WO2012132467A1 - Radiological breast image capturing method, radiological breast image capturing device, and program - Google Patents

Radiological breast image capturing method, radiological breast image capturing device, and program Download PDF

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WO2012132467A1
WO2012132467A1 PCT/JP2012/002233 JP2012002233W WO2012132467A1 WO 2012132467 A1 WO2012132467 A1 WO 2012132467A1 JP 2012002233 W JP2012002233 W JP 2012002233W WO 2012132467 A1 WO2012132467 A1 WO 2012132467A1
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breast
radiation
imaging
image
images
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PCT/JP2012/002233
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French (fr)
Japanese (ja)
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靖子 八尋
孝夫 桑原
大田 恭義
玲 長谷川
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富士フイルム株式会社
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/02Arrangements for diagnosis sequentially in different planes; Stereoscopic radiation diagnosis
    • A61B6/022Stereoscopic imaging
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/50Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment specially adapted for specific body parts; specially adapted for specific clinical applications
    • A61B6/502Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment specially adapted for specific body parts; specially adapted for specific clinical applications for diagnosis of breast, i.e. mammography

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  • the present invention relates to a radiation breast image capturing method, a radiation breast image capturing apparatus, and a program for capturing four images with parallax in the left-right direction by irradiating radiation from above and obliquely to each of the left and right breasts. It is about.
  • stereoscopic viewing can be performed using parallax by displaying a combination of two images, a right-eye image and a left-eye image.
  • a stereoscopically viewable image hereinafter referred to as a stereoscopic image or a stereo image
  • a stereoscopic image or a stereo image is generated based on a plurality of images having parallax obtained by photographing the same subject from different positions.
  • stereoscopic images is used not only in the fields of digital cameras and televisions, but also in the field of radiographic imaging. That is, the subject is irradiated with radiation from different directions, the radiation transmitted through the subject is detected by the radiation image detector, and a plurality of radiation images having parallax are obtained, and based on these radiation images A stereoscopic image is generated. And by generating a stereoscopic image in this way, a radiographic image with a sense of depth can be observed, and a radiographic image more suitable for diagnosis can be observed. (For example, see Patent Document 1)
  • one of the two images with parallax in each breast is preferably an image taken from above the breast, as shown in FIG. 7, for example. This is because when two-dimensional diagnosis is performed using only one of the right-eye image and the left-eye image constituting the stereoscopic image, the image taken from above the breast is most suitable for diagnosis. Because.
  • the present invention is an obliquely photographed image obtained by irradiating the left and right breasts with radiation from above and obliquely to photograph four images with parallax in the lateral direction. It is an object of the present invention to provide a radiation breast image capturing method, a radiation breast image capturing apparatus, and a program capable of making the imaging states of the left and right breasts the same.
  • the radiation breast image capturing method of the present invention is a radiation breast image capturing method for capturing four images with parallax in the left-right direction by irradiating the left and right breasts with radiation from above and obliquely.
  • the right and left breasts should be taken obliquely by a combination of imaging from the inside of the right breast and imaging from the inside of the left breast, or a combination of imaging from the outside of the right breast and imaging from the outside of the left breast. It is characterized by.
  • the radiation mammography method according to the present invention may be provided as a program for causing a computer to execute the method.
  • the radiation breast image capturing apparatus of the present invention is a radiation breast image capturing apparatus that irradiates radiation from above and obliquely to each of the left and right breasts and captures four images with parallax in the left-right direction.
  • the radiation source for irradiating radiation, the radiation detector for detecting the irradiated radiation, the moving means for moving the radiation source and / or the radiation detector, and the oblique imaging of each of the left and right breasts Control means for controlling the moving means, such as a combination of imaging from the inside of the breast and imaging from the inside of the left breast or a combination of imaging from the outside of the right breast and imaging from the outside of the left breast It is a feature.
  • each of the left and right breasts is irradiated with radiation from above and obliquely, and four images with parallax in the left-right direction are obtained.
  • the oblique imaging of each of the left and right breasts is a combination of imaging from the inside of the right breast and imaging from the inside of the left breast, or imaging from the outside of the right breast and imaging from the outside of the left breast. Since the combination is performed symmetrically, it is possible to make the imaging state of the left and right breasts the same for the obliquely captured image.
  • FIG. 1 is a schematic configuration diagram of a breast stereoscopic image imaging display system using a radiation breast imaging apparatus according to an embodiment of the present invention.
  • FIG. 1 is a diagram of the arm part of the breast stereoscopic image photographing display system as seen from the right direction in FIG.
  • the block diagram which shows schematic structure inside the computer of the said stereoscopic image imaging display system for breasts
  • the figure which shows the state of imaging
  • FIG. 1 is a schematic configuration diagram of a breast stereoscopic image capturing / displaying system using a radiation breast image capturing apparatus according to an embodiment of the present invention
  • FIG. 2 is a diagram illustrating an arm portion of the breast stereoscopic image capturing / displaying system.
  • FIG. 3 is a block diagram showing a schematic configuration inside the computer of the stereoscopic image capturing and displaying system for breasts.
  • a breast stereoscopic imaging and displaying system 1 includes a breast imaging device 10, a computer 8 connected to the breast imaging device 10, and a monitor 9 connected to the computer 8. And an input unit 7.
  • the mammography apparatus 10 includes a base 11, a rotary shaft 12 that can move in the vertical direction (Z direction) with respect to the base 11, and can rotate.
  • the arm part 13 connected with the base 11 is provided.
  • FIG. 2 shows the arm 13 viewed from the right direction in FIG.
  • the arm section 13 has an alphabet C shape, and a radiation table 16 is attached to one end of the arm section 13 so as to face the imaging table 14 at the other end.
  • the rotation and vertical movement of the arm unit 13 are controlled by an arm controller 31 incorporated in the base 11.
  • a radiation image detector 15 such as a flat panel detector and a detector controller 33 that controls reading of a charge signal from the radiation image detector 15.
  • a charge amplifier that converts the charge signal read from the radiation image detector 15 into a voltage signal
  • a correlated double sampling circuit that samples the voltage signal output from the charge amplifier
  • a circuit board provided with an AD conversion unit for converting a voltage signal into a digital signal is also installed.
