# US 8,542,891 B2 · X-ray imaging apparatus that displays analysis image with taken image, X-ray imaging method, and image processing apparatus

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- Number: US 8,542,891 B2
- Document ID: US8542891B2
- Status: Granted
- Kind: B2
- Application number: 12/486,096
- Filed: 2009-06-17
- Published: 2010-01-07
- Granted: 2013-09-24
- Earliest claimed: 2008-07-04
- Assignees: Kabushiki Kaisha Toshiba; Toshiba Medical Systems Corporation
- Applicants: Tetsuya Yokota; Hitoshi Yamagata; Satoshi Wakai
- Inventors: Tetsuya Yokota; Hitoshi Yamagata; Satoshi Wakai
- Web page: https://patentgrep.com/patent/US8542891B2

## CPC

- A61B 6/504: {for diagnosis of blood vessels, e.g. by angiography}
- A61B 6/12: Arrangements for detecting or locating foreign bodies
- G06T 7/32: using correlation-based methods
- G06T 7/35: using statistical methods
- G06T 19/00: Manipulating three-dimensional [3D] models or images for computer graphics
- A61B 6/4441: {the rigid structure being a C-arm or U-arm}
- A61B 6/4464: {the source unit or the detector unit being mounted to ceiling}
- A61B 6/481: {involving the use of contrast agents}
- G06T 2207/10081: Computed x-ray tomography [CT]
- G06T 2207/10121: Fluoroscopy
- G06T 2207/10124: Digitally reconstructed radiograph [DRR]
- G06T 2207/30104: Vascular flow; Blood flow; Perfusion
- G06T 2210/41: Medical
- G06T 2219/028: Multiple view windows (top-side-front-sagittal-orthogonal)
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- G06T: IMAGE DATA PROCESSING OR GENERATION, IN GENERAL

## Abstract

Positioning images are created by a projection-image creating unit before imaging, and the positioning images are grouped and stored by a projection-image storage unit for each preset. When imaging is started, a positioning-information calculating unit calculates positioning parameters using the positioning images stored in the projection-image storage unit. An analysis-image-for-synthesis creating unit creates an analysis image using the positioning parameters, and an analysis-image synthesizing and displaying unit synthesizes the analysis image with a live image and displays a synthesized image. When an imaging direction of an X-ray angiography apparatus is changed, a positioning-information updating unit directly updates the positioning parameters based on an amount of change of the imaging direction.

## Claims

### Claim 1

An image processing apparatus comprising:
an image obtaining unit that obtains an X-ray projection image of a subject;
a positioning-image creating unit connected to the image obtaining unit for creating positioning images with a subject center being changed within a certain range, under a condition that a point of view and a projection plane are fixed, for each of a plurality of different projection conditions using volume data collected from the subject by a medical imaging apparatus;
a projection-condition obtaining unit connected to the positioning-image creating unit for selecting an image most analogous to the X-ray projection image of the subject from the positioning images, and obtains a projection condition of the selected positioning image;
a target-region storage unit that stores volume data of a target region, among the volume data collected, as target-region volume data; and
an image display unit connected to the target-region storage unit and the projection-condition obtaining unit for creating and displaying an image of the target region based on the target-region volume data stored in the target-region storage unit and the projection condition obtained by the projection-condition obtaining unit.

### Claim 2

An X-ray imaging apparatus comprising:
an imaging unit that irradiates X-rays on a subject and detects X-rays penetrating the subject to generate an X-ray projection image of the subject;
a positioning-image creating unit connected to the imaging unit for creating positioning images with a subject center being changed within a certain range, under a condition that a point of view and a projection plane are fixed, for each of a plurality of different projection conditions using volume data collected from the subject by a medical imaging apparatus;
a projection-condition obtaining unit connected to the positioning-image creating unit for selecting an image most analogous to the X-ray projection image of the subject from the positioning images, and obtains a projection condition of the selected positioning image;
a target-region storage unit that stores volume data of a target region, among the volume data collected, as target-region volume data; and
an image display unit connected to the target-region storage unit and the projection-condition obtaining unit for creating and displaying an image of the target region based on the target-region volume data stored in the target-region storage unit and the projection condition obtained by the projection-condition obtaining unit.

### Claim 3 (depends on 2)

The X-ray imaging apparatus according to claim 2, further comprising a synthesized-image display unit that synthesizes an image created by the image display unit with an X-ray projection image being taken, and displays a synthesized image.

### Claim 4 (depends on 3)

The X-ray imaging apparatus according to claim 3, further comprising a projection-condition updating unit that updates the projection condition corresponding to a change of an imaging condition based on the obtained projection condition, when the imaging condition of the subject is changed.

### Claim 5 (depends on 4)

The X-ray imaging apparatus according to claim 4, wherein
the synthesized-image display unit can simultaneously display a plurality of types of images, and
the X-ray imaging apparatus further comprises a display setting unit that sets a plurality of types of images and display positions displayed by the synthesized-image display unit.

