Movement compensation for superimposed fluoroscopy and radiography image

Patent metadata

Field	Value
Publication number	US-9480437-B2
Application number	US-201213709327-A
Country	US
Kind code	B2
Filing date	Dec 10, 2012
Priority date	Dec 20, 2011
Publication date	Nov 1, 2016
Grant date	Nov 1, 2016

Abstract

An X-ray diagnosis apparatus includes a radiography image generating unit, a fluoroscopy image generating unit, a display control unit and an irradiation field changing unit. The radiography image generating unit controls an X-ray irradiation device, an X-ray detection device, a retainer, and a bed system, and generates a radiography image by using a radiography irradiation field. The fluoroscopy image generating unit controls the X-ray irradiation device, the X-ray detection device, the retainer, and the bed system, and generates a fluoroscopy image by using a fluoroscopy irradiation field, the fluoroscopy irradiation field being narrower than the radiography irradiation field. The display control unit generates a superimposed image in which the fluoroscopy image is superimposed on a part of the radiography image, and displays the superimposed image on a display device. The irradiation field changing unit changes the fluoroscopy irradiation field with the superimposed image being displayed.

First claim

What is claimed is:

1. An X-ray diagnosis apparatus comprising:
an X-ray irradiation device configured to irradiate an object with an X-ray, the device including an X-ray source configured to generate an X-ray and a movable aperture device including multiple aperture blades configured to form an X-ray irradiation field;
an X-ray detection device disposed to be opposed to the X-ray irradiation device and configured to detect the X-ray;
a retainer configured to retain the X-ray irradiation device and the X-ray detection device; and
processing circuitry configured to
generate a last image hold (LIH) image as a static image by using a radiography irradiation field as the X-ray irradiation field,
generate fluoroscopy images by using a fluoroscopy irradiation field as the X-ray irradiation field, the fluoroscopy irradiation field being narrower than the radiography irradiation field,
generate superimposed images in which the fluoroscopy images are superimposed on a part of the LIH image,
display the superimposed images on a display device,
slides the aperture blades to enlarge or contact the fluoroscopy irradiation field of the fluoroscopy images, included in the corresponding superimposed images, with a fixed center of the fluoroscopy irradiation field, when an enlarging or contracting instruction of the fluoroscopy irradiation field is input, while the superimposed images are displayed, from an input device, and
enlarge or contact the fluoroscopy irradiation field of the fluoroscopy images, included in the corresponding superimposed images, with the fixed center, when the enlarging or contacting instruction of the fluoroscopy irradiation field is input, while the superimposed images are displayed, from the input device,

wherein an area which is inside a first fluoroscopy image before the contracting and which is outside a second fluoroscopy image after the contracting is applied, indicates a part of the LIH image.

2. The X-ray diagnosis apparatus according to claim 1 , wherein the processing circuitry is configured to control, when relative positions of the object and the X-ray detection device are changed with the displayed superimposed image, the moveable aperture device so as to slide the aperture blades to enlarge or contact the fluoroscopy irradiation field within the radiography irradiation field without changing a fluoroscopy position to generate the fluoroscopy images for the object.

3. The X-ray diagnosis apparatus according to claim 2 , wherein the irradiation field changing unit slides the aperture blades to enlarge or contact the fluoroscopy irradiation field in accordance with an amount that at least one of the X-ray detection device and the retainer slides.

4. The X-ray diagnosis apparatus according to claim 2 , wherein the processing circuitry is configured to control the moveable aperture device so as to slide the aperture blades to enlarge or contact the fluoroscopy irradiation field in accordance with an amount of rotational motion and an amount of arc motion of the retainer.

5. The X-ray diagnosis apparatus according to claim 1 , wherein the processing circuitry controls, while the superimposed image is displayed, the movable aperture device so as to slide the aperture blades to enlarge or contact the fluoroscopy irradiation field within the radiography irradiation field in accordance with an amount of movement of a catheter tip end detected on the fluoroscopy image in such a manner that the catheter tip end is always recognized on the fluoroscopy image.

