WO2021205076A1

WO2021205076A1 - X-ray imaging arrangement

Info

Publication number: WO2021205076A1
Application number: PCT/FI2021/050256
Authority: WO
Inventors: Aapo KYTÖNEN; Tommi HUOMO; Harri KARPPI
Original assignee: Planmeca Oy
Priority date: 2019-06-03
Filing date: 2021-04-08
Publication date: 2021-10-14
Also published as: EP3975853A4; US20230148979A1; FI128796B; FI128797B; JP2022536273A; KR20220165751A; WO2020249858A1; US20210145374A1; JP2023521108A; WO2020245500A1; US20220296178A1; KR20220016205A; EP3975853A1; WO2020249857A1; FI20196081A1; US11684319B2; EP4132363A1; BR112021024193A2; EP4132363A4; CN113950289A

Abstract

The invention relates, in particular, to structures of an arrangement applicable for use in the context of dental or medical X-ray imaging, wherein the arrangement comprises an X-ray detector (15), an X-ray source (14), a light field indicator (141) and a support construction (12) to which the X-ray source (14) construction and the light field indicator (141) construction are mounted. The support construction (12) is configured to enable positioning the X-ray source (14) construction and the light field indicator (141) construction at essentially the same location, so as to when at a given time locating at said essentially same location, to direct a given X-ray irradiation field pattern and visible light field pattern in essentially the same direction towards the X-ray detector (15).

Description

X-RAY IMAGING ARRANGEMENT

FIELD OF THE INVENTION

The invention relates to dental or medical radiography. In particular, structures of an arrangement according to the invention are applicable for use in the context of dental or medical X-ray Imaging.

BACKGROUND OF THE INVENTION

When exposing a living object to ionizing radiation, to generate an image of an anatomy for medical purposes, the imaging must be implemented, in view of the purpose of the imaging, by as low a radiation dose as possi- ble to still get an image of reasonable quality.

One parameter to be considered relating to the radiation dose is the vol- ume of the anatomy getting exposed. When not wishing to irradiate ines- sential parts of an anatomy, one is faced with a problem of proper rela- tive positioning of the desired anatomy and components of the imaging ar- rangement.

TO facilitate such positioning, e.g. various positioning lights have been used. Such lights may be configured to cast e.g. laser lines or a light field on an anatomy. In the context of radiography, a term light field- indicator is sometimes used when referring to an equipment incorporated in an X-ray imaging system which is configured to "predict " the shape and dimensions of the irradiation field during the subsequent exposure . Such systems may include components that are let to remain between the X-ray source and detector also during the imaging exposure while in some oth- ers, such components that would remain between the X-ray source and de- tector are moved away from the X-ray beam path before the X-ray exposure.

Computed tomography (CT) is a form of X-ray imaging in which a volume to be Imaged is irradiated from different directions and, from the image in- formation thus acquired, a desired two- or three-dimensional image can be reconstructed.

Traditional CT apparatus are large and massive, and they are typically mounted on a floor. A patient is positioned for imaging within an exami- nation opening of the apparatus, typically on a horizontally extending and laterally movable examination platform.

Since development of cone beam computed tomography (CBCT) technology in which, for one, slower rotational speeds of the imaging means are used, apparatus of less weight than that of the more traditional CT apparatus have been developed. Among the CBCT apparatus, there also are those not designed to be mounted e.g. on the floor but constructed to be mobile.

Some of the CT apparatus designed in recent times are multipurpose appa- ratus supporting more than one imaging modality, like those configured to enable both 2D and 3D radiography. When having more functionalities, how- ever, complexity of the apparatus tends to increase, e.g. as a conse- quence of a new kind of freedom of movement having been arranged to one or more components of the apparatus. Also the weight of the apparatus may then increase while some modifications may generate new challenges relat- ing to getting an anatomy positioned for an exposure.

BRIEF DESCRIPTION OF THE INVENTION

The object of the invention is a medical or dental X-ray imaging arrange- ment, in one particular embodiment a CBCT apparatus, with novel features re lating to mutual positioning of the X-ray source of the arrangement and an anatomy for an imaging exposure.

The characteristic features of the invention are defined in claim 1. More particularly, those features include the arrangement of the present dis- closure being configured to enable a light field indicator system to cast a visible light field pattern from essentially the sarnie location as from where an X-ray beam generating system emits an X-ray irradiation beam during an imaging exposure.

BRIEF DESCRIPTION OF THE FIGURES

The invention is now described in more detail in reference to some of its preferable embodiments and the attached drawings, of which:

Fig. 1 is a schematic general side view showing components, as an exam- ple, of an imaging apparatus applicable to comprise features of the pre- sent disclosure.

Figs. 2a-2c show some structural details, as an example, of an embodiment comprising a motorized guiding construction arranged in functional con- nection with an X-ray source and an X-ray detector.

I

Fig. 3 shows a guiding construction as shown in Figs, 2a-2c as partially covered by a housing of a support construction for the X-ray source 14 and the X-ray detector 15.

Figs. 4a - 4c show, as an example, a construction to realize a principle of projecting a visible light field pattern towards the X-ray detector from essentially the same location as from where an X-ray beam is config- ured to be emitted, during an exposure.

Fig. 5 shows an embodiment in which the X-ray source and the X-ray detec- tor are located and extend outside the housing of the support construc- tion for the X-ray source and the X-ray detector.

Fig. 6 shows a schematic general side view of an embodiment like the one shown in Fig. 1, arranged with elements enabling changing orientation.

Fig. 7 is a schematic general presentation of an apparatus in horizontal position with certain components thereof driven to locations other than their base positions. Fig. 8a shows, as an example, some details of a patient support suitable for use in an apparatus of the present disclosure.

Fig. 8b shows, as an example, a cross section of a patient support.

Fig. 9 is a block diagram showing an example of features of a control system of the apparatus.

DETAILED DESCRIPTION OF THE INVENTION

A more complete understanding of components, processes and apparatuses disclosed herein can be obtained by reference to the accompanying draw- ings. These figures are merely schematic representations based on conven- ience and the ease of demonstrating the present disclosure and are, therefore, not intended to indicate relative size and dimensions of the devices or components thereof and/or to define or limit the scope of the exemplary embodiments. I

Although specific terms are used in the following description for the I sake of clarity, these terms are intended to refer only to the particular structure of the embodiments selected for illustration in the drawings and are not intended to define or limit the scope of the disclosure. In the drawings and the following description below, it is to be understood that like numeric designations refer to components of like function.

The singular forms "a," "an," and "the" include plural referents unless the context clearly dictates otherwise.

Terms about, generally and substantially when used herein are intended to encompass structural or numerical modifications which do not significant- ly affect the purpose of the element or number modified by such term. For example, the term substantially may include a range of variance such as 25%, or 10%, or 0% from the stated relationship. As used in the specification and in the claims, the term "comprising" may include the embodiments "consisting of" and "consisting essentially of." The terms "camprise(s) "include(s), " "having," "has," "can," "con- taints)," and variants thereof, as used herein, are intended to be open- ended transitional phrases, terms, or words that require the presence of the named elements/steps and permit the presence of other elements/steps.