  • the photographing table 14 is configured to be rotatable with respect to the arm unit 13, and even when the arm unit 13 rotates with respect to the base 11, the direction of the photographing table 14 is fixed to the base 11. can do.
  • the radiation image detector 15 can repeatedly perform recording and reading of a radiation image, and may use a so-called direct type radiation image detector that directly receives radiation and generates charges. Alternatively, a so-called indirect radiation image detector that converts radiation once into visible light and converts the visible light into a charge signal may be used.
  • a radiation image signal readout method a radiation image signal is read out by turning on / off a TFT (thin film transistor) switch, or by irradiating reading light. It is desirable to use a so-called optical readout system from which a radiation image signal is read out, but the present invention is not limited to this, and other systems may be used.
  • a radiation source 17 and a radiation source controller 32 are accommodated in the radiation irradiation unit 16.
  • the radiation source controller 32 controls the timing of irradiating radiation from the radiation source 17 and the radiation generation conditions (tube current, tube voltage, time, etc.) in the radiation source 17.
  • a compression plate 18 that is disposed above the imaging table 14 and presses and compresses the breast M, a support portion 20 that supports the compression plate 18, and a support portion 20 that extends in the vertical direction.
  • a moving mechanism 19 for moving in the (Z direction) is provided. The position of the compression plate 18 and the compression pressure are controlled by the compression plate controller 34.
  • the computer 8 includes a central processing unit (CPU), a storage device such as a semiconductor memory, a hard disk, and an SSD.
  • the control unit 8a, the data storage unit 8b, and the image processing unit shown in FIG. Part 8c is configured.
  • the control unit 8a has a function as display control means for displaying on the monitor 9 a stereoscopic image composed of two images of a right-eye image and a left-eye image, and performs predetermined control over various controllers 31 to 34. It outputs signals and controls the entire system. A specific control method will be described in detail later.
  • the data storage unit 8b stores radiation image data and the like for each imaging angle acquired by the radiation image detector 15.
  • the image processing unit 8c based on the four images of the upper image and the oblique image captured with parallax in the left-right direction for each of the left and right breasts, In addition to having a function as an image synthesizing means for generating two images of the displayed right-eye image and left-eye image, it is for performing various image processing.
  • the mechanism as the moving means for moving the radiation irradiating unit 16 and / or the imaging table 14 is configured by the arm unit 13 connected to the base 11 via the rotary shaft 12 and controls to control the moving means.
  • the means includes a control unit 8a and an arm controller 31.
  • the input unit 7 is composed of a pointing device such as a keyboard and a mouse, for example, and is used for receiving inputs such as shooting conditions and operation instructions.
  • the monitor 9 can stereoscopically view a stereoscopic image by displaying the two radiographic images as two-dimensional images using the two radiographic image (right-eye image and left-eye image) signals output from the computer 8. It is comprised so that it may display on.
  • radiographic images based on two radiographic image signals are displayed using two screens, and one radiographic image is obtained by using a half mirror or a polarizing glass. It is possible to adopt a configuration in which a stereoscopic image is displayed by being incident on the observer's right eye and the other radiation image being incident on the observer's left eye.
  • two radiographic images may be displayed by being shifted by a predetermined amount of parallax and superimposed, and a stereoscopic image may be generated by observing this with a polarizing glass, or a parallax barrier method and a lenticular It is good also as a structure which produces
  • the device for displaying a stereoscopic image and the device for displaying a two-dimensional image may be configured separately, or may be configured as the same device if they can be displayed on the same screen.
  • the right breast M is installed on the imaging table 14, and the breast M is compressed with a predetermined pressure by the compression plate 18.
  • various imaging conditions including an angle formed by two different imaging directions (hereinafter referred to as a convergence angle ⁇ ) are input in the input unit 7, an instruction to start imaging is input.
  • a convergence angle ⁇ an angle formed by two different imaging directions
  • the imaging angle ⁇ ′ from above the left and right breasts is input, as shown in FIG. 4, the imaging angle ⁇ ′ from above the left and right breasts is In both cases, the imaging angle ⁇ ′ from the diagonal of the right breast is ⁇ 4 °, the imaging angle ⁇ ′ from the diagonal of the left breast is 4 °, and imaging from the diagonal is performed symmetrically from the inside. As described above, information on the shooting angle ⁇ ′ is set.
  • the convergence angle ⁇ is preferably set to 4 ° or more and 15 ° or less because it is difficult to perform appropriate stereoscopic viewing if the convergence angle ⁇ is too small or too large.
  • the information of the imaging angle ⁇ ′ from above the left and right breasts and the imaging angle ⁇ ′ from the oblique direction set as described above is output from the control unit 8a to the arm controller 31 when performing each imaging.
  • the control unit 8a In order to perform imaging from above the right breast, information for setting the imaging angle ⁇ ′ to 0 ° is transmitted from the control unit 8a to the arm controller 31.
  • the arm controller 31 rotates the arm unit 13 to the 0 ° position based on the information on the photographing angle ⁇ ′.
  • control unit 8a outputs a control signal to the radiation source controller 32 and the detector controller 33 so as to irradiate the radiation and read out the radiation image signal.
  • this control signal radiation is emitted from the radiation source 17, and a radiation image obtained by photographing the right breast M from the direction where the imaging angle ⁇ ′ is 0 ° is detected by the radiation detector 15, and the radiation image is detected by the detector controller 33.
  • the signal is read out and stored in the data storage unit 8b of the computer 8.
  • control unit 8a outputs a control signal to the radiation source controller 32 and the detector controller 33 so as to irradiate the radiation and read out the radiation image signal.
  • this control signal radiation is emitted from the radiation source 17 and a radiation image obtained by photographing the breast M from the direction where the imaging angle ⁇ ′ is ⁇ 4 ° is detected by the radiation detector 15, and the radiation image is detected by the detector controller 33.
  • the signal is read out and stored in the data storage unit 8b of the computer 8.
