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CN106798567A - A kind of RT-CT integrated equipments - Google Patents

A kind of RT-CT integrated equipments Download PDF

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Publication number
CN106798567A
CN106798567A CN201510873858.3A CN201510873858A CN106798567A CN 106798567 A CN106798567 A CN 106798567A CN 201510873858 A CN201510873858 A CN 201510873858A CN 106798567 A CN106798567 A CN 106798567A
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CN
China
Prior art keywords
equipment
rotary frame
frame
ring
bed
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Pending
Application number
CN201510873858.3A
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Chinese (zh)
Inventor
韩东辉
田胜辉
田新智
赵国涛
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Neusoft Medical Systems Co Ltd
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Neusoft Medical Systems Co Ltd
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Application filed by Neusoft Medical Systems Co Ltd filed Critical Neusoft Medical Systems Co Ltd
Priority to CN201510873858.3A priority Critical patent/CN106798567A/en
Priority to US15/367,211 priority patent/US10478138B2/en
Publication of CN106798567A publication Critical patent/CN106798567A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/02Arrangements for diagnosis sequentially in different planes; Stereoscopic radiation diagnosis
    • A61B6/03Computed tomography [CT]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/42Arrangements for detecting radiation specially adapted for radiation diagnosis
    • A61B6/4208Arrangements for detecting radiation specially adapted for radiation diagnosis characterised by using a particular type of detector

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Engineering & Computer Science (AREA)
  • Radiology & Medical Imaging (AREA)
  • Biomedical Technology (AREA)
  • Biophysics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Optics & Photonics (AREA)
  • Pathology (AREA)
  • Physics & Mathematics (AREA)
  • High Energy & Nuclear Physics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Apparatus For Radiation Diagnosis (AREA)

Abstract

The present invention provides a kind of RT-CT integrated equipments, the spacing of RT equipment and CT equipment can be shortened, and then improve both relative positional accuracies, can not only reduce installing space needed for integrated equipment, the movement dimension of therapeutic bed is also reduced, the precision of diagnosis and radiotherapy is largely improve.RT-CT integrated equipments of the invention include RT equipment and CT equipment, the rotation centerline of the RT equipment is on same axis with the rotation centerline of the CT equipment, the RT equipment and the CT equipment are in same one end of therapeutic bed, and the RT equipment and the CT equipment are relatively independent.Because RT equipment is smaller with the spacing of CT equipment, it is easy to improve both axialities so that the matching precision of Clinics and Practices is higher;Therapeutic bed only needs to be switched in Clinics and Practices pattern by adjusting shorter displacement, i.e., only can largely improve the mobile accuracy of therapeutic bed in a dimension linear motion.

