CN111281413B - Subject support device for nuclear medicine diagnostic device - Google Patents

Subject support device for nuclear medicine diagnostic device Download PDF

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Publication number
CN111281413B
CN111281413B CN201911100290.6A CN201911100290A CN111281413B CN 111281413 B CN111281413 B CN 111281413B CN 201911100290 A CN201911100290 A CN 201911100290A CN 111281413 B CN111281413 B CN 111281413B
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nuclear medicine
support
diagnostic device
medicine diagnostic
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CN111281413A (en
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宇田川晴英
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Shimadzu Corp
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Shimadzu Corp
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/04Positioning of patients; Tiltable beds or the like
    • A61B6/0407Supports, e.g. tables or beds, for the body or parts of the body
    • A61B6/0421Supports, e.g. tables or beds, for the body or parts of the body with immobilising means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/02Arrangements for diagnosis sequentially in different planes; Stereoscopic radiation diagnosis
    • A61B6/03Computed tomography [CT]
    • A61B6/037Emission tomography
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/50Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment specially adapted for specific body parts; specially adapted for specific clinical applications
    • A61B6/502Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment specially adapted for specific body parts; specially adapted for specific clinical applications for diagnosis of breast, i.e. mammography

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Engineering & Computer Science (AREA)
  • Optics & Photonics (AREA)
  • Biomedical Technology (AREA)
  • Biophysics (AREA)
  • High Energy & Nuclear Physics (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Public Health (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Nuclear Medicine (AREA)

Abstract

The invention provides a subject support device for a nuclear medicine diagnostic device, which can enable a subject to easily maintain a lateral lying state. A subject support device for a nuclear medicine diagnostic device is provided with: a sheet member (31) mounted on the mounting portion (11), and a plurality of support members (32, 33) disposed at the end of the sheet member (31). When a subject under examination is supported by the subject support device for a nuclear medicine diagnostic device, a sheet member (31) is initially placed on a placement unit (11) of the nuclear medicine diagnostic device. Then, the support member (33) is fixed to the sheet member (31) by means of the face connector.

