JP5642927B2 - Mammography device - Google Patents

Description

  The present invention relates to a breast X-ray imaging apparatus that images a breast by detecting X-rays irradiated from an X-ray tube and transmitted through a breast of a subject with an X-ray detector.

  2. Description of the Related Art Conventionally, breast X-ray imaging apparatuses are intended for examinations using a breast as a subject, and the subject is irradiated with X-rays to photograph the left and right breasts, and diagnostic images such as X-ray images are read and lesions are detected. It is a common practice to diagnose the presence or absence of disease and the progress of the disease by discovering the site and observing the state of the lesion.

In such breast diagnosis, the operator places the subject's breast on the imaging table one by one on the left and right so that the breast is optimal for imaging, and presses the breast with a compression version (positioning). Is called. Positioning is performed with care so that the breast spreads sufficiently on the surface of the imaging table and enters the effective visual field up to the vicinity of the chest wall. (For example, refer to Patent Document 1).
JP 2006-212427 A

  However, in the X-ray imaging apparatus for breasts described in Patent Literature 1, an X-ray output unit (an X-ray tube, a mirror, a filter, a collimator, etc.) is positioned above the imaging table, so that an operator can take an image. There is a risk that the operation of placing the breast of the subject on the table or checking the state of the breast may be hindered. In addition, even in the case of an apparatus in which the imaging table and the X-ray output unit are driven separately, the apparatus is designed in consideration of the angle to be retracted by the operator in order to retract the X-ray output unit to the optimum position for placing the breast. Had to place the breast by manipulating.

  Therefore, an object of the present invention is to provide a breast X-ray imaging apparatus in which an operator can easily place a breast of a subject on an imaging table and can be quickly brought into an optimum state for imaging.

In order to solve the above problem, a first frame that holds an X-ray tube that generates X-rays, a detection unit that detects X-rays from the X-ray tube, and a second frame that holds the detection unit An input unit that inputs a movement operation to a preset position with respect to the first frame and the second frame, and based on the input, the relative positional relationship between the X-ray tube and the detection unit A control unit that performs movement control of the first frame or the second frame for changing, and the control unit further performs the input after the movement control to the preset position is completed. By operating the unit, the second frame is moved to a position other than a preset position only while the input is being performed, and control is performed for photographing at the same time as the movement control is completed. And
In order to solve the above problem, a first frame that holds an X-ray tube that generates X-rays, a detection unit that detects X-rays from the X-ray tube, and a second frame that holds the detection unit An input unit that inputs a movement operation to a preset position with respect to the first frame and the second frame, and based on the input, the relative positional relationship between the X-ray tube and the detection unit A control unit that performs movement control of the first frame or the second frame in order to change, the control unit further after the movement control to the preset position is finished By operating the input unit, the second frame is moved to a position other than a preset position only while the input is being performed .

  According to the present invention, the operator can easily place the breast of the subject on the imaging table, and can quickly obtain an optimal state for imaging.

Embodiments of an X-ray imaging apparatus for breasts according to the present invention will be described below with reference to FIGS.

A first embodiment will be described with reference to FIGS. 1 to 9. FIG. 1 shows the overall configuration of a mammography apparatus according to the present invention. The X-ray imaging apparatus for breast generally includes an imaging apparatus 1, a digital acquisition apparatus 2, and an X-ray high voltage apparatus 3.

The digital collection device 2 includes image generation means for generating image data, image processing means for attaching specific information to the image data, and image display means for displaying image data attached with information based on the attached information. And an image processing apparatus 4 having various types of messages and a display unit 5 for displaying various messages and images. The display unit 5 is a CRT display, a liquid crystal display, or the like. Further, an X-ray high voltage apparatus 3 for controlling the X-ray dose and ON / OFF of the X-ray irradiation is provided, and an X-ray operation panel 6 for controlling the X-ray dose and the like and an X-ray irradiation hand switch 7 are provided. doing.

