管(second conduit)118裝置而離開。水冷卻迴路是封閉之迴圈迴路,具有遠端冷卻器(remote cooler,圖上未顯示)於水離開欲冷卻之管組合而在返回管之前。或者,油或其它流體亦可使用作為冷 卻媒介。在一些應用中,亦可用壓縮氣體作為有效之冷卻劑。 As is known in the art, the generation of X-rays generates a large amount of waste heat, and therefore, it is necessary to maintain the tube cooling below a safe temperature. A variety of cooling mechanisms are known and can be used. In this embodiment, the cooling of the tube is cooled by means of water forced around the anode region, the water entering the back of the tube by means of a conduit 116 device, and by means of a second conduit 118 device go away. The water cooling circuit is a closed loop circuit with a remote cooler (not shown) before the water leaves the tube to be cooled and before the return tube. Or oil or other fluids can be used as cold But the media. In some applications, compressed gas can also be used as an effective coolant.

如同習知技術,X光被生成且朝所有方向射出,除了被管本體102遮蔽處及其它內部構件遮蔽處,藉以將從管本體幅射出的量減到最少,而使較多的幅射從端視窗射出。由管本體所提供之遮蔽的厚度是設計成至少提供了使用者安全使用所需遮蔽之最低程度。 As in the prior art, X-rays are generated and emitted in all directions, except for the shelter of the tube body 102 and other internal component shields, thereby minimizing the amount of radiation from the tube body and making more radiation. Shoot from the end window. The thickness of the shield provided by the tube body is designed to at least provide the minimum level of shading required for safe use by the user.

高壓線路總成(high voltage cable assembly)120連接至陽極總成110。高壓線路總成連接至具彈性線路之裝置(flexible cable means,圖上未顯示),其依序連接至高壓電源供應器。 A high voltage cable assembly 120 is coupled to the anode assembly 110. The high voltage line assembly is connected to a flexible cable means (not shown) which is in turn connected to the high voltage power supply.

一幅射偵測器(radiation detector)114是設置於X光射束從撞擊靶108射出至經過端視窗104之路徑的外側,此偵測器可以是任何已知之幅射偵測器。在本實施例中,是使用習知之適合之幅射硬化半導體(radiation hardened semi-conductor)連接至一放大器(amplifier)。當X光管100運作且射出X光能量時,幅射偵測器114開始偵測。偵測器的輸出連接至一控制單元,由此所輸出之訊號可提供作為一光學指示(optical indication),藉以確認X光管是否在操作中。藉此裝置可提供一X光偵測器,用以偵測X光管是啟動或關閉。 A radiation detector 114 is disposed outside the path of the X-ray beam exiting the impact target 108 to the end window 104. The detector can be any known radiation detector. In this embodiment, it is connected to an amplifier using a conventional radiation hardened semi-conductor. When the X-ray tube 100 is operating and emits X-ray energy, the radiation detector 114 begins to detect. The output of the detector is coupled to a control unit whereby the output signal can be provided as an optical indication to confirm that the X-ray tube is in operation. The device can provide an X-ray detector for detecting whether the X-ray tube is activated or deactivated.

進一步調校幅射偵測器114,其可以在療程期間管控到達患者之確定及計算X光劑量。藉此裝置可具有即時之劑量量測系統,藉此可確定管控精準之幅射劑量。一旦可 確定劑量率(dose rate),療程時間之處理方案即可被調整。此優點在於可實現所欲管控之準確小心之X光劑量控制。 The radiation detector 114 is further calibrated to control the determination of the arrival of the patient and calculate the X-ray dose during the course of treatment. The device can have an instant dose measurement system whereby the precise radiation dose can be determined. Once available The dose rate is determined and the treatment schedule can be adjusted. This has the advantage of achieving an accurate and precise X-ray dose control that is to be controlled.

