SYSTEM AND METHOD FOR CONTROLLING A COLLIMATOR
20230038525 · 2023-02-09
Inventors
Cpc classification
A61B34/20
HUMAN NECESSITIES
A61B90/37
HUMAN NECESSITIES
International classification
A61B90/00
HUMAN NECESSITIES
A61B34/20
HUMAN NECESSITIES
Abstract
X-ray imaging systems and methods comprising, at least, an x-ray source, an x-ray detector, and a collimator assembly. The collimator assembly comprising a computer, a display, a camera, an x-ray source to object (patient) measuring device to measure source to object distance (SOD), and a plurality of metallic barriers used to manipulate a size and shape of X-ray beams, thereby also reducing the volume of irradiated tissue in the patient. The collimator may comprise computer-controlled motorized shutters to admit radiation into the region defined by the adjustable beam-defining components of the collimator of an X-ray apparatus. In some embodiments, the plurality of metallic barriers may be a fixed cone, or a cone comprised of movable plates.
Claims
1. A collimator control system for fluoroscopic procedures, comprising: a collimator comprising a plurality of motorized shutters, the collimator communicatively connected to a network-connected alignment adjustment computer, the plurality of motorized shutters controllable via the network; the network-connected alignment adjustment computer comprising a processor, an interactive display, a camera, a memory, and a plurality of programming instructions, the plurality of programming instructions when executed by the processor cause the processor to: receive an image from the camera; display the image on the interactive display, the image comprising a shaded area, the shaded area corresponding to a collimated area of the collimator; recursively receive one or more adjustments from the interactive display, the adjustments corresponding to a change in size of the shaded area or a change in position of the shaded area, or both; upon the location of the collimated area not corresponding to a location represented by the shaded area, adjust the collimated area by adjusting the plurality of shutters to correspond the location represented by the shaded area; and upon the size of the collimated area not corresponding to a size represented by the shaded area, adjust the size of the collimated area by adjusting the plurality of shutters to correspond to the size represented by the shaded area.
2. The system of claim 1, wherein the plurality of programming instructions when further executed by the processor cause the processor to: communicatively connect to a portable detector; continuously monitor a border infringement condition, the border infringement condition determined by activation, by a radiation source, of at least a portion of a plurality of border pixels, the at least a portion of the plurality border pixels comprising a predefined plurality of pixels comprised within, or adjacent to, the portable detector; wherein each pixel of the plurality of pixels is operable to be activated by an intensity of radiation from the radiation source.
3. The system of claim 2, wherein one or more characteristics of the portable detector are preconfigured and the plurality of programming instructions when further executed by the processor cause the processor to receive, from a database, the preconfigured characteristics at least comprising the size of the portable detector.
4. The system of claim 2, wherein the portable detector is previously aligned to the collimator.
5. The system of claim 1, wherein the plurality of programming instructions when further executed by the processor cause the processor to: upon the location represented by the shaded area overlapping a previously configured virtual border, establish a border infringement condition.
6. The system of claim 5, wherein the previously configured virtual border is calculated based on a size of the portable detector, the previously configured virtual border representing an area substantially around an area representing a perimeter of the portable detector.
7. The system of claim 5, wherein the plurality of programming instructions when further executed by the processor cause the processor to: upon the border infringement condition being established, activate the exposure interlock to prevent diagnostic radiation.
8. A computer-implemented method for controlling a collimator for fluoroscopic procedures, the method comprising the steps of: communicatively connecting, by an alignment adjustment computer, to a collimator over a network, the collimator comprising motorized shutters controllable via the network; receiving, by the alignment adjustment computer, an image from the camera; displaying, by the alignment adjustment computer, the image on an interactive display, the image comprising a shaded area, the shaded area corresponding to the collimated area of the collimator; recursively receiving, by the alignment adjustment computer, one or more adjustments from the interactive display, the adjustments corresponding to a change in size of the shaded area or a change in position of the shaded area, or both; upon the location of the collimated area not corresponding to a location represented by the shaded area, adjusting, by the alignment adjustment computer, the collimated area by adjusting the plurality of shutters to correspond the location represented by the shaded area; and upon the size of the collimated area not corresponding to a size represented by the shaded area, adjusting, by the alignment adjustment computer, the size of the collimated area by readjusting the plurality of shutters to correspond to the size represented by the shaded area.
9. The method of claim 8, further comprising the steps of: communicatively connecting, by the alignment adjustment computer, to a portable detector; continuously monitoring, by the alignment adjustment computer, a border infringement condition, the border infringement condition determined by activation, by a radiation source, of at least a portion of a plurality of border pixels, the at least a portion of the plurality border pixels comprising a predefined plurality of pixels comprised within, or adjacent to, the portable detector, wherein each pixel of the plurality of pixels is operable to be activated by an intensity of radiation from the radiation source.
