Nuclear medicine SPECT-CT machine with integrated asymmetric flat panel cone-beam CT and SPECT system

• US 8,462,911 B2
• Filed: 10/29/2008
• Issued: 06/11/2013
• Est. Priority Date: 11/06/2007
• Status: Active Grant

• Current Assignee: Koninklijke Philips N.V.
• Original Assignee: Koninklijke Philips Electronics N.V. (Koninklijke Philips N.V.)
• Inventors: Vesel, John F., Petrillo, Michael J., Farmer, Ian, Janbakhsh, Mahmoud, Hassan, Rizwan, Hug, Paul, Stefan, Joseph J., Huber, Marc A.
• Primary Examiner(s): Kiknadze, Irakli
• Application Number:
  US12/740,355
• Publication Number:
  US 20100290584A1
• Time in Patent Office: 1,686 Days
• Field of Search: 378/4, 378/9, 378/98.8, 378/210
• US Class Current: 378/9
• CPC Class Codes: A61B 6/032 Transmission computed tomography [CT]
• CPC Class Codes: A61B 6/037 Emission tomography
• CPC Class Codes: A61B 6/105 Braking or locking devices
• CPC Class Codes: A61B 6/4085 Cone-beams
• CPC Class Codes: A61B 6/4283 characterised by a detector unit being housed in a cassette
• CPC Class Codes: A61B 6/4291 the detector being combined with a grid or grating
• CPC Class Codes: A61B 6/4405 the apparatus being movable or portable, e.g. handheld or mounted on a trolley
• CPC Class Codes: A61B 6/4417 related to combined acquisition of different diagnostic modalities
• CPC Class Codes: A61B 6/4435 the source unit and the detector unit being coupled by a rigid structure
• CPC Class Codes: A61B 6/4441 the rigid structure being a C-arm or U-arm
• CPC Class Codes: A61B 6/4476 related to motor-assisted motion of the source unit
• CPC Class Codes: A61B 6/5229 combining image data of a patient, e.g. combining a functional image with an anatomical image
• CPC Class Codes: A61B 6/5241 combining overlapping images of the same imaging modality, e.g. by stitching
• CPC Class Codes: Y10T 403/32254 Lockable at fixed position

Abstract

When performing nuclear (e.g., SPECT or PET) and CT scans on a patient, a volume cone-beam CT scan is performed using a cone-beam CT X-ray source (20) and an offset flat panel X-ray detector (22). A field of view of the X-ray source overlaps a field of view of two nuclear detector heads (18), and the offset of the X-ray detector (22) minimizes interference with nuclear detector head movement about a rotatable gantry (16). Additionally, a locking mechanism (80) provides automatically locking of the X-ray detector (22) in each of a stowed and operation position, improving safety and CT image quality.

Claims

1. A hybrid patient imaging system, including:

at least two nuclear detector heads mounted on a rotatable gantry;

an X-ray source mounted on the gantry;

an X-ray detector mounted on the gantry opposite the X-ray source and offset relative to the X-ray source; and

an automatic-locking extender arm, hingeably coupled to a mount on the gantry and to the X-ray detector head;

wherein a field of view (FOV) of the X-ray source and a FOV of the nuclear detector heads overlap each other.

2. The system according to claim 1, wherein the X-ray source directs a cone-shaped X-ray beam to the offset X-ray detector.

3. The system according to claim 2, wherein a volume of interest (VOI) is positioned partially within the FOV of the X-ray source to generate truncated views, and the gantry is rotated approximately 360°

around the VOI during CT data acquisition, the FOV is truncated such that truncated 180°

opposing views taken together generate a complete projection data set for the VOI.

4. The system according to claim 3, wherein the X-ray source is movable longitudinally along the VOI, parallel to a longitudinal axis through the center of the gantry, as the gantry is rotated during CT data acquisition.

5. The system according to claim 4, wherein the X-ray detector is mounted longitudinally, parallel to the longitudinal axis of the rotating gantry.

6. The system according to claim 1, wherein at least one of the X-ray source and the X-ray detector are pivotably mounted to the rotating gantry to be rotated behind a front of the rotating gantry when not in use.

