This application claims priority to Japanese Patent Application No. 2022-040488 filed on Mar. 15, 2022, the entire contents of which are incorporated herein by reference.
The present disclosure relates to biomagnetic measuring apparatuses, biomagnetic measuring systems, and biomagnetic measuring methods.
A biomagnetic measurement result obtained by magnetospinography does not include information related to the positional relationship of bones and nerves. Hence, a morphological image needs to be superimposed onto a magnetic field distribution based on the biomagnetic measurement result or onto a reconfigured current distribution. To superimpose the morphological image onto the biomagnetic measurement result, points (for example, signs or marks) known in the coordinate system of a biomagnetic detector need to be apparent in the morphological image. Marker coils are sometimes used as such known positional points in the coordinate system of the biomagnetic detector.
A biomagnetic measuring apparatus that performs radiographic imaging and biomagnetic measurement, without moving a test subject from a bed, by using electromagnetic coils as markers to accurately superimpose the image diagnosis result onto the biomagnetic measurement result is known (for example, see Patent Document 1). Further, a biomagnetic measuring apparatus that uses an ultrasound image to specify the positional relationship between the magnetic sensor and the position of a nerve during magnetic-field measurement is known (for example, see Patent Document 2).
In a case where marker coils, which are provided in a detection region of a magnetic sensor, are to be used as markers for the alignment of a morphological image, it may be difficult to discriminate the positions of the marker coils due to the images of the marker coils overlapping with the images of, for example, bones and joints in a measurement site. Providing the marker coils in a position that does not interfere with the measurement site, that is, in a position near the boundary of a magnetic detection region prevents magnetic fields that are generated from the marker coils from being detected sufficiently, thus reducing the accuracy of the estimation of the marker coil positions. As a result, the alignment accuracy of the biomagnetic measurement result and the morphological image decreases.
According to one embodiment, a biomagnetic measuring apparatus includes a biomagnetic detector, a first marker configured to be detectable by the biomagnetic detector, a radiation source, a radiation detector provided to face the radiation source, and a second marker configured such that an image of the second marker can be captured by the radiation source and the radiation detector. Positional information about the first marker and the second marker is known or obtainable.
An object of the present disclosure is to improve the alignment accuracy in the superimposition of a biomagnetic measurement result in biomagnetic measurement.
The alignment accuracy is improved in the superimposition of a biomagnetic measurement result in biomagnetic measurement.
Two types of markers are used in the embodiment to improve the alignment accuracy when a biomagnetic measurement result result obtained by a biomagnetic detector and an image captured by radiographic imaging are superimposed onto one another. That is, a first marker that is detectable by the biomagnetic detector and a second marker whose image can be captured by radiographic imaging are used. The first marker is provided in a first region where biomagnetic detection can be performed, and the second marker is provided in a second region where radiographic imaging can be performed. The first region and the second region have portions that overlap with each other. Positional information about the first marker and the second marker is known or obtainable. A state in which positional information is “known or obtainable” refers to a state in which the positional information can be determined using any suitable method. The positional information includes the coordinate positions of the first marker and the second marker and the relative positional relationship between them in a spatial coordinate system. Information about the coordinates and the positional relationship of the first marker and the second marker that have been measured in advanced may be stored in, for example, a given storage unit or a storage table. Alternatively, such information about the coordinates and the positional relationship of the first marker and the second marker that have been measured in advance may be obtained from the cloud or an external source via a network. The coordinates and the positional relationship of the first marker and the second marker may be ideal design values or measured values. In a case where the difference between the designed value and the measured value exceeds an allowable error, the difference may be used as correction information.
By setting a state where the positional information about the first marker that is detected by the biomagnetic detector and the second marker that is captured in a radiographic image can be known, the alignment accuracy of the biomagnetic detection result and the radiographic image can be improved even in cases where the position of the first marker is difficult to discriminate in the radiographic image. The biomagnetic measurement according to the embodiment will be described in detail hereinafter. In the following description, a repetitive description may be omitted by using the same reference symbols to denote the same components. Further, an image of a body part captured by radiographic imaging will be referred to as a “morphological image”. Furthermore, although examples in which a morphological image is superimposed onto a biomagnetic measurement result will be described hereinafter, the embodiment is also applicable to a case in which a biomagnetic measurement result is superimposed onto a morphological image.
