Embodiments of the subject matter disclosed herein relate to methods and systems for supporting a head or extremity of a patient body.
A support system for a patient head and/or extremity may be used in a variety of environments. Support systems capable of providing a range of angles at which a patient head and/or extremity may be positioned may be used during imaging scans to support and position a patient head and/or limb through a range of discrete angles. The ability to tilt a patient's head and/or limb and hold that position throughout an imaging scan is may affect image quality. In one example, support systems for a head may be used in a medical setting to select and maintain the position of a patient's head to avoid imaging dental implants and other devices that may create image artifacts during a medical imaging procedure. In addition, tilting a patient's head may allow a reduction in radiation dose to a sensitive anatomy, such as the eyes, by placing them outside of the x-ray radiation beam. A support system for a patient's head and/or extremity allows an imaging technologist or operator to position a patient's head and/or extremity in such a way that without the device, the patient may not be able to hold their head and/or extremity in a specific orientation during a scan. Other patients who would benefit from the use of a head and/or extremity support system are patients who can be subject to involuntary movements or may be combative.
Additionally, in emergency situations where a patient may be transferred from a first location to a second location, it may be desirable to transfer the patient without removing the patient's head and/or extremity from the support system. Having a mechanism for selecting and maintaining the position of the head and/or limb ensures that patients subject to the above conditions cannot change the tilting angle of the support system themselves. A further benefit to the support system is that some of the positions in which the patient's head and/or limb is positioned may be uncomfortable without support from the support system.
In one embodiment, a support system includes a cradle interface pad for use with an imaging system, the cradle interface pad comprising a base with a planar first side and a curved second side, opposite the first side, a first wall positioned on a first end of the base and a second wall positioned on a second end of the base, wherein the first wall, the second wall, and the planar first side of the base form a concave recess of the cradle interface pad, at least one slot extending through each of the first wall and the second wall, at least one attachment point mounted on each of the first wall and the second wall and extending towards the base, and a handle positioned on a top face of each of the first wall and the second wall.
It should be understood that the brief description above is provided to introduce in simplified form a selection of concepts that are further described in the detailed description. It is not meant to identify key or essential features of the claimed subject matter, the scope of which is defined uniquely by the claims that follow the detailed description. Furthermore, the claimed subject matter is not limited to implementations that solve any disadvantages noted above or in any part of this disclosure.
The present disclosure will be better understood from reading the following description of non-limiting embodiments, with reference to the attached drawings, wherein below:
The following description relates to embodiments of a patient head and/or extremity support system. In one example, the patient head and/or extremity support system is a cradle interface pad for an imaging system, such as a CT imaging system illustrated in
A subject positioning kit may include the cradle interface pad, at least one angled positioning pad, the patient interface head pad, and the patient interface extremity pad. The subject positioning kit may be configurable to have multiple combinations of angled positioning pads and patient interface pads positioned in the concave recess of the cradle interface pad, depending on a desired imaging anatomy (e.g., head or extremity) and angle at which to position the anatomy.
In one example, the cradle interface pad may assist a radiologist to position a patient's head and/or extremity, such as an arm, hand, wrist, leg, ankle, or foot during computed tomography (CT) x-ray examination. Previous examples include where a fixed head holder is used for an axial head scan in a CT imaging system having a tilting gantry mechanism to avoid directing x-ray radiation toward a patient's eyes. Other examples include where a head holder includes an adjustable mechanism having a lock to maintain a selected angle. The cradle interface pad of the present disclosure assists in providing desired positioning for neuro imaging in a CT imaging system and adds more benefits in cases where the gantry is fixed and unable to tilt. This may be achieved by inserting one or more of the plurality of pads into the cradle interface pad. The cradle interface pad with at least one angled positioning pad positioned in a concave recess thereof may tilt the patient's head forward or backward, depending on a position of the at least one angled positioning pad to align the brain anatomy with the scanners field of view. This minimizes radiation dose exposure to the eyes and may reduce image artifacts from dental implants. When the anatomy to be scanned is a patient head, a patient interface head pad may be positioned on top of (e.g., in face-sharing contact with) the at least one angled positioning pad which is positioned in the concave recess of the cradle interface pad. The insert (e.g., a number of angled positioning pads and a type of patient interface pad) may be exchanged on a per patient basis and/or in accordance with a desired imaging procedure, to achieve a desired vertical tilt of the imaging subject.
The cradle interface pad is sized to allow for additional pads to support additional appendages such as wrist, ankles, feet, etc., allowing those extremities to be scanned over air and reduced dose. For example, when the anatomy to be scanned is an extremity, a patient interface extremity pad may be positioned in the concave recess of the cradle interface pad and/or on top of (e.g., in face-sharing contact with) at least one angled positioning pad positioned in the concave recess of the cradle interface pad. For imaging of patient extremities, tilting the patient's extremity forward (e.g., at a positive angle, relative to the patient's body) or backward (e.g., at a negative angle, relative to the body) may enable imaging of a region of interest of the extremity which may be otherwise blocked by other anatomy or challenging to image. The cradle interface pad and other elements included in a subject positioning kit may thus be used during imaging scans to support and adjust the patient's head and/or extremity through a range of discrete angles. The cradle interface pad may further allow for additional pads to support infants or smaller animals, with the aforementioned benefits.
