CN106859868B - Multifunctional digital X ray image shelter - Google Patents
Multifunctional digital X ray image shelter Download PDFInfo
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- CN106859868B CN106859868B CN201611271465.6A CN201611271465A CN106859868B CN 106859868 B CN106859868 B CN 106859868B CN 201611271465 A CN201611271465 A CN 201611271465A CN 106859868 B CN106859868 B CN 106859868B
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Classifications
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B29—WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
- B29C—SHAPING OR JOINING OF PLASTICS; SHAPING OF MATERIAL IN A PLASTIC STATE, NOT OTHERWISE PROVIDED FOR; AFTER-TREATMENT OF THE SHAPED PRODUCTS, e.g. REPAIRING
- B29C64/00—Additive manufacturing, i.e. manufacturing of three-dimensional [3D] objects by additive deposition, additive agglomeration or additive layering, e.g. by 3D printing, stereolithography or selective laser sintering
- B29C64/20—Apparatus for additive manufacturing; Details thereof or accessories therefor
- B29C64/25—Housings, e.g. machine housings
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
- A61B6/02—Arrangements for diagnosis sequentially in different planes; Stereoscopic radiation diagnosis
- A61B6/03—Computed tomography [CT]
- A61B6/032—Transmission computed tomography [CT]
- A61B6/035—Mechanical aspects of CT
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G3/00—Ambulance aspects of vehicles; Vehicles with special provisions for transporting patients or disabled persons, or their personal conveyances, e.g. for facilitating access of, or for loading, wheelchairs
- A61G3/001—Vehicles provided with medical equipment to perform operations or examinations
Landscapes
- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Life Sciences & Earth Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Medical Informatics (AREA)
- Biomedical Technology (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Physics & Mathematics (AREA)
- Optics & Photonics (AREA)
- Chemical & Material Sciences (AREA)
- Materials Engineering (AREA)
- Biophysics (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Surgery (AREA)
- Radiology & Medical Imaging (AREA)
- Pathology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- High Energy & Nuclear Physics (AREA)
- Theoretical Computer Science (AREA)
- Pulmonology (AREA)
- Manufacturing & Machinery (AREA)
- Mechanical Engineering (AREA)
- Apparatus For Radiation Diagnosis (AREA)
Abstract
The invention discloses a kind of multifunctional digital X ray image shelters, the shelter not only can provide traditional radioscopy image and routine and take the photograph piece, it can also provide CT images information, quick three-dimensional structure can be carried out to any position of whole body and be imaged and can provide 3D printing, the demand by substitution to the dummy for sending or storing a large amount of operation instrument and customization.This can be reduced to the shipment and delivery cost in operation place and reduce the time for repairing implantation material or tool of creation operation.It can be used for wherein its mobility medical and/or useful laboratory services any application convenient for offer at various positions.For example, power infrastructures and enter equipment can interruptible natural calamity region, the medical centre in the region has been endangered or other remote areas in the nonessential region of war in war.
Description
Technical field
The present invention relates to a kind of medical apparatus and instruments, it is more particularly related to a kind of multifunctional digital X-ray shadow
Image space cabin.
Background technique
For the ruthlessness of war, the particularity of military mission, disaster relief it is multiple, the sick and wounded are quickly given treatment to proposition
Requirements at the higher level.Currently, my army health support units at different levels, which must be relied on, provides quick, safe treatment with new equipment.Make
Wartime or non-military task health support reach such ability, and the task of top priority is that a new generation to be allowed defends diligent equipment and ensures under battle conditions
Demand " seamless link ".In recent years, my army defends diligent change system digitlization, the level of IT application is continuously improved, field operation shelter, hospital
The advanced frequently equipment of defending of a batch such as ship, train hospital is come out one after another, and realizes mobile field hospital and central hospital of the entire PLA interconnects
Intercommunication, remote medical consultation with specialists restore army, keep and improve its combat capabilities to play important effect.
But as defending checking tool --- radiodiagnosis vehicle important in diligent equipment, existing weaponry and equipment is but unable to satisfy pair
The first aid demand of the wounded.Especially during field operation or the disaster relief, for the quick diagnosis and emergency aid and treatment of craniocerebral injury, existing X
Mobile x ray clinic can only provide 2 d fluoroscopy images, can not provide three-dimensional structure imaging, not only bad for Accurate Diagnosis, and
The three-dimensional space for being unfavorable for lesion in treatment is accurately positioned.Furthermore in existing XCY2002-1/200 type field X-ray diagnosis vehicle
X-ray detection system still uses film making mode, does not use digital detector, seriously reduces the working efficiency of system.
The power supply system of such x-ray diagnosis vehicle still uses 380V power supply, need to power by external 30kW power station trailer for it, in heavy rain
Weather increases danger of hazardous electrical discharges, while being also unfavorable for the arduous condition transport in field.