<Basic Configuration of Biomagnetic Measuring Apparatus>
The biomagnetic measuring apparatus 10 includes a biomagnetic detector 12, a first marker M1 configured to be detectable by the biomagnetic detector 12, and a second marker M2 configured such that its image can be captured by emitting radiation from a radiation source 5. The first marker M1 is provided in a first region 120 that is detectable by the biomagnetic detector 12, the second marker M2 is provided outside of the first region 120. The bed 13 configured to support the subject S is placed in a biomagnetic measurement space illustrated in
The position of the bridge 14 and the number of bridges 14 are not limited to those exemplified in
The radiation source 5 configured to emit radiation is installed above the bridge 14, that is, above the biomagnetic detector 12. The radiation source 5 emits radiation that is transmitted through a living body. X-rays, α-rays, β-rays, γ-rays, or particle beams with energies equal to these can be used as the radiation. The bridge 14 is transparent to the radiation emitted from the radiation source 5, and is made of a non-magnetic material that does not interfere with biomagnetic measurement. Forming the bridge 14 with a material that has high radiation transmittance can reduce the amount of radiation exposure to the subject S. The radiation source 5 may be installed so that the irradiation position, irradiation angle, and the like can be changed in accordance with the irradiation position or the position of the bridge 14.
To allow the bridge 14 to be situated near the biomagnetic detector 12, the bridge 14 is made of a non-magnetic material. It is desirable for the bridge 14 to be a non-metallic element in the interest of suppressing the influence of Johnson noise (thermal noise). Further, to support the measurement site of the subject S, it is desirable for the bridge 14 to have some degree of mechanical strength and an external shape that corresponds to the shape of the measurement site. The bridge 14 is made of, for example, glass fiber reinforced plastic (GFRP), polycarbonate, or ceramic and is processed into a desired shape by, for example, injection molding or cutting.
The first marker M1 and the second marker M2 are embedded in the bridge 14. The first marker M1 is provided at substantially the center of the bridge 14. The first marker M1 generates a magnetic field in response to application of a current. The first marker M1 is made of, for example, a non-magnetic metal material that has been patterned into a coil-shape. Applying a current to the coil allows the first marker M1 to function as a magnetic marker that is detectable by the biomagnetic detector 12. The coordinate position of the first marker M1 in the spatial coordinate system is known or obtainable.
The first marker M1 may be provided in the center portion of the bridge 14 or may be provided in a position other than the center of the bridge 14 as long as the magnetic field can be detected well by biomagnetic detector 12. A coiled wire may be used as the first marker M1. In a case where the first marker M1 is to be provided on the curved surface of the bridge 14, a coiled pattern formed on a flexible printed circuit (FPC) may be used as the first marker M1.
The second marker M2 is provided in a location, such as the end portion of the bridge 14, that does not interfere with the biomagnetic measurement and allows radiographic imaging using the radiation source 5 to be performed. The radiation transmittance of the second marker M2 with respect to the radiation from the radiation source 5 is lower than the radiation transmittance of the first marker M1. Hence, the second marker M2 functions as a radiation marker. The second marker M2 may be formed by, for example, a non-magnetic metal ball or a metallic pattern. The second marker M2 may be provided outside of the first region 120, which is the detection region of the biomagnetic detector 12. The coordinate position of the second marker M2 or the relative position of the second marker M2 with respect to the first marker M1 in the spatial coordinate system is known or obtainable. The first marker M1 and the second marker M2 are provided on the lower surface of the bridge 14, that is, near the surface that is opposite the biomagnetic detector 12 so as to avoid contact with the subject S.