FIG. 2 is a diagram showing a configuration of the photographing apparatus 1 according to the present invention. The photographing apparatus 1 includes a stand unit 8 and a C arm unit 9. The C arm unit 9 is attached to a shaft portion 10 protruding from the stand unit 8. Thus, the C arm unit 9 is supported by the stand unit 8 so as to be rotatable about the axis of the shaft portion 10 as a rotation axis.

The C arm unit 9 includes a frame 11 and a frame 12 as two frames serving as an arm body. These frames 11 and 12 are supported by the stand unit 8 so as to be individually rotatable around the rotation axis. An X-ray tube device 13 and an aperture 14 are attached to the frame 11, and a detector 15 and a compression plate 16 are attached to the frame 12 as shown in FIG.

The X-ray tube device 13 incorporates an X-ray tube and emits X-rays radiated from the X-ray tube toward the detection unit 15. The diaphragm unit 14 limits the irradiation field of the X-rays emitted from the X-ray tube device 13.

The detection unit 15 has a flat upper surface in FIG. The compression plate 16 is disposed to face the imaging stand 17. The separation distance between the compression plate 16 and the photographing table 17 is changed by a moving mechanism built in the frame 12. As a result, the compression plate 16 compresses the breast placed on the imaging table 17. The detection unit 15 includes an X-ray detector, and detects X-rays emitted from the X-ray tube device 13 provided in the frame 11 and transmitted through the breast. The X-ray detector outputs an image signal corresponding to the X-ray image represented by the detected X-ray.

As shown in FIG. 1, the photographing apparatus 1 is provided with an input unit 18 such as a keyboard and a touch panel for inputting photographing conditions and the like, and a pressure switch electric operation foot switch 19. Further, inside the photographing apparatus 1, there is a control device 20 that controls each part of the photographing apparatus. The control device 20 includes a photographing program, a display program, and data used for the photographing program and the display program. Stored.

Further, a detailed configuration related to the control of the mammography apparatus will be described with reference to FIG. FIG. 3 is a block diagram showing the configuration of the mammography apparatus according to the present invention. In FIG. 3, a system control unit 21 controls the entire control operation of the mammography apparatus. A data storage unit 22 is connected to the system control unit 21. The data storage unit 22 determines the X-ray tube device when the breast is placed before the next imaging from the relationship between the imaging direction or imaging mode for the next imaging and the current direction of the X-ray tube device 13 and the detection unit 15 13 or a table for determining the position of the detector 15 is stored. FIG. 4 is an example of a table relating to the movement of the X-ray tube apparatus 13 or the detection unit 15 corresponding to the current position and the imaging position. For example, when the X-ray tube device 13 and the detection unit 15 are currently positioned at the right breast MLO imaging position and the next imaging is registered as CC (same for both left and right), the X-ray A program for moving the detection unit 15 to the CC position without moving the tube device 13 is activated, and accordingly, either or both of the X-ray tube device movement control unit 24 and the detection unit movement control unit 26 are operated. Controlled by the system control unit 21, either or both of the X-ray tube device 13 and the detection unit 15 move to a designated position.

The system control unit 21 is connected to control the X-ray control unit 23, the X-ray tube apparatus movement control unit 24, the detection unit control unit 25, and the detector movement control unit 26.

The X-ray control unit 23 controls the X-ray tube apparatus 13 according to an instruction from the system control unit 21 so that X-rays having a predetermined intensity are emitted at a predetermined rate.

The X-ray tube movement control unit 24 is configured to move the X-ray tube device 13 to a predetermined breast placement position according to an instruction from the system control unit 21 based on the table of the data storage unit 22 based on the imaging program. Control. Further, after the breast is placed, the X-ray tube device 13 is controlled to move to the imaging position. Furthermore, the movement of the X-ray tube device 13 is controlled so that imaging can be performed from a plurality of angular directions during imaging in a tomosynthesis mode (to be abbreviated as “tomo mode” hereinafter).

The detection unit control unit 25 controls the detection unit 15 so as to output an image signal corresponding to the X-ray image represented by the X-ray detected by the X-ray detector in accordance with an instruction from the system control unit 21.