Furthermore during surgery, it may be necessary to diversified to treat patient with instrument and prosthese.In some applications
In, emergency can be high.For example, the condition of the injury is usually serious and needs to handle as early as possible as the soldier that treatment be wound.In addition,
In military and non-military application, medical practitioner may execute the operation for requiring using tool and/or replacing prosthese.These are held
Dealer may be limited to space or can be brought into the quantity and type of the equipment at scene.
The fast pace of modern war and disaster relief is kept up with, and meets the higher demand of the rescue and treatment of the wounded, my army needs
Medical field equipment with more best performance, wherein the X-ray medical image shelter that can provide multi-modality imaging function will be very big
Improve the ability of health support.
Summary of the invention
For above situation, intend developing a novel X-ray medical image shelter, which not only can provide traditional X
Actinoscopy X image and routine take the photograph piece, can also provide CT images information, can carry out to any position of whole body quickly three-dimensional
Structure imaging simultaneously can provide 3D printing, the need by substitution to the dummy for sending or storing a large amount of operation instrument and customization
It asks.This can be reduced to the shipment and delivery cost in operation place and reduce the time for repairing implantation material or tool of creation operation.
Present invention mainly solves to be X-ray medical image shelter require very high technology to ask on the ground of work-yard
Topic, mainly provides a kind of cage modle CT scanning device, by the volume, weight, the rotation for reducing rotatable parts that reduce CT scanner
The vibration amplitude of radian and complete machine, while the measures such as transmission eccentric force are eliminated to mitigate and eliminate CT scan by balance correction
The shock momentum of instrument itself come reduce to work ground requirement, further by with it is middle control brake mechanism mobile device come auxiliary
The movement and fixation of CT scanner are helped, so that the using area of CT scanner is wider.
Present invention generally provides the devices and process for producing the tool and/or prosthese that are suitable for surgical procedures.This hair
It is bright that a kind of image shelter with three-dimensional (3D) print capacity is provided, will substitution to send or store a large amount of operation instrument and
The demand of the dummy of customization.This can be reduced to the shipment and delivery cost in operation place and reduce the reparation implantation of creation operation
The time of object or tool.Shelter may include scanner, computer, 3D printer and the original for printing operation instrument or prosthese
Material.Thus the present invention overcomes when can printing speed Medical Devices, instrument and prosthese at the scene when, to transport and/or
The demand of a large amount of Medical Devices, instrument and prosthese is stored at medical facilities.This device and method will allow that 3D fast freight is only needed to beat
Print can the mobile Surgicenter of rapid build.
Method and apparatus of the invention will allow direct virtual private net (VPN) Image Sharing, so that doctor at the scene
Life can receive image, and cooperate with other doctors to assist them to obtain implantation material/prosthese appropriate and for specific
The difficult of operation solves design.Because the trauma situations of a variety of difficulties usually show that its own is in the position of tool challenge
(e.g., on the battlefield of military operation or region of war), so this is very useful.Device and method of the invention facilitate to trouble
The nursing of person's offer highest standard.
The data of device and method of the invention also relevant to Medical Devices, the instrument and prosthese information of accessible storage
Library.It, which also can have, makes the implantation material of customization with scanning and Method of printing at the scene and creates can help when needed
The lifesaving of patient and the ability of therapeutic equipment.The fortune of necessary surgical equipment can be reduced by all these characteristics, the disclosure
Weight is sent, the time of lifesaving medical treatment implantable devices being finally implanted into is reduced, and creates operating room within a few hours.Raw material
It can supply and deliver by pre-packaged proprietary mode.
To be easy to describe, term " prosthese " used in the present invention and " multiple prostheses " are used to indicate the class of implantation material
Type, bone alternative, tissue alternative, prosthese even can be designed and be created in a device and with disclosed method and is whole
A organ.Thus, as used in the present invention, term " prosthese " can indicate facial implant (bone or the soft tissue plant of customization
Enter), facial fracture and reparation, microtia bracket, eye prosthese, ose implant, upper jaw prosthese, palate prosthese, interval prosthese, calvarium vacation
Body, mandibular alternative (bone collection printed matter), maxilla alternative, the soft tissue implant (whole region of body of customization
Including but not limited to airway stent, intravascular stent, transplanting, percutaneous or operated vessels block equipment), hand/limbs implantation material/vacation
Body, articular replacement (Minor articulus of such as wrist/refer to), large joint alternative (e.g., hip, knee, shoulder), backbone body alternative, long bone replace
Object (femur, shin bone, fibula, radius, ulna, humerus) is changed, thoracic cavity alternative, pelvis defect repair, large joint alternative can not
The dummy (e.g., refer to, other appendages, four limbs, corrective or obturation) of implantation, a combination thereof or other suitable implantation material.