Fig. 1 shows an apparatus comprising a longitudinally extending frame part 11 extending in a first direction and having a first end and a second end. From this longitudinally extending frame part 1.1, or "an elongated frame part 11", extends in a second direction a support con- struction 12 which supports an X-ray source 14 and an X-ray detector 15 (not as such visible in Fig. 1), the second direction being substan- tially orthogonal to the first direction. The X-ray source 14 and the X-ray detector 15, which together can be referred to as an X-ray imag- ing assembly 14, 15, or be part thereof, may be mounted to the support construction 12 for the X-ray source 14 and the X-ray detector 15 es- sentially opposite to each other yet in embodiments of the invention, their mutual position may also be arranged to be adjustable.

It is to be noted that the apparatus of Fig. 1, comprising structures as discussed above, is just an example of one preferable embodiment in the context of which the invention can be implemented. Just as an exam- ple, frame and support constructions of also other kind may be applica- ble, like those comprising "a C-shaped arm" for supporting the X-ray source and the X-ray detector.

While medical and dental X-ray imaging apparatus often include a pa- tient support, Fig. 1 shows one specific kind patient support 18 struc- ture mechanically connected to the elongated frame part 11. This pa- tient support 18, applicable for use in various embodiments of the in- vention, comprises a surface which extends substantially in parallel with the elongated frame part 11. And while such patient support 18 is optional, in the particular embodiment of Fig. 1 the patient support 18 is essentially of the same length as the elongated frame part 11. Examples on how the X-ray source 14 and the X-ray detector 15 may be mounted to the support construction 12 for the X-ray imaging assembly 14, 15 are presented when discussing some of the other Figs, of this disclosure further below while Fig. 1 shows, in general, the support construction 12 for the X-ray imaging assembly 14, 15 comprising a housing 121. The housing 121 may cover a ring-shaped gantry 122, to which the X-ray imaging assembly 14, 15 is mounted. In one embodiment, the housing 121 may extend to cover the X-ray source 14 and the X-ray detector 15 entirely, in another the gantry housing 121 may cover the construction by which the X-ray source 14 and the X-ray detector 15 are mounted to the gantry 122 while not the X-ray source 14 and the X-ray detector 15 themselves.

The X-ray source 14 and the X-ray detector 15 may be arranged to be ro- tatable about a rotation axis 13. In one embodiment, the ring-shaped gantry 122 to which the X-ray source 14 and the X-ray detector 15 are mounted is rotatable. In the particular construction shown in Fig. 1, showing the schematic general side view as discussed above, this rotation axis 13 coincides or can be made to coincide with the central axis of the support construction 12 for the X-ray imaging assembly 14, 15, of the housing 121 and of the ring-shaped gantry 122 as discussed above.

Thus, according to one aspect not directly visible in Fig. 1, for exam- ple, the apparatus comprises a driving mechanism 16 arranged to drive the X-ray source 14 and the X-ray detector 15 about a rotation axis 13. The rotation axis 13 may be a physical axis, or a virtual rotation axis as in the case of Fig. 1.

According to one aspect, for example, the rotation axis 13, or the cen- ter of rotation of the X-ray source 14 and the X-ray detector 15 when being driven along a curved path and thus defining a location of the virtual rotation axis 13, coincides with the central axis of the gantry 122. According to one aspect, the rotation axis 13 is an instantaneous (op- tionally virtual) rotation axis and the location of the instantaneous rotation axis in relation to the central axis of the support construc- tion 12 for the X-ray imaging assembly 14, 15, of the housing 121 and/or of the ring-shaped gantry 122 as discussed above can be arranged to be changed.

The rotation may be arranged to be performed by rotating the gantry 122 by any conventional mechanism known to those skilled in art. In one em- bodiment, a driving belt driven by at least one pulley is arranged to ex- tend around a ring-shaped gantry 122. Such construction can enable imple- menting rotating the gantry 122 over an angle even exceeding 360 degrees.

According to another aspect, another driving mechanism 17 may be ar- ranged to the apparatus to enable moving the support construction 12 for the X-ray imaging assembly 14, 15 back and forth in a direction which is substantially parallel with the direction in which the elon- gated frame part 11 extends. According to one aspect, the driving mech- anism 17 may be arranged to move the support construction 12 along or alongside the elongated frame part 11.

According to one aspect, the driving mechanism 17 to drive the support construction 12 in a direction which is substantially parallel with the direction in which the elongated frame part 11 extends can comprise a motor arranged to the support construction 12 for the X-ray imaging as- sembly 14, 15 itself.

Regardless of the details of the construction of the driving mechanism 17 to drive the support construction 12 along or alongside the elongat- ed frame part 11, in one embodiment the construction of the apparatus allows for driving the support construction 12 essentially the whole length between the first and second ends of the elongated frame part

11. While details of the driving mechanism 17 for moving the support con- struction 12 for the X-ray imaging assembly 14, 15 back and forth in a direction which is substantially parallel with the direction in which the elongated frame part 11 extends may vary, one preferable example of such mechanism is disclosed in a co-pending patent application FI 20190054, which is herein incorporated by reference.

Turning to Figs. 2a - 2c they show, as an example, some structural de- tails of one possible embodiment which can be used when implementing the invention. In Figs. 2a - 2c, a part of the housing 121 of the sup- port construction 12 for the X-ray imaging assembly 14, 15 is removed, which makes visible a guiding construction 50 which can be arranged in functional connection with at least the X-ray source 14 of the imaging assembly 14, 15. According to one embodiment, the guiding construction 50 is motorized.

While Figs. 2a-2c show two guiding constructions 50, which are config- ured to enable laterally moving the X-ray source 14 and the X-ray de- tector 15 in relation to their support construction 12, or in relation to the gantry 122, according to one embodiment only for the X-ray source 14 is arranged a guiding construction 50.

The lateral movement of the X-ray source 14 and/or the X-ray detector 15 in relation to the support construction 12, or the gantry 122, can be implemented to take place on a plane which is orthogonal to the ro- tation axis 13 about which the X-ray source 14 and the X-ray detector 15 are arranged to rotate.

According to one aspect, for example, the at least one guiding con- struction 50 as discussed herein is mounted to a ring-shaped gantry 122 arranged to the support construction 12 supporting the X-ray imaging assembly 14, 15. The range of movement provided by the guiding construction 50 may com- prise a base position and a first and a second extreme position, which locate in opposite directions from the base position. While Figs. 2a - 2c show an embodiment in which structurally identical guiding constructions 50 are arranged for both the X-ray source 14 and the X-ray detector 15, and show the guiding construction 50 in differ- ent details, for clarity of the Figs, and since not all of the compo- nents are even visible in all of them, not each and every component is presented in each of the Figs. 2a - 2c with a related reference number.