為了使管102可正確地放置於一腫瘤(tumour)上,需使用一腫瘤照明裝置。此腫瘤照明裝置可包括複數個光源(light)126放置於管的周緣靠近端視窗處。當使用時,光源的光照在患者的皮膚上。由於光源126是位於圍繞在管本體102的周緣,距離管的末端還有一小段距離,因此產生了一光圈(circle of light),其內部是空的。以此方法之下,光的位置在管本體102處產生了一陰影。此陰影圈係用以標示出當X光管啟動時放射目標的區域。在圈的內部不會是完全黑的,因為環境光會進入此陰影區域中。 In order for the tube 102 to be properly placed on a tumor, a tumor illumination device is used. The tumor illumination device can include a plurality of light sources 126 placed at the periphery of the tube near the end window. When used, the light from the source is on the patient's skin. Since the light source 126 is located around the circumference of the tube body 102, a small distance from the end of the tube, a circle of light is created, the interior of which is empty. In this way, the position of the light creates a shadow at the tube body 102. This shaded circle is used to indicate the area where the target is radiated when the X-ray tube is activated. The inside of the circle will not be completely black, as ambient light will enter this shaded area.

更好的是,光源126是白光發光二極體(white LED),其亮度夠亮足以清楚照亮目標區域,且不會產生過多的熱,並具有較長的使用壽命。沒有熱的產生是很重要的,因為此光源會非常靠近患者的皮膚,且同樣重要的是,可將使皮膚繞傷或其它損傷之風險降到最低。其他顏色之發光二極體當然亦可以被使用。或者,也可以使用其它之光源,如習知之燈絲燈泡(filament lamp),或甚至是遠端光源(remote light)由光纖電纜(fibre optic cable)連接至一環(ring)。 More preferably, the light source 126 is a white LED that is bright enough to clearly illuminate the target area without excessive heat generation and a long lifetime. The absence of heat is important because the source is very close to the patient's skin and, as importantly, the risk of skin wrap or other damage is minimized. Light-emitting diodes of other colors can of course also be used. Alternatively, other sources of light may be used, such as a conventional filament lamp, or even a remote light connected to a ring by a fibre optic cable.

本發明雖以較佳實施例揭露如上,然其並非用以限定本發明的範圍,任何熟習此項技藝者,在不脫離本發明之精神和範圍內,當可做些許的更動與潤飾,因此本發明之 保護範圍當視後附之申請專利範圍所界定者為準。 The present invention has been described above with reference to the preferred embodiments thereof, and is not intended to limit the scope of the present invention, and the invention may be modified and modified without departing from the spirit and scope of the invention. The invention The scope of protection is subject to the definition of the scope of the patent application attached.

1‧‧‧陽極(anode) 1‧‧‧Anode

1a‧‧‧撞擊靶範圍(target region) 1a‧‧‧target range

2‧‧‧基座(base) 2‧‧‧Base

2a‧‧‧加載塊(load block) 2a‧‧‧Load block

3‧‧‧軟性纜線(flexible cable) 3‧‧‧flexible cable

4‧‧‧X光裝療器(X-ray applicator) 4‧‧‧X-ray applicator

4a‧‧‧鉸接可位移式臂(articulated displaceable arm) 4a‧‧‧ articulated arm (articulated displaceable arm)

5‧‧‧可位移式面板(displaceable panel) 5‧‧‧Displaceable panel

5a‧‧‧外部(outer portion) 5a‧‧‧outer portion

6‧‧‧握把(handle) 6‧‧‧Handle

7‧‧‧顯示器(display) 7‧‧‧Display

7a‧‧‧使用者介面(user interface) 7a‧‧‧user interface

7b‧‧‧視窗(window) 7b‧‧‧window

7c‧‧‧視窗(window) 7c‧‧‧window

7d‧‧‧按鍵(button) 7d‧‧‧ button (button)

8‧‧‧出口視窗(exit window)/X光出口表面(x-ray exit surface) 8‧‧‧Exit window/X-ray exit surface

