Medical apparatus installation, and method for controlling a medical apparatus

• US 8,798,714 B2
• Filed: 06/01/2012
• Issued: 08/05/2014
• Est. Priority Date: 06/01/2011
• Status: Expired due to Fees

• Current Assignee: Siemens Healthcare GMBH (Siemens AG)
• Original Assignee: Siemens AG
• Inventors: Henning, Andre
• Primary Examiner(s): Chen, Tse
• Assistant Examiner(s): Brutus, Joel F
• Application Number:
  US13/486,238
• Publication Number:
  US 20120310079A1
• Time in Patent Office: 795 Days
• Field of Search: 600/407, 600409-411
• US Class Current: 600/411
• CPC Class Codes: A61B 2562/0247 Pressure sensors
• CPC Class Codes: A61B 2562/046 in a matrix array
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/1102 Ballistocardiography
• CPC Class Codes: A61B 5/1135 by monitoring thoracic expansion
• CPC Class Codes: A61B 6/503 for diagnosis of the heart
• CPC Class Codes: A61B 6/5264 due to motion
• CPC Class Codes: A61B 6/5288 involving retrospective matching to a physiological signal
• CPC Class Codes: A61N 5/1068 Gating the beam as a function of a physiological signal

Abstract

In a medical apparatus and method, the apparatus installation has a placement device for a patient, into which placement device is integrated at least one electromechanical sensor. A signal evaluation device is supplied with the measurement signals generated with the at least one electromechanical sensor, for evaluation. The medical apparatus is connected with the signal evaluation device, and the medical apparatus acquires measurement signals that relate to breathing and/or cardiac activity of the patient with the at least one electromechanical sensor upon support of the patient on said placement device. Trigger signals are generated with the signal evaluation device based on the measurement signals which relate to breathing cycle and/or cardiac cycle of the patient. The operation of the medical apparatus is controlled based on the trigger signals.

Claims

1. A method to control a medical apparatus, comprising:

placing a patient on a patient placement device of said medical apparatus that comprises a plurality of electromechanical sensors arranged in a two-dimensional array in said patient placement device;

after placement of the patient on the patient placement device, operating said plurality electromechanical sensors to obtain respective measurement signals individually from the plurality electromechanical sensors, each of said plurality respective measurement signals representing breathing activity and cardiac activity of the patient;

supplying the respective measurement signals from said plurality electromechanical sensors to a signal evaluation device and, in said signal evaluation device, automatically evaluating the respective measurement signals to identify a position of the heart of the patient with respect to the patient placement device;

in said signal evaluation device, dependent on the position of the heart of the patient with respect to the patient placement device that has been identified, identifying respective electromagnetic sensors, among a plurality of electromagnetic sensors, that emit respective measurement signals representing chest breathing by the patient and identifying respective electromagnetic sensors, among said respective electromagnetic sensors, that emit respective measurement signals representing diaphragmatic breathing of the patient;

at respectively different times, selectively operating said medical apparatus to interact with a chest region of the patient or to interact with an abdominal region of the patient;

when operating said medical apparatus to interact with the chest region of the patient, generating a first trigger signal in said signal evaluation device exclusively from the respective measurement signals emitted by said electromagnetic sensors that represent chest breathing, and automatically triggering interaction of said medical apparatus with the chest region of the patient using said first trigger signal; and

when operating said medical apparatus to interact with the abdominal region of the patient, generating a second trigger signal in said evaluation unit exclusively from the respective measurement signals emitted by the electromagnetic sensors that represent diaphragmatic breathing, and triggering interaction of said medical apparatus with the abdominal region of the patient dependent on said second trigger signal.

2. A method as claimed in claim 1 comprising supplying said respective measurement signals to said signal evaluation device by multiplexing said respective measurement signals.

3. A method as claimed in claim 1 comprising, in said signal evaluation device, evaluating said respective measurement signals to identify the position of the heart of the patient with respect to said patient placement device by implementing at least one analysis selected from the group consisting of Fourier analysis and a wavelet analysis.

4. A method as claimed in claim 1 comprising, in said signal evaluation device, identifying the position of the heart of the patient with respect to the patient placement device by implementing a cross-correlation analysis of respective measurement signals that respectively originate from electromechanical sensors that are adjacent to each other in an array.

5. A method as claimed in claim 1 wherein said medical apparatus is a medical imaging apparatus and comprising acquiring image information from the patient on said patient placement device at a time triggered by said trigger signals.

6. A method as claimed in claim 1 wherein said medical apparatus is a radiation therapy apparatus configured to implement radiation treatment of tissue of the patient on said patient placement device, and comprising triggering emission of radiation in said radiation treatment dependent on said trigger signals.