10. The method of claim 8, further comprising the steps of: upon the location represented by the shaded area overlapping a previously configured virtual border, establishing, by the alignment adjustment computer, a border infringement condition.
11. The method of claim 10, further comprising the steps of: upon the border infringement condition being established, activating, by the alignment adjustment computer, the exposure interlock to prevent diagnostic radiation.
12. The method of claim 9, wherein one or more characteristics of the portable detector are preconfigured and the method further comprising the step of receiving, by the alignment adjustment computer from a database, the preconfigured characteristics comprising at least a size of the portable detector.
13. The method of claim 9, wherein the portable detector is previously aligned to the collimator.
14. The method of claim 10, wherein the previously configured virtual border is calculated, by the alignment adjustment computer, based on a size of the portable detector, and wherein the previously configured virtual border represents an area substantially around an area representing a perimeter of the portable detector.
Description
BRIEF DESCRIPTION OF THE DRAWING FIGURES
[0015] The accompanying drawings illustrate several embodiments of the invention and, together with the description, serve to explain the principles of the invention according to the embodiments. It will be appreciated by one skilled in the art that the particular embodiments illustrated in the drawings are merely exemplary and are not to be considered as limiting of the scope of the invention or the claims herein in any way.
[0016]
[0017]
[0018]
[0019]
[0020]
[0021]
[0022]
[0023]
[0024]
[0025]
[0026]
[0027]
[0028]
[0029]
[0030]
[0031]
DETAILED DESCRIPTION
[0032] The inventor has conceived, and reduced to practice, a system and method for fluoroscopic imaging using a motorized collimator.
[0033] One or more different inventions may be described in the present application. Further, for one or more of the inventions described herein, numerous alternative embodiments may be described; it should be appreciated that these are presented for illustrative purposes only and are not limiting of the inventions contained herein or the claims presented herein in any way. One or more of the inventions may be widely applicable to numerous embodiments, as may be readily apparent from the disclosure. In general, embodiments are described in sufficient detail to enable those skilled in the art to practice one or more of the inventions, and it should be appreciated that other embodiments may be utilized and that structural, logical, software, electrical and other changes may be made without departing from the scope of the particular inventions. Accordingly, one skilled in the art will recognize that one or more of the inventions may be practiced with various modifications and alterations. Particular features of one or more of the inventions described herein may be described with reference to one or more particular embodiments or figures that form a part of the present disclosure, and in which are shown, by way of illustration, specific embodiments of one or more of the inventions. It should be appreciated, however, that such features are not limited to usage in the one or more particular embodiments or figures with reference to which they are described. The present disclosure is neither a literal description of all embodiments of one or more of the inventions nor a listing of features of one or more of the inventions that must be present in all embodiments.
[0034] Headings of sections provided in this patent application and the title of this patent application are for convenience only and are not to be taken as limiting the disclosure in any way.
[0035] Devices that are in communication with each other need not be in continuous communication with each other, unless expressly specified otherwise. In addition, devices that are in communication with each other may communicate directly or indirectly through one or more communication means or intermediaries, logical or physical.
[0036] A description of an embodiment with several components in communication with each other does not imply that all such components are required. To the contrary, a variety of optional components may be described to illustrate a wide variety of possible embodiments of one or more of the inventions and in order to more fully illustrate one or more aspects of the inventions. Similarly, although process steps, method steps, algorithms or the like may be described in a sequential order, such processes, methods and algorithms may generally be configured to work in alternate orders, unless specifically stated to the contrary. In other words, any sequence or order of steps that may be described in this patent application does not, in and of itself, indicate a requirement that the steps be performed in that order. The steps of described processes may be performed in any order practical. Further, some steps may be performed simultaneously despite being described or implied as occurring non-simultaneously (e.g., because one step is described after the other step). Moreover, the illustration of a process by its depiction in a drawing does not imply that the illustrated process is exclusive of other variations and modifications thereto, does not imply that the illustrated process or any of its steps are necessary to one or more of the invention(s), and does not imply that the illustrated process is preferred. Also, steps are generally described once per embodiment, but this does not mean they must occur once, or that they may only occur once each time a process, method, or algorithm is carried out or executed. Some steps may be omitted in some embodiments or some occurrences, or some steps may be executed more than once in a given embodiment or occurrence.