In order to realize these purposes and other advantages according to the present invention, a kind of multifunctional digital X ray image is provided
Shelter, comprising:
Vehicle-mounted cone-beam CT imaging system, vehicle-mounted Cone-Beam CT rail structure, vehicle-mounted X-ray image information processing system, three-dimensional are beaten
Print machine and 220V onboard power system.
Preferably, the vehicle-mounted cone-beam CT imaging system of the image shelter uses the cone-beam CT imaging based on flat panel detector
Mode, using top slide rail structure, cone-beam CT imaging system is hung at the top of shelter and make its as needed it is scanning bed not
It is imaged with position.Cone-beam CT imaging system rotates 360 ° exposure centered on slip ring, by cone-beam CT reconstruction technology,
Three-dimensionalreconstruction is carried out to imaging object, imaging object three-dimensional internal structural information is obtained, shows image on the display device;To beating
Print machine sends image;And instrument or prosthese are printed according to the image on printer.
Preferably, the vehicle-mounted cone-beam CT imaging system includes:
Rack is vertically erected in the mobile device of CT scanner;Cage-type rotary component, including the first rotation accessory,
The seamed edge of second rotation accessory and the connection first rotation accessory and the second rotation accessory, the first rotation accessory pass through
Floating bearing is rotatably arranged in the rack, and the cage-type rotary component and rack are annular structure, circle ring center's conduct
The scanning holes of CT scanner;Imaging system has and is symmetricly set on the second rotation accessory with the X on side wall along axis center
Ray source component and detector assembly, the X-ray source component and the detector assembly are fixed on the second rotation accessory, described
Detector assembly is corresponding to receive the emergent ray from the X-ray source component;And it is inclined on the first rotation accessory
Turbine assembly, the gear wheel engaged be fixed at rack different from it is described first rotation accessory one side, described first
The axis for rotating accessory, rack, gear wheel and the second rotation accessory is overlapped, and turbine assembly drives the cage-type rotary portion by motor
Part rotates in a circumferential direction around gear wheel, and cable connects power supply and the imaging system by the cage-type rotary component;Wherein, the X
Using pencil-beam as outgoing beam, the imaging system is rotated a circle with dynamic volume scanning mode with completion pair ray source component
The scanning imagery process of object.
Preferably, the outer ring of the floating bearing is mounted on the inner ring of the rack, the first rotation accessory outer radii
Accessory is rotated less than the rack inner radii, and by the floating bearing and the rack clearance fit, described first
Ball or roller are set between outer ring one side wall outstanding and the rack, and ring outer wall is described equipped with that can accommodate in the rack
The groove of ball or roller;Between gear wheel and the first rotation accessory, the gear wheel is arranged to tiltedly the rack radius
Gear is bolted in the rack.
Preferably, the turbine assembly includes: turbine wheel shaft, is erected on the cage-type rotary component by bottom plate, institute
It states bottom plate to be anchored on by profile on the seamed edge of the cage-type rotary component, rolling bearing is used at the turbine wheel shaft both ends respectively
It is supported on bottom plate;Worm screw is connected by internal spline with the turbine wheel shaft, and described turbine wheel shaft one end is connected by brake apparatus
Engine, the other end are equipped with butterfly spring and gland, when by engaging transmission force between the worm screw and the gear wheel
An axial force is acted on turbine wheel shaft, the cage-type rotary component is directly driven to be pivoted, and is turned according to motor
To and forward or reverse;Brake switch, described brake switch one end be equipped with groove, the raised portion fits of groove and initial bar, separately
The bottom plate is fixed on close to the position of engine in one end, when motor does not work, the brake switch by groove with it is described
The lug boss of initial bar blocks, as initial position.
Preferably, industrial computer A is installed on the cage-type rotary component, positioned at the lower part of the detector assembly, and matches
It is cased with power supply and instruction processing unit, the detector assembly includes image preprocess apparatus, and the image preprocess apparatus is to first
Picture signal is handled, which has the image part for showing subject and be set to the image part
The remaining white part of surrounding, it is characterised in that: remaining white test section detects the remaining white part in the first image signal;
Region-of-interest configuration part, according to detected by the remaining white test section more than white part, setting with the first image signal
In the corresponding initial region-of-interest in the image part;And region-of-interest image production part, generate region-of-interest image
Signal, the region-of-interest picture signal indicate the initial region-of-interest set by the region-of-interest configuration part.
Preferably, the region-of-interest image production part includes cut-out portion, cut out from the first image signal by
The initial region-of-interest set by the region-of-interest configuration part;And zoom portion, it generates and corresponds to described the
The display object of one picture signal and zoom in or out by the cut-out portion cut out from the first image signal it is described just
Image after beginning region-of-interest, as the region-of-interest picture signal.