A magnetic sensor array 121 of the biomagnetic detector 12 is provided at a position facing the bridge 14. The magnetic sensor array 121 detects the biomagnetic field emitted from the measurement site of the subject S placed on the bridge 14. In a case where the measurement site is the neck, the mutually opposing surfaces of the biomagnetic detector 12 and the bridge 14 are formed in a shape conforming to the rear side of the human cervical spine. The magnetic sensor array 121 detects the magnetic field that is generated with the neural activity of the cervical spinal cord. It is desirable for the bridge 14 to be in a shape that conforms to the surface shape of the biomagnetic detector 12 so as to allow the biomagnetic detector 12 and the bridge 14 to be in contact with each other without a gap therebetween. Although the biomagnetic signals emitted from the measurement can be detected with lower attenuation as the distance between the biomagnetic detector 12 and the measurement site of the subject S decreases, the thickness of the bridge 14 is set appropriately in balance with the mechanical strength.
The magnetic sensor array 121 is fixed to, for example, an insulated container that has a temperature adjustment function. For example, superconducting quantum interference devices (SQUID), magnetoresistive (MR) sensors, magneto-impedance (MI) sensors, optically pumped atomic magnetometers (OPAM) known as room-temperature magnetic sensors, and the like can be used as the magnetic sensors constituting the magnetic sensor array 121.
In a case where SQUID sensors are used, the magnetic sensor array 121 is housed in an insulating container called a cryostat and is cooled to a very low temperature. In a case where magnetic sensors that do not require cooling by liquid helium are used, a sensor container other than the insulated container may be used. The position of the biomagnetic detector 12 may be fixed within the measurement space to minimize the influence of magnetic field fluctuations.
By separately providing the first marker M1 and the second marker M2 whose positional information in the spatial coordinate system is known or obtainable, a morphological image that has been captured by radiographic imaging can be accurately superimposed onto a biomagnetic measurement result. The superimposition of the morphological image onto the biomagnetic measurement result will be described later.
The bed 13 includes a lifting mechanism. The bed 13 is raised in the +Z direction when radiographic imaging is to be performed. The rising of the bed 13 causes the bridge 14 that is fixed to the bed 13 to also rise, thereby creating a gap between the biomagnetic detector 12 and the bridge 14. The radiation detector 16 is installed in this gap. For example, a mount 19 for the attachment of the radiation detector 16 is provided between the first portion 131 and the second portion 132 of the bed 13, and the radiation detector 16 is set to the mount 19.
In the case of X-ray imaging, the radiation detector 16 may be a flat panel detector (FPD). The FPD detects, via individual elements, the X-rays transmitted through the subject S and outputs an electrical signal corresponding to the X-ray dose. Alternatively, an imaging plate that uses a film coated with photostimulable phosphor may be used instead of the FPD. In the case of the latter, the energy of the radiation transmitted through the subject S is accumulated in the photostimulable phosphor. Irradiation by light of a specific wavelength or an electromagnetic wave is performed after imaging, and electrical signals corresponding to the amount of flash produced by the stimulus of the irradiation are obtained.
After the radiation detector 16 is set on the mount 19, an image of the measurement site is captured in the second region 150, which is the imaging region determined by the radiation source 5 and the radiation detector 16. The radiographic image of the measurement site includes the images of the first marker M1 and the second marker M2 provided in the bridge 14. In a case where the first marker M1 is provided at the center of the bridge 14, the first marker M1 may not be clearly identifiable due to the image of the first marker M1 overlapping with a bone or a joint at the measurement site. In contrast, the image of the second marker M2 provided at the end portion of the bridge 14 can be clearly captured without interfering with the radiographic image of the measurement site. The positions of the first marker M1 and the second marker M2 in the coordinate system of the biomagnetic detector 12 are already known. Hence, even in a case where the radiographic image of the first marker M1 is unclear, the morphological image can be accurately superimposed onto the biomagnetic measurement result, which is obtained by the radiographic imaging, based on the relative position of the second marker M2 with respect to the first marker M1.