  • an upper photographed image both 0 ° photographed image
  • an oblique photographed image (4 ° photographed image or ⁇ 4) were photographed with parallax in the left-right direction with respect to each of the left and right breasts.
  • Four images of (photographed image) are acquired.
  • the signals of four images that is, an upper photographed image (both 0 ° photographed image) and an oblique photographed image (4 ° photographed image or -4 ° photographed image) of each of the left and right breasts are stored in the data storage unit of the computer 8
  • the data is read from 8b and transmitted to the image processing unit 8c.
  • the upper captured image (0 ° captured image) of the right breast and the upper captured image (0 ° captured image) of the left breast are rotated 180 °.
  • the right eye image is generated by combining the images so that the chest walls face each other, and the right breast oblique image (-4 ° image) and the left breast oblique image (4 ° image) ) And the image rotated 180 ° are combined so that the chest walls face each other to generate a left-eye image.
  • the two image signals of the right eye image and the left eye image generated as described above are output to the monitor 9, and a stereoscopic image in which the left and right breasts are displayed on the same screen is displayed on the monitor 9.
  • the same effect as described above can be obtained as a combination of imaging from the outside of the right breast and imaging from the outside of the left breast, but imaging from the inside of the right breast and from the inside of the left breast Since it is possible to adopt a mode in which a wider range including the side part of the patient is taken, it is preferable to adopt such a mode when it is desired to take a wide range. .

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Abstract

[Problem] To make the states in which images of right and left breasts are captured equal to each other regarding obliquely captured images when four images with disparities in the horizontal direction are captured by applying radiation from directly and obliquely above. [Solution] When information relating to a convergence angle (θ) (4° in this case) is inputted, information relating to image capture angles (θ') is set such that the image capture angles (θ') from directly above right and left breasts are both 0°, the image capture angle (θ') from obliquely above the right breast is -4°, the image capture angle (θ') from obliquely above the left breast is 4°, and thus image capturing from obliquely above is performed bilaterally symmetrically from the inside.

Description

放射線乳房画像撮影方法、放射線乳房画像撮影装置ならびにプログラムRadiation breast image capturing method, radiation breast image capturing apparatus, and program
 本発明は、左右の乳房の各々について、上方および斜方から放射線を照射して、左右方向に視差がついた4枚の画像の撮影を行う放射線乳房画像撮影方法、放射線乳房画像撮影装置ならびにプログラムに関するものである。 The present invention relates to a radiation breast image capturing method, a radiation breast image capturing apparatus, and a program for capturing four images with parallax in the left-right direction by irradiating radiation from above and obliquely to each of the left and right breasts. It is about.
 従来、右目用画像および左目用画像の2枚の画像を組み合わせて表示することにより、視差を利用して立体視できることが知られている。このような立体視できる画像(以下、立体視画像またはステレオ画像という)は、同一の被写体を異なる位置から撮影して取得された互いに視差のある複数の画像に基づいて生成される。 Conventionally, it is known that stereoscopic viewing can be performed using parallax by displaying a combination of two images, a right-eye image and a left-eye image. Such a stereoscopically viewable image (hereinafter referred to as a stereoscopic image or a stereo image) is generated based on a plurality of images having parallax obtained by photographing the same subject from different positions.
 そして、このような立体視画像の生成は、デジタルカメラやテレビなどの分野だけでなく、放射線画像撮影の分野においても利用されている。すなわち、被験者に対して互いに異なる方向から放射線を照射し、その被験者を透過した放射線を放射線画像検出器によりそれぞれ検出して互いに視差のある複数の放射線画像を取得し、これらの放射線画像に基づいて立体視画像を生成することが行われている。そして、このように立体視画像を生成することによって奥行感のある放射線画像を観察することができ、より診断に適した放射線画像を観察することができる。(例えば特許文献1参照) And the generation of such stereoscopic images is used not only in the fields of digital cameras and televisions, but also in the field of radiographic imaging. That is, the subject is irradiated with radiation from different directions, the radiation transmitted through the subject is detected by the radiation image detector, and a plurality of radiation images having parallax are obtained, and based on these radiation images A stereoscopic image is generated. And by generating a stereoscopic image in this way, a radiographic image with a sense of depth can be observed, and a radiographic image more suitable for diagnosis can be observed. (For example, see Patent Document 1)
特開2010-110571号公報JP 2010-110571 A
 ところで、左右の乳房の放射線画像について立体視画像を生成する場合、左右の乳房の各々について視差をつけた2枚の画像を撮影して、計4枚の画像を取得する。このとき、各乳房における視差をつけた2枚の画像のうちの片方は、例えば図7に示すように、乳房の上方から撮影した画像とするのが好ましい。これは、立体視画像を構成する右目用画像もしくは左目用画像のうちの片方のみを単独で用いて2次元での診断を行う場合に、乳房の上方から撮影した画像が、最も診断に適しているからである。 By the way, when generating a stereoscopic image for the radiographic images of the left and right breasts, two images with parallax are taken for each of the left and right breasts to obtain a total of four images. At this time, one of the two images with parallax in each breast is preferably an image taken from above the breast, as shown in FIG. 7, for example. This is because when two-dimensional diagnosis is performed using only one of the right-eye image and the left-eye image constituting the stereoscopic image, the image taken from above the breast is most suitable for diagnosis. Because.
 しかし、図7に示すように、各乳房について上方撮影画像(図中0°画像)と斜方撮影画像(図中4°画像)を同じように撮影してしまうと、斜方撮影画像(図中4°画像)については、右乳房は外側からの撮影となり、左乳房は内側からの撮影となる。人体の外観は左右対称形状であるため、上記のような撮影を行うと、左右で撮影範囲や撮影されたときの乳房部分の形状が異なってしまうおそれがある。 However, as shown in FIG. 7, if an upper photographed image (0 ° image in the figure) and an oblique photographed image (4 ° image in the figure) are photographed in the same manner for each breast, an obliquely photographed image (see FIG. 7). For the middle 4 ° image, the right breast is taken from the outside, and the left breast is taken from the inside. Since the external appearance of the human body is a left-right symmetric shape, when shooting is performed as described above, there is a possibility that the shooting range and the shape of the breast portion when shot are different on the left and right.