Preferably, display is installed, display is by industrial computer B, AC-DC power supply and figure on the cage-type rotary component
Display composition, the industrial computer B are installed on the seamed edge of the side of the rotary part, install figure on the seamed edge of the other side
Display, and the graphic alphanumeric display variable position and viewing angle, the AC-DC power supply are industrial computer B power supply;The display
Device shows the image of described image processing unit output.
Preferably, wireless data communication module is installed on the cage-type rotary component, comprising: first memory, it is described
First memory is configured to store the clinical data;Transmitter, the transmitter are configured to according to the first communication protocol
To send the clinical data;Receiver, the receiver are configured to receive enhancing data according to the second communication protocol;With
And second memory, the second memory are configured to store the enhancing data.The enhancing data build on described face
On the basis of bed data.
Preferably, emergency stop button switch and ray indicator light are installed in the mobile device.
Preferably, the bottom setting isolating transformer and a graphics processing computer of the mobile device, with the figure
The storage medium of shape processing computer connection is mounted on panel, and the prefabricated three-dimensional CT image of graphics processing computer, which is rebuild, to be calculated
Method.
Preferably, the power supply mode is sliding ring type power supply.
Preferably, three-dimensional printer includes: image acquisition equipment, for the high pressure sterilization of the output sterilizing for 3D printer
Device or other equipment and the scanner for verifying printed product.The invention likewise provides the methods for using it.Using 3 D-printing
Image acquisition equipment and the long-range image acquisition equipment of three-dimensional printer in machine, or by access with relative
The database of prestored digital image data and the image for obtaining desired operation instrument or prosthese.Image be then communicated to printer with
Printing.In this way, the disclosure provides the device and method of dummy/tool hypervelocity prototype for application of performing the operation.One
The application of the suitable fast freight container for the disclosure of kind is to cure in military affairs because it allows to create mobile military affairs within a few hours
Treat facility.Three-dimensional printer can be prepositioned before its needs.To describe in more detail below other application and
Characteristic.
Device and method of the invention are discussed in the environment of three-dimensional (3D) printing.3D printing may include but be not limited to: all
Such as method: fused glass pellet, melt filament (filament) production, automatic mortar injection forming (robocasting), electron beam without
Mould work, direct metal laser sintering, electron-beam smelting (melting), selective laser melting, selective thermal sintering, selection
Property 3D printing laser sintered, based on gypsum, laminated solid mass manufacture, Stereolithography (stereolithography) and number
Light processing.The process of " decrement " manufacture can also be used.In this embodiment, same as above, image acquisition equipment, which will be sent, it is expected
Prosthese image to computer.There is amendment or is sent to maker without modified final image.Maker uses decrement side
Method next life maternity leave body, wherein prosthese can be cut by solid implantable material to dig.Decrement method may include lathe process vacation
Body, with the cutting of laser, water or air knife cutting element, punching press, grinding or engraving.
By " being used in operation ", the present invention is intended to prostheses and/or instrument in identical surgical procedures or with obtain
The identical surgery location in the position for the image for taking prosthese to be based on and print or make.It is currently available that equipment or method can indicate
" rapid prototyping ", but this typically means when obtaining the image of specific part, then by it during can need several weeks
It issues so as to remote printing.Using term " hypervelocity prototype " and " in operation ", the present invention is made to be different from these processes.In the present invention
Method in, required prosthese can be provided during surgical procedures.The most unique aspect of the invention first is that for patient come
It says, the scanning of patient and the processing of image and the printing of dummy or other implantable equipment can be anaesthetized in single
Lower completion.
Software program or algorithm can be embedded on computer, and can make acquired image will in monitor or
It is shown on other displays.Software program can permit doctor, technician, either with or without the input from patient oneself
When, the image of scanning is customized to desired setting or characteristic.Final image (as being applicable in, the image being customized) is then sent out
Printer or maker are sent to create.As previously discussed, printer or maker and computer one are in fast freight appearance together
In device.Production time quantum needed for prosthese used in surgical procedures is greatly reduced in this.
In one embodiment, image acquisition equipment, computer and printer or maker are placed on 3 D-printing jointly
In machine.In another embodiment, computer, printer, sterilizing installation and verifying scanner can be placed in shelter jointly.
No matter which kind of mode, the device and method of the disclosure be oriented so that hypervelocity prototype for may, thus eliminate or significantly reduce obtain
Obtain the amount of delay of required prosthese or instrument.Depending on the specific type of medical procedure, the printer after obtaining final image
Or the time cycle of maker offer prosthese can change.The range of the time cycle can be small from ten minutes to 24
When or any subrange therebetween.Time cycle is also possible to from 30 minutes to 12 hour or any son therebetween
Range.