In some examples, the pads (e.g., angled positioning pads and patient interface pad) may be color coded for providing the user with visual recognition allowing the user to select the appropriate pad(s) quickly. In some examples, using angled pads for positioning may be preferable to existing head holder designs as they provide a range of vertical tilt, stably, and with a reduced potential of pinching. In one example, selectable angles may include 0°, 15°, 30° and 45°, however, other ranges may be utilized without departing from the scope of the present disclosure. The subject positioning kit, including the cradle interface pad, angled positioning pads, and patient interference pads, may thus be used during imaging scans to support and adjust the patient's head or extremity through a range of discrete angles.
In one example, the cradle interface pad may use a strap mechanism to capture one or more selected pads (e.g., angled positioning pads and/or patient interface pads positioned in the concave recess of the cradle interface pad) and fasten the captured pads to the cradle interface pad, such that once the support assembly is properly positioned, the configuration is secured and the patient is not able to change the angle. Additionally, the cradle interface pad may include a pair of slots on the opposing walls. The opposing slots provide an opening through which an additional strap may be inserted for securing a position of the patient's head or extremity. This may reduce motion of the patient's head and/or extremity to a position other than that of the desired position used for clear imaging, such as for patients subject to involuntary movements, who may be combative, and/or for positions which may be uncomfortable to maintain without support from a support system, such as the cradle interface pad described herein. Additionally, handles positioned on a top face of each of the first wall and the second wall of the cradle interface pad may provide an element of the cradle interface pad for the patient to grasp with their hands during imaging, which may assist in moving the patient's hands, arms, and shoulders away from a region to be imaged while also providing a comfortable position for the patient during imaging. The cradle interface pad and other elements included in the subject positioning kit, such as a positioning strap and side handles, may enable secured positioning of a patient's head and/or extremity, meaning that once a patient's head and/or extremity is properly positioned, the angle is locked in place and the patient is not able to change the angle by lifting their head and/or extremity out of the cradle interface pad.
The cradle interface pad is free of metallic or sharp edge components within an imaging range. This is accomplished via at least one attachment point arranged on the first wall and/or the second wall of the cradle interface pad and extending towards a curved base of the cradle interface pad, out of an imaging range of a patient's head or neck that may be imaged by the CT imaging system. The at least one attachment point is configured to interface with a patient table, for example, of a CT imaging system on which a patient rests during imaging. The at least one attachment point may be configured as a hook which slides into a track of the patient table, eliminating a locking mechanism from the cradle interface pad which, when included in other support systems, may be a pinch point or other source of metal which may interfere with imaging.
Having a mechanism for selecting and maintaining a head and/or extremity position ensures that patients subject to the above conditions cannot change the tilting angle of the support system themselves. A further benefit to the support system for a patient head and/or extremity is that some of the positions in which the patient's head and/or extremity is positioned via the support system may be uncomfortable without support from the support system. Additionally, in emergency situations where a patient may be transferred from a first location to a second location, it may be desirable to transfer the patient without removing the patient's head and/or extremity from the support system. The at least one attachment points of the cradle interface pad may enable the cradle interface pad to be coupled to and uncoupled from a table having a track configured to receive the cradle interface pad, which may enable the cradle interface pad to be moved between tables or other surfaces on which a patient may rest without removing the patient head and/or extremity from the cradle interface pad.
In certain embodiments, the CT imaging system 100 further includes an image processor unit 110 configured to reconstruct images of a target volume of the subject 112 using an iterative or analytic image reconstruction method. For example, the image processor unit 110 may use an analytic image reconstruction approach such as filtered back projection (FBP) to reconstruct images of a target volume of the patient. As another example, the image processor unit 110 may use an iterative image reconstruction approach such as advanced statistical iterative reconstruction (ASIR), conjugate gradient (CG), maximum likelihood expectation maximization (MLEM), model-based iterative reconstruction (MBIR), and so on to reconstruct images of a target volume of the subject 112. As described further herein, in some examples the image processor unit 110 may use both an analytic image reconstruction approach such as FBP in addition to an iterative image reconstruction approach.
In some CT imaging system configurations, an x-ray source projects a cone-shaped x-ray radiation beam which is collimated to lie within an X-Y-Z plane of a Cartesian coordinate system and generally referred to as an “imaging plane.” The x-ray radiation beam passes through an object being imaged, such as the patient or subject. The x-ray radiation beam, after being attenuated by the object, impinges upon an array of detector elements. The intensity of the attenuated x-ray radiation beam received at the detector array is dependent upon the attenuation of a radiation beam by the object. Each detector element of the array produces a separate electrical signal that is a measurement of the x-ray beam attenuation at the detector location. The attenuation measurements from all the detector elements are acquired separately to produce a transmission profile.
