The subject matter disclosed herein relates generally to multi-modality imaging systems and more particularly, to imaging pallets for multi-modality imaging systems.
Multi-modality imaging systems can scan one or more regions of interest (ROI) of a patient using different imaging modalities. Multi-modality imaging systems may include Computed Tomography (CT), Magnetic Resonance Imaging (MRI), Positron Emission Tomography (PET), radiography imaging, x-ray imaging, and/or Single Photon Emission Computed Tomography (SPECT) imaging systems, among others. By way of example, in some multi-modality imaging systems, the different modality units may have respective field of views (FOVs) at different axial locations along an examination axis. During operation, a patient is moved to a first FOV where an image of the ROI is obtained with a first imaging modality unit and then moved to a second FOV where another image of the ROI is obtained using a second imaging modality unit. A doctor or medical technician (or the system) may then review or combine the images from the different modalities.
Depending upon the imaging modality being used, certain geometries of the pallet may cause artifacts within the images. To address this challenge, imaging systems may use a separate pallet for positioning within each type of imaging modality. However, this can be costly and require extra time for a technician to change the pallets.
In other multi-modality imaging systems, a common pallet is used for the different imaging modalities. One advantage in using one common pallet is that the patient does not move with respect to the common pallet. Motion controllers and position encoders may be used to register the position of the pallet during each image acquisition to enable accurate and automatic registration of the images taken with the different modalities. However, the common pallet may not be optimally designed for all of the imaging modalities thereby affecting imaging quality.
In one embodiment, a multi-modality imaging system is provided that includes first and second imaging modality units having respective field of views (FOVs) that are spaced apart from each other. The imaging system also has a positioning system that includes an imaging pallet. The pallet has an elongated support body that includes first and second portions that extend lengthwise along the support body. The first portion is shaped for imaging within the FOV of the first modality unit, and the second portion is shaped for imaging within the FOV of the second modality unit. The first and second portions are shaped differently than each other. The positioning system is configured to position the first portion of the pallet within the FOV of the first modality unit and configured to position the second portion of the pallet within the FOV of the second modality unit.
In another embodiment, an imaging pallet for an imaging system is provided. The pallet includes an elongated support body that is adapted to support a patient thereon during an imaging session. The support body has a length that extends between opposite ends of the support body. The pallet includes a mounting portion of the support body that extends along the length. The mounting portion is configured to engage a positioning system of the imaging system. The pallet also includes a first portion of the support body that extends lengthwise away from the mounting portion. The first portion is shaped for imaging with a first type of imaging modality. The pallet further includes a second portion of the support body that extends along the length. The first portion extends between the mounting and second portions. The second portion is shaped for imaging with a second type of imaging modality. The first and second portions having different shapes.
In a further embodiment, a method of operating a multi-modality imaging system is provided. The imaging system includes a positioning system that is configured to move patients on an imaging pallet and first and second imaging modality units having respective field of views (FOVs). The method includes positioning a region-of-interest (ROI) of a first patient on a middle portion of the pallet of the positioning system and scanning the ROI of the first patient within the FOV of the first modality unit. The middle portion is shaped for imaging with the first modality unit. The method also includes positioning a ROI of a second patient on a distal portion of the pallet and scanning the ROI of the second patient at one of the FOVs of the first and second modality units. The distal portion is shaped differently than the first portion.
The foregoing summary, as well as the following detailed description of certain embodiments of the present invention, will be better understood when read in conjunction with the appended drawings. As used herein, an element or step recited in the singular and proceeded with the word “a” or “an” should be understood as not excluding plural of said elements or steps, unless such exclusion is explicitly stated. Furthermore, references to “one embodiment” or “an embodiment” of the present invention are not intended to be interpreted as excluding the existence of additional embodiments that also incorporate the recited features. Moreover, unless explicitly stated to the contrary, embodiments “comprising” or “having” an element or a plurality of elements having a particular property may include additional elements not having that property.
Referring to
The imaging system 100 is also shown as including a gantry 108 that is associated with the first modality unit 102 and a gantry 120 that is associated with the second modality unit 104. The gantry 108 includes a rotor 114 that supports, for example, NM cameras, which may be gamma cameras, SPECT detectors, and/or PET detectors. The rotor 114 may be configured to rotate the NM cameras about an examination axis 190 that may extend through a center of one or more bores of the imaging system 100. More specifically, the gantry 108 may include a bore 116, and the gantry 120 may include a bore 118. The bores 116 and 118 may be aligned along the examination axis 190 as shown in
The imaging system 100 also includes a patient positioning system 124 (also referred to as a table system) for moving the ROI of the patient to an axial location or position along the examination axis 190. The positioning system 124 may include an imaging pallet 130 that is adapted to support a patient thereon. The pallet 130 has an elongated support body 131 that extends in a direction along the examination axis 190. In some embodiments, the pallet 130 may be referred to as a couch, a cradle, a bed, or a table. Moreover, the positioning system 124 may include a system base or pedestal 132 and a pallet support 138 that is operatively coupled to the pallet 130. For example, the pallet 130 may be movably or slidably engaged to the pallet support 138, which may be supported by the system base 132. During operation of the imaging system 100, the positioning system 124 may selectively move the patient in an axial direction (e.g., in a direction along the examination axis 190) into and through the central opening 125 of the bore 122. In some embodiments, the positioning system 124 may also move the pallet 130 up-down in a vertical manner or side-to-side in a lateral manner. The positioning system 124 is configured to position the patient within one or more field-of-views (FOVs) of the imaging system 100.