It, can be in shelter to the actual operation program of patient when during three-dimensional printer of the invention be used to perform the operation application
Interior generation.The present invention is it is also contemplated that surgical procedures can occur in the outside of shelter, so that shelter is used as prosthese produced or hand
The make-up room of art tool.Shelter can be used to print desired tool or prosthese, and be packed other to be delivered to
Facility or position.If desired, packaging can be completed with sterilization method.As non-limiting example, 3 D-printing of the invention
Machine can be deployed in the ground of existing hospital facility.User can print desired tool or prosthese, and fast freight container can be with
It is packaged in sterilization packaging.Then the part of packaging can be transported the place that will implement surgical procedures by user.
About Military Application, soldier is currently afield stablized, and evacuate to the second place (e.g., after the war) with do into
One step medical treatment and nursing.Using the method discussed in the invention, the operation of further determining property can occur in soldier by task region of war
Before withdrawing, this might mean that saving their life, eyesight or four limbs.Using digital X-ray image shelter of the invention and
The database of stored data relevant to operation instrument and prosthese, device and method of the invention can be produced to have and are finished
That is the complete operating room of abandoning type instrument, can be by the method for the invention by quick (< 24 hours) and cheap
Building.Therefore, for doctor and anesthetist, needing to be provided to construct only inventory of instrument will be setting from database
Meter and for printing raw material.These can be used for constructing from implantation material and scalpel to tracheal catheter that is flexible or reinforcing,
Any object of tracheostomy tube or airway stent.Finally, bought under the method that is currently available that implantation material or prosthese at
Originally it can be high.The device and method of specific implantation material for printing patient of the invention, will save the big reward for writing or painting of army
Gold, because of its demand by elimination to the implantable dummy for becoming big inventory that is unpasteurized and causing traumatic infection.
Other applications suitable for shelter of the invention may be in devastated.Along with such as hurricane or earthquake
Natural calamity, it is traditional or be currently available that electric system and medical services may be interrupted.In this condition, of the invention
Digital X-ray image shelter can be disposed and be used for emergency scene medical rescue.Digital X-ray image shelter of the invention
It can be used in existing medical facilities (such as policlinic), the space of the medical facilities may be of great value and have additional flexible
Property, to execute the operation of the part for the standard capability that can be or can not be facility.The digital X-ray in the application of the invention
The use of image shelter can also be conducive to vacate existing memory space in these facilities, can be used for inventory's customization or non-fixed
The implantation material of system.
Device and method including database of the invention can provide the means for changing the mode for supporting building hospital.
This will provide required cost savings, and will make the doctor at scene that required equipment and dummy can be used, to mention for patient
For better nursing quality.
Printer or maker of the invention can also eliminate vacation in being currently available that device and method and implantable
The sterilizing of the body relevant time.Currently, existing and going out with prosthese when doctor receives implantable prosthese after printing delay
Bacterium relevant additional time, further increase the cost of program and the risk to patient.However, using equipment of the invention and
Method, the time are significantly reduced or completely eliminate.Printer provided by device and method of the invention or maker can be with
Sterilized prosthese soon to use is provided.In the case where prosthese is produced via the lathe process of computer guiding,
The processing of prosthese will be likely to remain that sterilizing, but lathe process process can be rapider than printing, so used in sterilizing
Additional time should not be too long.
The material for being suitable for prosthese of the invention may be different.Material may include the poly- cream checked and approved for implantable devices
Acid and acronitrile-butadiene-styrene.The other materials of anticipation may include rubber, photo-curable polymer, metal, ceramics and
The entity of implantable immersion antibiotic.
Other than the implantation prosthese for being suitable for patient's body, device and method of the invention can mention for doctor and patient
For surgical planning model and cutting guide.For example, doctor can hold the model of bone or skull, and formulate where cuts implementation
The plan of mouth or resected bone.Doctor can also tender or guardian's explanation equally to patient or patient.
As described above, although shelter of the invention or other suitable modular receptacle can be used in Military Application
3 D-printing, but it is also envisioned that other application.Shelter of the invention can be used for wherein at various positions its mobility for
Convenient medical and/or useful laboratory services any application is provided.For example, possible in power infrastructures and entrance equipment
The natural calamity region being interrupted, the medical centre in the region have been endangered or other on the nonessential region of war in war
In remote areas.Particularly advantageous but of the invention shelter also may include other medical treatment dresses in terms of 3 D-printing of the invention
Standby, tool or the prosthese for being prefabricated work or printing.
Detailed description of the invention
Fig. 1 is X-ray medical image shelter perspective imaging modes schematic diagram of the invention.
Fig. 2 is the vehicle-mounted cone-beam CT imaging system in the present invention.
Fig. 3 is exemplary to provide more image frame processing.
Fig. 4 is 3 D-printing process provided in an embodiment of the present invention.