 本発明は、上記の事情に鑑み、左右の乳房の各々について、上方および斜方から放射線を照射して、左右方向に視差がついた4枚の画像の撮影を行う場合に、斜方撮影画像について左右の乳房の撮影状態を同じにすることが可能な放射線乳房画像撮影方法、放射線乳房画像撮影装置ならびにプログラムを提供することを目的とする。 In view of the above circumstances, the present invention is an obliquely photographed image obtained by irradiating the left and right breasts with radiation from above and obliquely to photograph four images with parallax in the lateral direction. It is an object of the present invention to provide a radiation breast image capturing method, a radiation breast image capturing apparatus, and a program capable of making the imaging states of the left and right breasts the same.
 本発明の放射線乳房画像撮影方法は、左右の乳房の各々について、上方および斜方から放射線を照射して、左右方向に視差がついた4枚の画像の撮影を行う放射線乳房画像撮影方法であって、左右の乳房の各々の斜方の撮影は、右乳房内側からの撮影および左乳房内側からの撮影の組合せ、もしくは、右乳房外側からの撮影および左乳房外側からの撮影の組合せで行うことを特徴とするものである。 The radiation breast image capturing method of the present invention is a radiation breast image capturing method for capturing four images with parallax in the left-right direction by irradiating the left and right breasts with radiation from above and obliquely. The right and left breasts should be taken obliquely by a combination of imaging from the inside of the right breast and imaging from the inside of the left breast, or a combination of imaging from the outside of the right breast and imaging from the outside of the left breast. It is characterized by.
 また、本発明による放射線乳房画像撮影方法をコンピュータに実行させるためのプログラムとして提供してもよい。 Further, the radiation mammography method according to the present invention may be provided as a program for causing a computer to execute the method.
 本発明の放射線乳房画像撮影装置は、左右の乳房の各々について、上方および斜方から放射線を照射して、左右方向に視差がついた4枚の画像の撮影を行う放射線乳房画像撮影装置であって、放射線を照射する放射線源と、照射された放射線を検出する放射線検出器と、放射線源および/または放射線検出器を移動させる移動手段と、左右の乳房の各々の斜方の撮影について、右乳房内側からの撮影および左乳房内側からの撮影の組合せ、もしくは、右乳房外側からの撮影および左乳房外側からの撮影の組合せで行うように、移動手段を制御する制御手段を備えてなることを特徴とするものである。 The radiation breast image capturing apparatus of the present invention is a radiation breast image capturing apparatus that irradiates radiation from above and obliquely to each of the left and right breasts and captures four images with parallax in the left-right direction. The radiation source for irradiating radiation, the radiation detector for detecting the irradiated radiation, the moving means for moving the radiation source and / or the radiation detector, and the oblique imaging of each of the left and right breasts Control means for controlling the moving means, such as a combination of imaging from the inside of the breast and imaging from the inside of the left breast or a combination of imaging from the outside of the right breast and imaging from the outside of the left breast It is a feature.
 本発明の放射線乳房画像撮影方法、放射線乳房画像撮影装置ならびにプログラムによれば、左右の乳房の各々について、上方および斜方から放射線を照射して、左右方向に視差がついた4枚の画像の撮影を行う場合に、左右の乳房の各々の斜方の撮影について、右乳房内側からの撮影および左乳房内側からの撮影の組合せ、もしくは、右乳房外側からの撮影および左乳房外側からの撮影の組合せで、左右対称的に行うようにしたので、斜方撮影画像について左右の乳房の撮影状態を同じにすることが可能となる。 According to the radiation breast image capturing method, the radiation breast image capturing apparatus, and the program of the present invention, each of the left and right breasts is irradiated with radiation from above and obliquely, and four images with parallax in the left-right direction are obtained. When taking an image, the oblique imaging of each of the left and right breasts is a combination of imaging from the inside of the right breast and imaging from the inside of the left breast, or imaging from the outside of the right breast and imaging from the outside of the left breast. Since the combination is performed symmetrically, it is possible to make the imaging state of the left and right breasts the same for the obliquely captured image.
本発明の一実施の形態の放射線乳房画像撮影装置を用いた乳房用立体視画像撮影表示システムの概略構成図1 is a schematic configuration diagram of a breast stereoscopic image imaging display system using a radiation breast imaging apparatus according to an embodiment of the present invention. 上記乳房用立体視画像撮影表示システムのアーム部を図1の右方向から見た図FIG. 1 is a diagram of the arm part of the breast stereoscopic image photographing display system as seen from the right direction in FIG. 上記乳房用立体視画像撮影表示システムのコンピュータ内部の概略構成を示すブロック図The block diagram which shows schematic structure inside the computer of the said stereoscopic image imaging display system for breasts 上記乳房用立体視画像撮影表示システムにおける左右乳房の撮影の状態を示す図The figure which shows the state of imaging | photography of the right and left breasts in the said stereoscopic vision image photographing display system for breasts 図4に示す撮影時における右目用画像および左目用画像の例を示す図The figure which shows the example of the image for right eyes and the image for left eyes at the time of imaging | photography shown in FIG. 上記乳房用立体視画像撮影表示システムにおける左右乳房の撮影の状態のその他の例を示す図The figure which shows the other example of the imaging | photography state of the right and left breasts in the said stereoscopic image imaging display system for breasts 従来の乳房用立体視画像撮影表示システムにおける左右乳房の撮影の状態を示す図The figure which shows the imaging | photography state of the right and left breasts in the conventional stereoscopic vision image display system for breasts
 以下、図面を参照して本発明の一実施の形態の放射線乳房画像撮影装置を用いた乳房用立体視画像撮影表示システムについて説明する。まず、本実施の形態の乳房用立体視画像撮影表示システム全体の概略構成について説明する。図1は本発明の一実施の形態の放射線乳房画像撮影装置を用いた乳房用立体視画像撮影表示システムの概略構成図、図2は上記乳房用立体視画像撮影表示システムのアーム部を図1の右方向から見た図、図3は上記乳房用立体視画像撮影表示システムのコンピュータ内部の概略構成を示すブロック図である。 Hereinafter, a stereoscopic image capturing and displaying system for breasts using a radiation breast image capturing apparatus according to an embodiment of the present invention will be described with reference to the drawings. First, a schematic configuration of the whole breast stereoscopic image photographing / displaying system according to the present embodiment will be described. FIG. 1 is a schematic configuration diagram of a breast stereoscopic image capturing / displaying system using a radiation breast image capturing apparatus according to an embodiment of the present invention, and FIG. 2 is a diagram illustrating an arm portion of the breast stereoscopic image capturing / displaying system. FIG. 3 is a block diagram showing a schematic configuration inside the computer of the stereoscopic image capturing and displaying system for breasts.