7. A medical apparatus comprising

a medical device configured to interact with a patient;

a patient placement device in said medical apparatus adapted to receive the patient thereon, said patient placement device comprising a plurality of electromechanical sensors arranged in a two-dimensional array in said patient placement device;

an evaluation unit configured to operate said plurality electromechanical sensors to obtain respective measurement signals individually from the plurality electromechanical sensors, each of said plurality respective measurement signals representing breathing activity and cardiac activity of the patient;

a control unit receiving the respective measurement signals from said plurality electromechanical sensors being configured to automatically evaluate the respective measurement signals to identify a position of the heart of the patient with respect to the patient placement device;

said evaluation unit being configured to identify, dependent on the position of the heart of the patient with respect to the patient placement device that has been identified, respective electromagnetic sensors, among a plurality of electromagnetic sensors, that emit respective measurement signals representing chest breathing by the patient and to identify respective electromagnetic sensors, among said respective electromagnetic sensors, that emit respective measurement signals representing diaphragmatic breathing of the patient;

a control unit configured to operate said medical apparatus at respectively different times to selectively interact with a chest region of the patient or to interact with an abdominal region of the patient;

when said control unit operates said medical apparatus to interact with the chest region of the patient, said evaluation unit being configured to generate a first trigger signal exclusively from the respective measurement signals emitted by said respective electromagnetic sensors that represent chest breathing, and to supply said first trigger signal to the control unit to automatically trigger interaction of said medical apparatus with the chest region of the patient using said first trigger signal; and

when said control unit operates said medical apparatus to interact with the abdominal region of the patient, said signal evaluation unit being configured to generate a second trigger signal exclusively from the respective measurement signals emitted by the respective electromagnetic sensors that represent diaphragmatic breathing, and to supply said second trigger signal to said control unit to trigger interaction of said medical apparatus with the abdominal region of the patient dependent on said second trigger signal.

8. A medical apparatus as claimed in claim 7 wherein at least one electromechanical sensor is a sensor selected from the group consisting of piezoelectric sensors and electromechanical film sensors.

9. A medical apparatus as claimed in claim 7 wherein said patient placement device is a patient support plate of a patient'"'"'s support table.

10. A medical apparatus as claimed in claim 7 wherein said patient placement device is a placement mat configured to be arranged on a patient support plate of a patient support table.

11. A medical apparatus as claimed in claim 7 comprising a multiplexer that supplies respective measurement signals from the plurality of electromechanical sensors to said processor by multiplexing.

12. A medical apparatus as claimed in claim 7 wherein said medical apparatus is an apparatus selected from the group consisting of a computed tomography apparatus, a C-arm x-ray apparatus, a PET apparatus, a SPECT apparatus, a magnetic resonance apparatus, and a radiation therapy apparatus.

13. A non-transitory, computer-readable data storage medium encoded with programming instructions, said data storage medium being loaded into a computerized control and evaluation system of a medical apparatus that also comprises a medical device that interacts with a patient, and a patient placement device adapted to receive the patient thereon and having a plurality of electromagnetic sensors arranged in a two-dimensional array therein, said programming instructions causing said computerized control and evaluation system to:

after placement of the patient on the patient placement device, operate electromechanical sensors to obtain respective measurement signals individually from the plurality of electromechanical sensors, each of said respective measurement signals representing breathing activity and cardiac activity of the patient;

automatically evaluate the respective measurement signals to identify a position of the heart of the patient with respect to the patient placement device;

dependent on the position of the heart of the patient with respect to the patient placement device that has been identified, identify respective electromagnetic sensors, among said plurality of electromagnetic sensors, that emit respective measurement signals representing chest breathing by the patient and identify respective electromagnetic sensors, among a plurality of electromagnetic sensors, that emit respective measurement signals representing diaphragmatic breathing of the patient;

at respectively different times, selectively operate said medical apparatus to interact with a chest region of the patient or to interact with an abdominal region of the patient;

when operating said medical apparatus to interact with the chest region of the patient, generate a first trigger signal exclusively from the respective measurement signals emitted by said electromagnetic sensors that represent chest breathing, and automatically trigger interaction of said medical apparatus with the chest region of the patient using said first trigger signal; and

when operating said medical apparatus to interact with the abdominal region of the patient, generate a second trigger signal exclusively from the respective measurement signals emitted by the electromagnetic sensors that represent diaphragmatic breathing, and trigger interaction of said medical apparatus with the abdominal region of the patient dependent on said second trigger signal.