Description

Subject support device for nuclear medicine diagnostic device
Technical Field
The present invention relates to a subject support device for a nuclear medicine diagnostic device used in the nuclear medicine diagnostic device.
Background
For example, in a nuclear medicine diagnostic device for breast examination for examining a breast of a subject, the breast of the subject to which a radiopharmaceutical has been administered in advance is inserted into an annular radiation detection unit in which a tunnel-shaped examination space is formed, and annihilation photons emitted from the breast of the subject are detected by the radiation detection unit. Then, when the time at which the photon is detected is measured and the difference in detection time between the two detectors in the radiation detection unit is within a fixed time, the detected two photons are counted as a pair of annihilation photons, and the annihilation occurrence point is determined as the position on the straight line of the detected pair of detectors. The emission data thus obtained is stored, and image reconstruction is performed using the stored emission data, thereby obtaining a PET image. The acquired PET image is then displayed on a monitor and transmitted to a server in the hospital.
In such a nuclear medicine diagnostic device for breast examination, there are two methods for positioning a radiation detection unit with respect to a breast of a subject: after fixing the subject to a fixed position such as a bed or a chair, the radiation detection unit is positioned in proximity to the subject; and fixing a radiation detection part in advance, inserting the breast of the subject into the radiation detection part and positioning the breast.
Patent document 1 discloses a table for performing medical treatment in which a subject is placed on top of a table in which an insertion port for inserting a breast of the subject is formed, and the breast of the subject is placed in a state of hanging down after passing through the insertion port, whereby the breast is brought close to an X-ray imaging apparatus and positioned. The platform described in patent document 1 is configured as follows: the replaceable insert having the insertion port of a large diameter or the insertion port of a small diameter is selectively used based on the size of the breast of the subject.
Patent document 2 discloses a breast-dedicated nuclear medicine diagnostic device capable of inspecting the breast and armpit of a subject. The nuclear medicine diagnostic device described in patent document 2 includes a ring-shaped (annular) detector unit that photographs the breast of the subject M in a sitting state, and an arm placement table that supports an arm inserted into the detector unit. The detector unit in the nuclear medicine diagnostic device has a hole into which an arm near one side of the breast can be inserted, the hole having an inner diameter larger than a distance from a shoulder on the arm side to a root of the breast.
Prior art literature
Patent literature
Patent document 1: japanese patent laid-open publication No. 2016-185349
Patent document 2: japanese patent application laid-open No. 2015-94697
Disclosure of Invention
Problems to be solved by the invention
As described in patent document 2, when a subject is examined in a sitting posture, there is the following problem: since the examination takes about 10 minutes at most, the subject is painful to maintain the same posture. Therefore, as described in patent document 1, it is preferable to provide a structure capable of checking the breast and armpit of the subject in the recumbent state. However, the nuclear medicine diagnostic device having such a structure has not been achieved yet.
In order to perform the examination of the breast and armpit of the subject placed on the placement unit in the prone position as described in patent document 1, it is conceivable to use a radiation detection unit having an examination space of a size in which the breast and armpit of the subject can be disposed, and to use a structure in which a space in which the arm of the subject can be accommodated is formed below the radiation detection unit. In the case of such a configuration, the subject can be checked in the recumbent state, and the burden on the subject is reduced.
In order to perform an examination of the breast and armpit using such a nuclear medicine diagnostic device, the subject needs to maintain a laterally-oriented lateral state to insert the arm portion into the internal space via the insertion opening of the arm portion of the radiation detection portion. As described above, since the examination takes about 10 minutes at most, it is difficult for the subject to keep his/her body in a recumbent state, and the examination is painful for the subject.
The present invention has been made to solve the above-described problems, and an object thereof is to provide a subject support device for a nuclear medicine diagnostic device, in which a subject can easily maintain a lateral state.
Solution for solving the problem
The invention described in claim 1 is an examinee support device for a nuclear medicine diagnosis device, which is used for a nuclear medicine diagnosis device capable of examining an armpit of an examinee, and which includes: an annular radiation detection section having an inspection space formed therein; and a bed having a placement portion of the subject on an upper surface thereof, the placement portion of the subject being formed with an opening portion that communicates with an examination space of the radiation detection portion, the subject support device for a nuclear medicine diagnostic device further comprising: a sheet member that is placed on the placement portion; and a support member disposed at an end of the sheet member for supporting the subject.
With regard to the invention described in claim 2, in the invention described in claim 1, a connecting member is further provided that connects the sheet member and the support member in a detachable manner.
Regarding the invention described in claim 3, in the invention described in claim 2, the connection member is a surface connector disposed on an upper surface of the sheet member and a lower surface of the support member.
The invention according to claim 4 provides the invention according to any one of claims 1 to 3, wherein the support member is provided in a plurality of support members, and the plurality of support members are arranged so as to overlap.
The invention described in claim 5 is the invention described in claim 4, further comprising a coupling member that detachably couples the plurality of support members.
Regarding the invention described in claim 6, in the invention described in claim 5, a concave portion is formed in one of the plurality of support members, and a convex portion that engages with the concave portion is formed in the other support member, and the plurality of support members are coupled to each other by engaging the concave portion with the convex portion.
ADVANTAGEOUS EFFECTS OF INVENTION