Description

A kind of RT-CT integrated equipments
Technical field
The present invention relates to RT-CT integrated equipment technical fields, more particularly to a kind of RT-CT integrated equipments.
Background technology
Recent decades, with developing rapidly for Medical Devices, multisystem Medical Devices are constantly developed successfully and emerge in large numbers Commercially.So-called multisystem Medical Devices be exactly by two or more existing Medical Devices be integrated into one it is new whole Body equipment.For example:PET (positron emission tomography) and the existing diagnostic device collection of CT (computed tomography scanner) two Set into this new diagnosis of PET-CT;Two existing equipment of radiotherapy apparatus RT (clinac) and diagnostic device CT Integrated this new accurate radiotherapy equipment (RT-CT) of IGRT etc..
At present, the main traditional means of oncotherapy are operation, chemotherapy, radiotherapy, wherein 70% or so client need is put Treat, and RT (Radiation Therapy) equipment is the capital equipment of radiotherapy.Compared to the independent radiotherapy technologies of RT, RT-CT is integrated to be A kind of high-grade, precision and advanced radiotherapy technology, it is desirable to be accurately positioned, careful design, accurate radiotherapy, whole process carry out tight quality control and Quality assurance.Tumour and normal organ are monitored using CT before patient carries out radiotherapy and in radiotherapy, and can be according to device The change adjustment radiotherapy condition of official position, makes RT ray emitters tightly " follow " change of Gross Target Volume and position, so as to adopt With radiotherapy technologies such as self adaptations, accomplish accurate radiotherapy truly.Therefore, RT-CT integrated equipments can significantly improve treatment Effect, can to the utmost reduce normal tissue injury again, largely reduce the sequelae of patient.
Below in conjunction with Fig. 1, RT-CT integrated equipments of the prior art are described in detail.Fig. 1 is in the prior art A kind of structural representation of set-up mode of RT-CT integrated equipments.
As shown in figure 1, in the prior art, traditional RT-CT integrated equipments are that RT equipment 100 is installed with CT equipment 200 In same interior, then a therapeutic bed 300 that can be shared by both is set, then will both (RT equipment 100 and CT equipment 200) two ends of therapeutic bed 300 are separately fixed at;Therapeutic bed 300 can be moved and rotated according to the direction of arrow shown in Fig. 1, so that Patient is sent into different equipment.In particular, it is desirable to when CT equipment 200 is scanned, therapeutic bed 300 drives patient to enter CT The scanning space of equipment 200;, it is necessary to when RT equipment 100 carries out radiotherapy, first have to revolve the level of therapeutic bed 300 after completing to scan Turn 180 °, with the head of a bed of therapeutic bed 300 of turning round so that then therapeutic bed 300 drives therapeutic bed 300 to drive towards RT equipment 100 Patient enters the radiotherapy space of RT equipment 100.It can be seen that, using RT-CT integrated equipments, patient does not need autokinetic movement, it is possible to Complete CT scan and RT radiotherapies.
But, using above-mentioned existing RT-CT integrated equipments, there is following technical problem:
1st, RT equipment 100 is larger with the distance between CT equipment 200, and precision during both relative positions of regulation is hardly resulted in Ensure, and the precision of both relative positions can influence the precision of diagnosis and radiotherapy;
2nd, therapeutic bed 300 has mobile and rotates two kinds of forms of motion, and movement dimension is more, have impact on diagnosis and radiotherapy Precision;
3rd, it is two relatively independent equipment when RT equipment 100 is with CT equipment 200, and both are distributed in therapeutic bed 3003 Two ends, occupy larger installing space, it is necessary to the larger installation room of area;
4th, because RT equipment 100 is larger with the distance between CT equipment 200, the difficulty of both regulations relative positions is larger, Need to use special tooling if necessary, increased the complexity of assembling and regulation.
Therefore, a kind of RT-CT integrated equipments how to be designed, with improve diagnosis and radiotherapy precision, while reduce assembling and Regulation difficulty, simplifies installation procedure, the installing space needed for reducing whole integrated equipment, current urgently as those skilled in the art The technical problem that need to be solved.
The content of the invention
It is an object of the invention to provide a kind of RT-CT integrated equipments, the spacing of RT equipment and CT equipment can be shortened, and then Both relative positional accuracies are improved, installing space needed for not only can reducing integrated equipment also reduces the motion of therapeutic bed Dimension, largely improves the precision of diagnosis and radiotherapy.
In order to solve the above technical problems, the present invention provides a kind of RT-CT integrated equipments, including RT equipment and CT equipment, institute The CT equipment rotation centerline of the RT equipment rotation centerline and the CT equipment of stating RT equipment is on same axis, described RT equipment and the CT equipment are in same one end of therapeutic bed.
