This application claims the benefit of a priority under 35 USC 119(a)-(d) to French Patent Application No. 0412573 filed Nov. 26, 2004, the entire contents of which are hereby incorporated by reference.
The present invention relates to radiology and in particular to an apparatus for mammography.
Conventionally, as shown in
Mammography images are generally taken with the patient standing upright facing towards the apparatus. The operator positions the breast on the plate 3, in such a way as to spread it as evenly as possible, and then compresses it by means of plate 5. In this way, one tries to enter the largest possible portion of the breast within the X-ray beam and thus to obtain the greatest possible coverage of the breast being examined, as far as and including the pectoral muscle. In order to help obtain this result, it is desirable to have the patient's arm in a position on the side of the part of the chest being observed, with the forearm lifted slightly.
Furthermore, it is important for the patient to remain completely still in this position during the totality of the exposure time, which can be more than a few seconds. Therefore, she must feel relatively relaxed in this position, comfort and stability being essential for optimized image quality.
This is why a lateral handle is generally provided on an apparatus for mammography, that can also serve for maneuvering rotation of the arm 1, if this rotation is manual, or can just be for the use of the patient, who stretches along the C-shaped arm (element 6, tubular for example, projecting along it), and which the patient can grasp in order to hold up the arm.
A lateral handle is generally satisfactory for most examination cases. Nonetheless, this handle can be a source of significant limitations having a direct impact on image quality and expected comfort, especially during certain specific examination procedures used in some countries. In particular, especially when the C-shaped arm is tilted, the patient holding the handle may tend to contract the muscles of the arm or shoulder, thus reducing the visibility of the pectoral muscle.
An embodiment of the present invention relates to an apparatus for mammography comprising means for providing radiation, means for support of a breast and means for image acquisition. At the level of a portion on the side of the means for support of a breast or in a prolongation of such a portion, which may be close to the main body of a C-shaped arm, an equipment is provided that has a shape with at least one projection and/or hollow set in the external surface of the equipment and defining a zone able to be used as a secondary handle and/or armrest.
An embodiment of the invention will become even clearer from the following description, given as a purely illustrative and non-limiting example, and with reference to the attached figures, in which:
a to 5f illustrate the definition of different possible parameters for positioning and orienting the handle of
a to 6d illustrate four possible cross-sections for the handle; and
a and 7b are drawings of a set of equipment from the preceding figures.
A radiological apparatus for mammography, as shown in
The breast support plate 3 comprises an upper surface of a cover 30, made for example out of plastic material, carbon composite etc., with the general shape of a flat parallelepiped, having an end edge 8 facing the patient, as shown in
In the embodiment illustrated, a projecting zone 12 can be provided, particularly to function as a handle. In an exemplary embodiment, the projecting zone 12 is located at a distance of the order of 250 to 500 millimeters from the end edge 8 of the support plate 3.
Hollow(s) and/or projection(s) 11 can be set in the external surface of the apparatus. The hollow(s) and/or projection(s) 11 can be made from material in the cover assembly of the C-shaped arm. The hollow(s) and/or projection(s) 11 could also be molded with the cover 30, defining the breast support plate 3, if the transition zones 10 were made from material with them. If the C-shaped arm does not have any cover assembly and is molded in a single piece, the hollow(s) and/or projection(s) of the shape 11 on the external surface of the piece can be molded directly with it.
a to 5f illustrate, as an example, the choice of different parameters able to define the shape 11 and in particular the projecting zone 12. Thus, the projecting zone 12 is for example oriented with an angle comprising between +10 degrees and −50 degrees relative to the general plane of the plate 3 (
Different cross-section shapes are also possible. Thus, as shown in
As shown by
In these figures it can also be understood that the handle and armrest functions allowed by the structure just described above make it possible to tilt the equipment while still offering very high comfort for the patient, which favors good image quality.
The shape 11 with hollow(s) and/or projection(s) can be made of the same substance as the apparatus shell, or yet again in another substance. Plastic, resin fiber composite, expanded polymer foam or metal frame materials are possible.
In order to improve the patient's comfort, one can provide: at the level of the forearm, a more flexible texture (softer to the touch) and/or at the level of the holding zone receiving the fingertips, a surface to limit sliding. Such characteristics can be obtained by modifying the surface during molding or by depositing material (deposit of a sheet of flexible or anti-slip material for example). For example, this shape forming a handle or armrest can be made from material with an external cover assembly for the C-shaped arm and/or for the breast support plate.
It is to be noted that such a structure with such a shape forming a handle and/or armrest, set in the external surface of the equipment, does not in any way reduce the accessibility of the equipment and does not limit its maneuverability, contrary to the case of a secondary handle being provided on the equipment, fixed projecting from it.
In addition, such a secondary handle would be difficult to fix on the equipment and would require very specific anchoring means, particularly in the case of mammography equipment with a cover assembly or shell in plastic or composite material etc.
In addition, while an embodiment of the invention has been described with reference to exemplary embodiments, it will be understood by those skilled in the art that various changes may be made in the function and/or way and/or result and equivalents may be substituted for elements thereof without departing from the scope and extent of the invention. In addition, many modifications may be made to adapt a particular situation or material to the teachings of the invention without departing from the essential scope thereof. Therefore, it is intended that the invention not be limited to the particular embodiment disclosed as the best mode contemplated for carrying out this invention, but that the invention will include all embodiments falling within the scope of the appended claims. Moreover, the use of the terms first, second, etc. do not denote any order or importance, but rather the terms first, second, etc. are used to distinguish one element or feature from another. Furthermore, the use of the terms a, an, etc. do not denote a limitation of quantity, but rather denote the presence of at least one of the referenced element or feature.
Number | Date | Country | Kind |
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04 12573 | Nov 2004 | FR | national |
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