# US 10,765,392 B2 · X-ray imaging apparatus and x-ray image display method > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 10,765,392 B2 - Document ID: US10765392B2 - Status: Granted - Kind: B2 - Application number: 15/962,488 - Filed: 2018-04-25 - Published: 2018-11-01 - Granted: 2020-09-08 - Earliest claimed: 2017-04-25 - Assignees: Shimadzu Corporation - Applicants: Shimadzu Corporation - Inventors: Koki Yoshida; Takanori Yoshida; Michel Dargis - Web page: https://patentgrep.com/patent/US10765392B2 ## CPC - A61B 6/5205: {involving processing of raw data to produce diagnostic data} - A61B 6/487: {involving fluoroscopy} - A61B 6/503: {for diagnosis of the heart} - G06T 3/403: Edge-driven scaling; Edge-based scaling - G06T 7/0014: {using an image reference approach} - G06T 7/246: using feature-based methods, e.g. the tracking of corners or segments - A61B 6/0492: {using markers or indicia for aiding patient positioning} - A61B 6/504: {for diagnosis of blood vessels, e.g. by angiography} - G06T 2207/10121: Fluoroscopy - G06T 2207/30048: Heart; Cardiac - G06T 2207/30204: Marker - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) - G06T: IMAGE DATA PROCESSING OR GENERATION, IN GENERAL ## Abstract This X-ray imaging apparatus is equipped with an image processing unit. The image processing unit obtains a first image with a marker reference position set in a first X-ray image and generate a second image in which a virtual marker image is superimposed at a corresponding position in a second X-ray image reflecting the change of a relative position from the marker reference position with respect to the second X-ray image different from the first X-ray image. ## Claims ### Claim 1 An X-ray imaging apparatus comprising: an imaging device that captures an X-ray image by irradiating X-rays to a subject and detecting the X-rays that have passed through the subject; a reference position setter that sets a marker reference position with respect to a first X-ray image; a marker generator that generates a first image in which a virtual marker image is superimposed at the marker reference position in the first X-ray image; a display that displays the first image; and a relative position calculator that resets the marker reference position to a position reflecting a change of a relative position between the subject and the imaging device with respect to a second X-ray image captured in which the relative position is changed, wherein the relative position calculator resets the marker reference position after displaying the first image, wherein the marker generator generates a second image in which the virtual marker image is superimposed again at the reset marker reference position, and wherein the second image is displayed on the display. ### Claim 2 (depends on 1) The X-ray imaging apparatus as recited in claim 1, wherein the virtual marker image includes a pair of virtual marker images. ### Claim 3 (depends on 1) The X-ray imaging apparatus as recited in claim 1, wherein the virtual marker image includes a virtual ruler image. ### Claim 4 (depends on 1) The X-ray imaging apparatus as recited in claim 1, wherein the relative position calculator acquires the change of the relative position based on movement information of at least one of the subject and the imaging unit, and wherein the marker generator generates the second image in which the virtual marker image is superimposed again at the reset marker reference position in the second X-ray image reflecting the acquired relative position change. ### Claim 5 (depends on 4) The X-ray imaging apparatus as recited in claim 4, wherein the imaging device includes an X-ray irradiation detection unit-device that irradiates the X-rays to the subject and detects the X-rays that have passed through the subject, and a placement device that is capable of placing the subject, wherein at least one of the X-ray irradiation detection device and the placement device is configured to be movable with respect to the other, and wherein the relative position calculator is configured to acquire the change of the relative position based on the movement information of at least one of the X-ray irradiation detection device and the placement device. ### Claim 6 (depends on 4) The X-ray imaging apparatus as recited in claim 4, further comprising: an image processor that includes the reference position setter, the marker generator, and the relative position calculator, wherein the image processor is configured to acquire the movement information as the movement information of the subject from a position of a first feature point in the subject in the first X-ray image to a position of the first feature point in the subject in the second X-ray image, and acquire the change of the relative position based on the acquired movement information. ### Claim 7 (depends on 6) The X-ray imaging apparatus as recited in claim 6, wherein the first feature point includes at least one of an indwelling object in the subject and a structural object of the subject. ### Claim 8 (depends on 6) The X-ray imaging apparatus as recited in claim 6, wherein the first image is a moving image reflecting the subject that periodically functions, wherein the image processor is configured to acquire periodic movement information of the first feature point in the subject in the first image and the periodic movement information of a marker reference position and acquire the change of the relative position based on the acquired periodic movement information. ### Claim 9 (depends on 8) The X-ray imaging apparatus as recited in claim 8, wherein the image processor is configured to generate the first image in which the marker reference position is set based on the position of a second feature point in the subject different from the first feature point in the first X-ray image, acquire the periodic movement information of the first feature point and the periodic movement information of the second feature point, acquire the change of the relative position based on the acquired periodic movement information, and generate the second image in which the virtual marker image virtually displaying the second feature point is superimposed at the reset marker reference position in the second X-ray image that does not have the second feature point reflecting the change of the relative position. ### Claim 10 (depends on 9) The X-ray imaging apparatus as recited in claim 9, wherein the second feature point includes an indwelling object in the subject. ### Claim 11 (depends on 6) The X-ray imaging apparatus as recited in claim 6, wherein the first image and the second image each include an image in which a heart part of the subject is imaged. ### Claim 12 (depends on 1) The X-ray imaging apparatus as recited in claim 1, wherein at least one of the first image and the second image is a stitched image captured at a plurality of relative positions. ### Claim 13 (depends on 12) The X-ray imaging apparatus as recited in claim 12, wherein the first image is the stitched image, and the second image is a fluoroscopic image captured at one relative position. ### Claim 14 (depends on 12) The X-ray imaging apparatus as recited in claim 12, wherein the first image and the second image each include an image in which a lower limb portion of the subject is imaged. ### Claim 15 (depends on 1) The X-ray imaging apparatus as recited in claim 1, wherein the second image is a moving image. ### Claim 16 (depends on 1) The X-ray imaging apparatus as recited in claim 1, wherein the first image is an image including an image of a contrast agent injected into the subject, and wherein the second image is an image not including the image of the contrast agent. ### Claim 17 (depends on 1) The X-ray imaging apparatus as recited in claim 1, wherein the first image includes an image in which a partial image in a moving image is displayed as a still image. ### Claim 18 (depends on 1) The X-ray imaging apparatus as recited in claim 1, further comprising: an operation receptor that accepts an input operation from an operator, wherein it is configured so that the marker reference position is set based on the input operation specifying the position on the first X-ray image displayed on the display. ### Claim 19 (depends on 1) The X-ray imaging apparatus as recited in claim 1, wherein the marker generator is configured to generate the second image in which a plurality of virtual marker images are superimposed on the second X-ray image, and wherein the relative position calculator calculates a distance between the plurality of virtual marker images. ### Claim 20 (depends on 19) The X-ray imaging apparatus as recited in claim 19, wherein it is configured to display an image indicating the distances among the plurality of virtual marker images on the display together with the second image. ### Claim 21 (depends on 19) The X-ray imaging apparatus as recited in claim 19, wherein the relative position calculator is configured to acquire magnification ratio information of the second X-ray image, and calculate distances in an actual scale among the plurality of virtual marker images based on the magnification ratio information. ### Claim 22 An X-ray image display method configured to capture an X-ray image by irradiating X-rays to a subject and detecting the X-rays that have passed through the subject, process the captured X-ray image, and display the X-ray image, the method comprising: setting a marker reference position with respect to a first X-ray image; generating a first image in which a virtual marker image is superimposed at the marker reference position in the first X-ray image; displaying the first image; resetting the marker reference position to a position reflecting a change of a relative position between the subject and the imaging device with respect to a second X-ray image captured in which the relative position is changed after displaying the first image; generating a second image in which the virtual marker image is superimposed again at the reset marker reference position; and displaying the second image.