According to the invention of claim 1, the sheet member on the placement portion can be fixed by the body of the subject, and the subject can be supported by the support member disposed at the end portion of the sheet member. Therefore, the subject supported by the support member does not feel pain, and can easily maintain the side lying state.
According to the inventions described in claim 2 and claim 3, the support member can be selectively used, or the mounting position of the support member with respect to the sheet member can be changed.
According to the invention of claim 4, the number of support members to be used can be selected according to the physical constitution of the subject.
According to the inventions described in claim 5 and claim 6, the plurality of support members can be easily coupled by the coupling means such as engagement of the concave portion and the convex portion.
Drawings
Fig. 1 is a perspective view of a nuclear medicine diagnostic device to which a subject support device for a nuclear medicine diagnostic device according to an embodiment of the present invention is applied.
Fig. 2 is a schematic side view showing a case where an examination of the subject M is performed by the nuclear medicine diagnostic device.
Fig. 3 is a perspective view showing a state in which the sheet member 31 in the subject support apparatus for a nuclear medicine diagnosis apparatus according to the embodiment of the present invention is mounted on the mounting portion 11 in the nuclear medicine diagnosis apparatus.
Fig. 4 is a perspective view showing a state in which the sheet member 31 and the plurality of support members 32 and 33 in the subject support device for a nuclear medicine diagnosis device according to the embodiment of the present invention are mounted on the mounting portion 11 in the nuclear medicine diagnosis device.
Fig. 5 is a perspective view of the plurality of support members 32, 33.
Fig. 6 is a bottom view of the support member 33.
Fig. 7 is a partial cross-sectional view showing a state in which the sheet member 31 is engaged with the support members 32 and 33.
Fig. 8 is a partial cross-sectional view showing a state in which the sheet member 31 is engaged with the support members 32 and 33.
Description of the reference numerals
11: a mounting part; 12: an insertion port; 13: a concave portion; 14: a bed; 15: a radiation detection section; 16: a main body cover; 19: a detection range of radiation; 20: a space; 21: an opening portion; 22: an arm support member; 31: a sheet member; 32: a support member; 33: a support member; 34: a hole portion; 35: a convex portion; 41: a face connector; 42: a face connector; m: a subject.
Detailed Description
Embodiments of the present invention will be described below based on the drawings. Fig. 1 is a perspective view of a nuclear medicine diagnostic device to which a subject support device for a nuclear medicine diagnostic device according to an embodiment of the present invention is applied. Fig. 2 is a schematic side view showing a case where the examination of the subject M is performed by the nuclear medicine diagnostic device.
In particular, the nuclear medicine diagnostic device to which the present invention is applied can perform examination of the breast of the subject together with the armpit of the subject. The nuclear medicine diagnostic device is also called, for example, a PET (Positron Emission Tomography: positron emission tomography) device for breast, and includes a bed 14, and a placement unit 11 for placing a subject M is disposed above the bed 14. The placement portion 11 is formed with a recess 13 for disposing the head of the subject M and an insertion opening 12 for inserting the breast and armpit of the subject M. A space 20 having a size capable of accommodating the arm of the subject M is formed below the placement unit 11 of the bed 14 and inside the main body cover 16. In a state where the subject M is lying on the mounting portion 11, the radiation detection portion 15 is disposed annularly around the breast and armpit of the subject M inserted from the insertion port 12 of the mounting portion 11 toward the space 20.
The nuclear medicine diagnostic device is used for examining the breast and armpit of the subject M. In this nuclear medicine diagnostic device, the breast and armpit of the subject M to which the radiopharmaceutical has been administered in advance are inserted from the insertion port 12 into the annular radiation detection unit 15 in which the tunnel-like examination space is formed, and the annihilation photon of 511keV emitted from the subject M is detected by the radiation detection unit 15. Then, when the time at which the photon is detected is measured and the difference in detection time between the two detectors in the radiation detection unit 15 is within a fixed time, the detected photon is counted as a pair of annihilation photons, and the annihilation occurrence point is determined as the position on the straight line of the detected pair of detectors. The emission data thus obtained is stored in the console 6, and image reconstruction is performed using the emission data stored in the console 6, thereby obtaining a PET image. Then, the acquired PET image is displayed on the display unit 7, and is transmitted to a server in the hospital via the in-hospital network 8.
At this time, the breast and armpit of the subject M need to be disposed within the detection range 19 of the radiation in the radiation detection section 15. In order to enable this arrangement, the size of the radiation detection section 15 is determined so that the detection range 19 of radiation formed by the radiation detection section 15 has a size in which the breast and armpit of the subject M can be arranged.
As shown in fig. 2, when examining the breast and armpit of the subject M, the arm of the subject M is accommodated in a space 20 formed below the placement portion 11 of the bed 14 and inside the main body cover 16. In this case, the examination by the nuclear medicine diagnostic device may take about 10 minutes. Accordingly, an arm support member 22 for supporting the arm of the subject M is disposed in the space 20.
The arm support member 22 is formed by surrounding a soft material such as sponge with synthetic leather or the like. The size and shape of the arm support member 22 are changed according to the physical constitution of the subject M, the posture of the subject M at the time of examination, and the like. Further, the arm of the subject M may be supported by a plurality of arm support members 22 as needed.
In this nuclear medicine diagnostic device, an opening 21 that communicates with a space 20 in which the arm of the subject M can be accommodated is formed in a side surface of the main body cover 16 of the bed 14. The opening 21 is formed on both side surfaces of the main body cover 16, which are located on the side of the subject M on the placement unit 11 of the bed 14.
When examining the breast and armpit of the subject M, the subject M needs to insert his/her arm from the insertion port 12 formed in the placement unit 11 into the space 20 formed in the main body cover 16 as shown in fig. 2. At this time, if the space 20 is closed, the subject M is uncomfortable because the shape of the space 20 and the like cannot be recognized when inserting the arm into the space 20 via the insertion port 12. However, since the opening 21 communicating with the space 20 for accommodating the arm of the subject M is formed in the nuclear medicine diagnostic device, the subject M can recognize what the space 20 is, and the subject M does not feel such a sense of uneasiness.