In a case where biomagnetic measurement is to be performed after radiographic imaging, the radiation detector 16 is removed from the mount 19 and the bed 13 is lowered after the end of radiographic imaging. The lowering of the bed 13 causes the bridge 14 to also be lowered, thus bringing the bridge 14 to be in close contact with the upper surface of the biomagnetic detector 12. Subsequently, the biomagnetic measurement described above with reference to
The lifting mechanism of the bed 13 may be manual or electric. An electric lifting mechanism including a hydraulic cylinder and an electric pump may be used. The lifting mechanism may be provided independently for each of the first portion 131 and the second portion 132 of the bed 13 so as to move both the first portion 131 and the second portion 132 simultaneously in the Z direction or to move only one of the first portion 131 and the second portion 132 in the Z direction.
Changing the height of the bed 13 changes the scale of the radiographic image relative to the measurement result of the biomagnetic detector 12. In a case where the biomagnetic data of the measurement site are obtained at a lowered position of the bed 13 and the morphological image is obtained by radiographic imaging at a raised position of the bed 13, the amount by which the bed 13 is raised, that is, the amount of change in the height position of the bed 13 needs to be known to superimpose the morphological image onto the biomagnetic measurement result.
Hence, the magnetic field of the first marker M1 may be measured at the raised position of the bed 13 without the radiation detector 16. Although the biomagnetic detector 12 will hardly detect the biomagnetic field of the skin surface of the subject S when the bed 13 is in the raised position, the biomagnetic detector 12 can detect the magnetic field generated from the first marker M1 when the first marker M1 is energized. By measuring the magnetism of the first marker M1 both in a state where the bed is in the lowered position and in a state where the bed is in the raised position, a difference vector of the two measurement results can be calculated to determine the amount by which the bed is raised (that is, the distance the bed has been raised).
As described above, in order to superimpose the morphological image, which is obtained by radiographic imaging, onto the biomagnetic measurement result, an object whose position in the spatial coordinate system is known needs to be captured in the radiographic image. The second marker M2 can be used as an object whose position in the spatial coordinate system is known or obtainable. The second marker M2 is provided in an imaging range, that is, is, in the second region 150 that is determined based on the positional relationship between the radiation source 5 and the radiation detector 16.
The second marker M2 is made of a non-magnetic metal capable of being radiographically imaged (that is, a non-magnetic metal that has a low radiation transmittance) and does not hinder biomagnetic measurement. For example, brass, copper, or tungsten can be used for the second marker M2. In a case where automatic circle detection of X-ray images can be used, the second marker M2 may be a sphere. The sphere cannot be embedded in the bridge 14 if the sphere is too large. However, detecting the position of the sphere in the radiographic image is difficult if the sphere is too small. Hence, the sphere needs to be of a suitable size. The diameter of the sphere in a case where a sphere is used as the second marker M2 is preferably 1 mm or more and 10 mm or less or is more preferably 2 mm or more and 6 mm or less.
The first marker M1 and the second marker M2 are measured in three dimensions from the same reference point in the actual spatial coordinate system, and the relative distance between the first marker M1 and the second marker M2 is known or is obtainable. This measurement result and the result of the position estimated based on the first marker M1 can be combined to determine the positional coordinates of the second marker M2 in the spatial coordinate system.
<Arrangement of Markers>
The first marker M1 is provided at substantially the center of the body 141. Wiring W for supplying current is connected to the first marker M1. A portion of the wiring W is embedded together with the first marker M1 in the bridge 14A and is connected to an external current source. Although the wiring W is depicted using a single dotted line for the sake of descriptive convenience in
The second marker M2 is embedded in the flat portion 143 of the bridge 14A. The second marker M2 includes two markers M21 and M22 (a plurality of second markers) that are provided at a predetermined distance away from each other. Both the markers M21 and M22 may be non-magnetic metal spheres. In such a case, the markers M21 and M22 appear as two circles or dots in the radiographic image. Let D1 (for example, 50 mm) be a center-to-center distance between the marker M21 and the marker M22 on the flat portion 143 and D2 (for example, 80 mm) be a center-to-center distance between two circles in the radiographic image. When a morphological image obtained by radiographic imaging is superimposed onto a magnetic field distribution, the morphological image is enlarged or reduced to D1/D2 in accordance with the biomagnetic measurement result.