Specific embodiment
As shown in figure 3, the processing unit 1 of present embodiment and endoscope 2 (mirror body), light supply apparatus 3, display device 4, X
X-ray apparatus 5 connects, which, which has, imported into subject, being shot in vivo and generate endoscope to subject
The image pickup part 21 of picture signal, before which generates illumination light L and be supplied to endoscope 2 via light guide cables 22
End, the display device 4 is by having used the structures such as the display of liquid crystal or organic EL (Electro Luminescence: electroluminescent)
At the X-ray apparatus 5 generates radioscopic image signal, and the processing unit 1 is to the endoscopic images signal inputted from endoscope 2
Implement defined image procossing and defined image procossing also implemented to the radioscopic image signal inputted from X-ray apparatus 5,
And image corresponding with synthesized image signal is made to be shown in display device 4, which is after being arranged image procossing
Endoscopic images signals and X-ray signal and be synthesized into.Processing unit 1 makes synthesized image signal be shown in display dress
It sets on 4 display picture, which will be displayed with the picture of image corresponding with radioscopic image signal and show
The two pictures of the picture of endoscopic images signal are indicated as major-minor picture.Processing unit 1 is to endoscope 2, light supply apparatus 3
And the movement of display device 4 is controlled.
Processing unit 1 have input unit 11, control unit 12, image processing part 13, display control section 14, output section 15, with
And storage unit 16.
Input unit 11 operates equipment using mouse, keyboard and touch panel etc. to realize, and receives various instruction information
Input.Specifically, input unit 11 receive the subject that endoscope 2 and X-ray apparatus 5 are checked information (such as ID, go out
Raw date, name etc.), the identification information (such as ID project corresponding with inspection) of endoscope 2, the identification volume of X-ray apparatus 5
Number and the various instruction information such as the scope of examination inputs.
Control unit 12 is realized using CPU etc..Control unit 12 controls the processing movement in each portion of processing unit 1.Control unit
12 movement by carrying out controlling processing unit 1 for transmission of instruction information or data of each structure of processing unit 1 etc..
Control unit 12 is connect via each cable with image pickup part 21, each structure position of light supply apparatus 3 and display device 4, thus also right
The movement of image pickup part 21, light supply apparatus 3 and expression device 4 is controlled.
Image processing part 13 is according to the control of control unit 12, to the endoscopic images signal generated of image pickup part 21 and from X
The radioscopic image signal that x-ray apparatus 5 inputs carries out defined signal processing.Image processing part 13 have remaining white test section 13a,
Region-of-interest cut-out portion 13b (region-of-interest configuration part and cut-out portion), zoom portion 13c, endoscopic images processing unit 13d,
And combining unit 13e.Radioscopic image signal is the image part for showing subject for having operator of interest and is set to
The picture signal of remaining white part around image part.Remaining white part is brightness or the uniform homogeneous area of color.
Remaining white test section 13a detects radioscopic image by the brightness or the variation of color for detecting radioscopic image signal
Remaining white part in signal.
Remaining white portion of the region-of-interest cut-out portion 13b in the radioscopic image signal according to detected by remaining white test section 13a
Point, initial region-of-interest corresponding with the image part in radioscopic image signal is set, and cut from radioscopic image signal
The initial region-of-interest of the setting out.
Zoom portion 13c corresponds to the radioscopic image of the expression device 5 of the expression object as radioscopic image signal
Indicate picture size, and generate zoom in or out pass by infuse region cut-out portion 13b cut out from radioscopic image signal it is initial
Picture signal obtained from region-of-interest, as the region-of-interest picture signal for indicating initial region-of-interest.
Endoscopic images processing unit 13d carries out comprising the black subtraction of optics the endoscopic images signal inputted from endoscope 2
Processing, gain adjustment processing, the processing of the synchronization process of picture signal, gamma correction, white balance (WB) adjustment processing, color moment
Various image procossings including battle array calculation process, color reproduction processing and edge enhancement processing etc..
Combining unit 13e generates and exports synthesized image signal, which be arranged by zoom portion 13c
Region-of-interest picture signal generated and by the endoscopic images processing unit 13d endoscopic images signal that implements that treated simultaneously
It is synthesized into.
Display control section 14 is generated according to the synthesized image signal that combining unit 13e is exported for being shown in display device 4
Display picture signal will turn and after the display of generation is converted to analog signal from digital signal with picture signal
The picture signal of analog signal after changing is changed to the formats such as high-resolution mode and exports give expression device 4.In addition, there is also aobvious
Showing device 4 has a case that a part of display control section 14.
Output section 15 is realized using loudspeaker or printer etc., and the output section 15 is defeated according to the control of control unit 12
Related information is handled with the display of endoscopic images signal and radioscopic image signal out.
