WO2016003016A1 - 굴곡진 가동성 빔 차단 어레이 및 이를 포함하는 cbct - Google Patents
굴곡진 가동성 빔 차단 어레이 및 이를 포함하는 cbct Download PDFInfo
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- WO2016003016A1 WO2016003016A1 PCT/KR2014/009161 KR2014009161W WO2016003016A1 WO 2016003016 A1 WO2016003016 A1 WO 2016003016A1 KR 2014009161 W KR2014009161 W KR 2014009161W WO 2016003016 A1 WO2016003016 A1 WO 2016003016A1
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- 230000005855 radiation Effects 0.000 claims abstract description 32
- 230000000903 blocking effect Effects 0.000 claims description 40
- 238000000034 method Methods 0.000 claims description 20
- 125000006850 spacer group Chemical group 0.000 claims description 7
- 238000007408 cone-beam computed tomography Methods 0.000 abstract description 13
- 230000002285 radioactive effect Effects 0.000 abstract description 5
- 238000001959 radiotherapy Methods 0.000 abstract description 5
- 238000001356 surgical procedure Methods 0.000 abstract description 4
- 238000002316 cosmetic surgery Methods 0.000 abstract description 3
- 238000004088 simulation Methods 0.000 abstract description 2
- 206010028980 Neoplasm Diseases 0.000 abstract 1
- 238000010521 absorption reaction Methods 0.000 description 3
- 238000003384 imaging method Methods 0.000 description 3
- 238000001914 filtration Methods 0.000 description 2
- 238000003491 array Methods 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 210000000988 bone and bone Anatomy 0.000 description 1
- 235000008429 bread Nutrition 0.000 description 1
- 238000013170 computed tomography imaging Methods 0.000 description 1
- 230000007423 decrease Effects 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 238000004393 prognosis Methods 0.000 description 1
- 210000004872 soft tissue Anatomy 0.000 description 1
- 230000001629 suppression Effects 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- 238000003325 tomography Methods 0.000 description 1
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
- A61B6/02—Arrangements for diagnosis sequentially in different planes; Stereoscopic radiation diagnosis
- A61B6/03—Computed tomography [CT]
- A61B6/032—Transmission computed tomography [CT]
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
- A61B6/02—Arrangements for diagnosis sequentially in different planes; Stereoscopic radiation diagnosis
- A61B6/03—Computed tomography [CT]
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
- A61B6/04—Positioning of patients; Tiltable beds or the like
- A61B6/0407—Supports, e.g. tables or beds, for the body or parts of the body
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B6/06—Diaphragms
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
- A61B6/40—Arrangements for generating radiation specially adapted for radiation diagnosis
- A61B6/4035—Arrangements for generating radiation specially adapted for radiation diagnosis the source being combined with a filter or grating
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
- A61B6/40—Arrangements for generating radiation specially adapted for radiation diagnosis
- A61B6/4064—Arrangements for generating radiation specially adapted for radiation diagnosis specially adapted for producing a particular type of beam
- A61B6/4085—Cone-beams
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
- A61B6/42—Arrangements for detecting radiation specially adapted for radiation diagnosis
- A61B6/4291—Arrangements for detecting radiation specially adapted for radiation diagnosis the detector being combined with a grid or grating
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B6/44—Constructional features of apparatus for radiation diagnosis
- A61B6/4429—Constructional features of apparatus for radiation diagnosis related to the mounting of source units and detector units
- A61B6/4435—Constructional features of apparatus for radiation diagnosis related to the mounting of source units and detector units the source unit and the detector unit being coupled by a rigid structure
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- A61B6/50—Apparatus 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
- A61B6/51—Apparatus 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 dentistry
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- A—HUMAN NECESSITIES
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- A61B6/54—Control of apparatus or devices for radiation diagnosis
- A61B6/542—Control of apparatus or devices for radiation diagnosis involving control of exposure
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- G—PHYSICS
- G21—NUCLEAR PHYSICS; NUCLEAR ENGINEERING
- G21K—TECHNIQUES FOR HANDLING PARTICLES OR IONISING RADIATION NOT OTHERWISE PROVIDED FOR; IRRADIATION DEVICES; GAMMA RAY OR X-RAY MICROSCOPES
