1. Field of the Invention
The present invention relates to a radiation conversion panel having a matrix of pixels for generating electric charges depending on a radiation that has passed through a subject, and a method of capturing a radiation image according to dual-energy radiography.
2. Description of the Related Art
In the medical field, there have widely been used radiation image capturing apparatus which apply a radiation to a subject and guide the radiation that has passed through the subject to a radiation conversion panel, which captures a radiation image from the radiation. Known forms of the radiation conversion panel include a conventional radiation film for recording a radiation image by way of exposure, and a stimulable phosphor panel for storing a radiation energy representing a radiation image in a phosphor and reproducing the radiation image as stimulated light by applying stimulating light to the phosphor. The radiation film with the recorded radiation image is supplied to a developing device to develop the radiation image, or the stimulable phosphor panel is supplied to a reading device to read the radiation image as a visible image.
In the operating room or the like, it is necessary to read a recorded radiation image immediately from a radiation conversion panel after the radiation image is captured for the purpose of quickly and appropriately treating the patient. As a radiation conversion panel which meets such a requirement, there has been developed a radiation detector having a solid-state detector for converting a radiation directly into an electric charge or converting a radiation into visible light with a scintillator and then converting the visible light into an electric charge to read a detected radiation image.
Japanese Laid-Open Patent Publication No. 2005-283262 discloses a radiation detector 200 as shown in
As shown in
As shown in
The radiation detector 200 functions as a two-dimensional image detector which comprises a two-dimensional matrix of pixels (also referred to as “radiation detecting pixels”, “radiation detecting units”, or “radiation detecting elements”) 220, represented by an equivalent circuit shown in
The radiation detector 200 also has a gate drive circuit 207 (see
The digital image signal generator 208 comprises a plurality of integrating amplifiers 211, a multiplexer 212, and an A/D converter 213.
A process of detecting electric charges with the pixels 220 will be described below. As shown in
Specifically, the gate drive circuit 207 successively applies reading signals to the gates of the TFTs 206B via the electric interconnects 206a. At the same time, the multiplexer 212 successively switches to the electric interconnects 206b that are connected to the sources of the TFTs 206B to which the reading signals are applied, supplying the electric charges stored in the capacitors 206A as electric charges (current signals) i from the TFTs 206B via the electric interconnects 206b to the integrating amplifiers 211. The current signals i are amplified by the integrating amplifiers 211, and sent as radiation detection signals of the respective individual electrodes 205 from the multiplexer 212 to the A/D converter 213, which converts the radiation detection signals into a digital image signal.
Japanese Laid-Open Patent Publication No. 2002-325756 discloses a dual-energy subtraction process for applying radiations having different energy levels at an interval of about 0.2 second to a subject which has certain different structures (e.g., a soft tissue and a bone) having respective inherent X-energy absorption characteristics, obtaining two digital image signals from a flat radiation conversion panel as an X-ray detector which is exposed to the radiations that have passed through the subject, weighting the two digital image signals with respective weighting coefficients, and subtracting one of the weighted digital image signals from the other to extract an image of one of the different structures, i.e., a soft tissue image or a bone image.
Japanese Laid-Open Patent Publication No. 2003-284710 discloses a dual-energy subtraction process for applying a radiation having a low energy level to a subject which has certain different structures (e.g., a soft tissue and a bone), reading image data from only 1024×1024 pixels of all the 2048×2048 pixels of an X-ray detector which is exposed to the radiation that has passed through the subject, then applying a radiation having a high energy level to the subject, reading image data from all the 2048×2048 pixels, and using the read two image data to produce an image representing only the soft tissue and an image representing only the bone.
According to the dual-energy subtraction process (also referred to as “two-shot energy subtraction process”) disclosed in Japanese Laid-Open Patent Publication No. 2002-325756, after the first energy level is applied to the X-ray detector, the first energy-level image is read from the X-ray detector over a reading time (which is described as 130 milliseconds), and thereafter the second energy level is applied to the X-ray detector. Consequently, a relatively large motion artifact is adversely produced due to the motion of the heart of the subject between the time when the first energy-level image is captured and the time when the second energy-level image is captured.