### Claim 6 (depends on 3)

The X-ray imaging apparatus according to claim 3, wherein the positioning-image creating unit has a function of creating a plurality of positioning images beforehand for each imaging condition preset in the X-ray imaging apparatus and storing the positioning images in an image database, and
the projection-condition obtaining unit has a function of selecting the positioning images corresponding to the imaging condition selected at a time of X-ray imaging of the subject from the image database.

### Claim 7 (depends on 6)

The X-ray imaging apparatus according to claim 6, wherein
the synthesized-image display unit can simultaneously display a plurality of types of images, and
the X-ray imaging apparatus further comprises a display setting unit that sets a plurality of types of images and display positions displayed by the synthesized-image display unit.

### Claim 8 (depends on 3)

The X-ray imaging apparatus according to claim 3, further comprising a target-region selecting unit that selects a target region to be synthesized and displayed from a plurality of target regions, wherein
the target-region storage unit stores volume data of the target regions, and
the image display unit creates and displays an image of the target region selected by the target-region selecting unit.

### Claim 9 (depends on 8)

The X-ray imaging apparatus according to claim 8, wherein
the synthesized-image display unit can simultaneously display a plurality of types of images, and
the X-ray imaging apparatus further comprises a display setting unit that sets a plurality of types of images and display positions displayed by the synthesized-image display unit.

### Claim 10 (depends on 2)

The X-ray imaging apparatus according to claim 2, wherein
the synthesized-image display unit can simultaneously display a plurality of types of images, and
the X-ray imaging apparatus further comprises a display setting unit that sets a plurality of types of images and display positions displayed by the synthesized-image display unit.

### Claim 11 (depends on 2)

The X-ray imaging apparatus according to claim 2, further comprising a projection-condition updating unit that updates the projection condition corresponding to a change of an imaging condition based on the obtained projection condition, when the imaging condition of the subject is changed.

### Claim 12 (depends on 11)

The X-ray imaging apparatus according to claim 11, wherein the positioning-image creating unit has a function of creating a plurality of positioning images beforehand for each imaging condition preset in the X-ray imaging apparatus and storing the positioning images in an image database, and
the projection-condition obtaining unit has a function of selecting the positioning images corresponding to the imaging condition selected at a time of X-ray imaging of the subject from the image database.

### Claim 13 (depends on 11)

The X-ray imaging apparatus according to claim 11, further comprising a target-region selecting unit that selects a target region to be synthesized and displayed from a plurality of target regions, wherein
the target-region storage unit stores volume data of the target regions, and
the image display unit creates and displays an image of the target region selected by the target-region selecting unit.

### Claim 14 (depends on 2)

The X-ray imaging apparatus according to claim 2, wherein the positioning-image creating unit has a function of creating a plurality of positioning images beforehand for each imaging condition preset in the X-ray imaging apparatus and storing the positioning images in an image database, and
the projection-condition obtaining unit has a function of selecting the positioning images corresponding to the imaging condition selected at a time of X-ray imaging of the subject from the image database.

### Claim 15 (depends on 14)

The X-ray imaging apparatus according to claim 14, further comprising a target-region selecting unit that selects a target region to be synthesized and displayed from a plurality of target regions, wherein
the target-region storage unit stores volume data of the target regions, and
the image display unit creates and displays an image of the target region selected by the target-region selecting unit.

### Claim 16 (depends on 2)

The X-ray imaging apparatus according to claim 2, further comprising a target-region selecting unit that selects a target region to be synthesized and displayed from a plurality of target regions, wherein
the target-region storage unit stores volume data of the target regions, and
the image display unit creates and displays an image of the target region selected by the target-region selecting unit.

### Claim 17 (depends on 2)

The X-ray imaging apparatus according to claim 2, wherein
the volume data is time-series volume data,
the X-ray imaging apparatus further comprises a volume-data extracting unit that extracts one time-phase volume data from the time-series volume data, and
the positioning-image creating unit creates a plurality of positioning images based on an imaging condition of the X-ray imaging apparatus, using the volume data extracted by the volume-data extracting unit.

### Claim 18

An X-ray imaging method comprising:
irradiating X-rays on a subject;
detecting X-rays penetrating the subject;
generating an X-ray projection image of the subject;
creating positioning images with a subject center being changed within a certain range, under a condition that a point of view and a projection plane are fixed, for each of a plurality of different projection conditions using volume data collected from the subject by a medical imaging apparatus;
selecting an image most analogous to the X-ray projection image of the subject from the positioning images;
obtaining a projection condition of the selected positioning image;
storing volume data of a target region, among the volume data collected, as target-region volume data; and
creating and displaying an image of the target region based on the target-region volume data and the projection condition.