[0037] When a single device or article is described herein, it will be readily apparent that more than one device or article may be used in place of a single device or article. Similarly, where more than one device or article is described herein, it will be readily apparent that a single device or article may be used in place of the more than one device or article. When a single computer and/or processor is described herein, it will be readily apparent that more than one computer and/or processor, for example, a plurality of network-connected computer and/or a plurality of processors within a single computer may be used in place of a single computer. Similarly, where more than one computer and/or processor is described herein, it will be readily apparent that a single computer and/or processor may be used in place of the more than one device or article. Functions performed by one computer may be performed by another in different, or the same, embodiment.
[0038] The functionality or the features of a device may be alternatively embodied by one or more other devices that are not explicitly described as having such functionality or features. Thus, other embodiments of one or more of the inventions need not include the device itself.
[0039] Techniques and mechanisms described or referenced herein will sometimes be described in singular form for clarity. However, it should be appreciated that particular embodiments may include multiple iterations of a technique or multiple instantiations of a mechanism unless noted otherwise. Process descriptions or blocks in figures should be understood as representing modules, segments, or portions of code which include one or more executable instructions for implementing specific logical functions or steps in the process. Alternate implementations are included within the scope of embodiments of the present invention in which, for example, functions may be executed out of order from that shown or discussed, including substantially concurrently or in reverse order, depending on the functionality involved, as would be understood by those having ordinary skill in the art.
Hardware Architecture
[0040] Generally, the techniques disclosed herein may be implemented on hardware or a combination of software and hardware. For example, they may be implemented in an operating system kernel, in a separate user process, in a library package bound into network applications, on a specially constructed machine, on an application-specific integrated circuit (ASIC), or on a network interface card.
[0041] Software/hardware hybrid implementations of at least some of the embodiments disclosed herein may be implemented on a programmable network-resident machine (which should be understood to include intermittently connected network-aware machines) selectively activated or reconfigured by a computer program stored in memory. Such network devices may have multiple network interfaces that may be configured or designed to utilize different types of network communication protocols. A general architecture for some of these machines may be described herein in order to illustrate one or more exemplary means by which a given unit of functionality may be implemented. According to specific embodiments, at least some of the features or functionalities of the various embodiments disclosed herein may be implemented on one or more general-purpose computers associated with one or more networks, such as for example an end-user computer system, a client computer, a network server or other server system, a mobile computing device (e.g., tablet computing device, mobile phone, smartphone, laptop, or other appropriate computing device), a consumer electronic device, a music player, or any other suitable electronic device, router, switch, or other suitable device, or any combination thereof. In at least some embodiments, at least some of the features or functionalities of the various embodiments disclosed herein may be implemented in one or more virtualized computing environments (e.g., network computing clouds, virtual machines hosted on one or more physical computing machines, or other appropriate virtual environments).
[0042] Referring now to
[0043] In one embodiment, computing device 100 comprises one or more central processing units (CPU) 102, one or more interfaces 110, and one or more busses 106 (such as a peripheral component interconnect (PCI) bus). When acting under the control of appropriate software or firmware, CPU 102 may be responsible for implementing specific functions associated with the functions of a specifically configured computing device or machine. For example, in at least one embodiment, a computing device 100 may be configured or designed to function as a server system utilizing CPU 102, local memory 101 and/or remote memory 120, and interface(s) 110. In at least one embodiment, CPU 102 may be caused to perform one or more of the different types of functions and/or operations under the control of software modules or components, which for example, may include an operating system and any appropriate applications software, drivers, and the like.
[0044] CPU 102 may include one or more processors 103 such as, for example, a processor from one of the Intel, ARM, Qualcomm, and AMD families of microprocessors. In some embodiments, processors 103 may include specially designed hardware such as application-specific integrated circuits (ASICs), electrically erasable programmable read-only memories (EEPROMs), field-programmable gate arrays (FPGAs), and so forth, for controlling operations of computing device 100. In a specific embodiment, a local memory 101 (such as non-volatile random-access memory (RAM) and/or read-only memory (ROM), including for example one or more levels of cached memory) may also form part of CPU 102. However, there are many different ways in which memory may be coupled to system 100. Memory 101 may be used for a variety of purposes such as, for example, caching and/or storing data, programming instructions, and the like. It should be further appreciated that CPU 102 may be one of a variety of system-on-a-chip (SOC) type hardware that may include additional hardware such as memory or graphics processing chips, such as a Qualcomm SNAPDRAGON™ or Samsung EXYNOS™ CPU as are becoming increasingly common in the art, such as for use in mobile devices or integrated devices.
[0045] As used herein, the term “processor” is not limited merely to those integrated circuits referred to in the art as a processor, a mobile processor, or a microprocessor, but broadly refers to a microcontroller, a microcomputer, a programmable logic controller, an application-specific integrated circuit, and any other programmable circuit.