In addition, during the inspection, an article used in the inspection or vomit of the subject M may fall from the insertion port 12 into the space 20. Even in this case, the falling objects can be easily removed by using the opening 21 communicating with the space 20.
In order to reduce fatigue of the subject M and prevent movement of the inspection site of the subject M during the inspection by the nuclear medicine diagnostic device, an arm support member 22 for supporting the arm of the subject M is disposed in the space 20. The size and shape of the arm support member 22 need to be changed according to the physical constitution of the subject M. In this case, too, the arm support members 22 corresponding to the subject M are provided in the space 20 by using the opening 21 communicating with the space 20, or the shape, size, number, or the like of the arm support members 22 are changed according to the physique or the like of the subject M.
When the examination of the subject M is performed using the nuclear medicine diagnostic device having the above-described configuration, the subject M needs to maintain the sideways-oriented lateral lying state in order to insert the arm portion into the space 20 through the insertion port 12, and it is difficult and painful to maintain the lateral lying state without moving the body until the examination is completed. Accordingly, the subject support device for a nuclear medicine diagnostic device according to the present invention is used.
Next, a structure of a subject support device for a nuclear medicine diagnostic device according to an embodiment of the present invention will be described. Fig. 3 is a perspective view showing a state in which the sheet member 31 in the subject support apparatus for a nuclear medicine diagnosis apparatus according to the embodiment of the present invention is mounted on the mounting portion 11 in the nuclear medicine diagnosis apparatus. Fig. 4 is a perspective view showing a state in which the sheet member 31 and the plurality of support members 32 and 33 in the subject support device for a nuclear medicine diagnosis device according to the embodiment of the present invention are mounted on the mounting portion 11 in the nuclear medicine diagnosis device. Fig. 5 is a perspective view of the plurality of support members 32, 33. Fig. 6 is a bottom view of the support member 33. Fig. 7 and 8 are partial cross-sectional views showing the engagement state of the sheet member 31 and the support members 32 and 33.
As shown in fig. 4, 7, and 8, the subject support device for a nuclear medicine diagnostic device according to the embodiment of the present invention includes a sheet member 31 that is placed on a placement unit 11 in the nuclear medicine diagnostic device, and a plurality of support members 32 and 33 that are disposed at the end portions of the sheet member 31. As shown in fig. 3, a surface connector 41 as a connecting member is disposed on the surface of the sheet member 31. As shown in fig. 6, a surface connector 42 as a connecting member is provided on the lower surface of the support member 33. The support member 33 has a hole 34, and the support member 32 has a protrusion 35 that can engage with the hole 34 formed in the support member 33.
When the subject support device for a nuclear medicine diagnostic device is used to support a subject M under examination, the sheet member 31 is first placed on the placement unit 11 in the nuclear medicine diagnostic device as shown in fig. 3. Then, as shown in fig. 4, the support member 33 is fixed to the sheet member 31 by the surface connectors 41 and 42. In this fixing, the fixing position of the support member 33 can be finely adjusted by the action of the surface connectors 41 and 42. Then, the support member 32 is engaged with the support member 33 as necessary.
As a result, as shown in fig. 4, the subject support device is configured on the mounting portion 11 in the nuclear medicine diagnostic device. At the time of examination, the sheet member 31 is fixed by the subject M lying on the side on the sheet member 31. The subject M in the lateral position can be supported by the plurality of support members 32 and 33. Thus, the subject M can easily maintain the lateral position without suffering. At this time, the support member 33 is selected and used in accordance with not only the physique and posture of the subject M, but also the support member 32 is selected and used in accordance with the physique and posture of the subject M, or the mounting position of the support member 33 with respect to the sheet member 31 is changed, whereby the subject M can more easily maintain the side lying state.
At this time, the convex portion 35 formed on the lower surface of the support member 32 has an asymmetric shape in a direction orthogonal to the longitudinal direction of the support member 32. Therefore, as shown in fig. 7 or 8, the external shape of the support members 32 and 33 engaged with each other can be changed by changing the engagement direction of the support member 32 with respect to the support member 33. Therefore, by changing the outer shape of the support members 32, 33 according to the physique and posture of the subject M, the subject M can be supported in the most comfortable state for each subject M.
In the above embodiment, the sheet member 31 and the support member 33 are detachably connected by the surface connectors 41 and 42, but the sheet member 31 and the support member 33 may be detachably connected by other connection mechanisms such as a clasp.
In the above embodiment, the following structure is adopted: the hole 34 is formed in the support member 33, the protrusion 35 engaged with the hole 34 is formed in the support member 32, and the hole 34 and the protrusion 35 are engaged to connect the plurality of support members 32 and 33 to each other. However, the support member 32 and the support member 33 may be detachably connected by a connecting means such as a surface connector. Further, by disposing a soft material having a large coefficient of friction such as rubber on the contact surface between the support member 32 and the support member 33, it is possible to prevent the support member 32 and the support member 33 from sliding, and to provide an instruction to the subject M by disposing one of them at an arbitrary position with respect to the other.
In the above-described embodiment, the subject support device for a nuclear medicine diagnostic device according to the embodiment of the present invention is applied to a nuclear medicine diagnostic device for inspecting the breast and armpit of the subject M, but the subject support device for a nuclear medicine diagnostic device according to the embodiment of the present invention may be applied to a nuclear medicine diagnostic device capable of inspecting other parts of the subject M, such as the head of the subject M, in addition to the breast and armpit of the subject M.