According to the dual-energy subtraction process disclosed in Japanese Laid-Open Patent Publication No. 2003-284710, when the low-energy-level image of the subject is read in the first image capturing cycle, a 2×2 binning process is performed to read an one-pixel image from two pixels in a row and two pixels in a column, so as to shorten a radiation image acquisition time up to the second image capturing cycle for thereby preventing a motion artifact from being generated. However, the image resolution of the low-energy-level image is lowered, and there is nothing disclosed in the publication about a specific circuit arrangement for performing the 2×2 binning process.
It is an object of the present invention to provide a radiation conversion panel for capturing image data in a first energy-level image capturing cycle and a second energy-level image capturing cycle that are spaced at a reduced interval from each other, the radiation conversion panel having a specific arrangement for reducing the interval between the first energy-level image capturing cycle and the second energy-level image capturing cycle and being capable of performing an energy subtraction process while maintaining a required resolution, and a method of capturing a radiation image according to dual-energy radiography.
Another object of the present invention is to provide a method of capturing a radiation image according to dual-energy radiography for acquiring an optimum low energy-level image and an optimum high energy-level image depending on the sequence of a low energy-level image capturing cycle and a high energy-level image capturing cycle.
According to the present invention, there is provided a radiation conversion panel for use in dual-energy radiography, having a matrix of pixels for generating electric charges depending on a radiation that has passed through a subject, comprising first pixels, each of which is one out of every n (n≧3) adjacent pixels, which, after a first energy-level image capturing cycle, are reset after electric charges have been read therefrom, and all pixels, including the first pixels, wherein, after the pixels have been reset, electric charges are read from all the pixels after a second energy-level image capturing cycle.
With the above radiation conversion panel, after the first energy-level image capturing cycle, the electric charges are read from the first pixels which are 1/n of all the pixels. Therefore, the time interval up to the second energy-level image capturing cycle is shortened. After the second energy-level image capturing cycle, the electric charges are read from all the pixels. Therefore, a required resolution is maintained.
According to the present invention, there is also provided a method of capturing a radiation image according to dual-energy radiography, using a radiation conversion panel having a matrix of pixels for generating electric charges depending on a radiation that has passed through a subject, comprising the steps of performing a low energy-level image capturing cycle and thereafter reading electric charges from first pixels, each of which is one out of every n (n≧3) adjacent pixels, to generate a low energy-level image, resetting electric charges stored in all the pixels, thereafter, performing a high energy-level image capturing cycle and reading electric charges from all the pixels to generate a high energy-level image, and performing an energy subtraction process on the low energy-level image and the high energy-level image to obtain an image of a bone part or a soft part of the subject.
With the above method, after the low energy-level image capturing cycle, the electric charges are read from the first pixels which are 1/n of all the pixels. Therefore, the time interval up to the high energy-level image capturing cycle is shortened. After the high energy-level image capturing cycle, the electric charges are read from all the pixels to produce a diagnostic image. Therefore, the energy subtraction process is performed to maintain a required resolution.
According to the present invention, there is further provided a method of capturing a radiation image according to dual-energy radiography, using a radiation conversion panel having a matrix of pixels for generating electric charges depending on a radiation that has passed through a subject, comprising the steps of performing a high energy-level image capturing cycle and thereafter reading electric charges from first pixels, each of which is one out of every n (n≧3) adjacent pixels, to generate a high energy-level image, resetting electric charges stored in all the pixels, thereafter, performing a low energy-level image capturing cycle and reading electric charges from all the pixels to generate a low energy-level image, and performing an energy subtraction process on the low energy-level image and the high energy-level image to obtain an image of a bone part or a soft part of the subject.
With the above method, after the high energy-level image capturing cycle, the electric charges are read from the first pixels which are 1/n of all the pixels. Therefore, the time interval up to the low energy-level image capturing cycle is shortened. After the low energy-level image capturing cycle, the electric charges are read from all the pixels to produce a diagnostic image. Therefore, the energy subtraction process is performed to maintain a required resolution.
According to the present invention, the time interval between the first energy-level image capturing cycle and the second energy-level image capturing cycle can be shortened. At the same time, the energy subtraction process can be performed to maintain a required resolution.
The above and other objects, features, and advantages of the present invention will become more apparent from the following description when taken in conjunction with the accompanying drawings in which preferred embodiments of the present invention are shown by way of illustrative example.