In some CT imaging systems, the x-ray source and the detector array are rotated with a gantry within the imaging plane and around the object to be imaged such that an angle at which the radiation beam intersects the object constantly changes. A group of x-ray radiation attenuation measurements, e.g., projection data, from the detector array at one gantry angle is referred to as a “view.” A “scan” of the object includes a set of views made at different gantry angles, or view angles, during one revolution of the x-ray source and detector. It is contemplated that the benefits of the methods described herein accrue to medical imaging modalities other than CT, so as used herein the term “view” is not limited to the use as described above with respect to projection data from one gantry angle. The term “view” is used to mean one data acquisition whenever there are multiple data acquisitions from different angles, whether from a CT, positron emission tomography (PET), or single-photon emission CT (SPECT) acquisition, and/or any other modality including modalities yet to be developed as well as combinations thereof in fused embodiments.
The projection data is processed to reconstruct an image that corresponds to a two-dimensional slice taken through the object or, in some examples where the projection data includes multiple views or scans, a three-dimensional rendering of the object. One method for reconstructing an image from a set of projection data is referred to in the art as the filtered back projection technique. Transmission and emission tomography reconstruction techniques also include statistical iterative methods such as maximum likelihood expectation maximization (MLEM) and ordered-subsets expectation-reconstruction techniques as well as iterative reconstruction techniques. This process converts the attenuation measurements from a scan into integers called “CT numbers” or “Hounsfield units,” which are used to control the brightness of a corresponding pixel on a display device.
To reduce the total scan time, a “helical” scan may be performed. To perform a “helical” scan, the patient is moved while the data for the prescribed number of slices is acquired. Such a system generates a single helix from a cone beam helical scan. The helix mapped out by the cone beam yields projection data from which images in each prescribed slice may be reconstructed.
As used herein, the phrase “reconstructing an image” is not intended to exclude embodiments of the present disclosure in which data representing an image is generated but a viewable image is not. Therefore, as used herein, the term “image” broadly refers to both viewable images and data representing a viewable image. However, many embodiments generate (or are configured to generate) at least one viewable image.
In one example, the table 114 may include a cradle interface pad 116 which may be combined with one or more of a plurality of pads to position and/or tilt an anatomy for imaging. In the example of
In one example of the present disclosure, as will be described below in greater detail with respect to
In certain embodiments, the imaging system 200 is configured to traverse different angular positions around the subject 204 for acquiring desired projection data. Accordingly, the gantry 102 and the components mounted thereon may be configured to rotate about a center of rotation 206 for acquiring the projection data, for example, at different energy levels. Alternatively, in embodiments where a projection angle relative to the subject 204 varies as a function of time, the mounted components may be configured to move along a general curve rather than along a segment of a circle.
As the x-ray source 104 and the detector array 108 rotate, the detector array 108 collects data of the attenuated x-ray beams. The data collected by the detector array 108 undergoes pre-processing and calibration to condition the data to represent the line integrals of the attenuation coefficients of the scanned subject 204. The processed data are commonly called projections.
In some examples, the individual detectors or detector elements 202 of the detector array 108 may include photon-counting detectors which register the interactions of individual photons into one or more energy bins. It should be appreciated that the methods described herein may also be implemented with energy-integrating detectors.
The acquired sets of projection data may be used for basis material decomposition (BMD). During BMD, the measured projections are converted to a set of material-density projections. The material-density projections may be reconstructed to form a pair or a set of material-density map or image of each respective basis material, such as bone, soft tissue, and/or contrast agent maps. The density maps or images may be, in turn, associated to form a volume rendering of the basis material, for example, bone, soft tissue, and/or contrast agent, in the imaged volume.
Once reconstructed, the basis material image produced by the imaging system 200 reveals internal features of the subject 204, expressed in the densities of two basis materials. The density image may be displayed to show these features. In traditional approaches to diagnosis of medical conditions, such as disease states, and more generally of medical events, a radiologist or physician would consider a hard copy or display of the density image to discern characteristic features of interest. Such features might include lesions, sizes and shapes of particular anatomies or organs, and other features that would be discernable in the image based upon the skill and knowledge of the individual practitioner.
In one embodiment, the imaging system 200 includes a control mechanism 208 to control movement of the components such as rotation of the gantry 102 and the operation of the x-ray source 104. In certain embodiments, the control mechanism 208 further includes an x-ray controller 210 configured to provide power and timing signals to the x-ray source 104. Additionally, the control mechanism 208 includes a gantry motor controller 212 configured to control a rotational speed and/or position of the gantry 102 based on imaging requirements.
In certain embodiments, the control mechanism 208 further includes a data acquisition system (DAS) 214 configured to sample analog data received from the detector elements 202 and convert the analog data to digital signals for subsequent processing. The DAS 214 may be further configured to selectively aggregate analog data from a subset of the detector elements 202 into so-called macro-detectors, as described further herein. The data sampled and digitized by the DAS 214 is transmitted to a computer or computing device 216. In one example, the computing device 216 stores the data in a storage device 218. The storage device 218, for example, may include a hard disk drive, a floppy disk drive, a compact disk-read/write (CD-R/W) drive, a Digital Versatile Disc (DVD) drive, a flash drive, and/or a solid-state storage drive.
Additionally, the computing device 216 provides commands and parameters to one or more of the DAS 214, the x-ray controller 210, and the gantry motor controller 212 for controlling system operations such as data acquisition and/or processing. In certain embodiments, the computing device 216 controls system operations based on operator input. The computing device 216 receives the operator input, for example, including commands and/or scanning parameters via an operator console 220 operatively coupled to the computing device 216. The operator console 220 may include a keyboard (not shown) or a touchscreen to allow the operator to specify the commands and/or scanning parameters.
