EXAMINATION TABLE DEVICE, MEDICAL IMAGE CAPTURING SYSTEM, AND OPERATION METHOD OF EXAMINATION TABLE DEVICE
20250009584 ยท 2025-01-09
Assignee
Inventors
Cpc classification
A61G13/104
HUMAN NECESSITIES
International classification
Abstract
With an examination table device according to an aspect of the present invention, locking of a traveling unit and locking of a top plate are automatically (independently of an operation of a user) are performed in conjunction with connection between the examination table device and a medical image capturing apparatus, so that it is not necessary for the user to perform operations for the locking of the traveling unit and the locking of the top plate in a case of the connection and the connection release. In addition, there is no concern that the traveling unit is not locked due to operation forgetting, the locking release of the top plate is not in time for an operation timing, or the like. Therefore, the locking states of the traveling unit and the top plate can be reliably controlled.
Claims
1. An examination table device comprising: a body part including a top plate on which a subject is placed; a traveling unit that causes the body part to travel; a connection connector unit that mechanically and electrically connects the body part to a medical image capturing apparatus configured separately from the body part, in an attachable and detachable manner; a connection operation member that receives operations of giving instructions to perform the connection and a release of the connection; a connection detection unit that detects presence or absence of the connection; and a controller that controls a locking state of the top plate and a travelable state of the traveling unit based on the detected presence or absence of the connection, wherein the controller locks the traveling unit to make the body part unable to travel and releases locking of the top plate to make the top plate slidable in response to the detection of the connection via the connection detection unit, and releases the locking of the traveling unit to make the body part travelable and locks the top plate to make the top plate unable to slide in response to the detection of the release of the connection via the connection detection unit.
2. The examination table device according to claim 1, wherein the traveling unit includes a caster that is lockable via electric power, and the controller locks the caster via the electric power to make the body part unable to travel, and releases the locking to make the body part travelable.
3. The examination table device according to claim 1, wherein the traveling unit includes a stopper that is able to protrude toward a traveling surface from the body part, and the controller locks the traveling unit by causing the stopper to protrude and abut on the traveling surface, and releases the locking of the traveling unit by separating the stopper from the traveling surface.
4. The examination table device according to claim 3, wherein the traveling unit includes a first solenoid coil, a first spring member that is compressed by energizing the first solenoid coil, and the stopper connected to the first spring member, and the controller separates the stopper from the traveling surface by energizing the first solenoid coil to compress the first spring member, and causes the stopper to protrude and abut on the traveling surface by stopping energizing the first solenoid coil to stop compressing the first spring member.
5. The examination table device according to claim 1, wherein the body part includes a second solenoid coil, a second spring member that is compressed by energizing the second solenoid coil, and a locking pin connected to the second spring member, and the controller removes the locking pin from the top plate by energizing the second solenoid coil to compress the second spring member, and causes the locking pin to protrude and inserts the locking pin into the top plate by stopping energizing the second solenoid coil to stop compressing the second spring member.
6. The examination table device according to claim 1, wherein the body part includes a third solenoid coil and a magnetic material disposed on the top plate to face the third solenoid coil, and the controller makes the top plate unable to slide by energizing the third solenoid coil to attract the magnetic material on a side of the third solenoid coil, and makes the top plate slidable by stopping energizing the third solenoid coil to release the attraction.
7. The examination table device according to claim 1, wherein the connection operation member includes a connection pedal that receives an operation for the connection, and a connection release pedal that receives an operation for the release of the connection.
8. The examination table device according to claim 1, further comprising: a panel that displays one or more of a state of the connection, a locking state of the traveling unit, or the locking state of the top plate.
9. The examination table device according to claim 8, wherein the panel includes a locking operation member that receives a locking operation of giving an instruction to lock the traveling unit in a case in which the examination table device is not connected to the medical image capturing apparatus, and a locking release operation of giving an instruction to release the locking via the locking operation, and the controller locks the traveling unit in response to the locking operation, and releases the locking of the traveling unit in response to the locking release operation.
10. A medical image capturing system comprising: the examination table device according to claim 1; and the medical image capturing apparatus.
11. The medical image capturing system according to claim 10, wherein the medical image capturing apparatus includes any one of an MRI apparatus, an X-ray CT apparatus, or a PET apparatus.