[0046] In one embodiment, interfaces 110 are provided as network interface cards (NICs). Generally, NICs control the sending and receiving of data packets over a computer network; other types of interfaces 110 may for example support other peripherals used with computing device 100. Among the interfaces that may be provided are Ethernet interfaces, frame relay interfaces, cable interfaces, DSL interfaces, token ring interfaces, graphics interfaces, and the like. In addition, various types of interfaces may be provided such as, for example, universal serial bus (USB), Serial, Ethernet, FIREWIRE™, THUNDERBOLT″, PCI, parallel, radio frequency (RF), BLUETOOTH™, near-field communications (e.g., using near-field magnetics), 802.11 (Wi-Fi), frame relay, TCP/IP, ISDN, fast Ethernet interfaces, Gigabit Ethernet interfaces, Serial ATA (SATA) or external SATA (ESATA) interfaces, high-definition multimedia interface (HDMI), digital visual interface (DVI), analog or digital audio interfaces, asynchronous transfer mode (ATM) interfaces, high-speed serial interface (HSSI) interfaces, Point of Sale (POS) interfaces, fiber data distributed interfaces (FDDIs), and the like. Generally, such interfaces 110 may include physical ports appropriate for communication with appropriate media. In some cases, they may also include an independent processor (such as a dedicated audio or video processor, as is common in the art for high-fidelity A/V hardware interfaces) and, in some instances, volatile and/or non-volatile memory (e.g., RAM).
[0047] Although the system shown in
[0048] Regardless of network device configuration, the system of the present invention may employ one or more memories or memory modules (such as, for example, remote memory block 120 and local memory 101) configured to store data, program instructions for the general-purpose network operations, or other information relating to the functionality of the embodiments described herein (or any combinations of the above). Program instructions may control execution of or comprise an operating system and/or one or more applications, for example. Memory 120 or memories 101, 120 may also be configured to store data structures, configuration data, encryption data, historical system operations information, or any other specific or generic non-program information described herein.
[0049] Because such information and program instructions may be employed to implement one or more systems or methods described herein, at least some network device embodiments may include nontransitory machine-readable storage media, which, for example, may be configured or designed to store program instructions, state information, and the like for performing various operations described herein. Examples of such nontransitory machine-readable storage media include, but are not limited to, magnetic media such as hard disks, floppy disks, and magnetic tape; optical media such as CD-ROM disks; magneto-optical media such as optical disks, and hardware devices that are specially configured to store and perform program instructions, such as read-only memory devices (ROM), flash memory (as is common in mobile devices and integrated systems), solid state drives (SSD) and “hybrid SSD” storage drives that may combine physical components of solid state and hard disk drives in a single hardware device (as are becoming increasingly common in the art with regard to personal computers), memristor memory, random access memory (RAM), and the like. It should be appreciated that such storage means may be integral and non-removable (such as RAM hardware modules that may be soldered onto a motherboard or otherwise integrated into an electronic device), or they may be removable such as swappable flash memory modules (such as “thumb drives” or other removable media designed for rapidly exchanging physical storage devices), “hot-swappable” hard disk drives or solid state drives, removable optical storage discs, or other such removable media, and that such integral and removable storage media may be utilized interchangeably. Examples of program instructions include both object code, such as may be produced by a compiler, machine code, such as may be produced by an assembler or a linker, byte code, such as may be generated by for example a Java™ compiler and may be executed using a Java virtual machine or equivalent, or files containing higher level code that may be executed by the computer using an interpreter (for example, scripts written in Python, Perl, Ruby, Groovy, or any other scripting language).
[0050] In some embodiments, systems according to the present invention may be implemented on a standalone computing system. Referring now to
[0051] In some embodiments, systems of the present invention may be implemented on a distributed computing network, such as one having any number of clients and/or servers. Referring now to
[0052] In addition, in some embodiments, servers 320 may call external services 370 when needed to obtain additional information, or to refer to additional data concerning a particular call. Communications with external services 370 may take place, for example, via one or more networks 310. In various embodiments, external services 370 may comprise web-enabled services or functionality related to or installed on the hardware device itself. For example, in an embodiment where client applications 230 are implemented on a smartphone or other electronic device, client applications 230 may obtain information stored in a server system 320 in the cloud or on an external service 370 deployed on one or more of a particular enterprise's or user's premises.