Although
In one embodiment, for example, the imaging system 200 either includes, or is coupled to, a picture archiving and communications system (PACS) 224. In an exemplary implementation, the PACS 224 is further coupled to a remote system such as a radiology department information system, hospital information system, and/or to an internal or external network (not shown) to allow operators at different locations to supply commands and parameters and/or gain access to the image data.
The computing device 216 uses the operator-supplied and/or system-defined commands and parameters to operate a table motor controller 226, which in turn, may control the table 114 which may be a motorized table. Specifically, the table motor controller 226 may move the table 114 for appropriately positioning the subject 204 in the gantry 102 for acquiring projection data corresponding to the target volume of the subject 204.
As previously noted, the DAS 214 samples and digitizes the projection data acquired by the detector elements 202. Subsequently, an image reconstructor 230 uses the sampled and digitized x-ray data to perform high-speed reconstruction. Although
In one embodiment, the image reconstructor 230 stores the images reconstructed in the storage device 218. Alternatively, the image reconstructor 230 may transmit the reconstructed images to the computing device 216 for generating useful patient information for diagnosis and evaluation. In certain embodiments, the computing device 216 may transmit the reconstructed images and/or the patient information to a display or display device 232 communicatively coupled to the computing device 216 and/or the image reconstructor 230. In some embodiments, the reconstructed images may be transmitted from the computing device 216 or the image reconstructor 230 to the storage device 218 for short-term or long-term storage.
Though a CT system is described by way of example, it should be understood that the present technology may also be used on other imaging modalities, such as x-ray imaging systems, magnetic resonance imaging (MRI) systems, nuclear medicine imaging systems, positron emission tomography (PET) imaging systems, single-photon emission computed tomography (SPECT) imaging systems, ultrasound imaging systems, and combinations thereof (e.g., multi-modality imaging systems, such as PET/CT or PET/MR imaging systems). The present discussion of a CT imaging modality is provided merely as an example of one suitable imaging modality.
The cradle interface pad may be used with an imaging system having a table, such as illustrated with respect to
Turning to
A coordinate system 390 is shown comprising three-axes, namely an x-axis parallel to a horizontal direction, a y-axis parallel to a vertical direction, and a z-axis perpendicular to each of the x- and y-axes. For reference, the coordinate system 390 is included in
The cradle interface pad 300 is formed of a base 304 with a first wall 306 and a second wall 308 extending therefrom. The base 304 may be a curved base which is substantially planar on a first side 310 and curved on a second side 312, where an angle of curvature of the second side 312 is complementary to an angle of curvature of a table on which the cradle interface pad 300 may be placed, such as the table 114 of
A concave recess 302 is formed between the first wall 306 and the second wall 308, such that the concave recess 302 may receive a subject interface pad and, optionally, at least one angled positioning pad, as further described with respect to
The cradle interface pad 300 further includes an outer surface 322, which may be an outward facing surface, e.g., an exterior, of the first wall 306, the base 304 (e.g., the second side 312 of the base 304), and the second wall 308. In some examples, the outer surface 322 may include a fastening portion with a fastening material adhered thereto. For example, the fastening material may extend along a width 324 of each of the first wall 306 and the second wall 308. The width 324 may be less than the length 316 of the cradle interface pad 300. In some examples, the coupling material may include multiple panels of coupling material. As shown in the example of
Each of the first wall 306 and the second wall 308 include at least one slot extending there through, e.g., from the outer surface 322 to the first interior side 318 of the concave recess 302 and from the outer surface 322 to the second interior side 320 of the concave recess 302. In the example shown in
Configurations of the slots, including the first length, the first width, and an angulation (e.g., parallel with the top edge 335 of the respective wall or a non-zero angle relative to the top edge 335 of the respective wall) are such that a positioning strap 336 may extend through a pair of slots (e.g., the first slot 326 and the third slot 330 or the second slot 328 and the fourth slot 332). In some examples, the positioning strap 336 may be inserted through the first slot 326 and the third slot 330 for securing a patient's head or extremity when positioned at a first angle. In other examples, such as the example shown in
At least one attachment point is mounted on each of the first wall 306 and the second wall 308 and extends towards the second side 312 of the base 304. In the example shown in
The cradle interface pad 300 further includes a first handle 344 positioned on a top face 334 of the first wall 306 and a second handle 346 positioned on the top face 334 of the second wall 308. Each of the first handle 344 and the second handle 346 may be equivalently configured and positioned in such a way that a patient may grasp onto one or both of the handles when the patient's head is positioned in the concave recess 302 of the cradle interface pad 300. By grasping onto at least one of the first handle 344 and the second handle 346, the patient's arms may be positioned over their head in such a way that imaging of a region of interest may be unhindered by the patient's arms.