According to one aspect, as an example, the guiding construction 50 comprising a carriage 51 (visible in Fig. 2c) mounted to at least the X-ray source 14 to enable lateral moving of it. A range of the lateral movement of the carriage 51 may include a base position and a first and a second extreme position locating in opposite directions from the base position.

Further, according to one aspect, the at least one guiding construction 50 comprises at least one guiding groove or rail 52 on the side of the support, construction 12, or of the gantry 122, and a mating construc- tion 52' on the side of the carriage 51 (again, visible in Fig. 2c).

According to one aspect, the at least one guiding construction 50 can comprise a motorized construction 53 in functional connection with the carriage 51, the motorized construction 53 providing the lateral moving of at least the X-ray source 14 within said range of lateral movement.

According to one aspect, the motorized construction 53 can comprise a driving screw 54 which is aligned parallel with the at least one guid- ing groove or rail 52 and arranged in functional connection with the carriage 51. According to the embodiment shown in Figs. 2a - 2c, the driving screw 54 is arranged to be rotated via a belt 531 driven by a motor 532 yet another construction to rotate the driving screw 54 may be used instead. According to yet another aspect, the guiding construction 50 can in- clude a position sensor arrangement 55 configured to acquire infor- mation relating to a position of the X-ray source 14 and/or the X-ray detector 15, within the range of the lateral movement of at least ei- ther of the X-ray source 14 and the X-ray detector 15.

According to one aspect, the position sensor arrangement 55 can be con- figured to detect a position of the carriage 51 within the range of the lateral movement of the carriage 51.

According to one further aspect, a signal path can be arranged between the at least one guiding construction 50 and the control system of the apparatus.

According to one aspect, the signal path can comprise a signal path be- tween the position sensor arrangement 55 and the control system of the apparatus.

According to one aspect, the position sensor arrangement 55 is an abso- lute position sensor arrangement 55.

According to one aspect, the absolute position sensor arrangement 55 can comprise a magnetic component 56 structurally connected to the car- riage 51 and movably connected to a rod 57 extending in parallel with the at least one guiding groove or rail 52 and the driving screw 54.

According to one aspect, the first longitudinally extending frame part 11 extends horizontally or is arranged to be moved so as to extend hor- izontally and the motorized construction 53 of the guiding construction 50 is arranged as self-holding regarding all i) positions of at least either of the X-ray source 14 and the X-ray detector 15 within the range of their lateral movement and ii) rotational positions at which the first driving mechanism 16 is configured to move the X-ray source 14 and the X-ray detector 15 about the virtual or physical rotation ax- is 13. According to one embodiment, the X-ray source 14 and the X-ray detector 15 extend from one same side of the ring-shaped gantry housing 121, while that particular side of the ring-shaped gantry housing 121 can comprise an otherwise closed surface but on which surface there is an opening 59 for at least either of the X-ray source 14 and the X-ray de- tector 15. The opening 59 can be dimensioned to allow for the range of lateral movement of the X-ray source 14 and/or the X-ray detector 15 as guided by the at least one guiding construction 50.

Figs. 2c and 3 show an embodiment including a mounting bracket 58 con- figured to extend through the opening 59 in the gantry housing 121. The mounting bracket 58 can be fixed to the carriage 51 at one side and, to the X-ray source 14 and/or the X-ray detector 15 at the other. Differ- ently dimensioned mounting brackets 58 can be used. As another detail, concerning the guiding construction in general, the movement in enables needs not necessarily to be lateral.

Referring to Figs. 4a - 4c, a configuration is shown which as compared to Figs. 2a - 2c further includes a light emitting component. Or, in reference to the disclosure of background to the invention above, shows a light field indicator 141 comprising a visible light emitting con- struction 141' configured to emit a visible light field pattern.

In the example construction of Figs. 4a - 4c, the visible light emit- ting construction 141' is arranged to locate as fixed to a collimator construction 142 of the X-ray source 14 and these three components are arranged movable together as a fixed assembly. Moving of that assembly can be realized, for example, by the kind of guiding construction 50 as discussed above.

The light emitting construction 141' may also, as an alternative, be directly attached to the (housing of the) X-ray source 14, or elsewhere to a frame structure of a collimator construction 142 attached to or being functionally connected to the X-ray source 14. In a construction such as shown in Figs. 4a 4c, the visible light emitting construction 141' can be configured to be capable of project- ing different light field patterns as for their shape and size. Prefer- ably, of essentially the same shapes and/or sizes to which the X-ray beam collimator construction 142 is configured to be able to limit an X-ray beam.

Thus, when considering using the construction, the arrangement as shown in Figs. 4a - 4c comprising the X-ray source 14, the collimator con- struction 142 and the visible light emitting construction 141' can be moved, prior to an imaging exposure, to a position according to Fig. 4a so that the visible light emitting construction 141' will locate essen- tially at the same location as where the X-ray source locates in Fig. 4b, i.e. at a position from which an X-ray beam will be emitted during an imaging exposure.

In other words and more generally, the support construction 12 carrying the X-ray source 14 may be configured to enable positioning the X-ray source 14 and the visible light emitting construction 141' at essen- tially the same location, so as to when at a given time locating at said essentially same location, they may direct a given field pattern in essentially the same direction towards the X-ray detector 15.

Constructions like the one shown in Figs. 4a - 4c thus enable e.g. a procedure to first drive the visible light emitting construction 141' in the position according to Fig. 4a, position an anatomy to be imaged in the imaging area of the arrangement, and then adjust the light field pattern thus cast on the anatomy according to a given imaging mode to be applied, and according to that particular individual anatomy.

The procedure may further include the control system of the arrangement comprising information concerning correlation between dimensions of the light field pattern cast towards the X-ray detector 15 and collimation of the X-ray beam, so as to have dimensions of the visible light and X- ray irradiation beams substantially correspond to each other, at the proximity of the X-ray detector 15. Or, in other words, to have dimen- sions of the visible light pattern and the X-ray irradiation field pat- tern substantially correspond to each other at a given distance from the X-ray detector 15.

According to one embodiment, information of the size and shape of the visible light pattern is provided for the X-ray beam collimator control and a component or components of the collimator construction 142 are moved so as to delimit an opening by which the shape and size of the X- ray beam pattern hitting the anatomy will at least substantially corre- spond to that of the light pattern, when the X-ray source 14 has been moved to a location which substantially corresponds to the location at which the visible light pattern was projected on the anatomy. According to another embodiment, adjusting the light field pattern takes place via controls of the collimator construction 142 such that when the opening the collimator construction 142 limits is adjusted, the shape and size of the light field pattern gets adjusted according- ly, as based on correlation information recorded in the control system of the arrangement. That is, in such embodiment, no separate input means for adjusting the light field pattern is needed as control there- of may take place via controls of the collimator construction 142.

