# US 10,307,115 B2 · Extremity imaging apparatus for cone beam computed tomography

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- Number: US 10,307,115 B2
- Document ID: US10307115B2
- Status: Granted
- Kind: B2
- Application number: 16/008,357
- Filed: 2018-06-14
- Published: 2018-10-18
- Granted: 2019-06-04
- Earliest claimed: 2009-05-04
- Assignees: Carestream Health, Inc.
- Applicants: Carestream Health, Inc.; Jeffrey H. Siewerdsen
- Inventors: John Yorkston; Robert J. Asento; Jeffrey H. Siewerdsen; David H. Foos
- Web page: https://patentgrep.com/patent/US10307115B2

## CPC

- A61B 6/035: {Mechanical aspects of CT}
- A61B 6/03: Computed tomography [CT]
- A61B 6/032: {Transmission computed tomography [CT]}
- A61B 6/04: Positioning of patients; Tiltable beds or the like
- A61B 6/4085: {Cone-beams}
- A61B 6/4441: {the rigid structure being a C-arm or U-arm}
- A61B 6/4452: {the source unit and the detector unit being able to move relative to each other}
- A61B 6/466: {adapted to display 3D data}
- A61B 6/505: {for diagnosis of bone}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

A system for cone beam computed tomography of an extremity has an x-ray source and a digital radiographic detector both revolved about a central imaging axis so that the detector moves at least partially around a first extremity of a patient and, if the extremity is the leg of the patient, the detector moves between the legs of the patient. The detector path has a radial distance less than that of the source path. A housing that encloses the source and detector includes a pivoting door to allow sideways access for the patient's leg to be placed at the central imaging axis.

## Claims

### Claim 1

An apparatus for tomographic imaging, the apparatus comprising:
a radiographic radiation source;
a digital radiographic detector;
a turntable to move the source and detector about a central axis;
a detector support attached to the turntable and to the detector to support the detector as the detector moves about the central axis, the turntable having at least a portion thereof spaced from the central axis at a same distance as the detector is spaced from the central axis;
a source support attached to the turntable and to the source to support the source as the source moves about the central axis, the source support having at least a portion thereof spaced at a distance from the central axis greater than the distance that the turntable is spaced from the central axis;
a C-shaped housing configured to enclose the source as the source moves about the central axis and to enclose the detector as the detector moves about the central axis, the C-shaped housing comprising a gap configured to allow a subject to be positioned at the central axis by moving the subject through the housing gap; and
a housing extension attached to the housing and configured to controllably extend from the housing across the housing gap to enclose the detector as the detector moves across the housing gap and to prevent the subject from moving through the housing gap,
wherein the detector is configured to capture radiographic images of the subject positioned at the central axis, which subject is radiographically exposed using the radiographic radiation source.

### Claim 2 (depends on 1)

The apparatus of claim 1, wherein the turntable includes at least a portion thereof in the shape of a circular arc.

### Claim 3 (depends on 1)

The apparatus of claim 1, wherein a detector path distance as measured from the central axis to a point on a detector path is equivalent to a turntable distance as measured from the central axis to a point on the turntable.

### Claim 4 (depends on 1)

The apparatus of claim 1, wherein the turntable includes a portion thereof shaped in a circular arc having a center at the central axis.

### Claim 5 (depends on 1)

The apparatus of claim 1, wherein the source support comprises a support arm extending away from the central axis, and wherein the source is attached to a distal end of the support arm furthest from the central axis.

### Claim 6 (depends on 5)

The apparatus of claim 5, wherein the support arm comprises a straight, linear, rigid configuration.

### Claim 7 (depends on 6)

The apparatus of claim 6, wherein the C-shaped housing is further configured to enclose the source support, the detector support and the turntable as the source moves about the central axis and as the detector moves about the central axis.

### Claim 8 (depends on 7)

The apparatus of claim 7, wherein the gap in the C-shaped housing is further configured to allow the subject to be positioned at the central axis by moving the subject through the housing gap in a direction substantially perpendicular to the central axis.

### Claim 9

An apparatus for cone beam computed tomographic imaging of one extremity of a patient, the apparatus comprising:
a digital radiation detector configured to move around a central axis along a detector path at a first radial distance from the central axis;
a radiation source configured to move around the central axis along a source path simultaneously with the movement of the detector along the detector path, the source path at a second radial distance from the central axis, the second radial distance greater than the first radial distance;
a C-shaped housing configured to enclose the source as the source moves around the source path and to enclose the detector as the detector moves around a portion of the detector path, the housing comprising a gap configured to allow the one extremity of the patient to be positioned at the central axis by moving the one extremity of the patient through the housing gap in a direction substantially perpendicular to the central axis; and
a housing extension attached to the housing and configured to controllably extend from the housing across the housing gap to enclose the detector as the detector moves along the detector path and across the housing gap and to prevent the one extremity of the patient from moving through the housing gap.

### Claim 10 (depends on 9)

The apparatus of claim 9, further comprising a turntable to support both the detector and the source as the detector and the source move around the central axis, the turntable having at least a portion thereof in a shape of a circular arc.

### Claim 11 (depends on 10)

The apparatus of claim 10, wherein a distance as measured from the central axis to a point on the detector path is equivalent to a distance as measured from the central axis to a point on the turntable.

### Claim 12 (depends on 9)

The apparatus of claim 9, wherein the detector is configured to capture radiographic images of a subject positioned at the central axis when the subject is radiographically exposed using the radiation source.

### Claim 13 (depends on 10)

The apparatus of claim 10, wherein the turntable portion in the shape of the circular arc comprises a center coinciding with the central axis.

### Claim 14 (depends on 10)

The apparatus of claim 10, further comprising a source support arm attached to the turntable and to the source, wherein the source support arm extends away from the central axis, and wherein the source is attached to a distal end of the support arm furthest from the central axis.

### Claim 15 (depends on 14)

The apparatus of claim 14, wherein the source support arm comprises a straight, linear, rigid configuration.