Storage unit 16 is realized using volatile memory or nonvolatile memory, and the storage unit 16 is stored with and is used for
The various programs for acting processing unit 1, endoscope 2 and light supply apparatus 3.Storage unit 16 temporarily stores the place of processing unit 1
Information in reason.Storage unit 16 also can be used to be constituted from the external storage card installed etc. of processing unit 1.
Referring to Fig. 3,3 D-printing process (100) according to the present invention is shown.Firstly, user can use optical scanner
Equipment (101), medical imaging devices (102), tactile touch image (103) or instrument or anatomical data by aforementioned storage
Database (104) and obtain image.Then image is downloaded and is handled by computer (105).Optionally, computer can to
Family or doctor show image further to manipulate (106).After this step, printer is sent images to then to print
(107).Verifying scanner can optionally verify the product correctness (108) finally printed.Optionally as well, it finally prints
Product can also be sterilized using sterilizing installation, such as autoclave (109).
Between download step (105) and display step (106), there can also be optional step (105a).Since image obtains
Take the defects of technology, when body part or instrument are scanned, in final image there may be missing information, gap or
" hole ".It will be incomplete and thus unsuitable if the image is sent to printer or maker.In step (105a)
Period, image can be compared with the normal datas for the prosthese or tool that can store in the database.Acquired figure
Any gap as in can be filled.
Label declaration
1: processing unit;2: endoscope;3: light supply apparatus;4: display device;5:X x-ray apparatus;11: input unit;12: control
Portion processed;13: image processing part;13a: remaining white test section;13b: region-of-interest cut-out portion;13c: zoom portion;13d: it inside peeps
Mirror image processing part;13e: combining unit;14: display control section;15: output section;16: storage unit;21: image pickup part.
It is not in the application of first concern point that X ray image shelter of the invention, which can also be used for wherein mobility,.Example
Such as, existing hospital facility may need the ability of printing speed tool or prosthese, and it may have no ability to or not have at present
Space is done so.X ray image shelter of the invention can be easily deployed on the ground of existing hospital facility, such as
Parking lot, garage parking, roof or facility ground unused area in.Regardless of whether the ability is needed, regardless of whether in the presence of
Existing utility, shelter of the invention can be disposed.
Although the embodiments of the present invention have been disclosed as above, but its is not only in the description and the implementation listed
With it can be fully applied to various fields suitable for the present invention, for those skilled in the art, can be easily
Realize other modification, therefore without departing from the general concept defined in the claims and the equivalent scope, the present invention is simultaneously unlimited
In specific details and legend shown and described herein.
Claims (6)
1. a kind of multifunctional digital X ray image shelter, it is characterised in that: including
Vehicle-mounted cone-beam CT imaging system, vehicle-mounted Cone-Beam CT rail structure, vehicle-mounted X-ray image information processing system, three-dimensional printer
With 220V onboard power system;
The vehicle-mounted cone-beam CT imaging system uses the cone-beam CT imaging mode based on flat panel detector, utilizes top slide rail knot
Cone-beam CT imaging system is hung at the top of shelter and it is imaged in scanning bed different location as needed by structure;Cone-beam
CT imaging system rotates 360 ° exposure centered on slip ring, by cone-beam CT reconstruction technology, carries out to imaging object three-dimensional
Reconstruct obtains imaging object three-dimensional internal structural information, shows image on the display device;Image is sent to printer;And
Operation instrument or prosthese are printed according to the image on printer;
The vehicle-mounted cone-beam CT imaging system includes rack, is vertically erected in the mobile device of CT scanner;Cage-type rotary
Component, including the first rotation accessory, the second rotation accessory and the connection first rotation accessory and the second rotation accessory
Seamed edge, first rotation accessory is rotatably arranged in the rack by floating bearing, the cage-type rotary component and rack are
Annular structure, scanning holes of the circle ring center as CT scanner;Imaging system, it is described with being symmetricly set on along axis center
Second rotation accessory is the same as the X-ray source component and detector assembly on side wall, the X-ray source component and the detector assembly
It is fixed on the second rotation accessory, the detector assembly is corresponding to receive the emergent ray from the X-ray source component;And inclination
Be arranged in first rotation accessory on turbine assembly, the gear wheel engaged with the turbine assembly be fixed at rack different from
The one side of the first rotation accessory, the axis coincidence of the first rotation accessory, rack, gear wheel and the second rotation accessory,
Turbine assembly drives the cage-type rotary component to rotate in a circumferential direction around gear wheel by motor, and cable is connected by the cage-type rotary component
Connect power supply and the imaging system;Wherein, the X-ray source component is using pencil-beam as outgoing beam, the imaging system with
Dynamic volume scanning mode rotates a circle to complete the scanning imagery process to object;
The outer ring of the floating bearing is mounted on the inner ring of the rack, and the first rotation accessory outer radii is less than the rack
Inner radii, and the first rotation accessory, by the floating bearing and the rack clearance fit, first rotation is matched
Ball or roller are set between the outer ring of part one side wall outstanding and the rack, and ring outer wall is equipped with and can accommodate in the rack
The groove of the ball or roller;The rack radius is described big between gear wheel radius and the first rotation accessory radius
Gear is arranged to helical gear, is bolted in the rack;
The turbine assembly includes: turbine wheel shaft, is erected on the cage-type rotary component by bottom plate, the bottom plate passes through type
Material is anchored on the seamed edge of the cage-type rotary component, and the turbine wheel shaft both ends use roller bearings in bottom plate respectively
On;Worm screw is connected by internal spline with the turbine wheel shaft, and described turbine wheel shaft one end connects engine by brake apparatus, separately
One end is equipped with butterfly spring and gland, when by engaging transmission force between the worm screw and the gear wheel on turbine wheel shaft
Act on an axial force, the cage-type rotary component directly driven to be pivoted, and rotated forward according to the steering of motor or
Reversion;Brake switch, described brake switch one end are equipped with groove, the raised portion fits of groove and initial bar, and the other end is fixed on
The bottom plate is close to the position of engine, and when motor does not work, the brake switch is convex by groove and the initial bar
The portion of rising is blocked, as initial position.