In both embodiments above, the control system of the apparatus may com- prise information on which kind of an X-ray beam and light field pat- tern correspond to each other under given circumstances, like in a con- text of a given imaging mode to be applied. The imaging mode may be, for example, imaging a certain anatomy from a certain direction which means that, generally speaking, the surface of the anatomy will locate at more or less the same distance from the X-ray detector 15 - and thus also more or less the same distance from the X-ray source 14 and the light emitting component 141 when being positioned at that same loca- tion in the support construction 12. When an imaging mode includes ro- tation about an anatomy, i.e. scanning the anatomy by an X-ray beam, the light field pattern may be configured to show, instead of or in ad- dition to showing location of the X-ray beam pattern at the initial po- sition of the X-ray beam, the entire or at least part of the entire ar- ea where the X-ray beam will travel during the scan. In case of a to- mography and especially a CBCT imaging mode, the area of an anatomy in- dicated by the visible light emitting component 141' may relate to the volume of the anatomy which a given CT imaging mode, in case using a given collimation setting of the X-ray beam, will cover.

Using the kind of arrangement shown in Figs. 4a - 4c, for example, de- pending on the context it is not necessarily essential to have the light field pattern and the X-ray beam pattern of precisely the same shape and size. For one, the focus or emission points of the diverging visible light and X-ray beams need not to locate at exactly the same distance from the X-ray detector 15, and their diverging angles need not to be exactly the same. Regarding differences there may be, they can be taken into account when knowing the differences, and the dis- tance to the location (i.e. surface of an anatomy) at which the pat- terns should essential match. Such correlation information can be rec- orded in the control system of the arrangement and thus the pattern di- mensions be configured to essentially correspond to each other under given circumstances.

While Figs. 4a - 4c show an embodiment in which the components X-ray source 14, X-ray beam collimator construction 142 and visible light emitting construction 141' are arranged to be moved as an integrated assembly, which embodiment includes configuring the control system of the apparatus to provide for the X-ray beam collimator construction 142 the information of the size and shape of the light field pattern being generated, or vice versa, an alternative arrangement is to realize only the X-ray source 14 and the light field indicator 141 as a fixed assem- bly, which would then be arranged to be moved in relation to the colli- mator construction 142. In such embodiment, the collimator construction 142 could be used to limit both the visible light beam and the X-ray beam. As to the accuracy of correspondence of the beam sizes and shapes, or the field pattern sizes and shapes, it is in view of certain aspects more critical to get them closely match each other in the context of using the imaging arrangement to take a single 2D radiograph, as com- pared to 3D tomographic imaging.

In reference to Fig 5, according to one aspect, the support construc- tion 12 comprises a ring-shaped gantry housing 121 which houses i) at least one guiding construction 50 and optionally also ii) driving mechanism 16 arranged to move the X-ray imaging assembly 14, 15 about the virtual or physical rotation axis 13, whereas the X-ray source 14 and the image detector 15 are arranged to locate or extend outside the ring-shaped gantry housing 121.

According to one embodiment, the X-ray source 14 and/or the X-ray de- tector 15 can include a housing for the X-ray source 14 and/or the X- ray detector 15 which is so designed and dimensioned that in all posi- tions within the range of the lateral movement of at least either of the X-ray source 14 and the X-ray detector 15, the housing covers the opening 59 through which the mounting bracket 58 extends.

According to one aspect, in case of there being more than one guising construction 50 they can comprise the same number of components having the same functions so as to form similarly functioning assemblies. As an example, the guiding constructions may be identical while optionally the mounting brackets 58 may be different, as adapted specifically for the X-ray source 14 and the image detector 15.

According to one aspect when the housing 121 of the support construc- tion 12 does not encase the X-ray source 14 and the X-ray detector 15, but functions primarily or solely as a housing for e.g. the ring-shaped gantry 122, to which the X-ray source 14 and the X-ray detector 15 are mounted, and for the structures arranged to the apparatus to drive the X-ray source 14 and the X-ray detector 15 about the rotation axis 13, the support construction 12 can be realized to be lighter and to pro- vide a possibility for better access for patients and personnel to the imaging volume between the X-ray source 14 and the X-ray detector 15. Such embodiment can also make it easier for the personnel to have a clear line of sight at the imaging volume inside the housing 121, whereto the patient is to be positioned for an exposure.

Turning to Fig. 6 which shows, as an example and as a schematic general side view, certain components of an embodiment in which, in addition to what can be referred to as a first elongated frame part 11 discussed above, there is a second elongated frame part 21 mechanically connected to the first elongated frame part 11, of essentially the same length as the first elongated frame part 11.

According to one aspect and still referring to Fig. 6, at the proximity of the first end of the elongated frame parts 11, 12 is arranged an ar- ticulated connection construction 22 to mechanically connect the first and second elongated frame parts 11, 21, to allow for tilting of the first elongated frame part 11 about at least one tilt axis in relation to the second elongated frame part 21. The at least one tilt axis may be an axis which is orthogonal to the direction in which the first and second elongated frame parts 11, 21 extend as well as to direction in which the support construction 12 for the X-ray imaging assembly 14, 15 extends - perpendicularly from the first longitudinally extending frame part 11.

In the embodiments shown in Fig. 6, the at least one tilt axis is hori- zontal.

According to another aspect, on the side of the second elongated frame part 21, a mounting structure 23 not directly visible in Fig. 6 is ar- ranged in connection with the articulated connection construction 22. The mounting structure 23 is arranged movable along or alongside the second elongated frame part 21. According to another aspect, for example, in the proximity of the sec- ond end of the second elongated frame part 21 is arranged a locking mechanism 24 configured to enable connecting and disconnecting the first and second elongated frame parts 11, 21. Particularly, the lock- ing mechanism 24 may be arranged in the proximity of the second end of the first and second elongated frame parts 11, 21 and as configured to enable connecting together and disconnecting the first and second elon- gated frame parts 11, 21 at the proximity of the second ends of the first and second elongated frame parts 11, 21.

When the second elongated frame part 21 is mounted stable and the lock- ing mechanism 24 is not connecting the first and second elongated frame parts 11, 21, the second end of the first elongated frame part 11 is free to move laterally while the articulated connection 22 between the frame parts 11, 21 allows for turning of the first elongated frame part 11 about the horizontal tilt axis, at the proximity of the first end of the first elongated frame part 11. In case of a vertical starting posi- tion, such movably arranged mounting structure as discussed above al- lows for descending and ascending of the first end of the first elon- gated frame part 11.

While the construction allowing for tilting of the first elongated frame part 11 and descending and ascending of the first end of the first elongated frame part 11, as well as that of the locking mechanism 24 discussed above may vary, examples of such are disclosed in more de- tail in a co-pending patent application FI 20190054, which is incorpo- rated herein by reference.