8’‧‧‧出口表面(exit surface) 8'‧‧‧Exit surface

8a‧‧‧X光射束(X-ray beam) 8a‧‧‧X-ray beam

8b‧‧‧射束軸(beam axis) 8b‧‧‧beam axis

9a、9b‧‧‧劑量測定系統(dosimetry system) 9a, 9b‧‧‧dosimetry system

9c‧‧‧深度(depth) 9c‧‧‧depth

9d‧‧‧劑量計(dose meter) 9d‧‧‧dose meter

10‧‧‧移動式X光單元(mobile X-ray unit) 10‧‧‧mobile X-ray unit

15a、15b‧‧‧光源(light source) 15a, 15b‧‧‧light source

16a、16b‧‧‧支撐臂(support arm) 16a, 16b‧‧‧support arm

19‧‧‧電纜(cabling) 19‧‧‧Cable (cabling)

21‧‧‧控制單元(control unit) 21‧‧‧control unit

21a‧‧‧使用者介面(user interface) 21a‧‧‧user interface

21b‧‧‧高壓供應器(high voltage supply)/電源供應單元(power supply unit) 21b‧‧‧high voltage supply/power supply unit

21c‧‧‧高壓產生器(high voltage generator) 21c‧‧‧high voltage generator

21d‧‧‧冷卻系統(cooling system) 21d‧‧‧Cooling system

21e‧‧‧主要控制器(primary controller) 21e‧‧‧primary controller

21f‧‧‧次要控制器(secondary controller) 21f‧‧‧secondary controller

21g‧‧‧安全控制器(safety controller) 21g‧‧‧safety controller

21h‧‧‧劑量控制器(dosimetry control) 21h‧‧‧dosimetry control

21i‧‧‧指示控制器(indicator controller) 21i‧‧‧indicator controller

22‧‧‧X光裝療器(X-ray applicator) 22‧‧‧X-ray applicator

22a‧‧‧X光管(X-ray tube) 22a‧‧‧X-ray tube

22b‧‧‧射束硬化濾器(beam hardening filter) 22b‧‧·beam hardening filter

22c‧‧‧射束平整濾器(beam flattening filter) 22c‧‧·beam flattening filter

22d‧‧‧準直儀(collimator) 22d‧‧‧collimator

22e‧‧‧裝療器蓋(applicator cap) 22e‧‧‧applicator cap

22f‧‧‧自動準直偵測裝置(automatic collimator detection mean) 22f‧‧‧Automatic collimator detection mean

22g‧‧‧殼體溫度感測器(housing temperature sensor) 22g‧‧‧ housing temperature sensor

22h‧‧‧幅射感測器(radiation sensor) 22h‧‧‧radiation sensor

22i‧‧‧非暫存式數據儲存器(non-volatile data storage) 22i‧‧‧non-volatile data storage

22j‧‧‧幅射指示器(radiation indicator) 22j‧‧‧radiation indicator

22k‧‧‧外殼體(outer shielding) 22k‧‧‧outer shielding

30‧‧‧X光裝療器(X-ray applicator) 30‧‧‧X-ray applicator

31‧‧‧管路(pipe) 31‧‧‧pipe

33‧‧‧準直儀(collimator) 33‧‧‧collimator

34‧‧‧冷卻系統(cooling system) 34‧‧‧Cooling system

35‧‧‧X光管總成(X-ray tube assembly) 35‧‧‧X-ray tube assembly

35a‧‧‧外部遮罩(external shielding) 35a‧‧‧External shielding

36‧‧‧外殼體(outer housing) 36‧‧‧outer housing

37‧‧‧溫度感測器(temperature sensor) 37‧‧‧temperature sensor

38‧‧‧幅射偵測器(radiation detector) 38‧‧‧radiation detector

39‧‧‧濾器(filter) 39‧‧‧Filter

40‧‧‧射束平整濾器(beam flattening filter) 40‧‧‧beam flattening filter

41‧‧‧準直儀容室(collimator receptacle) 41‧‧‧collimator receptacle

42‧‧‧裝療器蓋(exchange cap) 42‧‧‧Therapy cover (exchange cap)