The positional relationship of the marker M21 and the marker M22 with respect to the first marker M1 is known. After the radiographic image has been enlarged or reduced, the markers M21 and M22 in the morphological image can be relatively aligned with respect to the position of the first marker M1 that is detected in the biomagnetic measurement. As a result, the radiographic image can be accurately superimposed onto the biomagnetic measurement result.
In
The second marker M2 appears as a line segment in the radiographic image. The image data obtained from radiographic imaging can be enlarged or reduced to the scale of the biomagnetic measurement result based on a length L1 of the second marker M2 in the flat portion 143 and a length L2 of the line segment in the radiographic image. The relative positional relationship of the second marker M2 with respect to the first marker M1 is known. After the image data is enlarged or reduced, the relative position of the second marker M2 in the radiographic image can be aligned with respect to the position of the first marker M1 that was estimated from the biomagnetic measurement result. As a result, the morphological image can be accurately superimposed onto the biomagnetic measurement result.
The first marker M1 and the second marker M2 are provided in the body 141. The first marker M1 is provided at substantially the center of the body 141 where the magnetic field is easily detected. The second marker M2 is embedded in an end portion of the body 141 such that the second marker M2 is outside of the magnetic detection region. Placing the first marker M1 in the first region 120 where the magnetic detection sensitivity is favorable allows the position of the first marker M1 in the measured magnetic field data to be estimated accurately. Providing the second marker M2 to be outside of the magnetic detection region (the first region) of the biomagnetic detector 12 and to be inside of the imaging region (the second region) allows the relative position of the second marker M2 with respect to the first marker M1 to be obtained without interfering with, for example, bones or joints that are captured in the radiographic image.
The second marker M2 can be used to enlarge or reduce the morphological image suitably, thus allowing the converted morphological image to be accurately superimposed onto the biomagnetic measurement result.
Although the bridge 14E is provided with the flat portion 143 and the two markers M21 and M22 are embedded in the flat portion 143 in
<Biomagnetic Measuring System>
In
In
The processor 31 also aligns, based on the positional relationship between the first marker M1 and second marker M2, the position of the second marker M2 in the morphological image with respect to the position of the first marker M1 that has been estimated from the magnetic field data. Subsequently, the processor 31 superimposes the morphological image onto the magnetic field data or a current distribution estimated from the magnetic field data. The position of the first marker M1 in the magnetic field data can be obtained by solving, based on the amplitude and phase of the magnetic field waveform from the first marker M1, an inverse problem by a known method such as an optimization algorithm. The image in which the morphological image is superimposed onto the biomagnetic measurement result or an analysis image thereof is output and displayed on the display device 40.
The marker positional information storage unit 304 stores information related to the positional relationship of the first marker M1 and the second marker M2 that has been measured in advance or obtained from an external device. The radiographic image storage unit 305 stores the radiographic image obtained by the radiation detector 16. The radiographic image includes the radiographic image of the second marker M2. The magnetic field data storage unit 306 stores the magnetic field data obtained from the biomagnetic detector 12. As described above, the magnetic field data includes the magnetic field information of the surface of the measurement site of the subject S and the magnetic field information generated by the first marker M1. In a case where the amount by which the bed 13 is raised is to be obtained based on the change in the magnetic field of the first marker M1, the magnetic field data may include the magnetic field information of the first marker M1 at the raised position (imaging position) of the bed 13.
The conversion factor calculator 302 uses the second marker M2, which is included in the radiographic image stored in the radiographic image storage unit 305, and the positional information, which is stored in the marker positional information storage unit 304, to calculate a factor for enlarging or reducing the radiographic image. The morphological image superimposition unit 303 generates a morphological image by converting, based on the obtained enlargement factor or the reduction factor, the scale of the radiographic image into the scale of the coordinate system. Based on the relative positional information of the second marker M2 with respect to the first marker M1, the morphological image superimposition unit 303 aligns the position of the second marker M2 in the morphological image relative to the position of the first marker M1 that has been estimated from the magnetic field data. As a result, the morphological image is superimposed onto the magnetic field data that is the biomagnetic measurement result.