As described with respect to
Additionally, the second wall 308 has a second attachment point 352 coupled thereto, where the second attachment point 352 may have the same configuration as the first attachment point 342 coupled to the first wall 306. Configuration of the first attachment point 342 and the second attachment point 352 are further described with respect to
The back profile 370 further shows the first attachment point 342 on the first wall 306 and the second attachment point 352 on the second wall 308. In some examples of the cradle interface pad 300, each of the first wall 306 and the second wall 308 may have more than one attachment point positioned thereon. As briefly described with respect to
The configuration of the first attachment point 342 may include a mounting section 372, a curved extension 374 coupled to the mounting section 372, and a hook end 376 coupled to the curved extension 374. In some examples, the first attachment point 342 is formed as a single, continuous piece. The mounting section 372 may couple the first attachment point 342 to the outer surface 322 of the first wall 306. As shown in
The cradle interface pad 300 may be an element of a subject positioning kit used to position and secure a patient head and/or extremity at a desired angle for imaging, such as performed by a CT imaging device. The subject positioning kit may further include at least one angled positioning pad, a patient interface head pad, and a patient interface extremity pad. In some embodiments, the subject positioning kit includes a securing strap for coupling at least one of an angled positioning pad, the patient interface head pad, and the patient interface extremity pad to the cradle interface pad 300.
In some examples, the cradle interface pad 300 may have a receiving material 386 in the concave recess 302. The receiving material 386 may be made of a hook and loop fastener or a similar fastening material which is complementary to a fastening material, as further described herein. In some examples, the receiving material 386 may extend a planar width 388 and the width 324 (as described with respect to
The patient interface head pad 400 comprises a head cradle or cradle 402, which may receive a head of a patient. The cradle 402 includes a body 404 with a first side 406 and a second side 408 extending therefrom. The body 404 comprises a substantially planar surface or planar surface 410 against which the patient's head may rest. The first side 406 and the second side 408 may extend from opposite edges of the body 404. The patient interface head pad 400 includes a first end 412 and a second end 414. When positioned in a CT system, such as positioned in the concave recess of the cradle interface pad 116 of
In one example, dimensions of the patient interface head pad 400 include a first dimension 422 that is greater than a second dimension 424. In other words, the sides 406, 408 of the cradle 402 include a wider, first region 428 nearer the body 404 and a narrower, second region 430 as the sides extends upward along the y-axis. The wider, first region 428 forms a curve joining the second region 430 of the sides 406, 408 and the body 404. A third dimension 426 of the cradle 402, e.g., a cradle height, may be less than the first dimension 422, e.g., a cradle length. The cradle 402 is formed with a wall 439 having a material thickness 432. The material thickness 432 of the wall 439 may be approximately the same throughout the patient interface head pad 400. The patient interface head pad 400 includes a width 435 of the body 404. In one example, the width 435 of the body 404 may be similar to the second dimension 424 of the sides 406, 408.
The first end 412 of the cradle includes a first opening 434. The first opening 434 is formed by a cutaway of the wall 439 between the wider, first region 428 and the narrower, second region 430 of the sides 406, 408. In some use cases, the first opening 434 may be approximately flush with the first end 392 or the second end 396 of the concave recess 302 of the cradle interface pad 300. A second opening 436 on the second end 414 of the cradle 402 may be perpendicular with respect to the planar surface of the body 404. In some use cases, the second opening 436 may be approximately flush with the first end 392 or the second end 396 of the concave recess 302 of the cradle interface pad 300, as further described with respect to
A recess 452 formed in a body underside 456 of the patient interface head pad 400 may provide a depression wherein a fastening material 454 may be placed. In one example, the recess 452 may be positioned adjacent to the second end 414 of the cradle 402. In one example, the fastening material 454 may be a matching fastener for mating with the receiving material 386 positioned in the concave recess of the cradle interface pad 300 or a receiving material positioned in the cradle interior of an angled positioning pad (e.g., see
The patient interface extremity pad 500 comprises an extremity cradle or cradle 502, which may receive a patient extremity. The cradle 502 includes a body 504 with a first side 506 and a second side 508 extending therefrom. The body 504 comprises a substantially planar surface or planar surface 510 against which the patient's extremity may rest. The first side 506 and the second side 508 may extend from opposite edges of the body 504. The patient interface extremity pad 500 includes a first end 512 and a second end 514. When positioned in a CT system, such seated against the cradle interface pad 116 in
In one example, along the z-axis, the sides 506, 508 of the patient interface extremity pad are approximately trapezoidal. For example, the second side 508, and the first side 506 (e.g., which mirrors the second side 508), is formed with a first base 542 of a first dimension 522 that is approximately parallel with second base 544 of a second dimension 524. The first dimension 522 is more than twice magnitude of the second dimension 524. The second side 508 includes a first side 546 of a third dimension 526. The first side 546 is arranged approximately perpendicular to the first base 542 and the second base 544. The second side 508 of the patient interface extremity pad 500 includes a second side 548 of a fourth dimension 550. The second side 548 is arranged at an acute angle with respect to the first base 542 and an obtuse angle with respect to the second base 544. The sides 506, 508 of the cradle 502 include a first region 528 nearer to the body 504 and a second region 530 further from the body 504 along the y-axis. In one example, a width 532 of the body 504 may be greater than the second dimension 524 and less than the first dimension 522 of the sides 506, 508.