- G21K1/00—Arrangements for handling particles or ionising radiation, e.g. focusing or moderating
- G21K1/02—Arrangements for handling particles or ionising radiation, e.g. focusing or moderating using diaphragms, collimators
-
- G—PHYSICS
- G21—NUCLEAR PHYSICS; NUCLEAR ENGINEERING
- G21K—TECHNIQUES FOR HANDLING PARTICLES OR IONISING RADIATION NOT OTHERWISE PROVIDED FOR; IRRADIATION DEVICES; GAMMA RAY OR X-RAY MICROSCOPES
- G21K1/00—Arrangements for handling particles or ionising radiation, e.g. focusing or moderating
- G21K1/02—Arrangements for handling particles or ionising radiation, e.g. focusing or moderating using diaphragms, collimators
- G21K1/025—Arrangements for handling particles or ionising radiation, e.g. focusing or moderating using diaphragms, collimators using multiple collimators, e.g. Bucky screens; other devices for eliminating undesired or dispersed radiation
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- G—PHYSICS
- G21—NUCLEAR PHYSICS; NUCLEAR ENGINEERING
- G21K—TECHNIQUES FOR HANDLING PARTICLES OR IONISING RADIATION NOT OTHERWISE PROVIDED FOR; IRRADIATION DEVICES; GAMMA RAY OR X-RAY MICROSCOPES
- G21K1/00—Arrangements for handling particles or ionising radiation, e.g. focusing or moderating
- G21K1/02—Arrangements for handling particles or ionising radiation, e.g. focusing or moderating using diaphragms, collimators
- G21K1/04—Arrangements for handling particles or ionising radiation, e.g. focusing or moderating using diaphragms, collimators using variable diaphragms, shutters, choppers
-
- G—PHYSICS
- G21—NUCLEAR PHYSICS; NUCLEAR ENGINEERING
- G21K—TECHNIQUES FOR HANDLING PARTICLES OR IONISING RADIATION NOT OTHERWISE PROVIDED FOR; IRRADIATION DEVICES; GAMMA RAY OR X-RAY MICROSCOPES
- G21K1/00—Arrangements for handling particles or ionising radiation, e.g. focusing or moderating
- G21K1/02—Arrangements for handling particles or ionising radiation, e.g. focusing or moderating using diaphragms, collimators
- G21K1/04—Arrangements for handling particles or ionising radiation, e.g. focusing or moderating using diaphragms, collimators using variable diaphragms, shutters, choppers
- G21K1/043—Arrangements for handling particles or ionising radiation, e.g. focusing or moderating using diaphragms, collimators using variable diaphragms, shutters, choppers changing time structure of beams by mechanical means, e.g. choppers, spinning filter wheels
-
- G—PHYSICS
- G21—NUCLEAR PHYSICS; NUCLEAR ENGINEERING
- G21K—TECHNIQUES FOR HANDLING PARTICLES OR IONISING RADIATION NOT OTHERWISE PROVIDED FOR; IRRADIATION DEVICES; GAMMA RAY OR X-RAY MICROSCOPES
- G21K1/00—Arrangements for handling particles or ionising radiation, e.g. focusing or moderating
- G21K1/02—Arrangements for handling particles or ionising radiation, e.g. focusing or moderating using diaphragms, collimators
- G21K1/04—Arrangements for handling particles or ionising radiation, e.g. focusing or moderating using diaphragms, collimators using variable diaphragms, shutters, choppers
- G21K1/046—Arrangements for handling particles or ionising radiation, e.g. focusing or moderating using diaphragms, collimators using variable diaphragms, shutters, choppers varying the contour of the field, e.g. multileaf collimators
Definitions
- the present invention relates to curved movable beam block arrays, and more particularly, can be applied to improve the image quality of a cone-beam CT system more accurately and efficiently, in particular radiation.
- the present invention relates to a curved movable beam blocking array that can be applied to a simulation CBCT and CBCT mounted on a radiation therapy device, as well as applicable to a wide range of areas including plastic surgery, maxillofacial surgery, dentistry, and the like.
- Cone-beam CT unlike the conventional CT imaging device, can move 3D and 4D imaging of a subject by taking an image and moving it at a predetermined angle with respect to an object, thereby obtaining three-dimensional anatomical information. Unlike MRI, it is easier to shoot hard tissue such as bone than soft tissue such as muscle tissue. Such cone beam tomography has been applied to a variety of applications from diagnosis to disease as well as treatment and prognosis.
- BSA beam stop array
- Korean Laid-Open Patent Publication No. 10-2012-0138451 performs a one-dimensional scattering correction by circularly scanning a subject with a scattering image correcting device and detecting X-ray transmitted image data with a multi-row X-ray detector.
- a scattering correction transmission image is obtained by removing the estimated scattering image data obtained through this, and a system and an apparatus for image reconstruction using a reverse projection filtering method are presented.