Like or corresponding parts are denoted by like or corresponding reference characters throughout views. Those parts of the preferred embodiments of the present invention which are identical to those shown in
As shown in
The radiation image capturing system 10 includes an image capturing apparatus 22 for irradiating the patient 14 as a subject with a radiation X at a dose according to image capturing conditions, a cassette (radiation detecting cassette) 24 housing therein a radiation detector, to be described later, for detecting the radiation X that has passed through the patient 14, a display device 26 for displaying a radiation image based on the radiation X that is detected by the radiation detector, and a console 28 for controlling the image capturing apparatus 22, the cassette 24, and the display device 26. The console 28, the image capturing apparatus 22, the cassette 24, and the display device 26 send and receive signals by way of wireless communications.
The image capturing apparatus 22 is coupled to a universal arm 30 so as to be movable to a desired position for capturing a desired area of the patient 14 and also to be retractable to a position out of the way while the surgeons 18 are performing a surgical operation on the patient 14. Similarly, the display device 26 is coupled to a universal arm 32 so as to be movable to a position where the surgeons 18 can easily confirm a captured radiation image displayed on the display device 26.
The casing 34 also houses therein a battery 44 as a power supply of the cassette 24, a cassette controller 46 for energizing the radiation detector 200A with electric power supplied from the battery 44, and a cassette transceiver 48 for sending and receiving signals including the information of the radiation X detected by the radiation detector 200A, to and from the console 28. A shield plate of lead or the like should preferably be placed over the side surfaces of the cassette controller 46 and the transceiver 48 under the irradiated surface 36 of the casing 34 to protect the cassette controller 46 and the cassette transceiver 48 against damage which would otherwise be caused if irradiated with the radiation X.
In
The bias supply source 222 is turned on and off by the cassette controller 46.
It is assumed for an easier understanding of the invention that the pixels 220 are arranged in a square matrix having L lows and L columns (L is a multiple of 3). Specifically, the square matrix comprises L×L pixels ranging from the pixel 220 in the first row r1 and the first column c1 to the pixel 220 in the Lth row rL and the Lth column cL. Of course, the matrix of pixels 220 is not limited to a square matrix, and L is not limited to a multiple of 3.
As shown in
One of every nine adjacent pixels 220, which is represented by a square shown hatched in
As shown in
The gate drive circuit 58 selectively turns on and off the TFTs 206B through the gate lines 54 based on a gate drive circuit control signal supplied from the cassette controller 46.
The signal lines 56 are supplied with electric charges stored in the capacitors 206A of the pixels 220 (including the first pixels 220I) through the TFTs 206B that are turned on. The electric charges supplied to the signal lines 56 are converted into pixel data by the output interface circuit 66 based on an output interface control signal supplied from the cassette controller 46. The pixel data are supplied from the output interface circuit 66 to the cassette controller 46.
The output interface circuit 66 comprises integrating circuits with a resetting function, sample and hold circuits, A/D converters, and the like which are connected in series to the signal lines 56, respectively.
The image capturing apparatus 22 comprises an image capturing switch 72, a radiation source 74 for outputting the radiation X, a transceiver 76 for receiving image capturing conditions from the console 28 by way of wireless communications and transmitting an image capturing process in-progress signal, etc. to the console 28 by way of wireless communications, and a radiation source controller 78 for controlling the radiation source 74 based on an image capturing start signal supplied from the image capturing switch 72 and image capturing conditions supplied from the transceiver 76.
The radiation source controller 78 has a function to switch the irradiation energy of the radiation X that is output from the radiation source 74 based on the image capturing conditions between a high energy level and a low energy level.
The cassette 24 houses therein the radiation detector 200A, the battery 44, the cassette controller 46, and the cassette transceiver 48.
The cassette controller 46 comprises a control signal generator 80 for supplying a gate drive control signal to the gate drive circuit 58 of the radiation detector 200A and also supplying an output interface control signal to the output interface circuit 66, an image memory 82 for storing the radiation image information detected by the radiation detector 200A, a cassette ID memory 84 for storing cassette ID information for identifying the cassette 24, and a bias supply source controller (bias supply source on/off controller) 85 for turning on and off the bias supply source 222.