The patient interface extremity pad 500 includes the planar surface 510 of the body 504, a second interior surface 518 in the first region 528 of the sides 506, 508, a third interior surface 552 in the second region 530 of the sides 506, 508, and an exterior surface 520. In one example, the exterior surface 520 is an outward facing surface of the first side 506, the body 504, and the second side 508. The exterior surface 520 of the patient interface extremity pad 500 may be u-shaped. In one example, when positioned in the cradle interface pad 300, the exterior surface 520 may make face sharing contact with the interior surface of the concave recess 302 (e.g., the first side 310 of the base 304, the first interior side 318 of the first wall 306 and the second interior side 320 of the second wall 308). A perimeter surface 538 joins the interior surfaces 510, 518, 552 and the exterior surface 520.
The first end 512 of the cradle includes a first opening 534. The first opening 534 comprises a portion of the perimeter surface 538, including a ridge 554, first angled surface 556, and second angled surface 558. In some examples, the first opening 534 may be approximately flush with the first end 392 or the second end 396 of the concave recess 302 of the cradle interface pad 300, as further described with respect to
The patient interface extremity pad 500 is formed with a wall 561 having an irregular material thickness. For example, the wall 561 may be formed to have a first thickness 562 in the first region 528 of the pad. The wall 561 may increase to a second thickness 566 in the second region 530 of the sides 506, 508. In other examples, the patient interface extremity pad may be formed with a wall having a material thickness approximately the same throughout.
The second opening 536 has a u-shaped, exterior edge 570 and an irregular, interior edge 572. The interior edge 572 of the second opening 536 is narrower near the body 504, wider towards an upper portion 568 of the sides 506, 508, and narrowest at a transition 584 between the first region 528 and the second region 530 of the sides 506, 508. For example, the interior edge 572 may be the width 532 near the body 504, narrowing to a second width 574 at the transition 584, and increasing to third width 576 towards the upper 568 of the sides 506, 508.
A recess 578 formed in the in the body underside 580 may provide a depression wherein a fastening material 582 may be placed. In one example, the recess 578 may be positioned adjacent to the second end 514 of the cradle 502. In one example, the fastening material 582 may be a matching fastener for mating with receiving material positioned in the concave recess 302 of the cradle interface pad 300 (e.g., see
The angled positioning pad 600 comprises a cradle 602, which may receive a patient head or extremity, in some examples. Additionally or alternatively, the angled positioning pad 600 may receive one or more of a patient interface head pad, a patient interface extremity pad, or a second angled positioning pad, such as described in further detail with respect to
The angled positioning pad 600 includes a first end 612 and a second end 614. When positioned in a CT system, such seated in the cradle interface pad 116 of
The angled positioning pad 600 is formed with wall 644 having variable material thickness throughout. For example, the thickness of the wall 644 may increase from the first end 612 towards the second end 614. The thickness of the wall 644 may decrease from an upper portion 646 towards a lower portion 648 of the sides 608, 608.
A first recess 640 is formed in the in body 604 and may provide a depression wherein a receiving material 642 may be placed. In one example, the first recess 640 may be positioned adjacent to the second end 614 of the cradle 602. In one example, the receiving material 642 may be a matching fastener for mating with fastening material (e.g., fastening material 454) of the patient interface head pad 400 and the patient interface extremity pad 500 (e.g., fastening material 582). For example, the receiving material 642 may make face sharing contact with fastening material 454 for securing the patient interface head pad 400 to angled positioning pad 600. The receiving material 642 may be made of a hook and loop fastener or similar receiving material which is complementary to fastening material, such as the fastening material 454 of the patient interface head pad 400 and/or the fastening material 582 of the patient interface extremity pad 500.
In one example, looking down the z-axis, the angled positioning pad 600 is approximately trapezoidal. For example, the second side 608 is formed with a first base 654 of a first dimension 662 that is approximately parallel with a second base 656 of a second dimension 664. The first dimension 662 is approximately twice magnitude of the second dimension 664. The second side 608 includes a first side 658 of a third dimension 666. The first side 658 is arranged approximately perpendicular to the first base 654 and the second base 656. The second side 608 of the angled positioning pad 600 includes a second side 660 of fourth dimension 668. The second side 660 is arranged at an acute angle with respect to the first base 654 and an obtuse angle with respect to the second base 656. The second side 608 further includes a rectangular portion 670 having a height of a fifth dimension 672 and a length of the second dimension 664. The rectangular portion 670 may be continuous with a lower portion 674 of the wall 644.
The cross section 650 shows the depression formed by first recess 640 and the receiving material 642 placed therein. Similarly, a second recess 676 may form a depression in the first base 654 where a fastening material 643 may be positioned. In one example, the first recess 640 and the second recess 676 may be positioned adjacent to the second end 614 of the pad, the fastening material 643 mating with and securing to receiving material 386 positioned in the concave recess 302 of the cradle interface pad 300 (e.g., as further described with respect to
As described above, the subject positioning kit may include the cradle interface pad 300, the patient interface head pad 400, the patient interface extremity pad 500, and at least one angled positioning pad 600. The subject positioning kit may be configurable to have multiple combinations of angled positioning pads and patient interface pads positioned in the concave recess 302 of the cradle interface pad 300, depending on a desired imaging anatomy (e.g., head or extremity) and angle at which to position the anatomy.