Fig. 6 shows the apparatus at a stage where the first end of the first elongated frame part 11 has moved downwards and the second end of the first elongated frame part 11 has moved horizontally on a surface. The apparatus of Fig. 6 may be configured to allow for descending of the first end of the first elongated frame part 11 all the way to the prox- imity of the second end of the second elongated frame part 21. According to yet another aspect, not directly visible in Fig. 6, in functional connection with the second elongated frame part 21 is ar- ranged a driving mechanism 27 to drive the mounting structure 23 along or alongside the second elongated frame part 21. When being in mechani- cal connection with the first elongated frame part 11, at the proximity of the first end of it, the driving mechanism 27 can move the first end of the first elongated frame part 11 .in a direction in which the second elongated frame part 21 extends.

The driving mechanism 27 to drive the mounting structure 23 may be a construction similar with the driving mechanism 17 driving the support construction 12 of the X-ray imaging assembly 14, 15 along or alongside the first elongated frame part 11.

According to one aspect, the driving mechanism 27 to drive the mounting structure 23 comprises a chain drive.

Fig. 7 is a schematic general presentation of an apparatus, as an exam- ple, extending in horizontal direction. While not shown in Fig. 7, the apparatus may comprise constructions as discussed in connection with Fig. 6 which allows for changing the direction in which the elongated frame part 11 extends. The support construction 12 for the X-ray imaging assem- bly 14, 15 in Fig. 7 is not similar with that of Fig. 6, while Fig. 7 shows certain components of the apparatus as driven to locations other than their base position.

That is, regarding e.g. the aspect of access to the volume between the X-ray source 14 and the X-ray detector 15, Fig. 7 illustrates how cer- tain components of the apparatus may be moved to various locations within ranges of movements arranged for them. According to that embodi- ment, while the embodiments discussed above to laterally move at least either of the X-ray source 14 and the X-ray detector 15 can be used to ease access of a patient inside the support construction 12 for the X- ray imaging assembly 14, 15, another similarly construed construction or another similarly functioning construction may be arranged in the apparatus to also laterally move the support construction 12 for the X- ray imaging assembly 14, 15 itself, in relation to the elongated frame part 11. By incorporating such linear movement mechanism 50' to the ap- paratus, e.g. even more room may be provided for the patient to enter the imaging area and then get properly positioned for an exposure.

Thus, according to one aspect, the apparatus further comprises a linear movement mechanism 50' arranged to enable moving the support construc- tion 12 for the X-ray imaging assembly in relation to the longitudinal- ly extending frame part 11 in a direction which is at right angles to the direction in which the longitudinally extending frame part 11 ex- tends. A range of the linear movement of the support construction 12 may comprise a base position in relation to the first longitudinally extending frame part 11 and a first and a second extreme position.

When the support construction 12 for the X~ray imaging assembly 14, 15 extends in a direction at right angles to the longitudinally extending frame part 11, the direction in which the linear movement mechanism 50' moves the support construction 12 for the X-ray imaging assembly 14, 15 in relation to the longitudinally extending frame part 11 is also at right angles to that direction.

Concerning the base position provided by the linear movement mechanism 50' for the support construction 12 for the X-ray imaging assembly 14, 15, in embodiments either of the first and second extreme positions may be the base position. The same applies concerning the guiding construc- tion 50 for at least the X-ray source.

According to yet another aspect and as shown in Fig. 8a, the connection construction 19, 20 which mechanically connects the patient support 18 to the elongated frame part 11 may comprise a patient support adjust- ment mechanism 19', 20' configured to enable displacing the patient support 18 closer and further away from the (first) elongated frame part 11. According to another aspect, a patient support driving mechanism 19" , 20" is arranged in functional connection with the patient support ad- justment mechanism 19', 20'. According to another aspect, the patient support adjustment mechanism 19', 20' may comprise a first adjustment mechanism 19' arranged togeth- er with its driving mechanism 19'' comprised in the patient support driving mechanism 19'', 20'' substantially at the first end of the elongated frame part 11, and a second adjustment mechanism 20' arranged together with its driving mechanism 20'' comprised in the patient sup- port driving mechanism 19'', 20'' substantially at the second end of the elongated frame part 11.

According to one aspect, for example, the patient support adjustment mechanisms 19', 20' is arranged in functional connection with the con- trol system of the apparatus and the control system is configured to control the patient support driving mechanism 19'', 20'' of the patient support adjustment mechanism 19', 20'.

According to one aspect, for example, the control system is configured to control the connection construction 19, 20 comprising the first ad- justment mechanism 19' with its driving mechanism 19'', arranged sub- stantially at the first end of the (first) elongated frame part 11, and the second adjustment mechanism 20' with its driving mechanism 20" , arranged substantially at the second end of the (first) elongated frame part 11, to keep at the first and second ends of the elongated frame part 11 an identical distance between the (first) elongated frame part 11 and the patient support 18 when adjusting the distance between the two.

According to another aspect, the distance between the ends of the (first) elongated frame part 11 and the patient support 18 can be ad- justed to be different. According to one aspect, as shown in Fig. 8b, considering the above- discussed first direction of the patient support 18, its cross section as for its prevailing part is curved so as to better support a patient against the concave surface of the patient support 18.

According to one other aspect, as shown in Fig. 8b, at the edges 181 of that cross section of the patient support 18, the shape of the cross section turns into being curved in the opposite direction.

According to one other aspect and as further shown in Fig. 8b, near the edges of the above-discussed cross section of the patient support 18 and on the side opposite to the for its prevailing part concave sur- face, is arranged a holding structure 182. The holding structure 182 may be e.g. an elongated handle or an attachment structure to receive a strap designed to extent on or over the concave side of the patient support 18, to be used to provide further support to the patient and thus to help keeping still during an imaging exposure.

According to one aspect, and as already generally mentioned above, the various degrees of freedoms of movement of the components of apparatus, including those that may be arranged for the patient support 18, may be taken advantage of when positioning a patient, or to be more exact, an anatomy for an exposure. As an example, considering a situation of a patient's shoulder to be examined while lying on a patient support 18 like the one discussed above, one can first drive the patient support 18 to be located at a height position which is easiest for the patient to get on the patient support 18. Then, when the patient is lying on the patient support 18, at least one of i) the height position of the patient support 18, ii) horizontal position of the support construction 12 for the X-ray imaging assembly 14, 15, and iii) position of at least either of the X-ray source 14 and the X-ray detector 15 within the range of the lateral movement provided therefor can be adjusted so that

: the desired anatomy will locate at the field of view of the apparatus. This, obviously, within the limits of the degrees of freedoms of move- ment of the components of apparatus arranged therefor.

Structures according to embodiments enable arranging to the apparatus various patient entry and positioning operations. They can also be tak- en advantage of to perform e.g. other than traditional kind CT imaging and, in addition to CT imaging, also imaging modes with no rotation but mere linear movement of the X-ray imaging assembly may be deployed. Specifically, embodiments may be applied in the context of positioning an anatomy for an individual 2D imaging exposure.