Based on the imaging program, the detection unit movement control unit 26 controls the detection unit 15 to move to a predetermined breast placement position according to an instruction from the system control unit 21 based on the table in the data storage unit 22. Further, after the breast is placed, the detection unit 15 is controlled to move to the imaging start position.

  Note that the control device 20 may be provided in the imaging apparatus main body, the X-ray high voltage apparatus 3, or both.

  Next, the operation of the mammography apparatus according to the present invention will be described with reference to FIG.

  FIG. 9 is a flowchart showing a flow in which the photographing apparatus 1 performs photographing. FIG. 5 is a diagram schematically showing CC shooting from the CC position until CC shooting is started. FIG. 6 is a diagram schematically showing from the CC position until the left breast MLO imaging is started. FIG. 7 is a diagram schematically showing the period from the left breast MLO position to the start of CC imaging. FIG. 8 is a diagram schematically showing from the left breast MLO position to the start of imaging of the left breast MLO.

Here, as shown in FIG. 5, the description will be given with reference to the case where the initial state of the apparatus is at the CC position and CC imaging is performed. First, the surgeon uses a button provided on the input unit 7 to select the right and left breasts of the subject and the breast direction. In this method, not only button selection but also patient information may be registered in advance. The surgeon determines the imaging site and direction by a well-known method.

Next, as (step S1), the system control unit 21 grasps the current state of the apparatus from position information of the X-ray tube apparatus movement control unit 24 and the detection unit movement control unit 26. Next, it is recognized from the information input to the input unit 7 that the system control unit 21 captures the CC position of the subject's breast (in this case, the left breast is assumed). (Step S2) Further, the system control unit 21 refers to the table data stored in the data storage unit 22 according to the information (step S3).

In this case, the information in the table data is that the X-ray tube apparatus 13 is retracted to the retracted position (the operator has previously set a position that does not interfere with the placement of the breast), and the detection unit 15 does not move. In (Step S4), the system control unit 21 instructs the X-ray tube apparatus movement control unit 24 to move to the retreat position based on the information from the referenced table data. When performing CC imaging from the CC position, no instruction to move to the detection unit movement control unit 26 is performed. Further, the X-ray tube apparatus 13 moves to the retracted position according to an instruction from the X-ray tube apparatus movement control unit 24.

Next, when the movement is completed, the breast is placed on the imaging stand 17 (step S5). Further, the breast M placed on the imaging table 17 is compressed by lowering the compression plate 24 by operating the compression plate electric operation foot switch 8, and is fixed flat. When the fixation is completed, the system control unit 21 presses a button provided on the input unit 18 or the like, so that the system control unit 21 determines the X-ray tube device 13 by the operator based on the information from the X-ray tube device movement control unit 24. It is confirmed whether or not it is at the registered photographing position (step S6).

As shown in FIG. 5, when CC imaging is performed from the CC position, the X-ray tube apparatus 13 is retracted to the retracted position, so that the system control 21 moves the X-ray tube apparatus as in (Step S8). The X-ray tube apparatus 13 is moved to the imaging start position by controlling the control unit 24. Thereafter, photographing is started at the same time as the movement is completed (step S9). For example, when shifting from the CC position to shooting in the tomosynthesis mode, as shown in the table of FIG. 4, the process moves from (Step S6) to (Step S7) and starts shooting.

As described above, when the shooting is started at the same time as the movement is completed, the start of the shooting may be displayed on the display unit 5 by an announcement or an LED. Alternatively, the photographing may be started by pressing the hand switch 7 after the movement is finished.

Further, it is preferable to automatically move to the shooting start position, and stop when the movement to the shooting start position is completed.

Next, the flow of movement of the X-ray tube device 13 and the detection unit 15 when imaging the left breast MLO from the CC position as shown in FIG. 6 will be described. First, in this case, the detection unit 15 is moved to the imaging start position, and the breast is placed and compressed and fixed. Thereafter, the X-ray tube device 13 is moved to the imaging start position. For example, even if the detection unit 15 is moved to the imaging start position of the left breast MLO, if the X-ray tube apparatus 13 is in the way to place the breast, the X-ray tube apparatus 13 is further retracted. It can be moved manually. In this case, a button or the like provided on the input unit 18 is used to retract to the left or right. It should be noted that the movement may be set so as to retract only while the button is pressed, or the angle may be designated for movement.