In the first configuration 700, the base 641 of the body 604 of the first angled positioning pad 710 is positioning in face-sharing contact with the first side 310 of the base 304 of the cradle interface pad 300. In some embodiments where the cradle interface pad 300 is configured with a receiving material, as described with respect to
The base 641 of the body 604 of the second angled positioning pad 712 is positioned in face-sharing contact with the interior surface 610 of the first angled positioning pad 710. The exterior surface 620 of the second angled positioning pad 712, including the exteriors surface of the first side 606 and the second side 608 of the second angled positioning pad 712 may be in face-sharing contact with the interior surface 610 of the first angled positioning pad 710. The fastening material 643 of the second angled positioning pad 712 may be coupled to the receiving material 642 of the first angled positioning pad 710 to couple the first angled positioning pad 710 to the second angled positioning pad 712.
The first end 612 of each of the first angled positioning pad 710 and the second angled positioning pad 712 may be positioned facing the same direction as the first end 392 of the cradle interface pad 300. The first end 392 may face away from a gantry and towards a length of a table of an imaging system, such as the gantry 102 and the table 114 of the CT imaging system 100, described with respect to
The patient interface head pad 400 is shown in the first configuration 700 as positioned on top of the second angled positioning pad 712. In other configurations, the patient interface head pad 400 may be replaced with the patient interface extremity pad 500. As shown in
As shown in
As described with respect to
The hook end 376 may be slid into the track 720 of the table 114 in a direction indicated by an arrow 726. As described with respect to
An angle of curvature of the second side 312 of the base 304 of the cradle interface pad 300 is complementary to an angle of curvature of the table 114. This enables the cradle interface pad 300 to be positioned in face-sharing contact with the table 114 such that no additional padding or interface is positioned therebetween. This may reduce undesired bumps, curves, or other profiles which may deform the base 304 and, consequently, the concave recess 302. Thus, the patient head and/or extremity positioned in the patient interface head pad 400 and/or the patient interface extremity pad 500, respectively, may be positioned at a desired angle for patient imaging.
A second configuration 800 of the subject positioning kit is shown in
As described with respect to
In some examples, a coupling strap 820 may be used to couple each of the first angled positioning pad 810, the second angled positioning pad 812, and the patient interface extremity pad 500 to each other and to the cradle interface pad 300. The coupling strap 820 may be included in the subjecting positioning kit and may be used in other configurations thereof, such as configurations described with respect to
A weight of a patient's extremity positioned in the patient interface extremity pad 500 may compress the respective fastening materials and receiving materials such that undesired bumps, curves, or other profiles which may deform the angle created by the first angled positioning pad 810 and the second angled positioning pad 812 are not present. Thus, the patient extremity positioned in the patient interface extremity pad 500, may be positioned at a desired angle for patient imaging and the angle of the patient's extremity may not change during imaging due to movement of the first angled positioning pad 810, the second angled positioning pad 812, and/or the patient interface extremity pad 500.
A third configuration 900 of the subject positioning kit shown in
A fourth configuration 1000 of the subject positioning kit shown in
In one aspect, a cradle interface pad may position and support a patient head or extremity and provide a range of discrete angles when used in combination with one or more pads. The combination of the pads, color coding, and the cradle interface pad may allow quick, precise, and optimal positioning of a patient head or extremity. Further, the at least one attachment point of the cradle interface pad may allow simple and seamless positioning of the cradle interface pad on a table of an imaging system and removal from the table, where a patient head and/or extremity may be secured in the cradle interface pad during positioning of the cradle interface pad on the table. The technical effect of using the cradle interface pad, patient interface pads, and optional angled positioning pads is to allow repeatable scans of a target area while allowing an operator to easily and stably adjust the tilt of the scanned subject with minimal patient disturbance and reduced incidence of pinching. By doing this, a quality of medical imaging may be enhanced.
The present disclosure also wherein a first end of a strap is coupled to the first wall via the coupling material and a second end of the strap is coupled to the second wall via the coupling material. Further, a first end of the coupling strap is coupled to a bottom of the cradle interface pad and a fastening material of the top angled positioning pad or subject interface pad.
The disclosure also provides support for a cradle interface pad for use with an imaging system, the cradle interface pad comprising: a base with a planar first side and a curved second side, opposite the first side, a first wall positioned on a first end of the base and a second wall positioned on a second end of the base, wherein the first wall, the second wall, and the planar first side of the base form a concave recess of the cradle interface pad, at least one slot extending through each of the first wall and the second wall, at least one attachment point mounted on each of the first wall and the second wall and extending towards the base, and a handle positioned on a top face of each of the first wall and the second wall. In a first example of the system, the at least one slot includes a first slot and a second slot, the first slot positioned above the second slot. In a second example of the system, optionally including the first example, the second slot is parallel to a top edge of the first wall and the first slot is angled at a non-zero angle, relative to the top edge of the first wall. In a third example of the system, optionally including one or both of the first and second examples, the system further comprises: a positioning strap extending through each of the first slot on the first wall and the second wall and/or the positioning strap extending through each of the second slot on the first wall and the second wall. In a fourth example of the system, optionally including one or more or each of the first through third examples, each of the at least one attachment point include a hook end configured to interface with a track of a table. In a fifth example of the system, optionally including one or more or each of the first through fourth examples, the cradle interface pad is configured with a fastening material which extends along a length of each of the first wall and the second wall. In a sixth example of the system, optionally including one or more or each of the first through fifth examples, the concave recess is configured to have a subject interface pad positioned therein, such that a body underside of the subject interface pad is in face-sharing contact with the concave recess. In a seventh example of the system, optionally including one or more or each of the first through sixth examples, the concave recess is configured to have at least one angled positioning pad positioned therein, such that a base of a body of the angled positioning pad is in face-sharing contact with the planar first side of the base of the cradle interface pad. In an eighth example of the system, optionally including one or more or each of the first through seventh examples, an interior surface of the angled positioning pad is configured to be in face-sharing contact with a body underside a subject interface pad and/or the base of the body of a second angled positioning pad, the second angled positioning pad having the same configuration as the angled positioning pad. In a ninth example of the system, optionally including one or more or each of the first through eighth examples, each of the at least one angled positioning pad and the subject interface pad are coupled using a coupling strap and/or fasteners and receivers therebetween.