During an imaging session, energy transmitted through a FOV or emitted from a patient in a FOV (e.g., from a decaying radionuclide injected into a patient) may be detected by the imaging modality unit. The energy may not only be affected by the patient, but may also be affected by the portion of the pallet within the FOV. This affect may be at least partially based upon a material of the portion of the pallet within the FOV and a geometry or shape of the portion of the pallet within the FOV. Furthermore, geometries and/or materials may have different effects on different types of imaging modalities. For example, a specific geometry or shape of the pallet may be better (e.g., provide less attenuation) for a first type of imaging modality than for a second type of imaging modality.
As will be described in greater detail below, the pallet 130 may have different body portions along a length of the pallet 130 that are configured for use with or in different modality units. For example, a body portion that is configured for a first type of imaging modality may provide less energy attenuation or fewer artifacts in an image than other body portions for the first type of imaging modality. As another example, in a multi-modality imaging system where a first body portion is configured or shaped for a first imaging modality unit and a second body portion is configured or shaped for a second imaging modality unit, the first body portion provides less attenuation or fewer artifacts than the second body portion with respect to the first imaging modality unit and the second body portion provides less attenuation or fewer artifacts than the first body portion with respect to the second imaging modality unit.
However, the geometry or shape and/or material of a body portion that is configured or shaped for a type of imaging modality is not required to be ideal or optimal for embodiments described herein. A body portion may be “configured for” or “shaped for” imaging within a type of imaging modality if the body portion provides, for example, an acceptable level of energy attenuation or an acceptable amount of artifacts in an image.
At stage 136, the pallet 130 has been moved in an axial direction (e.g., along the examination axis 190) through the opening 125 and into the bore 122. The pallet 130 may be selectively moved by the positioning system 124 along the pallet support 138 such that the system base 132 remains stationary. In other words, the pallet 130 may be independently movable with respect to the system base 132 and the pallet support 138.
The pallet 130 may be moved to various positions with respect to the pallet support 138. For example, as shown in
At stage 137, the pallet 130 has been moved in an axial direction through the bore 122 toward the exit 127 and toward the FOV2 of the second modality unit 104. Similar to above, the pallet 130 may be selectively moved by the positioning system 124 along the pallet support 138 of the positioning system 124 such that the system base 132 remains stationary. However, if the pallet 130 has been fully extended as shown in
Although the imaging system 100 is shown as having two modality units, the imaging system 100 may have three or more modality units in alternative embodiments. In particular embodiments, the imaging system 100 has only two modality units. In other particular embodiments, the imaging system 100 has only three modality units.
Furthermore, in the illustrated embodiment shown in
As can be seen at stage 137 where the pallet 130 is extended into the imaging system 100, a portion of the pallet 130 is located to the left of FOV2 of the second modality unit 104 and does not enter into the FOV2. Thus, this portion of the pallet 130 is never imaged by the second modality unit 104 and does not need to be configured for imaging by the second modality unit 104. Similarly, a portion of the pallet 130 is located to the left of FOV1 of the first modality unit 102 and does not enter the FOV1 or the FOV2. Thus, this portion of the pallet 130 is never imaged by any modality unit and does not need to be configured for imaging at all. This portion of the pallet 130 may be configured for different purposes, such as support or mounting. Additionally, a portion of the pallet 130 which is located to the left of FOV2 but to the right of FOV1 can be imaged by the first modality unit 102, and thus may be configured for imaging by the first modality unit only. In contrast, a portion of the pallet 130 located to the left of the FOV2 may be imaged by both the first modality unit 102 and the second modality unit 104. This portion may be configured for imaging by both types of modalities. The various portions described above may be, for example, the body portions 150-152 which are described in greater detail below.
