Apparatus and method for improved tissue imaging

• US 5,553,111 A
• Filed: 10/26/1994
• Issued: 09/03/1996
• Est. Priority Date: 10/26/1994
• Status: Expired due to Term

• Current Assignee: The General Hospital Corporation (Mass General Brigham, Inc.)
• Original Assignee: The General Hospital Corporation (Mass General Brigham, Inc.)
• Inventors: Kopans, Daniel B., Moore, Richard
• Primary Examiner(s): Porta, David P.
• Assistant Examiner(s): Bruce, David Vernon
• Application Number:
  US08/329,295
• Time in Patent Office: 678 Days
• Field of Search: 250/491.1, 250/363.02, 378/37, 378/208, 378/20
• US Class Current: 378/37
• CPC Class Codes: A61B 6/0414 with compression means
• CPC Class Codes: A61B 6/502 for diagnosis of breast, i.e. mammography

Abstract

An improved tissue imaging system is provided, in which tissue can be sheared without direct manual manipulation, so that different perspective images of the tissue can be determined, preferably in a single compression cycle. In one aspect of the invention, a traction system is provided, comprising at least a layer of a radiolucent material dimensioned and constructed such that the layer can pass between tissue and a surface of a tissue imaging device. The radiolucent material has sufficient tensile strength that the layer can slide without tearing against the surface of the tissue imaging device when tension is exerted on the layer, the sliding resulting in movement of the tissue relative to the surface of the tissue imaging device. A method of moving tissue relative to at least one surface of a tissue imaging device is also provided.

Claims

1. An improved tissue imaging device comprising:

a compression plate affixed to a base;

a support plate affixed to said base and spaced apart from said compression plate for positioning tissue to be imaged therebetween; and

means for shearing tissue operationally arranged relative to said plates such that said means for shearing tissue is capable of shearing tissue disposed therebetween plates without direct manipulation of said tissue.

2. The improved tissue imaging device of claim 1 wherein either or both of said compression plate and said support plate are capable of lateral translation relative to each other, so that tissue positioned between said compression plate and said support plate is sheared and said means for shearing tissue comprises said plate or plates capable of lateral translation.

3. The improved tissue imaging device of claim 1 wherein either or both of said compression plate and said support plate are capable of twisting relative to each other, so that tissue positioned between said compression plate and said support plate is sheared and said means for shearing tissue comprises said plate or plates capable of twisting.

4. The improved tissue imaging device of claim 1, wherein said means for shearing tissue comprises a layer of radiolucent material dimensioned and constructed such that said layer can pass between surfaces of at least one said plate and tissue positioned therebetween, said material having sufficient tensile strength that said layer can slide without tearing against said surfaces when tension is exerted on said layer, said improved tissue imaging device being arranged and constructed such that sliding said layer against said surfaces results in shearing of tissue positioned between said plates.

5. An imaging device comprising:

a compression plate and a support plate defining a compression/imaging space therebetween;

at least one layer of radiolucent material dimensioned and constructed such that said at least one layer can pass between surfaces of either or both of said compression plate and said support plate and a tissue inserted within said compression/imaging space, said material having sufficient tensile strength that said at least one layer can slide without tearing against said surfaces when tension is exerted on said layer, and

at least one puller capable of exerting tension on said at least one layer so as to slide said at least one layer against said surfaces such that said tissue moves relative to said surfaces so as to effect at least one of (a) pulling the tissue into the imaging device without substantially moving other portions of a patient'"'"'s body to which the tissue is attached, and (b) shearing of the tissue.

6. A traction system for improved tissue imaging comprising:

at least one layer of radiolucent material dimensioned and constructed such that said layer can pass between tissue disposed within a tissue imaging device and at least one surface of said tissue imaging device, said material having sufficient tensile strength that said at least one layer can slide without tearing against said at least one surface of said tissue imaging device when tension is exerted on said at least one layer, said sliding resulting in movement of at least a portion of said tissue relative to said at least one surface of said tissue imaging device; and

at least one puller engaged with said at least one layer, said at least one puller for exerting tension on said at least one said layer,

said traction system being arranged and constructed such that tension exerted by said at least one puller on said at least one layer results in sliding of said at least one layer against said at least one surface of said tissue imaging device such that said tissue moves relative to said surface of said tissue imaging device so as to effect at least one of (a) pulling the tissue into the imaging device without substantially moving other portions of a patient'"'"'s body to which the tissue is attached, and (b) shearing of the tissue.

7. The traction system of claim 6 wherein said at least one layer comprises a first layer and a second layer, said traction system being arranged and constructed such that said at least one puller is capable of exerting different tensions on said first layer and said second layer.

8. The traction system of claim 7, further comprising an element connecting said first layer and said second layer, said at least one puller engaged with said first and second layers by way of said connecting element.

9. The traction system of claim 7, wherein said first layer and said second layer are oriented relative to each other such that tension exerted on said first layer can result in tissue movement in a direction different from a direction of tissue movement resulting from tension exerted on said second layer.

10. The traction system of claim 7 or claim 9, said first layer and said second layer being tilted with respect to one another such that said layers are not parallel to one another.

11. The traction system of claim 6 further comprising conveyor drum around which one of said at least one layers passes.

12. A traction system according to claim 6, wherein the radiolucent layer has variable elasticity, and wherein the puller exerts tension on the layer so as to effect variable movement of different regions of the layer.

13. A method of moving a tissue relative to at least one surface of a tissue imaging device comprising the steps of:

positioning at least one layer of radiolucent material between at least one surface of said tissue and said at least one surface of said tissue imaging device, said radiolucent material being capable of movement relative to said at least one surface of said tissue imaging device;

moving said at least one layer of radiolucent material relative to said at least one surface of said tissue imaging device such that at least a portion of said tissue also moves relative to said at least one surface of said tissue imaging device in the direction of motion of said at least one layer of radiolucent material so as to effect at least one of (a) pulling the tissue into the imaging device without substantially moving other portions of a patient'"'"'s body to which the tissue is attached, and (b) shearing of the tissue.