43‧‧‧幅射指示器(radiation indicator) 43‧‧‧radiation indicator

44‧‧‧數據儲存單元(data storage unit) 44‧‧‧data storage unit

45‧‧‧撞擊靶(target) 45‧‧‧ impact target (target)

45a‧‧‧延伸軸(propagation axis)/中心軸(central axis) 45a‧‧‧propagation axis/central axis

45c‧‧‧X光射束(X-ray beam) 45c‧‧‧X-ray beam

47a‧‧‧光纖(optical fiber) 47a‧‧‧optical fiber

48‧‧‧反射鏡(mirror) 48‧‧‧Mirror (mirror)

48a‧‧‧光源(light source) 48a‧‧‧light source

49‧‧‧底表面(lower surface) 49‧‧‧lower surface

52a、52b‧‧‧光源(light source) 52a, 52b‧‧‧light source

53a、53b‧‧‧光束(light beam) 53a, 53b‧‧‧light beam

54a、54b‧‧‧支撐臂(support arm) 54a, 54b‧‧‧support arm

60‧‧‧固定結構(affixed configuration) 60‧‧‧Fixed configuration

61‧‧‧基於假體之劑量測定系統(phantom-based dosimetry system) 61‧‧‧Phenomenon-based dosimetry system

62‧‧‧把手(handle) 62‧‧‧Handle

63‧‧‧本體(body) 63‧‧‧ body

64‧‧‧本體部(body) 64‧‧‧ body (body)

66‧‧‧背景材料(background material) 66‧‧‧Background material

67a、67b‧‧‧螺絲(screw) 67a, 67b‧‧‧screw

68‧‧‧傳送器(transmitter) 68‧‧‧transmitter

100‧‧‧基於假體之劑量測定系統(phantom-based dosimetry system)/X光管(X-ray tube) 100‧‧‧Phenomenon-based dosimetry system/X-ray tube

102‧‧‧本體(body) 102‧‧‧ body

104‧‧‧端視窗(end window) 104‧‧‧End window

106‧‧‧裝療器蓋(applicator cap) 106‧‧‧Applicator cap

108‧‧‧撞擊靶(target) 108‧‧‧ impact target (target)

110‧‧‧陽極總成(anode assembly) 110‧‧‧Anode assembly

112‧‧‧陰極(cathode) 112‧‧‧cathode

114‧‧‧幅射偵測器(radiation detector) 114‧‧‧radiation detector

116‧‧‧導管(conduit) 116‧‧‧catheter (conduit)

118‧‧‧第二導管(second conduit) 118‧‧‧second conduit

120‧‧‧高壓線路總成(high voltage cable assembly) 120‧‧‧High voltage cable assembly

122‧‧‧射束硬化濾器(beam hardening filter) 122‧‧‧beam hardening filter

124‧‧‧出口表面(exit surface) 124‧‧‧Exit surface

126‧‧‧光源(light) 126‧‧‧Light source

128‧‧‧準直儀容室(collimator receptacle) 128‧‧‧collimator receptacle

130‧‧‧準直儀(collimator) 130‧‧‧collimator

C‧‧‧聚點(point) C‧‧‧ gathering point

D‧‧‧既定距離(pre-determined distance) D‧‧‧pre-determined distance

P‧‧‧患者(patient) P‧‧‧patient

P’‧‧‧表面(surface) P’‧‧‧Surface

Ph‧‧‧假體(phantom) Ph‧‧‧prosthesis (phantom)