12. An operation method of an examination table device including a body part including a top plate on which a subject is placed, a traveling unit that causes the body part to travel, a connection connector unit that mechanically and electrically connects the body part to a medical image capturing apparatus configured separately from the body part, in an attachable and detachable manner, a connection operation member that receives operations of giving instructions to perform the connection and a release of the connection, a connection detection unit that detects presence or absence of the connection, and a controller that controls a locking state of the top plate and a travelable state of the traveling unit based on the detected presence or absence of the connection, the operation method comprising: via the controller, locking the traveling unit to make the body part unable to travel and releasing locking of the top plate to make the top plate slidable in response to the detection of the connection via the connection detection unit; and releasing the locking of the traveling unit to make the body part travelable and locking the top plate to make the top plate unable to slide in response to the detection of the release of the connection via the connection detection unit.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0024]
[0025]
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[0028]
[0029]
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[0033]
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[0037]
DESCRIPTION OF THE PREFERRED EMBODIMENTS
[0038] Hereinafter, preferred embodiments of an examination table device, a medical image capturing system, and an operation method of an examination table device according to an embodiment of the present invention will be described with reference to the accompanying drawings. It should be noted that, in the accompanying drawings, some components are not shown for convenience of description in some cases. In addition, the accompanying drawings do not show accurate shapes and dimensions of the examination table device, a medical image capturing apparatus, and the medical image capturing system.
First Embodiment
Overview of Medical Image Capturing System
[0039] First, a configuration of a medical image capturing system will be described. As shown in
[0040] The medical image capturing apparatus 100 and an apparatus body 101 are apparatuses that obtain a tomographic image of a subject 110, and may have any configuration as long as an image of the subject 110 placed on the examination table device 300 can be captured. For example, an apparatus, such as a magnetic resonance imaging (MRI) apparatus using a nuclear magnetic resonance (NMR) phenomenon or an X-ray CT apparatus, can be used. In
[0041] In addition, as described above with reference to
Configuration of Medical Image Capturing Apparatus
[0042]
[0043] The static magnetic field generation source 120 generates a uniform static magnetic field in a static magnetic field space accommodating the subject 110 in a direction orthogonal to a body axis of the subject 110 in a case of a vertical magnetic field method, or in a direction of the body axis of the subject 110 in a case of a horizontal magnetic field method. The static magnetic field generation source 120 of a permanent magnet method, an electromagnet method, or a superconducting method is disposed in the vicinity of the subject 110.
[0044] The gradient magnetic field generation unit 130 includes gradient magnetic field coils 131 that generate gradient magnetic fields in three axial directions of X, Y, and Z, which are a coordinate system (stationary coordinate system) of the medical image capturing apparatus 100, and a gradient magnetic field power source 132 that drives each of the gradient magnetic field coils 131, in a superimposed manner in the static magnetic field space. Gradient magnetic fields Gx, Gy, and Gz are generated in the three axial directions X, Y, and Z by driving the gradient magnetic field power source 132 of each coil in response to a command, that is, control from the sequencer 140 described below. In the imaging, a slice direction gradient magnetic field pulse (Gs) is applied in a direction orthogonal to a slice plane (imaging cross section) to set the slice plane with respect to the subject 110, and a phase encoding direction gradient magnetic field pulse (Gp) and a frequency encoding direction gradient magnetic field pulse (Gf) are applied in the remaining two directions orthogonal to the slice plane and orthogonal to each other, to encode position information in each direction in an echo signal.
[0045] The sequencer 140 repeatedly applies a high-frequency magnetic field pulse (RF pulse) and a gradient magnetic field pulse in a certain pulse sequence, which is predetermined. The sequencer 140 operates based on the control of a central processing unit 171 (CPU) and transmits various commands, that is, controls required for data collection of the tomographic image of the subject 110 to the gradient magnetic field generation unit 130, the high-frequency irradiation unit 150, and the signal detection unit 160.
[0046] The high-frequency irradiation unit 150 irradiates the subject 110 with the RF pulse in order to cause nuclear magnetic resonance in the atomic nucleus spin of the atom constituting the biological tissue of the subject 110. The high-frequency irradiation unit 150 includes the high-frequency oscillator 151, the modulator 152, the high-frequency amplifier 153, and an irradiation coil 154 which is a high-frequency coil on the transmission side. The subject 110 is irradiated with the electromagnetic waves by amplitude-modulating the RF pulse output from the high-frequency oscillator 151 via the modulator 152 at a timing based on the command from the sequencer 140, amplifying the amplitude-modulated RF pulse via the high-frequency amplifier 153, and then supplying the amplified RF pulse to the irradiation coil 154 disposed near the subject 110.