6. The X-ray diagnosis apparatus according to claim 1 , wherein the processing circuitry updates the radiography image superimposed on the superimposed image by temporarily interrupting generation of the fluoroscopy image after initiation of the generation of the fluoroscopy image, and generating the radiography image during the interruption.

7. The X-ray diagnosis apparatus according to claim 6 , wherein the processing circuitry intermittently interrupts the generation of the fluoroscopy image at a predetermined time interval, and generates the radiography image during the interruption.

8. The X-ray diagnosis apparatus according to claim 6 ,
wherein the processing interrupts the generation of the fluoroscopy image after relative positions of the object and the X-ray detection device are changed, and generates the radiography image during the interruption.

9. A control method for an X-ray diagnosis apparatus including an X-ray irradiation device configured to irradiate an object with an X-ray, the device including an X-ray source configured to generate an X-ray and a movable aperture device including multiple aperture blades configured to form an X-ray irradiation field; an X-ray detection device disposed to be opposed to the X-ray irradiation device and configured to detect the X-ray; a retainer configured to retain the X-ray irradiation device and the X-ray detection device; the method comprising:
generating a last image hold (LIH) image as a static image by using a radiography irradiation field as the X-ray irradiation field;
generating fluoroscopy images by using a fluoroscopy irradiation field as the X-ray irradiation field, the fluoroscopy irradiation field being narrower than the radiography irradiation field;
generating superimposed images in which the fluoroscopy images are superimposed on a part of the last image hold (LIH) image;
displaying the superimposed images on a display device; and
sliding the aperture blades to enlarge or contact the fluoroscopy irradiation field of the fluoroscopy images, included in the corresponding superimposed images, with a fixed center of the fluoroscopy irradiation field, when an enlarging or contracting instruction of the fluoroscopy irradiation field is input, while the superimposed images are displayed, from an input device, and
enlarging or contacting the fluoroscopy irradiation field of the fluoroscopy images, included in the corresponding superimposed images, with the fixed center, when the enlarging or contacting instruction of the fluoroscopy irradiation field is input, while the superimposed images are displayed, from the input device,
wherein an area which is inside a first fluoroscopy image before the contracting and which is outside a second including the second fluoroscopy image is displayed, a part of the LIH image.

10. The control method according to claim 9 , further comprising:
when relative positions of the object and the X-ray detection device are changed within the displayed superimposed images, controlling the movable aperture device so as to slide the aperture blades to enlarge or contact the fluoroscopy irradiation field within the radiography irradiation field without changing a fluoroscopy position to generate the fluoroscopy images for the object.

11. The control method according to claim 10 , further comprising:
sliding the aperture blades to enlarge or contact the fluoroscopy irradiation field in accordance with an amounts that at least one of the X-ray detection device and the retainer slides.

12. The control method according to claim 10 , further comprising:
controlling the movable aperture device so as to slide the aperture blades to enlarge or contact the fluoroscopy irradiation field in accordance with an amount of rotational motion and an amount of arc motion of the retainer.

13. The control method according to claim 9 , further comprising:
controlling the movable aperture device so as to slide the aperture blades to enlarge or contact the fluoroscopy irradiation field within the radiography irradiation field in accordance with an amount of movement of a catheter tip end detected on the fluorosco

Assignees

• Watanabe Koichiro
• Takemoto Hisato
• Ishikawa Takayuki
• Sakaguchi Takuya
• Toshiba Medical Sys Corp

Inventors

• Watanabe Koichiro
• Takemoto Hisato
• Ishikawa Takayuki
• Sakaguchi Takuya

Classifications

• A61B6/06 Primary

  Diaphragms · CPC title

• A61B6/5229

  combining image data of a patient, e.g. combining a functional image with an anatomical image · CPC title

• A61B6/4291

  the detector being combined with a grid or grating · CPC title

• A61B6/487

  involving fluoroscopy · CPC title

• A61B6/022 Primary

  Stereoscopic imaging · CPC title