Patent Application
20180035961
This application claims the priority, under 35 U.S.C. §119, of German application DE 10 2016 214 678.5, filed Aug. 8, 2016; the prior application is herewith incorporated by reference in its entirety.
The invention relates to a mobile grating-detector arrangement.
The relatively young technology of interferometric X-ray imaging is a variant of phase contrast imaging. It is usually based on one, two or three gratings G0, G1 or G2 being introduced into the beam path of a customary X-ray arrangement in an X-ray imaging system. This is shown in
A grating G1 is customarily designed as phase grating G1. With the phase grating G1, advantage is taken of the so-called Talbot effect. This generates a self-image at certain intervals to the phase grating G1 of the phase grating G1. If an object for examination, for example, a patient P, is now introduced into the beam path, it interferes with the self-image of the phase grating G1. Various image information can be obtained from these interferences hereinafter, namely absorption, differential phase shift and dark field.
However, the resolution of a customary medical X-ray detector 2 is generally insufficient to read out the interference pattern. It is therefore necessary for a further grating to be introduced into the beam path as an analyzer grating G2. The grating period of this grating is configured to conform to the undisturbed self-image of the phase grating G1. In the context of so-called “phase stepping”, customarily the analyzer grating G2 is gradually shifted towards the phase grating G1, an X-ray image being recorded after each step. The step size is selected such that at least three images are recorded between a period of the undisturbed interference image and the phase grating G1. In addition, an image of the grating without the patient P in the beam path and an image with the patient P in the beam path is customarily recorded. The aforementioned image information can now be obtained from the images thus recorded.
With the X-ray interferometry examinations known hitherto, the patient must, for example, be placed in a standing position in a special X-ray room or on a special X-ray couch. However, there is also a requirement, for example, in an intensive care unit, to examine patients who are unable to leave their beds. In the case of such patients especially, current research findings indicate that thorax images recorded by means of X-ray interferometric imaging have additional clinical value for diagnosis. However, with interferometric X-ray imaging, in contrast to standard methods of customary X-ray imaging by means of absorption, it is not sufficient only to position a relatively flat detector under the patient in the bed on account of the necessary grating.
It is therefore the object of the present invention to specify a device which makes interferometric X-ray imaging easier in the case of immobile patients.
The aforementioned grating-detector arrangement is mobile and has an X-ray detector and at least one grating. It is configured to record an X-ray interferometric image of a patient in a patient bed in operation.
Here “mobile” means that the grating-detector arrangement can be transported without additional aids. In other words, it can, for example, be driven or carried. Compared to known systems for interferometric X-ray imaging, it is not permanently installed by way of any connecting elements, hence for example, a base or a track system, i.e. permanently connected to the components of an examination area. The grating-detector arrangement can preferably also be positioned in relation to the patient bed and the patient therein such that it can be arranged as part of an X-ray system with a defined position, hence at a defined distance and with a defined orientation, with regard to an X-ray source.
The at least one grating is a grating which in terms of structure and material is suitable to influence incident X-rays such that the reflected X-rays have a spatially arranged, preferably spatially periodic pattern of intensity distribution. The pattern of intensity distribution is generally dependent on the distance from the grating. A grating is preferably configured as a phase grating. It is preferably arranged as close as possible to the area or body part of the patient for examination. For as the distance of the phase grating from the region of interest of the patient increases, the quality of the image information obtained from the patient decreases.
Depending on the embodiment of the X-ray system for which the grating-detector arrangement is configured, the grating-detector arrangement contains further grating. Thus, for example, an absorption grating, as aforementioned, is arranged in the beam path close to the X-ray source. The absorption grating generates the necessary coherence of the X-rays if the X-ray source is not already emitting coherent rays on its own. Furthermore, an analyzer grating is preferably arranged at a defined distance from the phase grating and in the vicinity of the detector between the detector and the phase grating to read out the image information. With the aid of the analyzer grating, the image information to be obtained can be read out in the context of the aforementioned phase stepping, even if the detector would be otherwise unsuitable for this due to its resolution.
Preferably, the grating and the detector are essentially parallel and arranged such that the centers of their surfaces lie on a common line corresponding to a central beam of a beam path of the emitted radiation of the X-ray source in the case of an X-ray system.
The patient for examination may, for example, also be an animal patient. Preferably, however, a person is examined as a patient. Accordingly, the patient bed is preferably a customary hospital bed or a bed like those used for intensive care.
Unlike previous X-ray interferometers, which are unsuitable for mobile examinations of patients in their beds, a patient can thus be examined in their bed using the grating-detector arrangement according to the invention and need not be moved to a corresponding examination table or be forced into a standing position.