- the shadow is different from the space that receives a certain amount of radiation uniformly in the object to which radiation acts, and means a space that receives only 20 to 80% of the radiation. This contaminates the valid data that can be obtained from the empty spaces, and consequently the problem of obtaining an indefinite image remains.
- the present invention refers to a method of forming the width of the strip flesh narrower than the width of the empty spaces. There is a limit to the suppression of shadows by forming a narrow strip of bread. In particular, when shooting over a wide area such as a human chest, shadows are still formed, which results in loss of image information in the shadow area, thereby obtaining a different image from the real world.
- US Pat. No. 7,486,773 proposes a method of estimating the degree of scattering of an irradiated beam using multiple members in the form of cones rather than strips.
- the error can be reduced even when shooting over a wide area in the process of estimating the scattered degree by using such a plurality of members, but the radioactivity in the subject by estimating the scattered degree using at least four images after four shots Problems such as increased absorption amount and photographing time may occur.
- an object of the present invention for solving the above problems is to provide a system that can reduce the amount of radioactive absorption in the subject and also the time taken for imaging.
- a beam blocking array configured to enable the shooting of a large area while reducing the occurrence of shadows.
- One embodiment of the present invention for solving the above problems is a generator (100) rotatable at a gantry angle to generate radiation; A curved grid 300 positioned in the radiation radiation direction of the generator 100; And a control unit for controlling the operation of the grid (300);
- the grid (300) comprises a plurality of slits (310) spaced at predetermined intervals through which at least a portion of the radiation generated from the generator (100) passes;
- the controller provides a beam stop array for moving the slit 310 by a predetermined distance d when the generator 100 moves by a predetermined angle ⁇ .
- the apparatus may further include a flat panel detector 200 disposed to face the generator 100, wherein the grid 300 is located between the panel detector 200 and the generator 100. desirable.
- the generator 100 and the grid 300 is rotated about a rotation axis (A), the grid 300 is located between the generator 100 and the table 400, the slit 310 ) Is preferably located perpendicular to the rotation axis (A).
- the grid 300 is preferably curved to be convex toward the table 400.
- the grid 300 may further include a blocking part 320 disposed alternately with the slit 310 to block radiation.
- the blocking unit 320 preferably includes a movable spacer 321.
- control unit preferably further comprises interval control means for controlling the movement of the spacer 321.
- the spacer 321 may be formed in plural numbers to block at least a portion of each of the plurality of slits 310.
- the ratio of the interval between the slits 310 and the thickness of the grid 300 is 1.0.
- cone-beam CT system including a beam block array according to an embodiment of the present invention.
- the present invention can obtain a clear image by taking only one scan, thereby reducing the amount of radiation absorbed in the subject, thereby reducing the dose of radiation and reducing the time taken for the shot.
- the curved shape of the grid can be used to capture a large area while reducing the occurrence of shadows.
- the grid is moved at predetermined intervals, thereby reducing errors in estimating the scattering distribution of the images, thereby obtaining more precise and clear images.
- FIG. 1 is a perspective view illustrating a curved movable beam blocking array according to an embodiment of the present invention.
- FIG. 2 is an overall schematic perspective view for explaining a curved movable beam blocking array according to an embodiment of the present invention.
- FIG. 3 is a plan view of FIG. 2.
- FIG. 4 is a cross-sectional view illustrating a curved movable beam blocking array according to an embodiment of the present invention.
- FIG. 5 is a cross-sectional view illustrating a curved movable beam blocking array according to a modification of the present invention.
- FIG. 6 is an image for explaining a process of applying the flexible movable beam blocking array according to an embodiment of the present invention.
- FIG. 7 is an image and a graph for comparing and comparing data obtained by applying each of the grid of the prior art and the curved movable beam blocking array according to the embodiment of the present invention.
- the cone-beam CT system including the curved movable beam block array of the present invention will be described as an example. However, the same principle can be applied to systems other than the cone beam computed tomography system. Therefore, it will be apparent that the scope of the present invention is in accordance with the appended claims to other systems equipped with a beam block array to which the same principle is applied.
- Components constituting the present invention can be used integrally or separately separated as needed. In addition, some components may be omitted depending on the form of use.
- FIGS. 1-10 A preferred embodiment of a curved movable beam blocking array and a cone beam computed tomography system comprising the same according to the present invention will be described with reference to FIGS.
- the thickness of the lines or the size of the components shown in the drawings may be exaggerated for clarity and convenience of description.
- terms to be described below are terms defined in consideration of functions in the present invention, which may vary according to the intention or convention of a user or an operator. Therefore, definitions of these terms should be described based on the contents throughout the specification.