2. multifunctional digital X ray image shelter according to claim 1, it is characterised in that: the cage-type rotary component
On industrial computer A is installed, positioned at the lower part of the detector assembly, and be configured with power supply and instruction processing unit, the detector
Component includes image preprocess apparatus, which handles the first picture signal, first picture signal
White part with the image part for showing subject and more than being set to around the image part, it is characterised in that: Yu Bai
Test section detects the remaining white part in the first image signal;Region-of-interest configuration part, according to the remaining white inspection
Remaining white part detected by survey portion sets initial concern area corresponding with the image part in the first image signal
Domain;And region-of-interest image production part, region-of-interest picture signal is generated, which indicates the pass
Infuse the initial region-of-interest set by region setting part.
3. multifunctional digital X ray image shelter according to claim 1, it is characterised in that: the three-dimensional printer packet
Include image acquisition equipment, the autoclave that the product for finally printing for 3D printer sterilizes and verifying printed product
Scanner.
4. multifunctional digital X ray image shelter according to claim 3, it is characterised in that: 3 D-printing process or
The actual operation program of patient is occurred in shelter, or the expection surgical procedures of patient are occurred in the outside of shelter, with
So that shelter is used as the make-up room of prosthese produced or operation instrument, the 3 D-printing process comprising steps of
The database of stored data relevant to multiple operation instruments or prosthese, or scanning target are accessed, to obtain
State the image of operation instrument or prosthese;
It selects and a relevant image in the multiple operation instrument or prosthese;
Described image is shown on the display device;
Described image is sent to printer;And
The operation instrument or prosthese are printed according to the described image on the printer.
5. multifunctional digital X ray image shelter according to claim 4, it is characterised in that: in surgical procedures, in list
It includes step that the 3 D-printing process is executed during secondary anesthesia.
6. multifunctional digital X ray image shelter according to claim 5, it is characterised in that: 3 D-printing includes but not
Be limited to: fused glass pellet, melt filament production, automatic mortar injection forming, electron beam without molding work, direct metal laser sintering,
Electron-beam smelting, selective laser melting, selective thermal sintering, selective laser sintering, the 3D printing based on gypsum, lamination are real
Body manufacture, Stereolithography and digital light processing.
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CN201611271465.6A CN106859868B (en) | 2016-12-26 | 2016-12-26 | Multifunctional digital X ray image shelter |
PCT/CN2017/117807 WO2018121413A1 (en) | 2016-12-26 | 2017-12-21 | Multi-functional digital x-ray image shelter |
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CN201611271465.6A CN106859868B (en) | 2016-12-26 | 2016-12-26 | Multifunctional digital X ray image shelter |
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CN106725572B (en) * | 2016-12-26 | 2020-09-11 | 中国科学院苏州生物医学工程技术研究所 | Low dose digital X-ray imaging shelter |
CN106859868B (en) * | 2016-12-26 | 2019-01-15 | 中国科学院苏州生物医学工程技术研究所 | Multifunctional digital X ray image shelter |
CN106901770A (en) * | 2017-03-13 | 2017-06-30 | 淄博润承知识产权代理有限公司 | A kind of vehicle-mounted CT with 3 D-printing |
CN107669290A (en) * | 2017-11-10 | 2018-02-09 | 苏州瑞派宁科技有限公司 | A kind of radio transmitting method for being wirelessly transferred CT system and CT system |
CN109124667B (en) * | 2018-07-23 | 2022-09-06 | 中国科学院苏州生物医学工程技术研究所 | Adjusting device for cage type CT scanner |
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