Besides a grating-detector arrangement according to the invention, the aforementioned X-ray system also has an X-ray source. The X-ray source is preferably arranged such that a central beam of the X-ray radiation emitted hits the surface of the grating or the surface of the X-ray detector at a right angle. Hence, the X-ray source generates the radiation which, in the context of the examination, penetrates the patient as an object for examination, is scattered on the structures and materials of their body parts or organs and is finally detected as an X-ray image of the patient with the aid of the detector. However, the X-ray image is not a customary X-ray image in the sense of a simple absorption image but an interference pattern of the phase grating disrupted by the patient, with the aid of which the scattering structures, i.e. the structures causing the interference, can be deduced in comparison with the undisturbed interference pattern. With the aid of the X-ray system according to the invention, interferometric X-ray imaging with a grating-detector arrangement according to the invention is hence enabled.
As aforementioned, a grating-detector arrangement according to the invention is used for X-ray interferometric imaging, preferably for thorax imaging, for a patient in the patient bed. Interferometric imaging of the thorax region of the patient is particularly advantageous as it offers added clinical value for the diagnosis, in particular for the organs located there.
Further, particularly advantageous embodiments and developments of the invention result from the dependent claims and the following description, wherein the independent claims of a claim category can also be developed analogously to the dependent claims of another claim category and in particular, individual features of different exemplary embodiments or variants of new exemplary embodiments or variants can also be combined.
The grating-detector arrangement according to the invention must preferably be positioned between a flat, folded position and an unfolded position. At least some of the grating is arranged in the unfolded position at defined intervals, hence preferably at least two gratings at a defined interval.
In the flat, folded position, the grating-detector arrangement can advantageously be pushed between the patient and patient bed with ease. Due to the flat embodiment of the grating-detector arrangement in the folded position, the patient need only be raised a little or the mattress of the patient bed can be pushed in a little so that the grating-detector arrangement can be inserted into the resulting intermediate space. Between the folded position and the unfolded position, the components of the grating-detector arrangement can, for example, be repositioned by means of a mechanical lifting or adjusting device but also, for example, hydraulically, pneumatically or by electric motors. This can, for example, take place in a linear movement such that the defined interval is produced between the gratings in the unfolded position.
Preferably, however, this is a swivel mechanism with which a supporting plate as a supporting surface for the patient with respect to a base frame is swiveled around a pivot bearing, for example, around a hinge. As part of the swiveling procedure, hence during positioning between the folded position and the unfolded position, the gratings are also moved simultaneously such that, as described, they are also at a defined interval in the unfolded position. This swivel mechanism is particularly advantageous as the swivel movement mimics the assembly of the head end of the patient bed. In other words, for a patient in the bed this movement also represents a familiar sequence of movements. It is even customary for patients to be supported in a slightly seated position in an intensive care unit, such that the introduction of the grating-detector arrangement is also possible within the limits set by any intensive care connections for the care of the patient.
A grating-detector arrangement according to the invention preferably contains a first grating and a second grating. The first grating, the second grating and the X-ray detector are arranged in parallel, at least in the unfolded position. For at least in the unfolded position, a parallel arrangement of the grating and the detector for the X-ray interferometric imaging is necessary. Particularly preferably the grating and the X-ray detector are also located in intermediate positions between the folded position and the unfolded position in a parallel arrangement. If the support of the patient is only possible within a very limited context, in this way X-ray interferometric imaging can also already take place advantageously in the intermediate positions.
A grating-detector arrangement according to the invention is preferably connected to a trolley and with its aid can be positioned in relation to the patient. The trolley preferably contains casters and, if applicable, other means of positioning such as, for example, swivel joints, linear adjustments or folding mechanisms. It can therefore be moved with the aid of the casters and thus be transported to the respective patient bed. By the patient bed the orientation of the grating-detector arrangement in relation to the patient or to the patient bed then takes place by way of the additional positioning means.
A grating-detector arrangement according to the invention is preferably connected to a supporting plate for the patient by way of the trolley. The supporting plate preferably consists of a material which is transparent for X-rays, for example, Plexiglas or the like. With the supporting plate, the patient can thus be suitably positioned without the supporting plate having an influence on X-ray imaging. With corresponding support of the patient, the grating-detector arrangement can now be positioned in front of or behind the patient as preferred or according to circumstances. The grating-detector arrangement according to the invention thus advantageously creates increased flexibility in its positioning in relation to the patient.
Besides a grating-detector arrangement and an X-ray source, an X-ray system according to the invention preferably also has a separate supporting plate for patients which is connected to the patient bed in operation. Unlike the aforementioned exemplary embodiments, the supporting plate is therefore not part of the grating-detector arrangement or also not connected to the grating-detector arrangement by way of a trolley. It is individually attached to the patient bed as part of the X-ray system in order to position the patient for recording.
The supporting plate particularly preferably has—as later described—markers with which it can be positioned in relation to the rest of the X-ray system. By means of the separate supporting plate, the remaining components of the X-ray system can be advantageously positioned completely independently of the positioning of the patient. The supporting plate has suitable means of attachment for attachment to the patient bed such as, for example, clamps or similar positive-fit and/or friction-type elements. The supporting plate preferably has a suitable adjustment mechanism for positioning of the patient such as, for example, a scissor-type lift, a hydraulic or pneumatic lift, or an electrically operated variable displacement motor.