第1a圖係顯示依據本發明一實施例之移動式X光單元的示意圖;第1b圖係顯示依據本發明一實施例之移動式X光單元之可位移式面板的示意圖;第1c圖係顯示依據本發明一實施例之X光單元具可位移功能裝療器的示意圖;第2圖係顯示依據本發明一實施例之移動式X光單元之架構示意圖;第3圖係顯示依據本發明之X光單元具有基於假體劑量測定系統的示意圖;第4a圖係顯示依據本發明第一實施例之移動式X光單元之X光裝療器描繪有第一實施例之指示器的剖面示意圖;第4b圖係顯示依據本發明第二實施例之移動式X光單元之X光裝療器描繪有第二實施例之指示器的剖面示意圖;第4c圖係顯示依據本發明第三實施例之移動式X光單元之X光裝療器描繪有第三實施例之指示器的剖面示意圖;第5a圖係顯示依據本發明一態樣之基於假體之劑量測定系統的示意圖; 第5b圖係顯示依據本發明一實施例如第5a圖所示之基於假體之劑量測定系統之剖面圖;第6圖係顯示依據本發明另一實施例之移動式X光單元之X光管的示意圖;第6E-E圖係顯示一實施例之X光裝療器之縱向剖面示意圖;以及第6F-F圖係顯示如第6E-E圖之實施例其顯示有陰極。 1a is a schematic view showing a mobile X-ray unit according to an embodiment of the present invention; FIG. 1b is a schematic view showing a displaceable panel of a mobile X-ray unit according to an embodiment of the present invention; FIG. 2 is a schematic diagram showing the structure of a mobile X-ray unit according to an embodiment of the present invention; FIG. 3 is a schematic diagram showing the structure of a mobile X-ray unit according to an embodiment of the present invention; The X-ray unit has a schematic diagram based on a prosthetic dosimetry system; and FIG. 4a is a cross-sectional view showing the X-ray device of the mobile X-ray unit according to the first embodiment of the present invention depicting the indicator of the first embodiment; Figure 4b is a cross-sectional view showing the indicator of the second embodiment of the X-ray device of the mobile X-ray unit according to the second embodiment of the present invention; and Figure 4c is a view showing the third embodiment of the present invention. The X-ray device of the mobile X-ray unit is depicted in cross-section of the indicator of the third embodiment; Figure 5a is a schematic view of a prosthesis-based dosimetry system in accordance with one aspect of the present invention; Figure 5b is a cross-sectional view showing a prosthesis-based dosimetry system according to an embodiment of the present invention, for example, Figure 5a; and Figure 6 is a view showing an X-ray tube of a mobile X-ray unit according to another embodiment of the present invention. Figure 6E-E is a schematic longitudinal cross-sectional view showing an X-ray device of an embodiment; and Figure 6F-F shows a cathode as shown in the embodiment of Figure 6E-E.

2‧‧‧基座(base) 2‧‧‧Base

3‧‧‧軟性纜線(flexible cable) 3‧‧‧flexible cable

4‧‧‧X光裝療器(X-ray applicator) 4‧‧‧X-ray applicator

4a‧‧‧鉸接可位移式臂(articulated displaceable arm) 4a‧‧‧ articulated arm (articulated displaceable arm)

5‧‧‧可位移式面板(displaceable panel) 5‧‧‧Displaceable panel

6‧‧‧握把(handle) 6‧‧‧Handle

7‧‧‧顯示器(display) 7‧‧‧Display

8‧‧‧出口視窗(exit window) 8‧‧‧Exit window

8a‧‧‧X光射束(X-ray beam) 8a‧‧‧X-ray beam

8b‧‧‧射束軸(beam axis) 8b‧‧‧beam axis

9a、9b‧‧‧劑量測定系統(dosimetry system) 9a, 9b‧‧‧dosimetry system

9c‧‧‧深度(depth) 9c‧‧‧depth

9d‧‧‧劑量計(dose meter) 9d‧‧‧dose meter

10‧‧‧移動式X光單元(mobile X-ray unit) 10‧‧‧mobile X-ray unit

21‧‧‧控制單元(control system) 21‧‧‧control unit

P‧‧‧患者(patient) P‧‧‧patient

Claims (23)