[0053] In some embodiments of the invention, clients 330 or servers 320 (or both) may make use of one or more specialized services or appliances that may be deployed locally or remotely across one or more networks 310. For example, one or more databases 340 may be used or referred to by one or more embodiments of the invention. It should be understood by one having ordinary skill in the art that databases 340 may be arranged in a wide variety of architectures and using a wide variety of data access and manipulation means. For example, in various embodiments one or more databases 340 may comprise a relational database system using a structured query language (SQL), while others may comprise an alternative data storage technology such as those referred to in the art as “NoSQL” (for example, Hadoop Cassandra, Google BigTable, and so forth). In some embodiments, variant database architectures such as column-oriented databases, in-memory databases, clustered databases, distributed databases, or even flat file data repositories may be used according to the invention. It will be appreciated by one having ordinary skill in the art that any combination of known or future database technologies may be used as appropriate, unless a specific database technology or a specific arrangement of components is specified for a particular embodiment herein. Moreover, it should be appreciated that the term “database” as used herein may refer to a physical database machine, a cluster of machines acting as a single database system, or a logical database within an overall database management system. Unless a specific meaning is specified for a given use of the term “database”, it should be construed to mean any of these senses of the word, all of which are understood as a plain meaning of the term “database” by those having ordinary skill in the art.
[0054] Similarly, most embodiments of the invention may make use of one or more security systems 360 and configuration systems 350. Security and configuration management are common information technology (IT) and web functions, and some amount of each are generally associated with any IT or web systems. It should be understood by one having ordinary skill in the art that any configuration or security subsystems known in the art now or in the future may be used in conjunction with embodiments of the invention without limitation, unless a specific security 360 or configuration system 350 or approach is specifically required by the description of any specific embodiment.
[0055]
[0056] Conceptual Architecture
[0057]
[0058] In an embodiment, alignment adjustment computer 501 may comprise, position controller 504, interlocker 506, position calculator 505, border detection module 507, user interface 511, and database 509. Further, alignment adjustment computer 501 may communicate with detector 520 (also herein referred to as detector 147 referring to
[0059] In a preferred embodiment, portable detector 520 comprises a surface to convert radiation striking the detector 520 from radiation source 530 to light photons. The detector is divided into an array of discrete picture elements or pixels to encode output signals based upon the quantity or intensity of the radiation impacting each pixel region. Because the radiation intensity is altered as the radiation passes through the subject, images may be reconstructed based upon the output signals to provide a projection of tissues and other features similar to those available through conventional photographic film techniques.
[0060] In use, the signals generated at pixel locations of the detector 520 are digitized. The digital values are transmitted to processing circuitry where they are filtered, scaled, and further processed to produce an image data set. The data set may then be used to reconstruct a resulting image and the image may be displayed on an output device.
[0061] In a preferred embodiments, collimator 538 comprises a device that adjusts a beam size to a desired size for imaging a desired area through a collimated area created by shutter positions. Collimator 538 may preferably comprise collimator shutter blades 1101-1104 (referring to
[0062] In some embodiments, a collimator hole in shutter blades comprises an embodiment where the collimator may have holes in the shutter blades that may be a source of alignment radiation beams (that is, an intensity of radiation used to measure alignment). In a preferred embodiment, an incomplete closure of the collimator shutter blades 1101-1104 comprise a collimated area. In some embodiments, a positioning aperture plate comprises one or more configurable plates to limit most or all exit radiation from the radiation source, except for those through alignment beam holes to generate a radiation alignment radiation beams, or any object placed between the radiation source and the portable detector to perform an alignment exposure. In some embodiments, a low dose system may comprise an embodiment where radiation beams are created by a portable radiation system capable of emitting a low dose alignment radiation beams.
[0063] During calibration of system 500 radiation source 530 may be placed within a known acceptable spatial distance of a portable detector 520 for calibration. Radiation beams are released towards the portable detector 520 at the acceptable or preconfigured distance to establish a reference image to be used in future processes for calculating source image distance (SID), skew and rotation. it should be appreciated by one with ordinary skill in the art that by capturing a reference image, while calibrating, with known detector sizes, known distances (for example, during initial setup of system 500), then when future images are captured by portable detector 520 (for example, in a diagnostic imaging environment such as a treatment room), the subsequent images will be usable by the computer to compare images to determine alignment, skew, rotation, and the like. The radiation beams may comprise radiation that is emitted through an aperture created by shutter blades 1101-1104 for calibration. In some embodiments, a calibration image is then created with a portable detector 520. The calibration image can then be used to determine a size of an examination area, a skewed or rotated position of portable detector 520, relative to the calibration image or within a predetermined tolerance for subsequent radiation procedures. Further by using preconfigured calibration data, a calculation of virtual border representation, by collimator computer 531.