[0047] The signal detection unit 160 detects the echo signal, which is an NMR signal released by the nuclear magnetic resonance of the nuclear spin constituting the biological tissue of the subject 110. The signal detection unit 160 includes a reception coil 161, which is a high-frequency coil on a reception side, the signal amplifier 162, the quadrature phase detector 163, and the analog/digital converter (A/D converter) 164. The NMR signal of the response induced in the subject 110 by the electromagnetic waves applied from the irradiation coil 154 is detected by the reception coil 161 disposed near the subject 110, amplified by the signal amplifier 162, and then divided into signals of two systems orthogonal to each other by the quadrature phase detector 163 at the timing of the command from the sequencer 140, and each of the signals is converted into a digital amount by the A/D converter 164 and is transmitted to the controller 170.
[0048] The controller 170 performs various types of data processing, and displays and stores the processing results. The controller 170 includes a processor such as the CPU 171, a storage device such as an internal memory 172, an external storage device 180 such as an optical disk 181 and a magnetic disk 182, and an input/output unit 190. In a case in which the signal detection unit 160 receives the signal or the data, the CPU 171 executes processing such as signal processing and image reconstruction by using the internal memory 172 as a work area, displays the tomographic image of the subject 110, which is the result thereof, on an output device 200, and records the tomographic image in the external storage device 180.
[0049] The input/output unit 190 performs input and output of various types of control information of the medical image capturing apparatus 100 and control information of the processing performed by the controller 170, specifically, performs input reception and display of imaging parameters of the pulse sequence and the like. The input/output unit 190 consists of, for example, an input device 210 including a pointing device 211 such as a trackball, a mouse, a pad, or a touch panel, and a keyboard 212, and an output device 200 including a display 201 such as a cathode-ray tube (CRT) or a liquid crystal display (LCD), and a printer 202. The input device 210 may be disposed near the output device 200, and may be interactively controlled, for example, by an operator while viewing the display 201 to give an instruction to execute various types of processing on the medical image capturing apparatus 100 via the pointing device 211. In addition, the touch panel that operates as the input device 210 may be disposed on a display surface of the display 201, and the input operation may be performed by selecting or operating the display content of the display 201.
[0050] The subject 110 is placed on a top plate 310 of the examination table device 300 and is accommodated in the static magnetic field space, which is the imaging space, by an examination table movement device 220. The irradiation coil 154 on the transmission side and the gradient magnetic field coil 131 are installed in the static magnetic field space in which the subject 110 is accommodated, to face the subject 110 in a case of the vertical magnetic field method and to surround the subject 110 in a case of the horizontal magnetic field method. The reception coil 161 on the reception side is installed to face the subject 110 or to surround the subject 110.
[0051] It should be noted that, as the imaging target nuclide of the current MRI apparatus, a hydrogen atom nucleus (proton), which is the main constituent substance of the subject 110, is widely used in clinical practice. By visualizing information on a spatial distribution of a proton density or a spatial distribution of a relaxation time of an excited state, a morphology or a function of a human body, such as a head, an abdomen, and limbs, is imaged two-dimensionally or three-dimensionally.
Configuration of examination table device
[0052] Hereinafter, the examination table device 300 will be described.
[0053] The top plate 310 is held by the top plate holding unit 311 and can be slid in an X direction of
[0054] In addition, the pedal unit 400 (connection operation member) is provided on the carriage 313, and the user of the examination table device 300 operates the pedal unit 400, so that a docking unit 320 (connection connector unit) on the examination table device 300 side and a docking unit 230 on the medical image capturing apparatus 100 side are mechanically and electrically connected to each other in an attachable and detachable manner. A processor 350 comprises a connection detection unit 352 (connection detection unit) and a controller 354 (controller), and the connection detection unit 352 detects the presence or absence of the connection between the docking unit 320 and the docking unit 230. The controller 354 controls the locking state of the top plate 310 via the top plate locking mechanism 360, and controls the travelable state of the electric caster 370 (traveling unit) based on the detected presence or absence of the connection.
[0055] It should be noted that the processor 350 is configured by various processors, such as a CPU, and an internal memory. The examination table device 300 comprises a battery (not shown) that supplies power to each unit. The battery can be charged by the power source on the medical image capturing apparatus 100 side while the examination table device 300 is connected to the medical image capturing apparatus 100.
[0056] An operation panel 380 (panel) can display one or more of the connection state, the locking state of the electric caster 370 (traveling unit, caster), or the locking state of the top plate 310, as will be described in detail below. In addition, the operation panel 380 comprises a locking operation member that receives a locking operation for giving an instruction to lock the electric caster 370 in a case in which the examination table device 300 is not connected to the medical image capturing apparatus 100, and a locking release operation to give an instruction to release the locking via the locking operation.