The cassette transceiver 48 receives various signals representing image capturing conditions, etc. from the console 28 by way of wireless communications and transmits the cassette ID information stored in the cassette ID memory 84 and the radiation image information stored in the image memory 82 to the console 28 by way of wireless communications.
The display device 26 comprises a receiver 90 for receiving the radiation image information from the console 28, a display controller 92 for controlling the display of the received radiation image information, and a display unit 94 for displaying the radiation image information processed by the display controller 92.
The console 28 comprises a console transceiver 96 for transmitting and receiving necessary information including radiation image information to and from the image capturing apparatus 22, the cassette 24, and the display device 26 by way of wireless communications, an image capturing condition manager 98 for managing image capturing conditions required for the image capturing apparatus 22 to capture radiation images, an image processor (image processing means) 100 for processing radiation image information transmitted from the cassette 24 according to a dual-energy subtraction process, etc., an image memory 101 for storing the radiation image information before and after the process by the image processor 100, a patient information manager 102 for managing patient information of the patient 14 whose images are to be captured, and a cassette information manager 104 for managing the cassette information.
The console 28 may be located outside of the operating room 12 insofar as it can transmit and receive signals to and from the image capturing apparatus 22, the cassette 24, and the display device 26 by way of wireless communications.
The image capturing conditions refer to conditions for determining a tube voltage, a tube current, an irradiation time, etc. required to apply a radiation X at an appropriate dose to an area to be imaged of the patient 14. The image capturing conditions may include an area to be imaged of the patient 14, an image capturing method, etc., for example. The patient information refers to information for identifying the patient 14, such as the name, gender, patient ID number, etc. of the patient 14. Ordering information for instructing the radiation image capturing system 10 to capture a radiation image, including the image capturing conditions and the patient information, can be set directly on the console 28 or can be supplied from an external source to the console 28 via the RIS 29. The cassette information refers to cassette ID information for identifying the cassette 24.
The radiation image capturing system 10 according to the present embodiment is basically constructed as described above, and operation of the radiation image capturing system 10 will be described below with reference to a flowchart shown in
The radiation image capturing system 10 is installed in the operating room 12 and used when a radiation image of the patient 14 is required by the surgeons 18 who are performing a surgical operation on the patient 14. Before a radiation image of the patient 14 is captured, patient information of the patient 14 to be imaged is registered beforehand in the patient information manager 102 of the console 28. If an area to be imaged of the patient 14 and an image capturing method have already been known, they are registered beforehand as image capturing conditions in the image capturing condition manager 98.
It is assumed that the radiation image capturing system 10 captures a diagnostic image of a soft part of the chest of the patient 14 based on the radiation X which is set to a high energy level. For keeping a desired resolution of the diagnostic image, the radiation image capturing system 10 carries out a low energy-level image capturing cycle (first shot) and then a high energy-level image capturing cycle (second shot) (two-shot dual-energy image capturing process).
If the radiation image capturing system 10 is to capture a diagnostic image of a soft part of the abdomen of the patient 14, then the radiation image capturing system 10 captures the diagnostic image based on the radiation X which is set to a low energy level. In this case, as described later, for keeping a desired resolution of the diagnostic image, the radiation image capturing system 10 carries out a high energy-level image capturing cycle and then a low energy-level image capturing cycle (two-shot dual-energy image capturing process).
The flowchart shown in
After the above preparatory process is finished, the surgeons 18 perform a surgical operation on the patient 14.
For capturing a radiation image of the patient 14 during the surgical operation, one of the surgeons 18 or the radiological technician in charge of the surgical operation places the cassette 24 at a predetermined position between the patient 14 and the surgical table 16 with the irradiated surface 36 facing the image capturing apparatus 22.
After having moved the image capturing apparatus 22 to a position facing the cassette 24, one of the surgeons 18 or the radiological technician turns on the image capturing switch 72.
The radiation source controller 78 of the image capturing apparatus 22 acquires the image capturing conditions for an area to be imaged of the patient 14 from the image capturing condition manager 98 of the console 28 via the console transceiver 96 and the transceiver 76 by way of wireless communications. According to the acquired image capturing conditions, the radiation source controller 78 then controls the radiation source 74 to apply a low-energy-level radiation X at a given dose to the patient 14 (a low energy-level image capturing cycle, a first shot) in step S1.