[0064] In a preferred embodiment, database 509 comprises data structures and systems to hold information for configuring system 500 including, but not limited to, patient profile, patient attributes such as dimension, weight, etc., reference image data, information received by a user such as selecting and/or configuring one or more sizes of one or more detectors. System 500 may use information from database 509 (for example, a preconfigured portable detector size), to programmatically compute a virtual border (for example 802 referring to
[0065] In operation, camera 537 may be installed on, within, or in close proximity to collimator 538. In an embodiment, camera 537 may transmit a plurality of images or video to user interface 511, that is, real-time and live video images of a patient as seen from the perspective of collimator 538, a FOV of the patient as the calculated active area of the detector, or other images. Further, camera 537 may also provide a shaded, blurred, hash or any other pattern on the video images as means to view a specific area within a video or still image, for example, the shaded area representing a perspective of collimator 538 comprising an area for fluoroscopic and/or radiographic imaging and present the shaded area to display 511. The patterned art of the video image may clearly define a size and a location of one or more radiation beams, as would be received from detector 530 during a procedure. According to the embodiment, collimator 538 may further consist of a distance measuring device, represented by SOD device 536, to accurately measure a distance between collimator 538 and the patient. For example, SOD device 536 may comprise of a laser device or ultrasound measuring device.
[0066] In some embodiments, collimator computer 531 may receive the video images from camera 537 and apply video cropping and trimming procedures to the video images, for example, as defined by user interface 511 using gestures, as is known in the art, to define the shaded area (or the entire image) by user gesture commands that may control a size, orientation, and position to establish positioning data. There are many types of gestures, from the simple single-touch swipe gesture, pinch-and-zoom gesture, to the more complex multi-touch twist gesture, where the touch points may move in different directions. This may be performed to adjust an outer perimeter of the video images with respect to the size of detector 520, at a distance measured by SOD device 536. Further, collimator computer 531 may adjust the crop and trim of the shaded area within the video images, so that only the size and the location of a shutter aperture size of shutters 540 (that is, shutters 1101-1104 referring to
[0067] In an embodiment, position controller 504 (or in some embodiments, display 511) may send positioning data to collimator computer 531, which may be used, by shutter controller 532, to adjust the shutter aperture size. The shutter aperture size may then be adjusted by the one or more motorized shutters 540 (also referred to herein as shutters 1101-1104 referring to
[0068] In some embodiments, collimator computer 531 may analyze each frame of acquired image data to determine if an exposed area of detector 520 activates one or more borders of detector 520 (i.e., a predefined plurality of pixels are activated by radiation, for example, on one or more outer edge of detector 520 as depicted by area 1201 referring to
Detailed Description of Exemplary Embodiments
[0069]
[0070] Referring again to
[0071] In a next step 604, interactive display 511 may display an image of calculated size of detector 520, and an image of the patient or object being examined. Further, Interactive display 511 may also display a shaded area within the image, wherein the shaded area may represent a size and a location of a collimated area representing where radiation may be received by a patient (that is, the object within the image). For example, area 811 referring to
[0072] Referring again to
[0073] In an embodiment, if a determination is made by position calculator 505 that radiation beam is not aligned to the center of detector 520, in a next step 610, shutter controller 532 may readjust shutters 540, until the radiation beam is aligned to the center of detector 520. Otherwise, in a next step 609, shutter controller 532 may adjust the size of shutters 540 such that collimated area of collimator 538 is set to a size of an anatomic region to be examined (for example, area 805 referring to
[0074] In step 612, border detection module 507 may continuously monitor a border condition whereby if a border 1201 or border 1204 (referring to
[0075]
[0076] Further, in the instance where detected radiation on the exposed radiation infringes upon one or more borders of detector 520, in a next step 635, shutter controller 532 may adjust shutters 540 in an attempt to correct the detected border infringement. Such an adjustment may be communicated to position controller 504 which may adjust a position of the shaded area on interactive display 511, that is, position controller 504 may continuously ensure, in an embodiment, that the collimated area of collimator 538 shall always mirror the position represented by the shaded area within interactive display 511. In a next step, border detection module 507 may determine whether border infringement is satisfied. If border infringement is satisfied, a next frame of radiation may be initiated by collimator computer 531. Otherwise, radiation exposure may be terminated in a next step 638.
[0077] In an embodiment, image acquisition remains enabled when border infringement is satisfied, and the next frame of x-ray exposure is acquired by collimator computer 531. However, if the exposed area approaches or activates pixels within any of the one or more borders of detector 520, position controller 504 may attempt to reposition the radiation beam towards a center position of detector 520. In case where the repositioning of the radiation beam does not satisfy the border infringement due to the mechanical limitations of collimator 538, then a radiation exposure termination command may be sent by alignment adjustment computer 501 to collimator computer 531. In some embodiments, an override switch (not shown) may disable the border detection process 612 at any time before, during or after a procedure.