 本実施形態の乳房用立体視画像撮影表示システム1は、図1に示すように、乳房画像撮影装置10と、乳房画像撮影装置10に接続されたコンピュータ8と、コンピュータ8に接続されたモニタ9および入力部7とを備えている。 As shown in FIG. 1, a breast stereoscopic imaging and displaying system 1 according to this embodiment includes a breast imaging device 10, a computer 8 connected to the breast imaging device 10, and a monitor 9 connected to the computer 8. And an input unit 7.
 そして、乳房画像撮影装置10は、図1に示すように、基台11と、基台11に対し上下方向(Z方向)に移動可能であり、かつ回転可能な回転軸12と、回転軸12により基台11と連結されたアーム部13を備えている。なお、図2には、図1の右方向から見たアーム部13を示している。 As shown in FIG. 1, the mammography apparatus 10 includes a base 11, a rotary shaft 12 that can move in the vertical direction (Z direction) with respect to the base 11, and can rotate. The arm part 13 connected with the base 11 is provided. FIG. 2 shows the arm 13 viewed from the right direction in FIG.
 アーム部13はアルファベットのCの形をしており、その一端には撮影台14が、その他端には撮影台14と対向するように放射線照射部16が取り付けられている。アーム部13の回転および上下方向の移動は、基台11に組み込まれたアームコントローラ31により制御される。 The arm section 13 has an alphabet C shape, and a radiation table 16 is attached to one end of the arm section 13 so as to face the imaging table 14 at the other end. The rotation and vertical movement of the arm unit 13 are controlled by an arm controller 31 incorporated in the base 11.
 撮影台14の内部には、フラットパネルディテクタ等の放射線画像検出器15と、放射線画像検出器15からの電荷信号の読み出しを制御する検出器コントローラ33が備えられている。また、撮影台14の内部には、放射線画像検出器15から読み出された電荷信号を電圧信号に変換するチャージアンプや、チャージアンプから出力された電圧信号をサンプリングする相関2重サンプリング回路や、電圧信号をデジタル信号に変換するAD変換部などが設けられた回路基板なども設置されている。 Inside the imaging table 14 are provided a radiation image detector 15 such as a flat panel detector and a detector controller 33 that controls reading of a charge signal from the radiation image detector 15. Further, inside the imaging table 14, a charge amplifier that converts the charge signal read from the radiation image detector 15 into a voltage signal, a correlated double sampling circuit that samples the voltage signal output from the charge amplifier, A circuit board provided with an AD conversion unit for converting a voltage signal into a digital signal is also installed.
 また、撮影台14はアーム部13に対し回転可能に構成されており、基台11に対してアーム部13が回転したときでも、撮影台14の向きは基台11に対し固定された向きとすることができる。 In addition, the photographing table 14 is configured to be rotatable with respect to the arm unit 13, and even when the arm unit 13 rotates with respect to the base 11, the direction of the photographing table 14 is fixed to the base 11. can do.
 放射線画像検出器15は、放射線画像の記録と読出しを繰り返して行うことができるものであり、放射線の照射を直接受けて電荷を発生する、いわゆる直接型の放射線画像検出器を用いてもよいし、放射線を一旦可視光に変換し、その可視光を電荷信号に変換する、いわゆる間接型の放射線画像検出器を用いるようにしてもよい。また、放射線画像信号の読出方式としては、TFT(thin film transistor)スイッチをオン・オフされることによって放射線画像信号が読みだされる、いわゆるTFT読出方式のものや、読取光を照射することによって放射線画像信号が読み出される、いわゆる光読出方式のものを用いることが望ましいが、これに限らずその他のものを用いるようにしてもよい。 The radiation image detector 15 can repeatedly perform recording and reading of a radiation image, and may use a so-called direct type radiation image detector that directly receives radiation and generates charges. Alternatively, a so-called indirect radiation image detector that converts radiation once into visible light and converts the visible light into a charge signal may be used. As a radiation image signal readout method, a radiation image signal is read out by turning on / off a TFT (thin film transistor) switch, or by irradiating reading light. It is desirable to use a so-called optical readout system from which a radiation image signal is read out, but the present invention is not limited to this, and other systems may be used.
 放射線照射部16の中には放射線源17と、放射線源コントローラ32が収納されている。放射線源コントローラ32は、放射線源17から放射線を照射するタイミングと、放射線源17における放射線発生条件(管電流、管電圧、時間等)を制御するものである。 A radiation source 17 and a radiation source controller 32 are accommodated in the radiation irradiation unit 16. The radiation source controller 32 controls the timing of irradiating radiation from the radiation source 17 and the radiation generation conditions (tube current, tube voltage, time, etc.) in the radiation source 17.
 また、アーム部13の中央部には、撮影台14の上方に配置されて乳房Mを押さえつけて圧迫する圧迫板18と、その圧迫板18を支持する支持部20と、支持部20を上下方向(Z方向)に移動させる移動機構19が設けられている。圧迫板18の位置、圧迫圧は、圧迫板コントローラ34により制御される。 Further, in the central portion of the arm portion 13, a compression plate 18 that is disposed above the imaging table 14 and presses and compresses the breast M, a support portion 20 that supports the compression plate 18, and a support portion 20 that extends in the vertical direction. A moving mechanism 19 for moving in the (Z direction) is provided. The position of the compression plate 18 and the compression pressure are controlled by the compression plate controller 34.