Claims (4)

1. An examinee support device for a nuclear medicine diagnosis device, which is used for a nuclear medicine diagnosis device capable of examining an armpit of an examinee, comprises: an annular radiation detection section having an inspection space formed therein; and a bed having a placement portion of the subject on an upper surface thereof, the placement portion of the subject having an opening portion that communicates with an examination space of the radiation detection portion, the subject having an arm portion inserted into the opening portion and in a laterally-lying state facing a side surface on the placement portion, the subject support device for a nuclear medicine diagnostic device further comprising:
a sheet member that is placed on the placement portion; and
a plurality of support members fixed to the sheet member at positions where the subject is not placed, the support members having a shape extending in a body axis direction of the subject in a side-lying state on the sheet member and supporting the subject, the plurality of support members being arranged so as to overlap,
wherein a recess is formed in one of the plurality of support members, and a projection is formed in the other support member to engage with the recess, the plurality of support members being coupled to each other by engaging the recess with the projection,
wherein the convex portion formed on the other support member has an asymmetric shape in a direction orthogonal to the longitudinal direction of the other support member.
2. The subject support apparatus for a nuclear medicine diagnostic device according to claim 1, wherein,
the sheet member is provided with a connecting member for detachably connecting the sheet member and the support member.
3. The subject support apparatus for a nuclear medicine diagnostic device according to claim 2, wherein,
the connection member is a surface connector disposed on an upper surface of the sheet member and a lower surface of the support member.
4. The subject support apparatus for a nuclear medicine diagnostic device according to claim 1, wherein,
and a coupling member that detachably couples the plurality of support members.
CN201911100290.6A 2018-12-06 2019-11-12 Subject support device for nuclear medicine diagnostic device Active CN111281413B (en)

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JP2018228628A JP7119963B2 (en) 2018-12-06 2018-12-06 Subject support device for nuclear medicine diagnostic equipment
JP2018-228628 2018-12-06

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CN111281413B true CN111281413B (en) 2024-01-12

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Publication number Priority date Publication date Assignee Title
JPH04103104U (en) * 1991-01-22 1992-09-04 株式会社日立メデイコ Infant patient fixation device for X-ray CT
WO2011042513A1 (en) * 2009-10-07 2011-04-14 Franziska Rau Support cushion for supporting an infant
JP3161989U (en) * 2010-04-08 2010-08-19 タカラベルモント株式会社 Biopsy biopsy examination table for mammo
CN103269670A (en) * 2010-11-18 2013-08-28 豪洛捷公司 Table for performing medical procedures
CN204394846U (en) * 2014-12-14 2015-06-17 丁丽华 A kind of Digestive System Department patient sick bed
JP2017121403A (en) * 2016-01-08 2017-07-13 公立大学法人福島県立医科大学 Mat for medical image diagnostic apparatus

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CN111281413A (en) 2020-06-16
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