The low-energy-level radiation X which has passed through the patient 14 is applied to the grid 38 of the cassette 24, which removes scattered rays of the radiation X. Then, the low-energy-level radiation X is applied to the radiation detector 200A, and converted into electric signals by the photoelectric conversion layer 201 of the pixels 220 of the radiation detector 200A. The electric signals are stored as electric charges in the capacitors 206A.
The stored electric charge information, which represents radiation image information of the patient 14 and which is stored in the capacitors 206A, are read from the capacitors 206A according to the gate drive circuit control signal supplied from the control signal generator 80 of the cassette controller 46 to the gate drive circuit 58 and the output interface control signal supplied from the control signal generator 80 to the output interface circuit 66.
In step S2, the electric charges are read as image information from the first pixels 220I, shown hatched in
At this time, the capacitors 206A of the remaining pixels 220, which are shown unhatched, that are 8/9 of all the pixels 220 store electric charges according to the low-energy-level radiation X.
In step S3, the cassette controller 46 resets the electric charges held in all the pixels 220. For resetting the electric charges held in all the pixels 220 with a resetting command from the cassette controller 46, the gate drive circuit 58 turns on the TFTs 206B of all the pixels 220 through the gate lines 54, and all the integrating circuits connected to the input terminals of the output interface circuit 66 are reset to discharge the electric charges held in all the pixels 220. Since the output interface circuit 66 does not need to convert the electric charges into digital data, the resetting time, i.e., the time interval between the first shot and the second shot, is relatively short.
According to another way to reset the electric charges held in all the pixels 220, switches may be connected between the hot terminals (other than the ground terminals) of the capacitors 206A of all the pixels 220 and the ground terminals thereof, and may be turned on by the cassette controller 46 to short-circuit the capacitors 206A. When the capacitors 206A are thus short-circuited, the resetting time is shorter.
In order to shorten the time interval between the first shot and the second shot as much as possible, when the electric charges are read from the first pixels 220I which are 1/9 of all the pixels 220 and which make up the first pixel group, and supplied as the low-energy-level first-pixel-group data SL1 through the output interface circuit 66 and stored in the image memory 82 in step S2, the cassette controller 46 detects the storage of the low-energy-level first-pixel-group data SL1 and then sends the resetting command to the gate drive circuit 58 and the output interface circuit 66.
In step S4, the radiation source controller 78 of the image capturing apparatus 22 controls the radiation source 74 according to the acquired image capturing conditions to apply a high-energy-level radiation X at a given dose to the patient 14 (a high energy-level image capturing cycle, a second shot).
The high-energy-level radiation X which has passed through the patient 14 is applied to the grid 38 of the cassette 24, which removes scattered rays of the radiation X. Then, the high-energy-level radiation X is applied to the radiation detector 200A, and converted into electric signals by the photoelectric conversion layer 201 of the pixels 220 of the radiation detector 200A. The electric signals are stored as electric charges in the capacitors 206A.
In step S5, the electric charges stored in the capacitors 206A of all the pixels 220 are read from the capacitors 206A. The read electric charges from all the pixels 220 are supplied as high-energy-level all-pixel data SH through the output interface circuit 66 to the image memory 82 where they are temporarily stored, and also through the cassette transceiver 48 and the console transceiver 96 to the image memory 101 where they are temporarily stored.
In step S6, the low-energy-level all-pixel data SL and the high-energy-level all-pixel data SH that are stored in the image memory 101 are frequency-processed, weighted, and then subtracted one from the other by the image processor 100, thereby producing subtractive image data. The subtractive image data represent radiation image information of a particular structure, i.e., in this case, the soft chest part from which the bones are removed. The soft chest part radiation image information is stored in the image memory 101.
The soft chest part radiation image information is stored in the image memory 101 in association with the patient information of the patient 14 registered in the patient information manager 102.
The soft chest part radiation image information stored in the image memory 101 is transmitted from the console transceiver 96 to the display device 26 where it is received by the receiver 90. In the display device 26, the display controller 92 controls the display unit 94 to display a radiation image of the soft chest part based on the soft chest part radiation image information. The radiation image of the soft chest part displayed on the display unit 94 is used for a diagnosis by the surgeons 18.