 コンピュータ8は、中央処理装置(CPU)および半導体メモリやハードディスクやSSD等のストレージデバイスなどを備えており、これらのハードウェアによって、図3に示すような制御部8a、データ記憶部8bおよび画像処理部8cが構成されている。 The computer 8 includes a central processing unit (CPU), a storage device such as a semiconductor memory, a hard disk, and an SSD. The control unit 8a, the data storage unit 8b, and the image processing unit shown in FIG. Part 8c is configured.
 制御部8aは、右目用画像および左目用画像の2枚の画像からなる立体視画像をモニタ9に表示させる表示制御手段としての機能を有する他、各種のコントローラ31~34に対して所定の制御信号を出力し、システム全体の制御を行うものである。具体的な制御方法については後で詳述する。データ記憶部8bは、放射線画像検出器15によって取得された撮影角度毎の放射線画像データ等を記憶するものである。画像処理部8cは、左右の乳房の各々に対して左右方向に視差がつくように撮影された上方撮影画像および斜方撮影画像の4枚の画像に基づいて、同じ画像中に左右の乳房が表示された右目用画像および左目用画像の2枚の画像を生成する画像合成手段としての機能を有する他、種々の画像処理を施すためのものである。 The control unit 8a has a function as display control means for displaying on the monitor 9 a stereoscopic image composed of two images of a right-eye image and a left-eye image, and performs predetermined control over various controllers 31 to 34. It outputs signals and controls the entire system. A specific control method will be described in detail later. The data storage unit 8b stores radiation image data and the like for each imaging angle acquired by the radiation image detector 15. The image processing unit 8c, based on the four images of the upper image and the oblique image captured with parallax in the left-right direction for each of the left and right breasts, In addition to having a function as an image synthesizing means for generating two images of the displayed right-eye image and left-eye image, it is for performing various image processing.
 すなわち、放射線照射部16および/または撮影台14を移動させる移動手段としての機構は、基台11に対して回転軸12を介して連結されたアーム部13により構成され、移動手段を制御する制御手段については、制御部8aおよびアームコントローラ31により構成される。 That is, the mechanism as the moving means for moving the radiation irradiating unit 16 and / or the imaging table 14 is configured by the arm unit 13 connected to the base 11 via the rotary shaft 12 and controls to control the moving means. The means includes a control unit 8a and an arm controller 31.
 入力部7は、例えば、キーボードやマウス等のポインティングデバイスから構成されたものであり、撮影条件や操作指示等の入力を受け付けるためのものである。 The input unit 7 is composed of a pointing device such as a keyboard and a mouse, for example, and is used for receiving inputs such as shooting conditions and operation instructions.
 モニタ9は、コンピュータ8から出力された2つの放射線画像(右目用画像および左目用画像)信号を用いて、2つの放射線画像をそれぞれ2次元画像として表示することにより、立体視画像を立体視可能に表示するように構成されたものである。 The monitor 9 can stereoscopically view a stereoscopic image by displaying the two radiographic images as two-dimensional images using the two radiographic image (right-eye image and left-eye image) signals output from the computer 8. It is comprised so that it may display on.
 立体視画像を表示する構成としては、たとえば、2つの画面を用いて2つの放射線画像信号に基づく放射線画像をそれぞれ表示させて、これらをハーフミラーや偏光グラスなどを用いることで一方の放射線画像は観察者の右目に入射させ、他方の放射線画像は観察者の左目に入射させることによって立体視画像を表示する構成を採用することができる。 As a configuration for displaying a stereoscopic image, for example, radiographic images based on two radiographic image signals are displayed using two screens, and one radiographic image is obtained by using a half mirror or a polarizing glass. It is possible to adopt a configuration in which a stereoscopic image is displayed by being incident on the observer's right eye and the other radiation image being incident on the observer's left eye.
 または、たとえば、2つの放射線画像を所定の視差量だけずらして重ね合わせて表示し、これを偏光グラスで観察することで立体視画像を生成する構成としてもよいし、もしくはパララックスバリア方式およびレンチキュラー方式のように、2つの放射線画像を立体視可能な3D液晶に表示することによって立体視画像を生成する構成としてもよい。 Alternatively, for example, two radiographic images may be displayed by being shifted by a predetermined amount of parallax and superimposed, and a stereoscopic image may be generated by observing this with a polarizing glass, or a parallax barrier method and a lenticular It is good also as a structure which produces | generates a stereoscopic vision image by displaying on a 3D liquid crystal in which two radiographic images can be stereoscopically viewed like a system.
 また、立体視画像を表示する装置と2次元画像を表示する装置とは別個に構成するようにしてもよいし、同じ画面上で表示できる場合には同じ装置として構成するようにしてもよい。 Also, the device for displaying a stereoscopic image and the device for displaying a two-dimensional image may be configured separately, or may be configured as the same device if they can be displayed on the same screen.
 次に、本実施形態の乳房画像撮影表示システムの作用について説明する。 Next, the operation of the breast image radiographing display system of this embodiment will be described.
 最初に撮影台14の上に右乳房Mが設置され、圧迫板18により乳房Mが所定の圧力によって圧迫される。次に、入力部7おいて、2つの異なる撮影方向がなす角度(以下、輻輳角θという)を含む種々の撮影条件が入力された後、撮影開始の指示が入力される。そして、入力部7において撮影開始の指示があると、乳房Mのステレオ画像の撮影が行われる。 First, the right breast M is installed on the imaging table 14, and the breast M is compressed with a predetermined pressure by the compression plate 18. Next, after various imaging conditions including an angle formed by two different imaging directions (hereinafter referred to as a convergence angle θ) are input in the input unit 7, an instruction to start imaging is input. When there is an instruction to start photographing at the input unit 7, a stereo image of the breast M is photographed.