[0078]
[0079] A portable detector 520 may be a freely movable system may receive x-rays that converts X-ray photons received on its surface to lower energy photons, and subsequently to electric signals, which are acquired and processed to reconstruct an image of features within a subject.
[0080] In some embodiments, a collimator may adjust a beam size to a desired size for imaging a desired area by narrowing radiation beam that can function to create an alignment beam aperture, and/or narrow the beam for other imaging purposes
[0081] In some embodiments, one or more positioning plate between the portable radiation source and the portable detector system 520 may block most radiation except for the positioning aperture which constrains the beams to form an alignment beam.
[0082] In some embodiments herein termed the “collimator hole in shutter blades” embodiment, the “incomplete closed collimator” embodiment, the “positioning aperture plate” embodiment, and the “low dose system” embodiment wherein the “collimator hole in shutter blades” embodiment comprises an embodiment where the collimator has holes in the shutter blades that are the source of the radiation alignment radiation beams, the “incomplete closed collimator” embodiment comprises an embodiment where the collimator does not have holes in the shutter blades, but rather generates an alignment radiation beams by having an incomplete closure of the collimator shutter blades, the “positioning aperture plate” embodiment comprises one or more configurable plates that serves to limit most or all exit radiation from the radiation source, except for those through the alignment beam holes, thereby generating a radiation alignment radiation beams, the “low dose system” comprises an embodiment where the alignment radiation beams are created by a portable radiation system capable of emitting a low dose alignment radiation beam.
[0083] To create a reference or alignment image, the radiation source system is placed within known acceptable spatial parameters of the portable detector 520 in step 701 wherein the size of the portable detector 520 is known as is the size of the maximum, minimum, and desired collimated area of the collimator. In a next step 702, alignment radiation beams are then released through one or more positioning aperture used for aligning the portable radiation source and the portable detector 520. Upon the alignment beams striking the portable detector 520, in a next step, 703, a reference image is generated.
[0084] The reference image comprises an image, which may be radiographic or fluoroscopic, may be associated with other alignment information data operably connected to a computer and stored in memory in order to determine alignment of detector 520 to x-ray source, e.g., at, for example, the time of manufacture and assembly.
[0085] It should be appreciated that a reference image when used with a procedure image may be used to facilitate calculations of source image distance (SID) and orientation of radiation source relative to detector and may be used with subsequent imaging procedures to identify differences, sizes, distances, and the like. With system 500 recognizing SID and SOD, other calculations may be performed such as determining object thickness.
[0086] By using previously captured reference images, subsequent images with known information (for example, size of detector), a virtual border 802 may be programmatically calculated by border detection 507. A virtual border may then be used to detect a border infringement condition.
[0087] In some embodiments, visual indicia may be displayed to notify a user, via interactive display 511 (referring to
[0088]
[0089] As depicted in
[0090] In an embodiment, resizing and movement of the shaded area may be transmitted by collimator computer 531 to move the collimator shutters to pattern a collimated x-ray to corresponding location on detector 520. In some embodiments, interactive display may be a smartphone, mobile device, tablet device, PDA device, or any other device having an interactive display. In a preferred embodiment, a user, such as an operator or radiologist, may be able to readjust the shaded area over the camera image. The shaded area may be readjusted using any conventional technique, such as pinch-to-zoom, or other multi-touch or gesture-based techniques. directly to interactive display 511 whereby the camera image 800 can be manipulated (for example, to resize area 805.
[0091]
[0092]
[0093]
[0094] In a preferred embodiment, mobile imaging system 16 generally comprises a mobile cart having caster wheels 12, a portable radiation source 18, operatively attached to a manipulatable arm 17 and capable of moving in all degrees of freedom, and a portable flat-panel digital radiation detector 22. Importantly, portable radiation source 18 is capable of producing both radiographic (via single radiation emissions) and fluoroscopic radiation images (via pulse or continuous radiation emissions). Detector 22 is capable of acquiring both radiographic (via single radiation emissions) and fluoroscopic radiation images (via pulse radiation emissions). Imaging system 16 also comprises a collimator 19 positioned adjacent to the portable radiation source 18 which permits a controlled stream of radiation 14 to pass into a region in which a patient 11 is positioned on table 2. An aperture ensures that the stream of radiation 14 is the correct size for the detector 22 further described below. A portion of the radiation 14 passes through or around the subject and impacts detector 22. The detector 22 converts photons received from the radiation on a surface of detector 22 to lower energy photons, and subsequently to electric signals, which are acquired and processed by the system computer to reconstruct an image of the features within the subject.