The pallet 130 may include a scan region 146 and a non-scan region 148. The scan region 146 of the pallet 130 is capable of being positioned within the bore 122 (
As shown in
The bottom side 162 has a bottom surface 168 and edge or side surfaces 170 and 172. The bottom surface 168 may be substantially continuous throughout the scan region 146 as the bottom surface 168 extends between the ends 142 and 144. In the illustrated embodiment, the bottom surface 168 may be substantially planar. The side surfaces 170 and 172 may extend between and join the bottom surface 168 and the support surface 161 at edges 156 and 158.
Also shown in
The pallet 130 shown in
The pallet 130 may also include a middle (or first) portion 151 and a distal (or second) portion 152. The middle portion 151 and the distal portion 152 may be sized and shaped for different types of imaging modalities. In the illustrated embodiment, the middle portion 151 extends from the mounting portion 150 toward the distal portion 152. The distal portion 152 extends to the end 144. The middle portion 151 may have a portion length L2, and the distal portion 152 may have a portion length L3. In the illustrated embodiment, the length L3 is greater than the length L2 and may be greater than ½ of the length L1. However, in alternative embodiments, the body portions 150-152 may have other lengths.
In the exemplary embodiment, the middle portion 151 may be used with NM imaging modality units, and the distal portion 152 may be used with both CT and NM imaging modality units. In particular embodiments, the attenuation of the middle portion 151 to 140 keV gamma rays may not exceed 10%. In particular embodiments, the attenuation of the distal portion 152 to 120 kVp X-ray may not exceed 27%.
As used herein, the terms “mounting,” “middle,” and “distal” or the terms “first,” “second,” and “third” are only used to distinguish the different body portions within the pallet and are not intended to limit the scope of embodiments herein. For instance, the pallet may include only two body portions. By way of example, a first portion in such an embodiment may be mounted to the pallet support 138 and also extend a distance that allows the first portion to be imaged by an imaging modality. Furthermore, the pallet may include more than three body portions. By way of example, a pallet may include a mounting portion, two middle portions, and a distal portion. Furthermore, terms that are used to distinguish the body portions do not necessarily indicate an order of the body portions or positions with respect to each other.
In addition, body portions are not required to be configured for imaging within a certain type of imaging modality. Alternatively or additionally, a body portion may function as a transition region where the pallet changes from one shape into another shape. Such a transition region may or may not be suitable for an imaging modality. For example, a pallet may include a series of body portions that includes a first portion that is configured for use with a first type of imaging modality, a second portion that functions as a transition region, and a third portion that is configured for use with another type of imaging modality. In this case, the second portion may function exclusively as a transition region where the pallet changes from the first portion to the third portion.
In some embodiments, the pallet 130 has a sandwich construction that includes a foam core having an outer surface that includes a composite skin (e.g., carbon fiber, fiberglass, Kevlar®). The composite skin may be bonded to at least some of the outer surface. The foam core may be, for example, polyurethane and, more specifically, polyurethane at 7 lb/ft. In other embodiments, the body portions 150-152 may comprise different materials and/or have different amounts/densities of materials. For example, the middle and distal portions 151 and 152 within the scan region may have different materials that are configured for the respective imaging modality units. If one imaging modality unit is an MRI-type modality, materials for the corresponding portion of the pallet may be substantially non-magnetic. In another imaging modality unit, materials may be configured so that decaying radionuclides injected into a patient may be detected.
As will be explained in greater detail below, the cross-sections C1 and C2 may have different dimensions or geometries such that a shape of the middle portion 151 changes as the middle portion 151 extends between the cross-sections C1 and C2. Accordingly, the middle portion 151 has dual-functions in the illustrated embodiment. The middle portion 151 may be configured for imaging within the FOV1 of the first modality unit 102, and the middle portion 151 may function as a transition region where a shape of the middle portion 151 changes as the middle portion 151 extends between other body portions, such as the mounting portion 150 and the distal portion 152.
With respect to
Also shown in
The workstation 434 includes a central processing unit (CPU) or controller 440, a display 442 and an input device 444. As used herein, the term “controller” may include any processor-based or microprocessor-based system including systems using microcontrollers, reduced instruction set computers (RISC), application specific integrated circuits (ASICs), field programmable gate array (FPGAs), logic circuits, and any other circuit or processor capable of executing the functions described herein. In the exemplary embodiment, the controller 440 executes a set of instructions that are stored in one or more storage elements or memories, in order to process input data, which may be user inputs. The storage elements may also store data or other information as desired or needed. The storage element may be in the form of an information source or a physical memory element within the controller 440 and/or within the workstation 434.
The set of instructions may include various commands that instruct the controller 440 as a processing machine to perform specific operations such as methods and processes of various embodiments described herein. The set of instructions may be in the form of a software program. As used herein, the terms “software” and “firmware” are interchangeable, and include any computer program stored in memory for execution by a computer, including RAM memory, ROM memory, EPROM memory, EEPROM memory, and non-volatile RAM (NVRAM) memory. The above memory types are exemplary only, and are thus not limiting as to the types of memory usable for storage of a computer program.