 具体的には、まず、輻輳角θの情報(本実施の形態においては、θ=4°)が入力されると、図4に示すように、左右の乳房の上方からの撮影角度θ'はともに0°、右乳房の斜方からの撮影角度θ'は-4°、左乳房の斜方からの撮影角度θ'は4°と、斜方からの撮影については内側から左右対称的に行うように、撮影角度θ'の情報が設定される。 Specifically, first, when information on the convergence angle θ (in this embodiment, θ = 4 °) is input, as shown in FIG. 4, the imaging angle θ ′ from above the left and right breasts is In both cases, the imaging angle θ ′ from the diagonal of the right breast is −4 °, the imaging angle θ ′ from the diagonal of the left breast is 4 °, and imaging from the diagonal is performed symmetrically from the inside. As described above, information on the shooting angle θ ′ is set.
 なお、輻輳角θは小さすぎても大きすぎても適切な立体視を行なわせることが難しくなるため、4°以上15°以下に設定されることが望ましい。 It should be noted that the convergence angle θ is preferably set to 4 ° or more and 15 ° or less because it is difficult to perform appropriate stereoscopic viewing if the convergence angle θ is too small or too large.
 上記のように設定された左右乳房の上方からの撮影角度θ'および斜方からの撮影角度θ'の情報は、各撮影を行う際に制御部8aからアームコントローラ31に出力される。 The information of the imaging angle θ ′ from above the left and right breasts and the imaging angle θ ′ from the oblique direction set as described above is output from the control unit 8a to the arm controller 31 when performing each imaging.
 まず、右乳房の上方からの撮影を行うため、制御部8aからアームコントローラ31に撮影角度θ'を0°とする情報が送信される。アームコントローラ31は、この撮影角度θ'の情報に基づいて、アーム部13を0°の位置まで回転させる。 First, in order to perform imaging from above the right breast, information for setting the imaging angle θ ′ to 0 ° is transmitted from the control unit 8a to the arm controller 31. The arm controller 31 rotates the arm unit 13 to the 0 ° position based on the information on the photographing angle θ ′.
 続いて制御部8aは、放射線源コントローラ32および検出器コントローラ33に対して放射線の照射と放射線画像信号の読出しを行うよう制御信号を出力する。この制御信号に応じて、放射線源17から放射線が照射され、右乳房Mを撮影角度θ'が0°の方向から撮影した放射線画像が放射線検出器15によって検出され、検出器コントローラ33によって放射線画像信号が読み出され、コンピュータ8のデータ記憶部8bに記憶される。 Subsequently, the control unit 8a outputs a control signal to the radiation source controller 32 and the detector controller 33 so as to irradiate the radiation and read out the radiation image signal. In accordance with this control signal, radiation is emitted from the radiation source 17, and a radiation image obtained by photographing the right breast M from the direction where the imaging angle θ ′ is 0 ° is detected by the radiation detector 15, and the radiation image is detected by the detector controller 33. The signal is read out and stored in the data storage unit 8b of the computer 8.
 続いて、右乳房の斜方からの撮影を行うため、制御部8aからアームコントローラ31に撮影角度θ'を-4°とする情報が送信される。アームコントローラ31は、この撮影角度θ'の情報に基づいて、アーム部13を-4°の位置まで回転させる。 Subsequently, in order to perform imaging from the oblique side of the right breast, information for setting the imaging angle θ ′ to −4 ° is transmitted from the control unit 8a to the arm controller 31. The arm controller 31 rotates the arm unit 13 to a position of −4 ° based on the information on the photographing angle θ ′.
 続いて制御部8aは、放射線源コントローラ32および検出器コントローラ33に対して放射線の照射と放射線画像信号の読出しを行うよう制御信号を出力する。この制御信号に応じて、放射線源17から放射線が照射され、乳房Mを撮影角度θ'が-4°の方向から撮影した放射線画像が放射線検出器15によって検出され、検出器コントローラ33によって放射線画像信号が読み出され、コンピュータ8のデータ記憶部8bに記憶される。 Subsequently, the control unit 8a outputs a control signal to the radiation source controller 32 and the detector controller 33 so as to irradiate the radiation and read out the radiation image signal. In accordance with this control signal, radiation is emitted from the radiation source 17 and a radiation image obtained by photographing the breast M from the direction where the imaging angle θ ′ is −4 ° is detected by the radiation detector 15, and the radiation image is detected by the detector controller 33. The signal is read out and stored in the data storage unit 8b of the computer 8.
 続いて、撮影台14の上に左乳房が設置され、左乳房についても上方からの撮影(撮影角度θ'=0°)と斜方からの撮影(撮影角度θ'=4°)が上記と同様に行われ、結果として、左右の乳房の各々に対して左右方向に視差がつくように撮影された上方撮影画像(ともに0°撮影画像)および斜方撮影画像(4°撮影画像もしくは-4°撮影画像)の4枚の画像が取得される。 Subsequently, the left breast is installed on the imaging table 14, and the left breast is also taken from above (imaging angle θ ′ = 0 °) and obliquely (imaging angle θ ′ = 4 °). As a result, an upper photographed image (both 0 ° photographed image) and an oblique photographed image (4 ° photographed image or −4) were photographed with parallax in the left-right direction with respect to each of the left and right breasts. Four images of (photographed image) are acquired.
 次に、立体視画像表示の際の動作について説明する。 Next, the operation when displaying a stereoscopic image will be described.
 まず、左右の乳房の各々の上方撮影画像(ともに0°撮影画像)および斜方撮影画像(4°撮影画像もしくは-4°撮影画像)の4枚の画像の信号が、コンピュータ8のデータ記憶部8bから読み出され、画像処理部8cに送信される。 First, the signals of four images, that is, an upper photographed image (both 0 ° photographed image) and an oblique photographed image (4 ° photographed image or -4 ° photographed image) of each of the left and right breasts are stored in the data storage unit of the computer 8 The data is read from 8b and transmitted to the image processing unit 8c.