The operation modes such as those discussed above may include, as a pre-exposure operation, driving the guiding construction 50 for the X- ray source 14 to which is connected the visible light emitting con- struction 141' such that the visible light emitting construction 141' will be moved to locate at essentially the base position of the X-ray source 14, and adjusting the field pattern generated by the visible light emitting construction 141' to be of a default shape and size. The default shape and size may be set according to an imaging mode, which may be arranged to be selected from the user interface of the appa- ratus. According to an embodiment, a selected imaging mode may include driving the X-ray source 14 and the X-ray detector 15 a distance from their base positions. The apparatus may be configured to allow for, after such pre-exposure operation, to adjust the light field pattern, and thus the X-ray beam size and/or shape to be used during the imaging ex- posure, according characteristics of a given anatomy positioned for im- aging.

In an embodiment, the arrangement is equipped with a component or com- ponents adapted to determine the location and/or the shape of the anat- omy positioned for imaging, and the control system to then adjust the X-ray beam collimation and/or the projected visible light pattern on the anatomy using that knowledge. Technologies to determine distance to and shape of a surface in a coordinate system exist, as well as to transfer information from one coordinate system to another - in this case, when knowing the geometry of the (relevant components of the) im- aging arrangement, and correlation of that to the coordinate system in which the surface location and shape is determined. In embodiments, in- stead of determining the shape of the surface of the anatomy, e.g. just a shortest distance from the said same location to the surface of the anatomy may be determined.

Pre-exposure operations relating to mutual positioning of the anatomy and the imaging assembly and adjusting the X-ray beam size and shape according to a given imaging mode, and even according to the anatomy to be imaged, may be applied in the context of various imaging modes ar- ranged to the imaging apparatus. Such an operation may include, in gen- eral, the control system of the apparatus comprising geometric infor- mation regarding mutual positions of the X-ray source, the light emit- ting construction 141', the X-ray detector and/or the patient support such that for a given light field pattern and the location from where it is cast, the control system comprises corresponding collimation in- formation for limiting the X-ray beam when the X-ray beam is emitted at a given location of the X-ray source, in a context of a given imaging mode.

An operation mode may include, as an example, a pre-exposure operation of - prior to optionally driving the X-ray source 14 and the X-ray de- tector 15 from their base positions, driving the guiding construction 50 for the X-ray source 14 to which is connected the visible light emitting construction 141' such that the visible light emitting con- struction 141' will be moved to locate at essentially the base position of the X-ray source 14, and adjusting the field light pattern generated by the visible light emitting construction 141' to be of a default shape and size. The default shape and size may be pre-set according to an imaging mode selected from the user interface of the apparatus.

According to an embodiment, as an example, the selected imaging mode includes driving the X-ray source 14 and the X-ray detector 15 a dis- tance from their base positions. The apparatus may be configured to al- low for, after such pre-exposure operation, adjusting the light field pattern, and thus the X-ray beam size and shape to be used during the imaging exposure, according characteristics of a given individual anat- omy positioned for imaging. Concerning a given patient entry operation or patient entry mode, ac- cording to one aspect, it includes the visible light emitting construc- tion 141' being positioned at the same place as where the X-ray source will be positioned during, or at the beginning of a subsequent imaging exposure.

According to one aspect, then, the light field indicator 141 may be configured to be able to project a light beam of the same shape as is the shape of an X-ray beam the X-ray source 14 is configured to emit, or can be adjusted to emit. Such light field indicator 141 may be mounted to the same guiding construction 50 as the X-ray source 14, e.g. as a component separate from the X-ray source 14, so as to be mov- ably mounted in relation to the support construction 12. The range of movement of the guiding construction 50 to which the X-ray source 12 and the light emitting component may be mounted is then preferably so configured that the X-ray source 14 and the light emitting construction 141' can be positioned at the same location within the range of move- ment the guiding construction 50 provides. Such configuration provides a novel arrangement by which one is able to cast a positioning light pattern on the object to be imaged from the same location at which the actual X-ray imaging exposure is to take place, or begin.

Fig. 9 shows as a block diagram an example of components of a control system applicable for use in the arrangement. The control system accord- ing to Fig. 9 is configured to enable controlling, first of all, opera- tion of the X-ray source 14 and the X-ray detector 15 (imaging means, or assembly) during an exposure, according to an imaging mode. Components controlling operation of the X-ray source 14 and the X-ray detector 15 can include components physically arranged to the X-ray source 14 and/or the X-ray detector 15 and/or elsewhere in the apparatus. The control system may further be configured to control various driving means of the apparatus, such as those driving the one or more than one guiding construction 50 as well those moving the .support construction 20 for the X-ray imaging assembly 14, 15. A signal path can also be arranged for controlling components discussed above relating to adjusting the shape and size of the field patterns, and positioning of those components in relation to the support construction 12.

The control system of Fig. 9 further shows optional features of rotating the X-ray imaging assembly 14, 15 as well as the patient entry mode fea- ture, which may include controlling at least one of the above-discussed driving means.

Further shown in Fig. 9 is a signal path to the mounting structure 23 as discussed further above and, in case of the apparatus comprising a mo- torized locking mechanism 24 to connect and disconnect the first and second elongated frame parts 11, 21 as discussed above, the control system may also control driving of the locking mechanism 24.

Overall, the control system may be arranged to control the above- discussed operations or a portion thereof. The structures and functional- ities discussed above offer various possibilities to ease positioning and performing imaging of a desired volume of a patient.

Control signals for various operations may be triggered as a response to a detected operation or input from the user interface of the apparatus. The memory of the control system may include various correlation infor- mation of pattern shapes and dimensions as discussed above, and related control protocols as discussed above, as well as protocols relating to one or more entry and/or imaging mode.

While various embodiments are discussed above, an arrangement of this disclosure can be described as a dental or medical X-ray imaging ar- rangement which comprises an X-ray detector, an X-ray source configured to generate X-ray irradiation and comprising a collimator construction functionally connected to the X-ray source, the collimator construction being configured to limit the X-ray irradiation generated by the X-ray source into a beam to be aimed in the direction of the X-ray detector and defining an X-ray irradiation field pattern, a light field indica- tor comprising a visible light emitting construction and being config- ured to project a visible light field pattern to be aimed in the direc- tion of the X-ray detector, a support construction to which the X-ray source and the visible light emitting construction are mounted, and a control system comprising control information relating to an imaging mode. Further, the support construction may be configured to enable po- sitioning the X-ray source and the visible light emitting construction at essentially the same location in relation to the support construc- tion 12, so as to when at a given time locating at said essentially same location, to direct a given field pattern in essentially the same direction towards the X-ray detector.

To add to, or summarize some of the features discussed above, embodiments may include that the X-ray source 14, the collimator construction 142 and the visible .light emitting construction 141' are arranged to be movable as a fixed assembly. On the other hand, the X-ray source 14 and the visible light emitting construction 141' may be arranged to be mov- able as a fixed unit in relation to the collimator construction 142.

The light field indicator 141 may be configured to generate the visible light field pattern such that the pattern is a substantially evenly il- luminated area or comprises a pattern of light fields which as a combi- nation indicates an area. Further, the light field indicator 141 may be configured to enable projecting visible light field patterns of differ- ent sizes and/or different shapes, and the collimator construction 142 to enable limiting X-ray irradiation field patterns of different sizes and/or of different shapes.