一種移動式X光單元,包括一基座用以容置一控制單元及一電源供應器,且更包括一鉸接可位移式臂用以支撐具有一X光管之一X光裝療器,以透過一出口視窗發出一X光射束而照射一目標,其中,該移動式X光單元更包括具有一等效組織材質之一基於假體之劑量測定系統,適於執行一線上或一即時之該X光射束之劑量測定檢查。 A mobile X-ray unit includes a base for accommodating a control unit and a power supply, and further comprising a hinged displaceable arm for supporting an X-ray device having an X-ray tube to Illuminating a target by emitting an X-ray beam through an exit window, wherein the mobile X-ray unit further comprises a prosthetic-based dosimetry system having an equivalent tissue material, suitable for performing an online or an instant Dosimetry check of the X-ray beam. 如申請專利範圍第1項所述之移動式X光單元,其中,該劑量測定系統包括數位讀取裝置(digital read out means)。 The mobile X-ray unit of claim 1, wherein the dosimetry system comprises a digital read out means. 如申請專利範圍第1或2項所述之移動式X光單元,其中,該劑量測定系統係配置為電性連通於該控制單元。 The mobile X-ray unit of claim 1 or 2, wherein the dosimetry system is configured to be electrically connected to the control unit. 如申請專利範圍第1或2項所述之移動式X光單元,其中,該劑量測定系統係配置為可識別所產生之X光範圍中一劑量深度比例(percentage depth dose)、一射束平整度(beam flatness)及一劑量率(dose rate)其中一者。 The mobile X-ray unit of claim 1 or 2, wherein the dosimetry system is configured to recognize a percentage depth dose in the generated X-ray range, and a beam leveling One of beam flatness and a dose rate. 如申請專利範圍第1或2項所述之移動式X光單元,其中,該劑量測定系統被校準以得到劑量深度比例之絕對劑量。 The mobile X-ray unit of claim 1 or 2, wherein the dosimetry system is calibrated to obtain an absolute dose ratio of the dose depth ratio. 如申請專利範圍第1或2項所述之移動式X光單元,其中,該假體包括一或多個劑量計位於該假體中既定位置處。 The mobile X-ray unit of claim 1 or 2, wherein the prosthesis comprises one or more dosimeters located at a predetermined location in the prosthesis. 如申請專利範圍第6項所述之移動式X光單元,其 中,該假體以固體材質製成。 A mobile X-ray unit as described in claim 6 of the patent application, The prosthesis is made of a solid material. 如申請專利範圍第1或2項所述之移動式X光單元,其中,該假體之一表面上提供有一瞄準圖樣(alignment pattern)。 The mobile X-ray unit of claim 1 or 2, wherein one of the prostheses is provided with an alignment pattern on its surface. 如申請專利範圍第1或2項所述之移動式X光單元,其中,該劑量測定系統配置成連接至該X光裝療器之一容室。 The mobile X-ray unit of claim 1 or 2, wherein the dosimetry system is configured to be coupled to a chamber of the X-ray device. 如申請專利範圍第1或2項所述之移動式X光單元,其更包括一指示器,用以提供至少一部份之從該出口視窗發出之該X光射束之一視覺指示。 The mobile X-ray unit of claim 1 or 2, further comprising an indicator for providing at least a portion of the visual indication of the X-ray beam emitted from the exit window. 如申請專利範圍第10項所述之移動式X光單元,其中,該指示器包括一光源。 The mobile X-ray unit of claim 10, wherein the indicator comprises a light source. 如申請專利範圍第11項所述之移動式X光單元,其中,該指示器包括一陣列之光源,同心地排列環繞著該X光裝療器。 The mobile X-ray unit of claim 11, wherein the indicator comprises an array of light sources arranged concentrically around the X-ray device. 如申請專利範圍第12項所述之移動式X光單元,其中,該X光射束具有一縱軸,每一光源配置成發出一窄光束,從該X光裝療器之一底表面一既定距離處朝向該縱軸。 