- Beam blocking array is the generator 100 and the panel detector (flat panel detector 200) facing the arrangement, the curved form located between the panel detector 200 and the generator 100
- the grid 300 includes a table 400 positioned between the grid 300 and the panel detector 200, and an object 500 positioned on the table 400.
- the beam blocking array may further include a controller (not shown) for controlling the operation of the grid 300.
- the gantry is defined as a frame that accommodates the generator 100, the grid 300, and the panel detector 200, where the gantry angle is an angle representing the degree of rotation of the gantry about the axis of rotation A.
- the gantry angle is preferably measured at an angle corresponding to the distance that the focal point 110 moves in an arc shape with respect to the rotation axis A.
- the generator 100 generates radiation and rotates the gantry angle about the rotation axis A.
- the radiation emitted from the generator 100 is irradiated with a cone-shaped beam having the focal point 110 of the generator 100 as a vertex.
- the cone beam passes through the grid 300 and reaches the panel detector 200 via the object 500 in the table 400 to obtain three-dimensional anatomical information of the object 500.
- the grid 300 includes a plurality of slits 310 spaced apart at predetermined intervals through which at least a portion of the radiation generated from the generator 100 passes, and a block 320 disposed alternately to block the radiation.
- Blocker 320 preferably further includes a movable spacer 321 that can change the position or spacing of slits 310.
- the controller may move the slit 310 by a predetermined distance d corresponding thereto when the generator 100 moves by the predetermined angle ⁇ through the gap 321 (see FIG. 5). .
- the length of the interval d may be variously applied depending on the situation in which the beam blocking array is applied.
- the table 400 positioned between the grid 300 and the panel detector 200 is preferably slidable, thereby enabling more efficient control of the photographing portion of the object 500 positioned on the table 400. do.
- the grid 300 will be described in detail with reference to FIGS. 4 to 7.
- the grid 300 has a curved shape and includes a movable blocking part 320, so that the image data of a wider area can be obtained as a clearer image, unlike a conventional flat type grid.
- the object to which radiation is irradiated that is, the larger the subject
- the grid 300 is preferably formed to be curved so as to be convex with respect to the table 400 to be positioned on the table 400 and to photograph the object 500 occupying a wide area.
- the grid 300 according to the present invention can also change the position of the slit 310, sufficient image data for scattering correction can be obtained through one radiation scan.
- a process of obtaining image data for scattering correction will be briefly described with reference to FIG. 6.
- the slit 310 and the blocking part 320 are formed to be perpendicular to the rotation axis A, and thus the images obtained are as shown in FIG. 6. Only a portion of the radiation irradiated by the blocking unit 320 may pass through to reach the panel detector 200. The portions that do not pass are displayed in dark in the image to distinguish the scattered radiation from the initial radiation emitted from the initial generator 100. After only a part of the object 500 is photographed primarily by the blocking unit 320, the slit 310 may be moved and secondary imaging may be performed. Here, the photographing may be performed several times depending on the degree of movement of the slit 310.
- images representing multiple different portions of the object 500 and scattered portions on each image can be estimated to finally combine them to obtain a more accurate scatter distribution of the image.
- a clear image of the object 500 can be obtained.
- the slit 310 moves by the predetermined angle ⁇ , the slit 310 moves the slit 310 by a predetermined distance d corresponding to the point before the gantry moves to the next time. It is desirable to be controlled so that different parts can be taken. In this way, a clearer image can be obtained through a single scan, and the shooting time can be shortened to reduce an error on the image due to the movement of the object 500.
- the spacer part 321 forming a part of the blocking part 320 is further included.
- the spacer 321 may move up and down in the curved grid 300 to change the position of the slit 310.
- the gap 321 moves upward or downward by a predetermined distance d when the gantry angle is moved by a predetermined angle ⁇ to maintain the distance of the slit 310 while maintaining the position of the slit 310 by a predetermined distance d.
- the predetermined angle ⁇ and the predetermined distance d may be formed in various combinations, but the whole of the object 500 may be formed through one scan based on one rotation of the gantry about the central axis A. It is preferable that an angle ⁇ and a predetermined distance d are determined so that an image can be obtained.
- FIG. 5 Another embodiment according to FIG. 5 is formed such that the positions of the slits 310 move together while the entirety of the blocking part 320 located inside the grid 300 moves up and down instead of moving the gap part 321.
- the angle ⁇ and the predetermined distance d are determined to obtain the entire image of the object 500 through one scan.