The disclosure also provides support for a subject positioning kit, comprising: a cradle interface pad having a concave recess, at least one angled positioning pad configured to be positioned in the concave recess of the cradle interface pad, and a subject interface pad configured to be positioned in the concave recess of the cradle interface pad and further configured to be positioned in face-sharing contact with an interior surface of the at least one angled positioning pad. In a first example of the system in a first configuration: a body underside of the subject interface pad is configured to be positioned in face-sharing contact with the interior of a first angled positioning pad of the at least one angled positioning pad, and a base of a body of the first angled positioning pad is configured to be positioned in face-sharing contact with the interior of a second angled positioning pad of the at least one angled positioning pad and/or to be positioned in face-sharing contact with the concave recess of the cradle interface pad. In a second example of the system, optionally including the first example when the base of the body of the first angled positioning pad is in face-sharing contact with the interior of the second angled positioning pad, the base of the body of the second angled positioning pad is in face-sharing contact with the concave recess of the cradle interface pad. In a third example of the system, optionally including one or both of the first and second examples, the subject interface pad is configured with a fastening material on a body underside of the subject interface pad and each of the concave recess of the cradle interface pad and an interior of the at least one angled positioning pad are configured with a receiving material which is complementary to the fastening material of the subject interface pad, such that the subject interface pad is coupled to the concave recess of the cradle interface pad and/or the interior of the at least one angled positioning pad by mating the fastening material with the receiving material. In a fourth example of the system, optionally including one or more or each of the first through third examples, the at least one angled positioning pad is further configured with the fastening material on the base of the body of the angled positioning pad, such that, the angled positioning pad is coupled to the concave recess of the cradle interface pad by mating the fastening material of the angled positioning pad with the receiving material of the cradle interface pad and, the angled positioning pad is coupled to a second angled positioning pad, having the same configuration as the angled positioning pad, by mating the fastening material of the angled positioning pad with the receiving material of the second angled positioning pad. In a fifth example of the system, optionally including one or more or each of the first through fourth examples in a second configuration, a first end of the at least one angled positioning pad is positioned facing the same direction as a first end of the cradle interface pad to create a positive angle and, in a third configuration, the first end of the at least one angled positioning pad is facing the same direction as a second end of the cradle interface pad, opposite the first end, to create a negative angle.
The disclosure also provides support for a system, comprising: a patient table, and a cradle interface pad selectively coupled to the patient table, where the cradle interface pad comprises: a concave recess formed by a base, a first wall, and a second wall, opposite the first wall, and at least one attachment point mounted on each of the first wall and the second wall and extending towards the base. In a first example of the system, each of the at least one attachment point is formed as a mounting section, the mounting section coupling the at least one attachment point to the first wall or the second wall, a curved extension coupled to the mounting section, and a hook end coupled to the curved extension, the hook end having an end diameter. In a second example of the system, optionally including the first example, the patient table is configured with a track having a top and a bottom which form a C shape with an interior diameter, the interior diameter being greater than the end diameter of the hook end. In a third example of the system, optionally including one or both of the first and second examples, the cradle interface pad is coupled to the patient table when the hook end is positioned in the interior diameter of the track between the top and the bottom of the track.
As used herein, an element or step recited in the singular and preceded 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” of the invention do not exclude the existence of additional embodiments that also incorporate the recited features. Moreover, unless explicitly stated to the contrary, embodiments “comprising,” “including,” or “having” an element or a plurality of elements having a particular property may include additional such elements not having that property. The terms “including” and “in which” are used as the plain-language equivalents of the respective terms “comprising” and “wherein.” Moreover, the terms “first,” “second,” and “third,” etc. are used merely as labels, and are not intended to impose numerical requirements or a particular positional order on their objects.
This written description uses examples to disclose the invention, including the best mode, and also to enable a person of ordinary skill in the relevant art to practice the invention, including making and using any devices or systems and performing any incorporated methods. The patentable scope of the invention is defined by the claims, and may include other examples that occur to those of ordinary skill in the art. Such other examples are intended to be within the scope of the claims if they have structural elements that do not differ from the literal language of the claims, or if they include equivalent structural elements with insubstantial differences from the literal languages of the claims.