In a grating-detector arrangement according to the invention, the supporting plate preferably has markers to position the patient and the grating-detector arrangement in relation to an X-ray source. The markers are particularly preferably detected by a detection unit which is arranged on the X-ray source. The markers may, for example, be RFID markers with an associated reader device, they may be geometric shapes recognizable by a camera but also, for example, reflectors for a laser distance measurement or the like.
Other features which are considered as characteristic for the invention are set forth in the appended claims.
Although the invention is illustrated and described herein as embodied in a mobile grating-detector arrangement, it is nevertheless not intended to be limited to the details shown, since various modifications and structural changes may be made therein without departing from the spirit of the invention and within the scope and range of equivalents of the claims.
The construction and method of operation of the invention, however, together with additional objects and advantages thereof will be best understood from the following description of specific embodiments when read in connection with the accompanying drawings.
Referring now to the figures of the drawings in detail and first, particularly to
A phase grating G1 is arranged on a side of the supporting plate 4 facing the floor rack 3 in the region of the curvature of the supporting plate 4. On its side opposite the first swivel joint 6, the supporting plate 4 is respectively connected on both sides parallel to the lateral struts of the floor rack 3 by way of a second swivel joint 7 to an end of a supporting strut 5 and pivoted opposite it. At their other end, the supporting struts 5 in each case have a nib 8 facing the lateral struts of the floor rack 3. The nibs 8 of the supporting struts 5 respectively engage in a guide rail embodied on the sides of the lateral struts of the floor rack 3 facing each other. The guide rails form a linear track and at the same time, a pivot bearing for the nibs 8.
In a central area of the supporting strut 5, the supporting strut 5 is connected to a detector 2 by way of a third swivel joint 9 in a corner area of a first side of the detector 2. On a second side facing the first side, on both sides the detector 2 has two nibs 10 facing the lateral struts of the floor rack 3, which like the nibs 8 of the supporting struts 5 engage in the guide rails of the floor rack 3. On a side of the detector 2 facing the supporting plate 4, an analyzer grating G2 is arranged parallel to the detector 2.
The grating-detector arrangement 1 is in an unfolded position P2. In the unfolded position P2, both the phase grating G1, the analyzer grating G2 and the detector 2 are arranged parallel to one another. If the grating-detector arrangement 1 is now moved from the unfolded position P2 to the folded position P1 shown in
To move the grating-detector arrangement 1 from the folded position P1 into the unfolded position P2, the nibs 8, 10 are moved in a direction R2 contrary to the direction R1. This results in precisely the opposite movement pattern, such that the angles between the detector 2 and the floor rack 3 or the supporting strut 5 and the floor rack 3 are increased and the second swivel joint 7 and the third swivel joint 9 are moved away from the floor rack 3. At the same time, the angle between the supporting plate 4 and the floor rack 3 is also increased and the supporting plate 4 deployed. The guide rails of the floor rack 3 may also have detents in which the nibs 8, 10 can engage in order to lock the grating-detector arrangement 1 in the unfolded position P2, but also in intermediate positions between the unfolded position and the folded position P1. In the unfolded position P2, the grating-detector arrangement 1 exhibits the distance defined by the detent between the phase grating G1 and the analyzer grating G2 necessary for interferometric X-ray imaging.
Further components of the X-ray system 40 are connected to a rotating arm 25 by way of arms 26, 27, 28, 29 which are arranged parallel to the axis of rotation A. An X-ray source 41 is connected to the rotating arm 25 via a first arm 26 and arranged in the region of a first end of the rotating arm 25. It is configured and arranged such that in operation X-rays are essentially emitted from it with a beam path parallel to the rotating arm. An absorption grating GO arranged close to the X-ray source 41 and perpendicular to the beam path follows in the direction of the beam path of the X-ray source 41 and is connected to the rotating arm 25 by way of a second arm 27. The absorption grating GO ensures the coherence of the X-rays in one direction.
This is followed at a defined interval, in which the X-rays are constructively superimposed, by an optional supporting plate 30 and immediately thereafter by a phase grating G1 which is connected to the rotating arm 25 by way of a third arm 28. The phase grating G1 and the supporting plate 30 are arranged perpendicular to the beam path. The X-ray system 40 can also be used without or without a directly connected supporting plate 30, as explained in more detail with reference to
As aforementioned, interferometric X-ray images of a patient can be created using the X-ray system 40.
Finally, it is pointed out once again that the devices and methods previously described in detail are only exemplary embodiments which can be modified in many different ways by a person skilled in the art without departing from the scope of the invention. Furthermore, the use of the indefinite article “a” does not preclude the possibility of the features concerned also being present multiple times. Likewise, the terms “device”, “unit” and “system” do not preclude the component concerned consisting of several interacting subcomponents which may, where applicable, also be spatially distributed.
The following is a summary list of reference numerals and the corresponding structure used in the above description of the invention:
| Number | Date | Country | Kind |
|---|---|---|---|
| 10 2016 214 678.5 | Aug 2016 | DE | national |