Work of User and Operation of System
[0057] Hereinafter, a work process of the user in the medical image capturing system 10 and the operation of the system in accordance with the work process will be described with reference to
[0058] As shown in
[0059] As shown in
[0060]
Operation Panel
[0061]
Connection Between Examination Table Device and Apparatus Body
[0062] The apparatus body 101 and the examination table device 300 are mechanically connected to each other by hanging a hook 321 provided in the docking unit 320 on a coupling bar 231 provided in the docking unit 230 (step S210). Specifically, as shown in
[0063] In addition, an electrical connector 322 provided in the docking unit 320 is fitted into an electrical connector 232 provided in the docking unit 230, whereby the apparatus body 101 and the examination table device 300 are electrically connected to each other (step S220). Specifically, in a case in which the user further depresses the connection pedal 410, the wire 326 shown in
Operation Accompanying Connection: Locking of Electric Caster and Locking Release of Top Plate
[0064] In a case in which the user depresses the connection pedal 410, the locking of the electric caster 370 (step S200; locking of the traveling unit) and the locking release of the top plate 310 (step S230) are performed in conjunction with the connection between the apparatus body 101 and the examination table device 300. The locking of the electric caster 370 can be performed, for example, by stopping the rotation of the electric caster 370 by meshing gears with each other via electric power, but may be performed by stopping the rotation by inserting the pin into the caster portion as in the locking of the top plate 310 described below. In the medical image capturing system 10 according to the first embodiment, since the electric caster 370 (traveling unit, caster) is locked by electric power in conjunction with the connection in this manner, the user never forgets to operate the locking pedal and lock the electric caster 370. Locking of top plate
[0065]
[0066] In a state in which the apparatus body 101 and the examination table device 300 are not connected to each other, as shown in
[0067] In a case in which the connection detection unit 352 (processor 350) detects the connection between the apparatus body 101 and the examination table device 300, the controller 354 (processor 350) energizes the solenoid coil 362 to compress the spring 364, and removes the locking pin 366 from the top plate 310 as shown in
Raising and Lowering, and Sliding of Top Plate
[0068] The user sets the coil to the subject (step S120), and operates the operation panel 380 or operates the input device 210 of the medical image capturing apparatus 100 or an operation member (not shown) to give an instruction to raise, lower, and slide the top plate 310 (step S130). In response to this instruction, the top plate raising and lowering mechanism 356 raises the top plate 310 and the top plate holding unit 311 to the height of the imaging space of the apparatus body 101 (step S240), and the examination table movement device 220 slides the top plate 310 in the horizontal direction (+X direction in
Imaging
[0069] In a case in which the imaging part of the subject 110 is transported to the imaging position, the user gives an instruction to perform the imaging by operating the input device 210 or the like (step S140), and the imaging is performed in a predetermined sequence in response to the instruction (step S250).
Sliding of Top Plate
[0070] After the imaging ends, the user operates the operation panel 380 or operates the input device 210 of the medical image capturing apparatus 100 or an operation member (not shown) to give an instruction to slide the top plate 310 (step S150), and the examination table movement device 220 slides the top plate 310 in the X direction to return the top plate 310 to the original position in response to the instruction (step S160). In a case in which the top plate 310 is raised and lowered during the connection, the top plate raising and lowering mechanism 356 returns the top plate 310 to the original height.
Release of Connection
[0071] As an examiner (user) depresses the connection release pedal 420 (release pedal) (step S160), the release plate, the locking bar, the locking plate, and the like (not shown) operate, and the wire 326 is pulled. As a result, first, the pin 233 is pushed out from the notch of the coupling tool, and the docking between the electrical connector 232 and the electrical connector 322 is released (step S270: release of the electrical connection). Then, by further depressing the connection release pedal 420 (step S160), the support portion 329 is pushed forward and rides on the protrusion 330, so that the hook 321 is raised to the original position and is removed from the coupling bar 231 (step S280: release of mechanical connection, transition from the state shown in
Operation Accompanying Connection Release
[0072] In a case in which the connection detection unit 352 (processor 350) detects the release of the connection, the controller 354 (processor 350) releases the locking of the electric caster 370 (traveling unit) (step S300) in response to this detection to make the examination table device 300 travelable, and locks the top plate 310 (step S290) to make the top plate 310 unable to slide. The controller 354 can release the locking of the electric caster 370, for example, by releasing the engagement of the gears described above. In addition, the controller 354 can stop compressing the spring 364 by stopping energizing the solenoid coil 362, and can cause the locking pin 366 to protrude and insert the locking pin 366 into the top plate 310, thereby locking the top plate 310. It should be noted that the controller 354 may first perform one of the release of the locking of the electric caster 370 or the locking of the top plate 310, or may perform both in parallel. In a case in which the release of the locking of the electric caster 370 and the locking of the top plate 310 are performed, the user removes the examination table device 300 from the gantry (apparatus body 101) and transports the examination table device 300 (step S170).