RT-CT equipment of the invention, RT equipment and CT equipment is arranged on same one end of therapeutic bed, and control radiotherapy center Line is on same axis with scanning center's line, now, because RT equipment is smaller with the spacing of CT equipment, is easy to improve both Axiality so that the matching precision of Clinics and Practices is higher, and then improve therapeutic effect;When RT equipment and CT equipment spacing compared with Hour, it is easier to both assemblings are realized in the case where axiality is ensured, so as to simplify the structure of whole integrated equipment, drop Low assembly difficulty, without frock auxiliary;It is additionally, since RT equipment and CT equipment is in same one end of therapeutic bed, Ke Yicong Installing space is saved on the whole, improves property easy to use.
What is more important, when RT equipment is in same one end of therapeutic bed with CT equipment, therapeutic bed only needs to adjustment movement Distance can be switched in Clinics and Practices pattern, in the absence of horizontally rotating, that is to say, that therapeutic bed now can be only In the presence of the linear motion in dimension direction, and the precision for moving along a straight line is higher and easily controllable, can largely carry The mobile accuracy of therapeutic bed high, and then influence of the therapeutic bed to diagnosing and treat is reduced, auxiliary improves the matching of Clinics and Practices Precision, finally improves therapeutic effect.
Further, since therapeutic bed now need not be rotated, the structure of therapeutic bed can be simplified, reduce manufacturing cost; The patient that also avoid in therapeutic bed produces spinning sensation and fear because of rotation, improves the usage comfort of patient.
Alternatively, in the RT equipment and the CT integration of equipments to same support system.At this point it is possible to further carry The coaxial precision of RT equipment high and CT equipment, saves installing space, improves property easy to use.
Alternatively, the support system includes being provided with the support base of installation portion, and the CT equipment includes CT equipment whirlers Frame, the RT equipment includes RT equipment rotary frames;The CT equipment rotary frame is provided with CT equipment ray emitter and CT sets Standby ray receiver, the RT equipment rotary frame is provided with RT equipment ray emitters;The CT equipment rotary frame and described RT equipment rotary frame is socketed on the installation portion, and is coaxially disposed with the installation portion;The CT equipment whirler Frame and the RT equipment rotary frame are fixed on axially and radially, circumferential rotatable.
Alternatively, the RT equipment rotary frame, the CT equipment rotary frame and the installation portion cover successively vertically Connect, each socket place is fixedly connected on radial and axial, circumferential be rotatably connected.
Alternatively, the CT equipment ray emitter and the CT equipment ray receiver are respectively at the CT equipment rotation The radially opposite sides of favourable turn frame, and it is arranged on one end that the CT equipment rotary frame is socketed the RT equipment rotary frame.
Alternatively, the RT equipment ray emitter is arranged on the RT equipment rotary frame and is rotated away from the CT equipment One end of frame.
Alternatively, the RT equipment also includes cantilever, and the cantilever is connected with its root with the RT equipment rotary frame, And be directed away from the direction of the CT equipment rotary frame and extend, the RT equipment ray emitter is arranged on the head of the cantilever Portion.
Alternatively, also including shielding harness, the shielding harness be used for shield the RT equipment ray emitter launch to The ray of the CT equipment ray receiver.
Alternatively, the installation portion includes the first installation portion and the second installation portion that are coaxially disposed opposite to each other, and the CT sets Standby rotary frame be socketed with first installation portion, and be fixedly connected on axially and radially with first installation portion, circumference It is rotatably connected;The RT equipment rotary frame is socketed with second installation portion, and with second installation portion axially and Radially it is fixedly connected, is circumferentially rotatably connected.
Alternatively, the RT equipment also includes balance weight body, and the balance weight body is in institute with the RT equipment ray emitter State RT equipment rotary frames it is same diametrically.
Alternatively, the support system also includes actuator, and the actuator is used to drive the RT equipment rotary frame Or the CT equipment rotary frame is circumferentially rotated.
Alternatively, the actuator includes the first actuator for driving the CT equipment rotary frame to circumferentially rotate, And the second actuator for driving the RT equipment rotary frame to circumferentially rotate.
Alternatively, first actuator is locked with the CT equipment rotary frame and coordinated in not output driving power, with Just the CT equipment rotary frame is braked;
And/or, second actuator is locked with the RT equipment rotary frame and coordinated in not output driving power, with Just the RT equipment rotary frame is braked.
Alternatively, the support system also includes brake component, and the brake component is used to brake the RT equipment rotary frame Or the CT equipment rotary frame.
Alternatively, the brake component includes the first brake component for being used to brake the CT equipment rotary frame, and is used for Brake the second brake component of the RT equipment rotary frame.