The current distribution generator 301 uses an estimation method such as spatial filtering to estimate a magnetic field source, that is, the current distribution within the living body from the magnetic field data within a boundary determined by the contour of the morphological image. The current distribution generator 301 subsequently generates a reconfigured current surface. The reconfigured current surface is output and displayed on the display device 40.
The information processing apparatus 30 superimposes the morphological image onto the magnetic field data, that is, the biomagnetic measurement result based on the positional information of the first marker M1 and the second marker M2 stored in the memory 32 or obtained from an external device (step S3). The boundary of the magnetic field data measured in the measurement site is determined as a result. Subsequently, the magnetic field source, that is, the distribution of the current source in the living body may be analyzed within the boundary and may be output.
In the information processing apparatus 30, the conversion factor that is to be used to acquire correspondence with the biomagnetic measurement result is calculated from the second marker M2 included in the morphological image, and the morphological image is enlarged or reduced based on the obtained conversion factor (step S13). The morphological image is superimposed onto the biomagnetic measurement result by aligning, based on the positional relationship between the first marker M1 and the second marker M2, the position of the second marker M2 in the scaled morphological image relative to the position of the first marker M1 that has been estimated from the magnetic field data (step S14). As a result, the measurement site is associated with the magnetic field obtained from the skin surface.
The information processing apparatus 30 analyzes the magnetic field within the boundary of the measurement site, and reconfigures the magnetic field distribution of the skin surface into the magnetic field distribution (current source distribution) inside the living body (step S15). The reconfigured current distribution is output and displayed (step S16).
In the biomagnetic measuring system 1, the magnetically detectable first marker M1 and the second marker M2 whose image can be captured by radiographic imaging are provided in the bridge 14. Hence, the positional relationship between the first marker M1 and the second marker M2 does not change, thus allowing the positional relationship to be obtained by a single measurement and be repeatedly used as a constant piece of positional information. Placing the first marker M1 within the detection range of the biomagnetic detector 12 improves the accuracy in the positional estimation of the first marker M1. Placing the second marker M2 in the imaging range so that the second marker M2 is outside of the magnetic detection range allows radiographic imaging to be performed at a position where the second marker M2 does not interfere with the measurement site. As a result, an image of the second marker M2 can be captured together with the measurement site. Since the magnetic field data and the morphological image are aligned based on the relative positional relationship between the first marker M1 and the second marker M2 that is obtained in advance, the morphological image can be accurately superimposed onto the biomagnetic measurement result even in a case where it is difficult to discriminate the first marker M1 in the morphological image.
Biomagnetic measurement has been described based on specific configurational examples. However, the present disclosure is not limited to the examples described above. Although it is preferable for the shape of the bridge 14 to conform to the upper surface of the biomagnetic detector 12, the surface shape of the bridge 14 need not completely match. A triangular mark or a rectangular mark may be used as the second marker M2 instead of a sphere or a linear pattern. Since the first marker M1 need only be able to generate a magnetic field through application of a current, the first marker M1 is not limited a spiral coil and may be a single loop. The biomagnetic measurement according to the embodiment is not limited to the measurement of a magnetic field signal from the cervical spinal cord, and is also applicable to the biomagnetic measurement of the cauda equina nerve and other nervous systems.
The radiation source 5 is provided above the biomagnetic detector 12 and the radiation detector 16 is provided at a position that faces the radiation source 5 in the embodiment. However, the configuration is not limited to this. Instead of, or in addition to, a configuration in which imaging of the subject S is performed from above, radiographic imaging may also be performed laterally with respect to the subject S. In such a case, the radiation source may be provided on one side (for example, the right side) and the radiation detector may be provided on the opposite side (for example, the left side) with the subject S interposed therebetween.
Number | Date | Country | Kind |
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2022-040488 | Mar 2022 | JP | national |