The software may be in various forms such as system software or application software. Further, the software may be in the form of a collection of separate programs, a program module within a larger program or a portion of a program module. The software also may include modular programming in the form of object-oriented programming. The processing of input data by the processing machine may be in response to user commands, or in response to results of previous processing, or in response to a request made by another processing machine.
The controller 440 receives user inputs, e.g., user commands, from the input device 444. The input device 444 may be, for example, at least one of a keyboard, mouse, a touch-screen panel, a voice recognition system, and the like. An operator may control the operation of the imaging system 400 through the input device 444. More specifically, an operator may control the positioning system 424 and the first and second modality units 402 and 404 to perform one or more scans of a ROI of the patient. In addition, the operator may provide user inputs that initiate pre-programmed imaging sequences or protocols. Similarly, the operator may control the display of the resulting image on the display 442 and can perform image-enhancement functions using programs executed by the controller 440.
The method 500 also includes positioning, at 506, a ROI of a second patient on a distal portion of the pallet. The distal portion may be configured for the first modality unit or the second modality unit. More specifically, the distal portion may have an acceptable level of energy attenuation and/or artifacts within the acquired image. The method 500 also includes scanning, at 508, the ROI of the second patient at one of the FOVs of the first and second modality units. The distal portion may have a cross-section that is different than the cross-section of the middle portion.
In some embodiments, the scanning, at 508, of the ROI of the second patient includes scanning the ROI of the second patient within the FOV of the first modality unit. The ROI of the second patient may then be positioned within the FOV of the second modality unit. The ROI of the patient may then be scanned within the FOV of the second modality unit.
In another embodiment, a method for operating a multi-modality imaging system is provided that includes imaging a single patient with the different modalities. For example, a ROI of the patient may be positioned on a body portion of an imaging pallet. The body portion may be similar to the distal portion 152 described above, and the imaging pallet may be similar to pallet 130 described above. The ROI may then be moved along an examination axis of the imaging system to the FOV of the first imaging modality unit. The ROI may then be scanned within the first imaging modality unit. The ROI may then be moved along the examination axis of the imaging system to the FOV of the second imaging modality unit and scanned there. Accordingly, the body portion may be configured or shaped for imaging within both the first and the second imaging modality units.
In another embodiment, a method of manufacturing an imaging pallet is provided. The pallet may comprise a common material throughout the body of the pallet. For example, the pallet may be manufactured by simultaneously forming the mounting portion, the middle portion, and the distal portion (as described above) within a mold. In some cases, an additional pallet skin (e.g., from carbon fibers) may be applied to the surfaces of the core. In other embodiments, the pallet may include different materials for the different body portions.
In another embodiment, a method of manufacturing a multi-modality imaging system is provided. The method includes positioning a plurality of imaging modality units and a positioning system having an imaging pallet with respect to each other. For example, the modality units may be aligned such that bores of the modality units are aligned along an examination axis. The positioning system may be configured to move the pallet along the examination axis. The pallet may be formed in accordance with various embodiments as described above with respect to the pallet 130.
It is to be understood that the above description is intended to be illustrative, and not restrictive. For example, the above-described embodiments (and/or aspects thereof) may be used in combination with each other. In addition, many modifications may be made to adapt a particular situation or material to the teachings of the various embodiments of the invention without departing from their scope. While the dimensions and types of materials described herein are intended to define the parameters of the various embodiments of the invention, the embodiments are by no means limiting and are exemplary embodiments. Many other embodiments will be apparent to those of skill in the art upon reviewing the above description. The scope of the various embodiments of the invention should, therefore, be determined with reference to the appended claims, along with the full scope of equivalents to which such claims are entitled. In the appended claims, the terms “including” and “in which” are used as the plain-English equivalents of the respective terms “comprising” and “wherein.” Moreover, in the following claims, the terms “first,” “second,” and “third,” etc. are used merely as labels, and are not intended to impose numerical requirements on their objects. Further, the limitations of the following claims are not written in means-plus-function format and are not intended to be interpreted based on 35 U.S.C. §112, sixth paragraph, unless and until such claim limitations expressly use the phrase “means for” followed by a statement of function void of further structure.
This written description uses examples to disclose the various embodiments of the invention, including the best mode, and also to enable any person skilled in the art to practice the various embodiments of the invention, including making and using any devices or systems and performing any incorporated methods. The patentable scope of the various embodiments of the invention is defined by the claims, and may include other examples that occur to those skilled in the art. Such other examples are intended to be within the scope of the claims if the examples have structural elements that do not differ from the literal language of the claims, or if the examples include equivalent structural elements with insubstantial differences from the literal languages of the claims.
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