7. The system according to claim 1, wherein the X-ray detector is a flat panel detector.

8. The system according to claim 1, wherein the nuclear detector heads are at least one of single photon emission computed tomography (SPECT) detector heads or positron emission tomography (PET) detector heads.

9. The system according to claim 1, wherein the extender arm includes a hinge pin that extends through hinge segments coupled to the mount and the extender arm, respectively, and wherein the extender arm is folded flush against the mount when stowed, and folded outward approximately 90°

to an operation position when in use.

10. The system according to claim 1, wherein the extender arm includes a slider plate with at least one slider mounted thereon, and wherein the at least one slider actuates a first motion translator when the slider plate is partially extended out of the extender arm.

11. The system according to claim 10, wherein the first motion translator causes a locking pin screw to disengage a locking pin from a first receiving bore in a hinge mating part of a hinge assembly.

12. The system according to claim 10, wherein the extender arm is rotated into the operational position and wherein the at least one slider actuates a second motion translator as the slider plate is completely extended out of the extender arm.

13. The system according to claim 12, wherein the second motion translator causes the locking pin screw to advance the locking pin into a second receiving bore to lock the extender arm in the operational position.

14. The system according to claim 1, further including:

wherein the extender arm is coupled to the X-ray detector at a first pivot point and mounted to the gantry at a second pivot point; and

a handle on the extender arm that, when pulled, activates a cam in the extender arm;

wherein the X-ray detector rotates about the first pivot point from a stowed position against the extender arm, and the extender arm rotates about the second pivot point from a stowed position between the X-ray detector and surface of the gantry, until the X-ray detector is in an operational position opposite the X-ray source;

wherein activation of the cam causes the cam to exert force on first and second bearings, the force being translated from the first and second bearings along tracks to third and fourth bearings and causing the third and fourth bearings to exert a locking force on the first and second pivot points, respectively, to lock the X-ray detector in the operational position.

15. A hybrid subject imaging system, including:

an automatic-locking extender arm, hingeably coupled by a hinge pin to a mount on a rotatable gantry and including an extendible slider plate that is coupled to a flat-panel X-ray detector;

a cone-beam X-ray source coupled to the gantry opposite the X-ray detector, the X-ray source being movable in a longitudinal direction along a volume of interest (VOI), parallel to a longitudinal axis through the gantry;

two nuclear detectors coupled to the gantry and having a field of view (FOV) that overlaps with a FOV of the X-ray source;

wherein the extender arm rotates about the hinge pin approximately 90°

between a stowed position flush against the mount and an operational position in which an X-ray receiving surface of the X-ray detector is slightly offset from, and faces, the X-ray source.

16. The system according to claim 15, wherein the extender arm includes a slider plate with at least one slider mounted thereon, which actuates a first motion translator when the slider plate is partially extended out of the extender arm.

17. The system according to claim 16, wherein the first motion translator causes a locking pin screw to retract a locking pin from a first receiving bore.

18. The system according to claim 17, wherein the extender arm is rotated into the operational position once the locking pin is retracted form the first receiving bore and the at least one slider actuates a second motion translator as the slider plate is completely extended out of the extender arm.

19. The system according to claim 15, wherein the second motion translator causes the locking pin screw to advance the locking pin into a second receiving bore to lock the extender arm in the operational position.

20. The system according to claim 19, wherein a volume of interest (VOI) is positioned partially within the FOV of the X-ray source to generate truncated views, and the gantry is rotated approximately 360°

around the VOI during CT data acquisition, the FOV is truncated such that truncated 180°

opposing views taken together generate a complete projection data set for the VOI.

21. A method of hybrid imaging, comprising:

rotating at least two nuclear detector heads, an X-ray source, and an X-ray detector around a patient pallet such that a field of view of the X-ray source and detector is coincident with a field of view of the nuclear detector heads; and

during CT imaging, collecting truncated portions of a volume of interest (VOI) of a patient in such a manner that views from opposite halves of the VOI are collected in 180°

opposite rotational orientations of a rotating gantry;

wherein the X-ray detector is coupled to the gantry by an automatic-locking extender arm.