 画像処理部(画像合成手段)8cでは、図5に示すように、右乳房の上方撮影画像(0°撮影画像)と、左乳房の上方撮影画像(0°撮影画像)を180°回転させた画像とを、互いの胸壁が対向するように合成して右目用画像を生成し、右乳房の斜方撮影画像(-4°撮影画像)と、左乳房の斜方撮影画像(4°撮影画像)を180°回転させた画像とを、互いの胸壁が対向するように合成して左目用画像を生成する。 In the image processing unit (image composition means) 8c, as shown in FIG. 5, the upper captured image (0 ° captured image) of the right breast and the upper captured image (0 ° captured image) of the left breast are rotated 180 °. The right eye image is generated by combining the images so that the chest walls face each other, and the right breast oblique image (-4 ° image) and the left breast oblique image (4 ° image) ) And the image rotated 180 ° are combined so that the chest walls face each other to generate a left-eye image.
 上記のように生成された右目用画像および左目用画像の2つの画像信号がモニタ9に出力され、モニタ9において左右の乳房を同一画面に表示した立体視画像が表示される。 The two image signals of the right eye image and the left eye image generated as described above are output to the monitor 9, and a stereoscopic image in which the left and right breasts are displayed on the same screen is displayed on the monitor 9.
 このように、上方および斜方から放射線を照射して、左右方向に視差がついた4枚の画像の撮影を行う場合に、左右の乳房の各々の斜方の撮影について、右乳房内側からの撮影および左乳房内側からの撮影の組合せで、内側から左右対称的に行うようにしたので、斜方撮影画像について左右の乳房の撮影状態を同じにすることが可能となる。これにより、左右乳房の比較がしやすく、読影しやすくなるため、診断精度を向上させることができる。 In this way, when shooting four images with parallax in the left-right direction by irradiating radiation from above and obliquely, for oblique photographing of each of the left and right breasts, from the inside of the right breast The combination of imaging and imaging from the inside of the left breast is performed symmetrically from the inside, so that the imaging state of the left and right breasts can be made the same for an obliquely captured image. As a result, the left and right breasts can be easily compared and interpreted, so that the diagnostic accuracy can be improved.
 また、上記のような表示態様とすることにより、立体視画像中における左右の乳房の前後方向(立体視画像中における飛び出し/引っ込み方向)を揃えて表示することも可能となる。 Further, by adopting the display mode as described above, it is possible to display the left and right breasts in the stereoscopic image in the front-rear direction (protruding / retracting direction in the stereoscopic image).
 なお、図6に示すように、右乳房外側からの撮影および左乳房外側からの撮影の組合せとしても上記と同様の効果を得ることができるが、右乳房内側からの撮影および左乳房内側からの撮影の組合せとした方が、患者の脇部分まで含めてより広い範囲を撮影する態様とすることも可能であるため、広い範囲の撮影を行いたい場合にはそのような態様とすることが好ましい。 As shown in FIG. 6, the same effect as described above can be obtained as a combination of imaging from the outside of the right breast and imaging from the outside of the left breast, but imaging from the inside of the right breast and from the inside of the left breast Since it is possible to adopt a mode in which a wider range including the side part of the patient is taken, it is preferable to adopt such a mode when it is desired to take a wide range. .
 以上、本発明の好ましい実施の形態について説明したが、本発明は上記実施の形態に限定されるものではなく、本発明の要旨を逸脱しない範囲において、各種の改良や変形を行なってもよいのは勿論である。 The preferred embodiments of the present invention have been described above. However, the present invention is not limited to the above-described embodiments, and various improvements and modifications may be made without departing from the scope of the present invention. Of course.

Claims (3)

  1.  左右の乳房の各々について、上方および斜方から放射線を照射して、左右方向に視差がついた4枚の画像の撮影を行う放射線乳房画像撮影方法であって、
     左右の乳房の各々の斜方の撮影は、右乳房内側からの撮影および左乳房内側からの撮影の組合せ、もしくは、右乳房外側からの撮影および左乳房外側からの撮影の組合せで行うことを特徴とする放射線乳房画像撮影方法。
    Radiation breast image capturing method for capturing four images with parallax in the left-right direction by irradiating radiation from above and obliquely for each of the left and right breasts,
    The oblique imaging of each of the left and right breasts is performed by a combination of imaging from the inside of the right breast and imaging from the inside of the left breast, or a combination of imaging from the outside of the right breast and imaging from the outside of the left breast Radiation breast imaging method.
  2.  請求項1記載の放射線乳房画像撮影方法をコンピュータに実行させるためのプログラム。 A program for causing a computer to execute the radiation breast imaging method according to claim 1.
  3.  左右の乳房の各々について、上方および斜方から放射線を照射して、左右方向に視差がついた4枚の画像の撮影を行う放射線乳房画像撮影装置であって、
     放射線を照射する放射線源と、
     前記照射された放射線を検出する放射線検出器と、
     前記放射線源および/または前記放射線検出器を移動させる移動手段と、
     左右の乳房の各々の斜方の撮影について、右乳房内側からの撮影および左乳房内側からの撮影の組合せ、もしくは、右乳房外側からの撮影および左乳房外側からの撮影の組合せで行うように、前記移動手段を制御する制御手段を備えてなることを特徴とする放射線乳房画像撮影装置。
    A radiation breast image capturing apparatus that irradiates radiation from above and obliquely for each of the left and right breasts to capture four images with parallax in the left-right direction,
    A radiation source that emits radiation;
    A radiation detector for detecting the irradiated radiation;
    Moving means for moving the radiation source and / or the radiation detector;
    As for the oblique imaging of each of the left and right breasts, as done by a combination of imaging from the inside of the right breast and imaging from the inside of the left breast, or a combination of imaging from the outside of the right breast and imaging from the outside of the left breast, A radiological breast imaging apparatus comprising control means for controlling the moving means.
PCT/JP2012/002233 2011-03-31 2012-03-30 Radiological breast image capturing method, radiological breast image capturing device, and program WO2012132467A1 (en)

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Citations (4)

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JP2010188002A (en) * 2009-02-19 2010-09-02 Fujifilm Corp Radiographic imaging apparatus

Patent Citations (4)

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Publication number Priority date Publication date Assignee Title
JP2004321783A (en) * 2004-03-10 2004-11-18 Konica Minolta Medical & Graphic Inc Mamma image photographing system and mamma image photographing device
JP2007195663A (en) * 2006-01-25 2007-08-09 Toshiba Corp Image display apparatus and program
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