According to the present embodiment, as described above, the method of capturing a radiation image according to dual-energy radiography based on the sequence of a low energy-level image capturing cycle and a high energy-level image capturing cycle employs the radiation detector (radiation conversion panel) 200A which comprises the matrix of pixels 220 for generating electric charges depending on the radiation X that has passed through the patient 14 as a subject. The radiation detector 200A comprises first pixels 220I, each of which is one out of every nine adjacent pixels 220, and which are reset after electric charges are read therefrom after the high energy-level image capturing cycle is performed, and all pixels 220, including the first pixels 220I, from which electric charges are read after the low energy-level image capturing cycle is performed following the resetting of the pixels 220.
After the low energy-level image capturing cycle is performed (step S1), the electric charges are read from the first pixels 220I and copied as pixel data for every eight adjacent pixels 220 to generate the low-energy-level all-pixel data SL (step S2). Then, all the electric charges stored in all the pixels 220 are reset (step S3). After all the electric charges are reset, the high energy-level image capturing cycle is performed (step S4), and the high-energy-level all-pixel data SH is generated (step S5).
Finally, the energy subtraction process is performed on the low-energy-level all-pixel data SL and the high-energy-level all-pixel data SH to obtain the soft chest part radiation image information (step S6).
After the low energy-level image capturing cycle, only the electric charges stored in the first pixels 220I, which are 1/9 of the entire pixels 220, may be read. Consequently, the time interval up to the high energy-level image capturing cycle is shortened to reduce a motion artifact. At the same time, since the diagnostic image of the soft part of the chest of the patient 14, from which the bone parts are removed, is based on the high-energy-level all-pixel data SH, the energy subtraction process can be performed while maintaining a desired resolution of the soft chest part radiation image.
As described above, when a soft part of an abdominal part of the patient 14 is to be imaged, then a diagnostic image of the abdominal part is generated based on the low-energy-level radiation X. In this case, in order to maintain a desired resolution of the diagnostic image, the method of capturing a radiation image according to dual-energy radiography based on the sequence of a high energy-level image capturing cycle and a low energy-level image capturing cycle is employed.
In step S11 shown in
In step S12, the electric charges stored in the first pixels 220I, which are shown hatched in
After the electric charges are read in step S12, the cassette controller 46 resets the electric charges held in all the pixels 220 in step S13.
Immediately thereafter, in step S14, the radiation source controller 78 controls the radiation source 74 according to the acquired image capturing conditions to apply a low-energy-level radiation X at a given dose to the patient 14 (a low energy-level image capturing cycle, a second shot).
In step S15, the electric charges are read from all the pixels to generate low-energy-level all-pixel data SL.
Finally, in step S16, the high-energy-level all-pixel data SH and the low-energy-level all-pixel data SL are subtracted one from the other by the image processor 100, thereby producing subtractive image data representing a soft abdominal part image. Since the soft abdominal part image is based on the low-energy-level all-pixel data SL with no image data copied, the resolution thereof is not lowered. In the interval between the high energy-level image capturing cycle and the low energy-level image capturing cycle, the electric charges are read from only the pixels that are 1/9 of all the pixels and then the electric charges stored in all the pixels are reset. Therefore, the time interval up to the low energy-level image capturing cycle is shortened to reduce a motion artifact.
In the radiation image capturing systems according to the embodiments, the radiation detector 200 housed in the cassette 24 directly converts the dose of the applied radiation X into an electric signal with the photoelectric conversion layer 201. However, the radiation image capturing systems may employ a radiation detector including a scintillator for converting the applied radiation X into visible light and a solid-state detecting device such as of amorphous silicon (a-Si) or the like for converting the visible light into an electric signal (see Japanese Patent No. 3494683).
Incidentally, instead of a TFT device, such a device as a CCD (Charge Coupled Device), a CMOS (Complementary Metal Oxide Semiconductor) device or the like may be used for a radiation detector.
Although certain preferred embodiments of the present invention have been shown and described in detail, it should be understood that various changes and modifications may be made therein without departing from the scope of the appended claims.
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