The control system may comprise correlation information relating to di- mensions of the visible light field pattern and the X-ray irradiation field pattern, at a given distance from the X-ray detector 15, and the light field indicator 141 and the collimator construction 142 are con- figured to enable adjusting dimensions and/or shape of their respective field patterns according to the correlation information such that the field patterns cover essentially the same area at said given distance from the X-ray detector 15, and wherein the correlation information op- tionally includes correlation information relating to a given imaging mode. A given imaging mode may be a CBCT imaging mode and the control system be configured to enable indicating by the visible light field pattern an area at a given distance from the X-ray detector 15 relating to a volume which, regarding a given CBCT imaging mode and in case us- ing a given collimation setting of the X-ray beam, will cover.

The arrangement may further comprise a component or components config- ured to determine location and/or shape of an anatomy positioned for imaging, and the control system then configured to be able adjust the X-ray beam collimation and/or the projected visible light pattern on the anatomy using that knowledge, the location and/or shape then defin- ing the given distance from the X-ray detector 15.

The control system may also be configured to receive information from the light field indicator 141 on the characteristics of the visible light pattern it projects and to convert said received information to information on how to control operation of the collimator construction 142 so as to adjust the X-ray irradiation field pattern to at least substantially correspond to the size and shape of the area the project- ed visible light pattern indicates.

The control system may further be configured to receive information from the collimator construction 142 on the characteristics of the X- ray irradiation field pattern it limits and to convert the received in- formation to information on how to control operation of the light field indicator 141 so as to adjust the visible light field pattern to at least substantially correspond to the size and shape of the X-ray irra- diation field pattern. The arrangement may comprise a first guiding construction 50 mounted to the support construction 12, wherein the X-ray source 14 and the visi- ble light emitting construction 141' are mounted together as a fixed unit and the first guiding construction 50 is configured to enable mov- ing that fixed unit, a range of that movement coamprising a base posi- tion and a first and a second extreme position. The first guiding con- struction 50 may comprise a carriage 51 mounted to said fixed unit com- prising the X-ray source 14 and the visible light emitting construction 141', a range of the movement of the carriage 51 comprising a base po- sition and a first and a second extreme position.

The first guiding construction 50 may comprise a at least one guiding groove or rail 52 on a side of the support construction 12 and a mating construction 52' on a side of the carriage 51. On the other hand, the first guiding construction 50 may comprise a motorized construction 53 in functional connection with the carriage 51, the motorized construc- tion 53 providing the moving of the fixed unit comprising the X-ray source 14 and the visible light emitting construction 141' within that range comprising the first and second extreme positions. The first guiding construction 50 may also include a position sensor arrangement 55 configured to acquire information relating to a position of the fixed unit comprising the X-ray source 14 and the visible light emit- ting construction 141' within that range of movement, the position sen- sor arrangement 55 being configured to detect a position of the car- riage 51 within the range of movement of the carriage 51. The first guiding construction 50 may be configured to enable laterally moving said fixed unit and the motorized construction 53 may comprise a driv- ing screw 54, the driving screw 54 being aligned parallel with the at least one guiding groove or rail 52 and arranged in functional connec- tion with the carriage 51.

The position sensor arrangement 55 may comprise a magnetic component 56 structurally connected to the carriage 51 and movably connected to a rod 57 extending in parallel with said at least one guiding groove or rail 52 and said driving screw 54 of the guiding construction 50. A mounting bracket 58 may be fixed to the carriage 51 and, on the other hand, to the fixed unit comprising the X-ray source 14 and the visible light emitting construction 141', to mechanically connect the fixed unit to the guiding construction 50.

A signal path can be provided between the first guiding construction 50 and the control system. The signal path may comprise a signal path be- tween the position sensor arrangement 55 and the control system.

A signal path may also be provided between the collimator construction 142 and the control system, and between the light field indicator 141 and the control system, to enable controlling the collimator construc- tion 142 and the light field indicator 141 according to the correlation information.

Further, the X-ray detector 15 may be mounted to the support construc- tion 12 to which the X-ray source 14 and the visible light emitting construction 141' are mounted. The arrangement may comprise a further X-ray detector mounted elsewhere than to the support construction 12 to which the X-ray source 14 and the visible light emitting construction 141' are mounted, and that mounting of the X-ray source 14 and the vis- ible light emitting construction 141' to the support construction 12 may be realized as allowing for directing their respective field pat- terns in essentially the same direction towards both of the X-ray de- tectors.

The support construction 12 to which the X-ray source 14 and the visi- ble light emitting construction 141' are mounted may comprise a ring- shaped structure. The ring-shaped structure may comprise a ring-shaped gantry 122 and a housing 121 which houses at least said ring-shaped gantry 122 and the first guiding construction 50. The housing 121 may comprise a surface with at least one opening 59 for mounting by the mounting bracket 58 through the at least one opening 59 at least the X- ray source 14, wherein the at least one opening 59 is dimensioned so as to allow for the range of movement of the X-ray source 14 as guided by said guiding construction 50.

An arrangement as discussed above may then comprise a first frame part 11 extending in a first direction and comprising a first end and a sec- ond end, and the support construction 12 may extend from the first frame part 11 in a second direction essentially at right angles to the first direction. The positioning of the X-ray source 14 and the visible light emitting construction 141' at essentially the same location may include arranging the X-ray source 14 and the visible light, emitting construction 141' movable in a direction at right angles to both those first and second direction.

Claims

1. A dental or medical X-ray imaging arrangement, comprising: an X-ray detector 15; an X-ray source 14 configured to generate X-ray irradiation and com- prising a collimator construction 142 functionally connected to the X- ray source 14, the collimator construction 142 configured to limit the X-ray irradiation generated by the X-ray source 14 into a beam to be aimed in the direction of the X-ray detector 15 and defining an X-ray irradiation field pattern; a light field indicator 141 comprising a visible light emitting con- struction 141' and configured to project a visible light field pattern to be aimed in the direction of the X-ray detector 15; a support construction 12 to which the X-ray source 14 and the visible light emitting construction 141' are mounted; a control system, the control system comprising control information re- lating to an imaging mode; characterized in that the support construction 12 is configured to enable positioning the X-ray source 14 and the visible light emitting construction 141' at essentially the same location in relation to the support construction 12, so as to when at a given time locating at said essentially same location to direct a given irradiation / light field pattern in essentially the same direction towards the X-ray detector

15.

2. The arrangement according to claim 1, characterized in that the X-ray source 14, the collimator construction 142 and the visible light emitting construction 141' are arranged to be movable as a fixed assem- bly.

3. The arrangement according to claim 1, characterized in that the X-ray source 14 and the visible light emitting construction 141' are arranged to be movable as a fixed unit in relation to the collimator construction 142.