As described above, in the first embodiment of the present invention, the current position of the apparatus is grasped, and the X-ray tube apparatus 13 is not automatically disturbed when placing the breast according to the imaging position. It can be moved with.

Even when the X-ray tube apparatus 13 is in the retracted position in advance, it can be automatically moved to the imaging start position when the system control unit 21 recognizes that the breast has been placed. Furthermore, the photographing can be automatically started when the control device recognizes that the movement to the photographing start position is finished.

In addition, when the X-ray tube device 13 is insufficiently retracted, it can be further retracted manually, so that the breast can be placed more properly on the imaging table 17 and a clearer image can be captured. it can.

Note that the present invention is not limited to the above-described embodiment, and various modifications can be made without departing from the scope of the invention.

1 is a diagram illustrating an overall configuration of a breast X-ray imaging apparatus according to the present invention. It is a figure which shows the structure of the imaging device 1 which concerns on this invention. It is the block diagram which showed the structure of the X-ray imaging apparatus for breasts which concerns on this invention. It is a figure which shows an example of the table regarding the movement of the X-ray tube apparatus or detection part which concerns on this invention. It is a figure which shows typically until it starts CC imaging | photography from CC position which concerns on this invention. It is a figure which shows typically from the CC position which concerns on this invention until it starts left breast MLO imaging | photography. It is a figure which shows typically until CC imaging | photography is started from the left breast MLO position which concerns on this invention. It is a figure which shows typically from the left breast MLO position which concerns on this invention to the start of imaging | photography of the left breast MLO. It is the flowchart which showed the flow which the imaging device which concerns on this invention performs imaging | photography.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 Imaging device 5 Display part 8 Stand unit 9 C arm unit 10 Shaft part 11, 12 Frame 13 X-ray tube apparatus 15 Detection part 17 Imaging stand 20 Control apparatus 21 System control part 22 Data storage part 24 X-ray tube apparatus movement control part 26 Detection unit movement control unit

Claims (5)

A first frame that holds an X-ray tube that generates X-rays;
A detector for detecting X-rays from the X-ray tube;
A second frame holding the detection unit;
An input unit for inputting a movement operation to a preset position with respect to the first frame and the second frame;
A control unit that performs movement control of the first frame or the second frame in order to change the relative positional relationship between the X-ray tube and the detection unit based on the input;
After the movement control to the preset position, the control unit further operates the input unit to move the second part to a position other than the preset position only while the input is being performed. An X-ray imaging apparatus for breast , wherein a frame is moved and imaging is performed at the same time as the movement control is completed.   The control unit changes a relative positional relationship between the X-ray tube and the detection unit by retracting either the X-ray tube or the detection unit from an imaging start position. The breast X-ray imaging apparatus described.   The control unit moves and controls the first frame so that the detection unit is held at a position other than a shooting start position when shooting is shifted between CC shooting and MLO shooting. Item 3. The breast X-ray imaging apparatus according to Item 2. A first frame that holds an X-ray tube that generates X-rays;
A detector for detecting X-rays from the X-ray tube;
A second frame holding the detection unit;
An input unit for inputting a movement operation to a preset position with respect to the first frame and the second frame;
A control unit that performs movement control of the first frame or the second frame in order to change a relative positional relationship between the X-ray tube and the detection unit based on the input;
After the movement control to the preset position, the control unit further operates the input unit to move the second part to a position other than the preset position only while the input is being performed. A breast X-ray imaging apparatus characterized by moving a frame .   The control unit moves and controls the first frame so that the detection unit is held at a position other than a shooting start position when shooting is shifted between CC shooting and MLO shooting. Item 5. The breast X-ray imaging apparatus according to Item 4.

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