The mobile X-ray unit of claim 12, wherein the X-ray beam has a longitudinal axis, and each of the light sources is configured to emit a narrow beam from a bottom surface of the X-ray device. The predetermined distance is toward the longitudinal axis. 如申請專利範圍第11項所述之移動式X光單元,其中,該指示器包括一光源容置於該X光裝療器內,用以產生一光束預設為一準直儀所截取(intercepted),以提供從該出口視窗發出之一X光範圍(X-ray field)之一光影像(light image)。 The mobile X-ray unit of claim 11, wherein the indicator comprises a light source housed in the X-ray device for generating a beam preset by a collimator ( Intercepted) to provide a light image of one of the X-ray fields emitted from the exit window. 如申請專利範圍第11項所述之移動式X光單元,其中,該指示器包括一光源及一光纖,配置以提供來自該光源的光為一準直儀所截取(interception)。 The mobile X-ray unit of claim 11, wherein the indicator comprises a light source and an optical fiber configured to provide light from the light source for interception by a collimator. 如申請專利範圍第13項所述之移動式X光單元,其中,該指示器包括複數個光纖,分佈於該X光裝療器中位於一準直儀之上的區域,用以照明一準直儀開口,使該準直儀開口截取(intercept)一結果光範圍。 The mobile X-ray unit of claim 13, wherein the indicator comprises a plurality of optical fibers distributed in an area of the X-ray treatment device located above a collimator for illuminating a quasi-alignment The spectrometer opening allows the collimator opening to intercept a range of resulting light. 如申請專利範圍第11項所述之移動式X光單元,其中,該指示器包括一光源,射出一窄光束,配置於該X光裝療器之內側,以界定該X光射束之一縱軸。 The mobile X-ray unit of claim 11, wherein the indicator comprises a light source, emits a narrow beam, and is disposed inside the X-ray device to define one of the X-ray beams. Vertical axis. 如申請專利範圍第11項所述之移動式X光單元,其中,該光源為一發光二極體或一雷射。 The mobile X-ray unit of claim 11, wherein the light source is a light emitting diode or a laser. 如申請專利範圍第1或2項所述之移動式X光單元,其中,一幅射偵測器提供於該X光裝療器內側,用以偵測該X光射束。 The mobile X-ray unit of claim 1 or 2, wherein a radiation detector is provided inside the X-ray treatment device for detecting the X-ray beam. 如申請專利範圍第19項所述之移動式X光單元,其中,該幅射偵測器配置為依據該X光射束而產生一控制訊號。 The mobile X-ray unit of claim 19, wherein the radiation detector is configured to generate a control signal according to the X-ray beam. 如申請專利範圍第1或2項所述之移動式X光單元,其中,該假體是似於人體(humanoid)的。 The mobile X-ray unit of claim 1 or 2, wherein the prosthesis is humanoid. 一種劑量控制方法,用於從一移動式X光單元放射出之一X光射束,該移動式X光單元包括一基座用以容置一控制單元及一電源供應器,且更包括一鉸接可位移式臂用以支撐具有一X光管之一X光裝療器,以產生該X光射 束,該方法包括下列步驟:提供具有一等效組織材質之一基於假體之劑量測定系統,以識別該X光射束之至少一劑量深度比例(percentage depth dose)。 A dose control method for emitting an X-ray beam from a mobile X-ray unit, the mobile X-ray unit comprising a base for accommodating a control unit and a power supply, and further comprising a An articulating displaceable arm for supporting an X-ray device having an X-ray tube to generate the X-ray The method comprises the steps of providing a prosthesis-based dosimetry system having an equivalent tissue material to identify at least one dose depth dose of the X-ray beam. 如申請專利範圍第22項所述之方法,其中,一固體假體係提供有一或多個劑量計作為使用。 The method of claim 22, wherein a solid false system provides one or more dosimeters for use.
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