4. The arrangement according to any of the claims 1 - 3, character- ized in that the light field indicator 141 is configured to generate the visible light field pattern such that the pattern is a substantial- ly evenly illuminated area or comprises a pattern of light fields which as a combination indicates an area.

5. The arrangement according to any of the claims 1 - 4, character- ized in that the light field indicator 141 is configured to enable projecting visible light field patterns of different sizes and/or dif- ferent shapes, and the collimator construction 142 is configured to en- able limiting X-ray irradiation field patterns of different sizes and/or of different shapes.

6. The arrangement according to any of the claims 1 - 5, character- ized in that the control system comprises correlation information re- lating to dimensions of the visible light field pattern and the X-ray irradiation field pattern, at a given distance from the X-ray detector 15, and the light field indicator 141 and the collimator construction 142 are configured to enable adjusting dimensions and/or shape of their respective field patterns according to the correlation information such that the field patterns cover essentially the same area at said given distance from the X-ray detector 15, and/or wherein the correlation in- formation optionally includes correlation information relating to a given imaging mode.

7. The arrangement according to claim 6, characterized in that the given imaging mode is a CBCT imaging mode and the control system is configured to enable indicating by the visible light field pattern an area at a given distance from the X-ray detector 15 relating to a vol- ume which, regarding a given CBCT imaging mode and in case using a giv- en collimation setting of the X-ray beam, will cover.

8. The arrangement according to claim 6 or 7, characterized in that the arrangement comprises a component or components configured to de- termine location and/or shape of an anatomy positioned for imaging, and the control system is then configured to be able adjust the X-ray beam collimation and/or the projected visible light pattern on the anatomy using that knowledge, said location and/or shape then defining said given distance from the X-ray detector 15.

9. The arrangement according to any of the claims 1 - 8, character- ized in that the control system is configured to receive information from the light field indicator 141 on the characteristics of the visi- ble light pattern it projects and to convert said received information to information on how to control operation of the collimator construc- tion 142 so as to adjust the X-ray irradiation field pattern to at least substantially correspond to the size and shape of the area the projected visible light pattern indicates, and/or that the control sys- tem is configured to receive information from the collimator construc- tion 142 on the characteristics of the X-ray irradiation field pattern it limits and to convert said received information to information on how to control operation of the light field indicator 141 so as to ad- just the visible light field pattern to at least substantially corre- spond to the size and shape of the X-ray irradiation field pattern.

10. The arrangement according to any of the claims 1 - 9, character- ized in that the arrangement comprises a first guiding construction 50 mounted to the support construction 12, and wherein the X-ray source 14 and the visible light emitting construction 141' are mounted togeth- er as a fixed unit and the first guiding construction 50 is configured to enable moving said fixed unit, a range of said movement comprising a base position and a first and a second extreme position.

11. The arrangement according to claim 10, characterized in that the first guiding construction 50 comprises a carriage 51 mounted to said fixed unit comprising the X-ray source 14 and the visible light emitting construction 141', a range of said movement of the carriage 51 comprising a base position and a first and a second extreme position.

12. The arrangement according to claim 11, characterized in that the first guiding construction 50 comprises at least one guiding groove or rail 52 on a side of the support construction 12 and a mating con- struction 52' on a side of the carriage 51.

13. The arrangement according to claim 12, characterized in that the first guiding construction 50 comprises a motorized construction 53 in functional connection with the carriage 51, the motorized construc- tion 53 providing said moving of the fixed unit comprising the X-ray source 14 and the visible light emitting construction 141' within said range comprising the first and second extreme positions.

14. The arrangement according to any of the claims 11 - 13, charac- terized in that the first guiding construction 50 includes a posi- tion sensor arrangement 55 configured to acquire information relating to a position of said fixed unit comprising the X-ray source 14 and the visible light emitting construction 141' within said range of movement, the position sensor arrangement 55 being configured to detect a posi- tion of the carriage 51 within said range of movement of the carriage 51.

15. The arrangement according to any of the claims 11 - 14, charac- terized in that the first guiding construction 50 is configured to enable laterally moving said fixed unit and the motorized construction 53 comprises a driving screw 54, the driving screw 54 being aligned parallel with said at least one guiding groove or rail 52 and arranged in functional connection with the carriage 51.

16. The arrangement according to claim 15, characterized in that the position sensor arrangement 55 comprises a magnetic component 56 structurally connected to the carriage 51 and movably connected to a rod 57 extending in parallel with said at least one guiding groove or rail 52 and said driving screw 54 of the guiding construction 50.

17. The arrangement according to any of the claims 11 - 16, charac- terized in that a mounting bracket 58 is fixed to the carriage 51 and, on the other hand, to the fixed unit comprising the X-ray source 14 and the visible light emitting construction 141', to mechanically connect said fixed unit to the guiding construction 50.

18. The arrangement according to any of the claims 10 - 17, charac- terized in that a signal path is provided between the first guiding construction 50 and the control system, the signal path comprising a signal path between the position sensor arrangement 55 and the control system.

19. The arrangement according to any of the claims 6- 18, character- ized in that a signal path is provided between the collimator con- struction 142 and the control system, and between the light field indi- cator 141 and the control system, to enable controlling the collimator construction 142 and the light field indicator 141 according to the correlation information.

20. The arrangement according to any of the claims 1 - 19, character- ized in that the X-ray detector 15 is mounted to the support con- struction 12 to which the X-ray source 14 and the visible light emit- ting construction 141' are mounted.

21. The arrangement according to claim 20, characterized in that the arrangement comprises a further X-ray detector mounted elsewhere than to the support construction 12 to which the X-ray source 14 and the visible light emitting construction 141' are mounted, and that mounting of the X-ray source 14 and the visible light emitting con- struction 141' to the support construction 12 is realized as allowing for directing their respective field patterns in essentially the same direction towards both X-ray detectors.

22. The arrangement according to any of the claims 10 - 21, charac- terized in that the support construction 12 to which the X-ray source 14 and the visible light emitting construction 141' are mounted comprises a ring-shaped structure, said ring-shaped structure compris- ing a ring-shaped gantry 122 and a housing 121 which houses at least said ring-shaped gantry 122 and the first guiding construction 50.

23. The arrangement according to claim 22, characterized in that the housing 121 comprises a surface with at least one opening 59 for mounting by the mounting bracket 58 through the at least one opening 59 at least the X-ray source 14, wherein the at least one opening 59 is dimensioned so as to allow for the range of movement of the X-ray source 14 as guided by said guiding construction 50.

24. The arrangement according to any of the claims 1 - 23, character- ized in that the arrangement emprises a first frame part 11 extend- ing in a first direction and comprising a first end and a second end, and the support construction 12 extends from the first frame part 11 in a second direction essentially at right angles to the first direction.

25. The arrangement according to claim 24, characterized in that said positioning of the X-ray source 14 and the visible light emitting construction 141' at essentially the same location includes arranging the X-ray source 14 and the visible light emitting construction 141' movable in a direction at right angles to both said first and second direction.