14. The method of claim 13 wherein said tissue imaging device comprises a tissue compression system;

said positioning step comprises positioning at least one layer of radiolucent material between at least one surface of said tissue and at least one surface of said tissue compression system, said radiolucent material being capable of movement relative to said at least one surface of said tissue compression system; and

said moving step comprises moving said at least one layer of radiolucent material relative to said at least one surface of said tissue compression system in the direction of motion of said at least one layer of radiolucent material.

15. An imaging detection system comprising:

a detector apparatus in operational engagement with at least one layer of radiolucent material, said at least one layer being dimensioned and constructed such that said layer can pass between tissue and a surface of said detector apparatus, said material having sufficient tensile strength that said layer can slide without tearing against said surface of said detector apparatus when tension is exerted on said layer, said sliding resulting in movement of at least a portion of said tissue relative to said surfaces of said detector apparatus, so as to effect at least one of (a) pulling the tissue into the imaging device without substantially moving other portions of a patient'"'"'s body to which the tissue is attached, and (b) shearing of the tissue.

16. The imaging detection system of claim 15, further comprising a conveyor drum around which one of said at least one layer passes and with which said one of said at least one layer is operationally engaged to form a conveyor.

17. The imaging detection system of claim 15, wherein said detector apparatus comprises a support plate and wherein said surface of said detector apparatus comprises at least a portion of a surface of said support plate.

18. An imaging detection system according to claim 15, wherein the radiolucent layer has variable elasticity.

19. A layer of radiolucent material according to claim 18, wherein the layer is of variable thickness, having thinner portions that are more elastic and thicker portions that are less elastic.

20. A method of shearing tissue disposed between a compression plate and a support plate of a tissue imaging device comprising laterally translating either or both of said compression plate and said support plate relative to each other.

21. A method of shearing tissue disposed between a compression plate and a support plate of a tissue imaging device comprising twisting either or both of said compression plate and said support plate relative to each other.

22. A mammography device comprising:

a compression plate and a support plate defining a compression/imaging space therebetween;

at least one layer of radiolucent material dimensioned and constructed such that said at least one layer can pass between surfaces of either or both of said compression plate and said support plate and a breast inserted within said compression/imaging space, said material having sufficient tensile strength that said at least one layer can slide without tearing against said surfaces when tension is exerted on said layer, said sliding resulting in movement of said breast relative to said surfaces; and

at least one puller capable of exerting tension on said at least one layer, said mammography device being arranged and constructed such that tension exerted by said at least one puller on said at least one layer results in sliding of said at least one layer against said surfaces such that said tissue moves relative to said surfaces.

23. The mammography device of claim 22, wherein either or both of said compression plate and said support plate are capable of lateral translation with respect to the other said plate, said lateral translation resulting in shearing of tissue disposed within said compression/imaging space between said compression plate and said support plate.

24. The mammography device of claim 22, wherein either or both of said compression plate and said support plate are capable of twisting with respect to the other said plate, said twisting resulting in shearing of tissue disposed within said compression/imaging space between said compression plate and said support plate.

25. The mammography device of claim 22, wherein either or both of said compression plate and said support plate are capable of both lateral translation and twisting with respect to the other said plate.

26. A compression element for a tissue imaging device comprising a compression plate in operational engagement with at least one layer of radiolucent material, said at least one layer being dimensioned and constructed such that said at least one layer can pass between tissue and a surface of said compression plate, said material having sufficient tensile strength that said layer can slide without tearing against said surface of said compression plate when tension is exerted on said layer, said sliding resulting in movement of said tissue relative to said surface of said compression plate.

27. The compression element of claim 26, further comprising a conveyor drum around which one of said at least one layers passes and with which said one of said at least one layers is operationally engaged to form a conveyor.

28. The compression element of claim 27 further comprising a support plate spaced apart from said compression plate, said compression plate and said support plate defining a compression space therebetween within which tissue can be compressed by movement of at least one said plate relative to the other said plate.

29. A layer of radiolucent material dimensioned and constructed such that said layer can pass between tissue disposed within a tissue imaging device and a surface of said tissue imaging device, said material having sufficient tensile strength that said layer can slide without tearing against said surface of said tissue imaging device when tension is exerted on said layer, said sliding resulting in movement of at least a portion of said tissue relative to said surface of said tissue imaging device so as to effect at least one of (a) pulling the tissue into the imaging device without substantially moving other portions of a patient'"'"'s body to which the tissue is attached, and (b) shearing of the tissue.

30. A layer of radiolucent material according to claim 29, wherein the layer has variable elasticity.

31. A layer of radiolucent material according to claim 30, wherein the layer is of variable thickness, having thinner portions that are more elastic and thicker portions that are less elastic.

32. A mammography imaging device comprising:

a compression plate and a support plate defining a compression/imaging space therebetween;

at least one layer of radiolucent material dimensioned and constructed such that said at least one layer can pass between surfaces of either or both of said compression plate and said support plate and a breast inserted within said compression/imaging space, said material having sufficient tensile strength that said at least one layer can slide without tearing against said surfaces when tension is exerted on said layer, and

at least one puller capable of exerting tension on said at least one layer so as to slide said at least one layer against said surfaces such that said breast moves relative to said surfaces so as to effect at least one of (a) pulling of the breast into the imaging device without substantially moving other portions of a patient'"'"'s body to which the tissue is attached, and (b) shearing of the breast.