Effects of First Embodiment
[0073] As described above, with the medical image capturing system 10 (medical image capturing apparatus 100, examination table device 300) according to the first embodiment, since the locking state of the electric caster 370 and the locking state of the top plate 310 are controlled in conjunction with the connection between the medical image capturing apparatus 100 and the examination table device 300, the locking states of the electric caster 370 (traveling unit, caster) and the top plate 310 can be reliably controlled.
Modification Example
Modification Example of Locking of Traveling Unit
[0074]
[0075] In a case in which the user gives the instruction to release the locking of the traveling unit on the operation panel 380 in a state in which the examination table device 300 is not connected to the apparatus body 101 (medical image capturing apparatus 100), as shown in FIG. 13A, the controller 354 (processor 350) compresses the spring 376 by energizing the solenoid coil 374, and separates the stopper 378 from the traveling surface 900 (traveling surface), thereby releasing the locking of the traveling unit and making the body part 340 (examination table device 300) travelable. In a case in which the examination table device 300 is connected to the apparatus body 101, and in a case in which the examination table device 300 is not connected to the apparatus body 101 but the user has given the instruction to lock the traveling unit on the operation panel 380, as shown in
[0076] One or a plurality of the traveling unit locking mechanisms 372 may be provided. By increasing the number of the traveling unit locking mechanisms 372 and/or increasing the abutting force, it is possible to reliably prevent unintended traveling of the traveling unit.
Modification Example of Top Plate Locking Mechanism
[0077]
Others
[0078] In the examination table device 300 according to the present embodiment, the hardware structure of the processor 350 (connection detection unit 352 and controller 354) that executes the connection detection, the control of the locking states of the top plate 310 and the traveling unit, and the like is, for example, various processors as follows. The various processors include, for example, a central processing unit (CPU) which is a general-purpose processor executing software (program) to function as various processing units, a programmable logic device (PLD), such as a field programmable gate array (FPGA), which is a processor whose circuit configuration can be changed after manufacture, and a dedicated electric circuit, such as an application specific integrated circuit (ASIC), which is a processor having a dedicated circuit configuration designed to perform specific processing.
[0079] The connection detection unit 352 and the controller 354 may be configured by one of these various processors or by two or more processors of the same type or different types (for example, a plurality of FPGAs or a combination of a CPU and an FPGA). A plurality of processing units (connection detection unit 352 and the controller 354) may be configured by one processor. A first example of the configuration in which a plurality of processing units are configured by one processor is a form in which one processor is configured by a combination of one or more CPUs and software, and this processor functions as a plurality of processing units, as represented by a client computer or a server computer. A second example of the configuration is a form in which a processor that implements the functions of the entire system including a plurality of processing units using one integrated circuit (IC) chip is used, as represented by a system on a chip (SoC). As described above, various processing units can be configured by using one or more of the various processors as the hardware structure.
[0080] More specifically, the hardware structure of these various processors is an electric circuit (circuitry) obtained by combining circuit elements such as semiconductor elements. It should be noted that, in a case in which the various processors operate, a program or data recorded on a non-transitory and tangible recording medium, such as a read only memory (ROM), can be referred to, and a recording medium, such as a random access memory (RAM), or an internal memory can be used as a transitory work area during the operation.
[0081] Further, it is needless to say that the present invention is not limited to the above-described embodiments and can be variously modified.
EXPLANATION OF REFERENCES
[0082] 220: examination table movement device [0083] 230: docking unit [0084] 300: examination table device [0085] 310: top plate [0086] 311: top plate holding unit [0087] 313: carriage [0088] 320: docking unit [0089] 340: body part [0090] 350: processor [0091] 352: connection detection unit [0092] 354: controller [0093] 356: top plate raising and lowering mechanism [0094] 360: top plate locking mechanism [0095] 370: electric caster [0096] 380: operation panel [0097] 400: pedal unit