[0095] As can be appreciated from
[0096] In an operating configuration, the subject is positioned on table 2 and located between portable radiation source 18 and detector 22. Detector 22 can be coupled via wirelessly or via data cable 24 to system computer 35) which commands acquisition of the signals generated from detector 22, although wireless communication between detector 22 and alignment computer 35 is the more preferred method. As the detector receives radiation 14 that may pass through the subject, imaging data is transmitted to system and alignment adjustment computer 35 (also referred to herein as alignment adjustment system 501).
[0097] In most cases, system computer 35 may also execute various signal processing and filtration functions, such as for initial adjustment of dynamic ranges, interleaving of digital image data, and so forth. Further, system computer 35 also enables a user to control the operation of mobile imaging system 16 to produce a desired image. Images processed by system computer 35 may be displayed on a monitor 15. Electrical power for portable radiation source 18, collimator 19, and detector 22 may be provided by a conventional AC/DC power supply 25 that may be located within the cart, and which may be electrically connected to any available power source.
[0098] Because movement of detector 22 is independent of portable radiation source 18, it may be possible for radiation 14 to strike detector 22 at an angle or not centered to detector 22 producing inaccurate images of the subject. Further, alignment adjustment computer 35 may send processed data pertaining to orientation and position of portable radiation source 18 to display 41. The data received by LCD display 41 may visually display the orientation and location of detector 22 with respect to portable radiation source 18.
[0099] Alignment between the portable radiation source 18 and the detector 22 and size of stream of radiation 14 is of critical importance. If the portable radiation source 18 and the detector 22 are not aligned, a portion of the stream of radiation 14 may not pass through the patient 11 at the intended position, orientation or angle, so the stream of radiation 14 cannot be properly received by the detector 22, and an accurate image of the patient 11 cannot be obtained. Furthermore, even if detector 22 is directly in line with portable radiation source 18, detector 22 should be oriented such that its plane is perpendicular to portable radiation source 18 for proper detection of radiation 14. In addition, for fluoroscopic procedures, alignment and stream of radiation 14 must conform to regulatory standards of alignment of the radiation stream size of portable radiation source 18 to detector 22. That is, if portable radiation source 18 is not within the alignment tolerance, or stream of radiation 14 is not of the proper size, mobile imaging system 16 must inhibit portable radiation source 18 from producing radiation 14. The tolerances may vary but will typically be 2% of the distance between portable radiation source 18 and detector 22 (given by source image distance, SID). The predetermined alignment conditions of this invention also may vary, but typically in the United States, for example, will be one or more of SID is usually set at 40 inches, (40 inches×0.2=0.8 inches total), i.e., portable radiation source 18 and detector 22 cannot be more than 0.4 inches off the center axis.
[0100] Alignment of a portable radiation source and a portable detector are outlined in U.S. Pat. Nos. 9,788,810, 9,693,746, and 10,918,347 which are hereby incorporated by reference.
[0101]
[0102] Further, one or more control knobs, represented by control knob 1002 may also be provided in order to control the upper diaphragms 1004 and lower diaphragms 1006. In general, such control knobs 1002 may be used to open and close the set of diaphragms 1004, 1006, in order to set a path for radiation beams that are received from x-ray source 1001 during an imaging process. Furthermore, a light switch 1003 may also be provided to control the workings of high intensity light source 1007.
[0103] As shown in
[0104] Disadvantages of a light source and mirror assembly, such as that described in
[0105]
[0106] Metallic barrier cone 1107 may be used to diverge and limit radiation beams from a point source associated to radiation source 530 to the calculated size of the detector active area. Advantageously a cone shape for metallic barrier cone reducing a volume of irradiated to the size of the detector. Further, but not requiring a metallic housing for light source and mirror arrangement (as is required in systems known in the art), weight of the head unit is advantageously decreased resulting in a portable radiation system with a lower weight, lower center of gravity, and more portability.
[0107]
[0108]
[0109]
[0110]
[0111]
[0112] All references cited in this specification are herein incorporated by reference as though each reference was specifically and individually indicated to be incorporated by reference. The citation of any reference is for its disclosure prior to the filing date and should not be construed as an admission that the present invention is not entitled to antedate such reference by virtue of prior invention.
[0113] It will be understood that each of the elements described above, or two or more together may also find a useful application in other types of methods differing from the type described above. Without further analysis, the foregoing will so fully reveal the gist of the present invention that others can, by applying current knowledge, readily adapt it for various applications without omitting features that, from the standpoint of prior art, fairly constitute essential characteristics of the generic or specific aspects of this invention set forth in the appended claims. The foregoing embodiments are presented by way of example only; the scope of the present invention is to be limited only by the following claims.
[0114] The skilled person will be aware of a range of possible modifications of the various embodiments described above. Accordingly, the present invention is defined by the claims and their equivalents.