22. The method according to claim 21, further including:

prior to acquiring data with the nuclear detector heads, folding the X-ray source and detector out of the way.

23. The method according to claim 22, further including locking the detector in a stowed position by:

retracting a slider plate from a second position wherein a second motion translator translates linear motion from a slider coupled to the slider plate into rotational motion that is applied to a locking pin screw to translate a locking pin out of a second receiving bore and unlock the detector from an operational position;

rotating the extender arm approximately 90°

from the operational position to the stowed position; and

retracting the slider plate inward to a first position in an extender arm that is coupled to a mount on a gantry, wherein a first motion translator translates linear motion from the slider coupled to the slider plate into rotational motion that is applied to the locking pin screw to insert the locking pin into a first receiving bore and lock the detector in the stowed position.

24. A hybrid subject imaging system, including:

a locking extender arm, rotatably coupled by a first pivot point to a flat-panel X-ray detector and rotatably coupled by a second pivot point to a rotatable gantry;

a cone-beam X-ray source coupled to the gantry opposite the X-ray detector, the X-ray source being movable in a longitudinal direction along a volume of interest (VOI), parallel to a longitudinal axis through the gantry;

one or more nuclear detectors coupled to the gantry and having a field of view (FOV) that overlaps with a FOV of the X-ray source;

wherein the extender arm rotates about the second pivot point approximately 90°

between a stowed position flush against the gantry, and the flat-panel X-ray detector rotates about the second pivot point approximately 180°

, to an operational position in which an X-ray receiving surface of the X-ray detector is slightly offset from, and faces, the X-ray source.

25. The system according to claim 24, further including:

a handle on the extender arm that, when pulled, activates a cam in the extender arm;

wherein activation of the cam causes the cam to exert force on first and second bearings, the force being translated from the first and second bearings along force transferring means to third and fourth bearings and causing the third and fourth bearings to exert a locking force on the first and second pivot points, respectively, to lock the X-ray detector in the operational position.

26. A hybrid patient imaging system, including:

at least two nuclear detector heads mounted on a rotatable gantry;

an X-ray source mounted on the gantry; and

an X-ray detector mounted on the gantry opposite the X-ray source and offset relative to the X-ray source;

wherein a field of view (FOV) of the X-ray source and a FOV of the nuclear detector heads overlap each other;

wherein the X-ray source directs a cone-shaped X-ray beam to the offset X-ray detector; and

wherein a volume of interest (VOI) is positioned partially within the FOV of the X-ray source to generate truncated views, and the gantry is rotated approximately 360°

around the VOI during CT data acquisition, the FOV is truncated such that truncated 180°

opposing views taken together generate a complete projection data set for the VOI.

27. The system according to claim 26, wherein the X-ray source is movable longitudinally along the VOI, parallel to a longitudinal axis through the center of the gantry, as the gantry is rotated during CT data acquisition.

28. The system according to claim 27, wherein the X-ray detector is mounted longitudinally, parallel to the longitudinal axis of the rotating gantry.

29. A method of hybrid imaging, comprising:

rotating at least two nuclear detector heads, an X-ray source, and an X-ray detector around a patient pallet such that a field of view of the X-ray source and detector is coincident with a field of view of the nuclear detector heads; and

during CT imaging, collecting truncated portions of a volume of interest (VOI) of a patient in such a manner that views from opposite halves of the VOI are collected in 180°

opposite rotational orientations of a rotating gantry; and

prior to acquiring data with the nuclear detector heads, folding the X-ray source and detector out of the way.

30. The method according to claim 29, further including locking the detector in a stowed position by:

retracting a slider plate from a second position wherein a second motion translator translates linear motion from a slider coupled to the slider plate into rotational motion that is applied to a locking pin screw to translate a locking pin out of a second receiving bore and unlock the detector from an operational position;

rotating an extender arm approximately 90°

from the operational position to the stowed position; and

retracting the slider plate inward to a first position in an extender arm that is coupled to a mount on a gantry, wherein a first motion translator translates linear motion from the slider coupled to the slider plate into rotational motion that is applied to the locking pin screw to insert the locking pin into a first receiving bore and lock the detector in the stowed position.