- the blocking unit 320 located in the grid 300 may be controlled to move automatically, and the blocking unit 320 may be moved up and down at a constant speed.
- the blocking unit 320 In order to obtain an accurate scattering distribution, the blocking unit 320 must have a function of completely preventing initial radiation.
- the grid 300 is preferably formed of lead of 5mm thickness.
- the width of the grid 300 also acts as an important factor.
- the ratio of the thickness of the slit 310 to the thickness of the shield 320 is preferably 1.0.
- FIG. 7 is an image and a graph obtained through a CBCT scan to which a flat grid is applied, respectively, and an image and a graph obtained by applying a curved grid 300 according to the present invention, respectively.
- the shadow area is gradually increased with distance, as illustrated in the upper left image of FIG. 7.
- the values corresponding to the gray values are drawn in a non-uniform form in the upper right graph, especially since the change of gray values is insufficient in one section of the graph corresponding to the middle point of the grid. It can be seen from the figure that shadows have formed and contaminated the image.
- the lower image and the graph of FIG. 7 shows that the shadow area is constant without being influenced by distance when combining two images photographed using the curved grid 300.
- the beam blocking array according to the present invention can be easily attached to a treatment planning image (Radiation Planning CBCT, RT plan CT) and a treatment device so that a clearer image can be obtained. It can also be used for positioning. In addition, it can be applied to various CBCT systems used in a wide range of areas including plastic surgery, maxillofacial surgery, dentistry, and the like, and thus have high utility.
- a treatment planning image Radiation Planning CBCT, RT plan CT
- a treatment device so that a clearer image can be obtained. It can also be used for positioning.
- CBCT systems used in a wide range of areas including plastic surgery, maxillofacial surgery, dentistry, and the like, and thus have high utility.
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Abstract
Description
Claims (10)
- 갠트리 각으로 회전가능하며 방사선을 생성하는 생성기(100);상기 생성기(100)의 방사선 방사 방향에 위치하는 굴곡진 형태의 그리드(300); 및상기 그리드(300)의 작동을 제어하는 제어부를 포함하며;상기 그리드(300)는 상기 생성기(100)로부터 생성되는 방사선의 적어도 일부가 통과하는 다수 개의 미리 정해진 간격으로 이격된 슬릿(310)을 포함하며;상기 제어부는 상기 생성기(100)가 미리 정해진 각도(α)만큼 이동한 경우에 상기 슬릿(310)을 소정의 간격(d)만큼 이동시키는,빔 차단 어레이(beam stop array).
- 제 1 항에 있어서,상기 생성기(100)와 대향하며 배치되는 판넬 감지기(flat panel detector)(200)를 더 포함하며,상기 그리드(300)는 상기 판넬 감지기(200)와 상기 생성기(100) 사이에 위치하는,빔 차단 어레이.
- 제 2 항에 있어서,상기 생성기(100) 및 상기 그리드(300)는 회전축(A)을 중심으로 회전운동하며,상기 그리드(300)는 상기 생성기(100)와 테이블(400) 사이에 위치하며, 상기 슬릿(310)은 상기 회전 축(A)에 대하여 수직하게 위치하는,빔 차단 어레이.
- 제 3 항에 있어서,상기 그리드(300)는 상기 테이블(400)를 향하여 볼록하도록 굴곡진,빔 차단 어레이.
- 제 1 항에 있어서,상기 그리드(300)는 상기 슬릿(310)과 교대로 배치되어 방사선을 차단하는 차단부(320)를 더 포함하는,빔 차단 어레이.
- 제 5 항에 있어서,상기 차단부(320)는 이동 가능한 간격부(321)를 포함하는,빔 차단 어레이.
- 제 6 항에 있어서,상기 제어부는 상기 간격부(321)의 이동을 제어하는 간격제어 수단을 더 포함하는,빔 차단 어레이.
- 제 6 항에 있어서,상기 간격부(321)는 다수 개로 형성되어 상기 다수 개의 슬릿(310) 각각의 적어도 일부를 차단하는,빔 차단 어레이.
- 제 1 항에 있어서,상기 슬릿(310)의 간격과 상기 그리드(300)의 두께의 비율이 1.0인,빔 차단 어레이.
- 제 1 항 내지 제 9 항 중 어느 한 항을 따르는 빔 차단 어레이를 포함하는 콘빔 전산화 단층 촬영(cone-beam CT) 시스템.
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KR102577452B1 (ko) * | 2021-07-21 | 2023-09-12 | 국립암센터 | 대상체의 병변을 치료하기 위한 치료빔을 변환시키는 변환장치 |
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