Alternatively, the RT equipment rotary frame, the CT equipment rotary frame and the installation portion are socketed by bearing, And the axis hole coordinated with the interior outside of the bearing is by machining formation, the axis hole and the RT equipment rotary frame, institute State CT equipment rotary frame and the installation portion is coaxially disposed.
Alternatively, the RT equipment and the CT equipment are relatively independent.Now, the structure of RT equipment and CT equipment is relative It is relatively simple, using simpler convenient, manufacturing cost and difficulty of processing can be reduced.
Alternatively, the RT equipment includes that RT equipment rotary frame, the RT being arranged on the RT equipment rotary frame set The RT device drives parts that standby ray emitter and the driving RT equipment rotary frame are rotated;The CT equipment includes thering is CT The CT equipment rotary frames of device scan ring;The CT equipment rotary frame and the RT equipment rotary frame along same axis with Predetermined axial gap is intervally arranged, and the RT equipment rotary frame offers the first axle for leading to the CT device scans ring To through hole.
Alternatively, first axial pass-through holes are coaxially disposed with the CT device scans ring, and described first axially passes through External diameter of the aperture of through hole not less than the CT device scans ring.
Alternatively, the CT device scans ring is built in the CT equipment rotary frame.
Alternatively, the CT device scans ring convex go out to be arranged on the end face of the CT equipment rotary frame, and stretch into institute Between there is predetermined radial direction in stating the first axial pass-through holes, between the CT device scans ring and first axial pass-through holes Gap.
Alternatively, also including protector, the protector be used for shield the RT equipment ray emitter launch to The ray of the CT device scans ring.
Alternatively, the CT equipment also includes the regulation of the height and inclination angle for adjusting the CT equipment rotary frame Device.
Alternatively, the RT equipment rotary frame is annular tubular, and the RT device drives part sets to be arranged on the RT Standby rotary frame both sides and the driving rolls circumscribed with the RT equipment rotary frame.
Alternatively, the RT equipment includes RT equipment fixed frame, RT equipment rotary frame and RT equipment ray emitters, The RT equipment rotary frame and the RT equipment fixed frame be fixedly connected on axially and radially, it is circumferential be rotatably connected, The RT equipment ray emitter is arranged on the RT equipment rotary frame;The CT equipment includes being built in the RT equipment CT device scan rings in fixed frame, the RT equipment rotary frame offers the second axle for leading to the CT device scans ring To through hole.
Alternatively, the therapeutic bed is including bed body and the bed board being connected is may move with the bed body, is also set in the bed body There is bed board support system;In the RT equipment and the CT equipment, one of which is in the distal end away from the therapeutic bed, another Person is in the near-end near the therapeutic bed;When the bed board stretches into the equipment in distal end, the bed board support system by The bed body stretches out to support the bed board.
Alternatively, when the bed board stretches into the equipment in near-end, the bed board support system is retracted to the bed body.
Brief description of the drawings
Fig. 1 is a kind of structural representation of set-up mode of RT-CT integrated equipments in the prior art for Fig. 1;
Fig. 2 is the structural representation that RT-CT integrated equipments provided by the present invention are set using monoblock type;
Fig. 3 is the structural representation that RT-CT integrated equipments shown in Fig. 2 are in the first working condition;
Fig. 4 is that RT-CT integrated equipments shown in Fig. 2 are in second structural representation of working condition;
Fig. 5 is RT-CT integrated equipments cross-sectional view in embodiment 1 shown in Fig. 2;
Fig. 6 is the cross-sectional view of support system in RT-CT integrated equipments shown in Fig. 5;
Fig. 7 is the cross-sectional view of CT equipment in RT-CT integrated equipments shown in Fig. 5;
Fig. 8 is the cross-sectional view of RT equipment in RT-CT integrated equipments shown in Fig. 5;
Fig. 9 is RT-CT integrated equipments cross-sectional view in example 2 shown in Fig. 2;
Figure 10 is the cross-sectional view of support system in RT-CT integrated equipments shown in Fig. 9;
Figure 11 is the cross-sectional view of CT equipment in RT-CT integrated equipments shown in Fig. 9;
Figure 12 is the cross-sectional view of RT equipment in RT-CT integrated equipments shown in Fig. 9;
Figure 13 is RT-CT integrated equipments cross-sectional view in embodiment 3 shown in Fig. 2;
Figure 14 is the close-up schematic view of brake component in RT-CT integrated equipments shown in Figure 13;
Figure 15 is structural representation of the RT-CT integrated equipments provided by the present invention using split type setting;
Figure 16 is RT-CT integrated equipments overall structure diagram in example 4 shown in Figure 15;
Figure 17 is the structural representation that RT-CT integrated equipments are in the first working condition shown in Figure 16;
Figure 18 is that RT-CT integrated equipments shown in Figure 16 are in second structural representation of working condition;
Figure 19 is the assembling decomposing schematic representation of RT-CT integrated equipments shown in Figure 16;
Figure 20 is assembling decomposing schematic representation of the RT-CT integrated equipments shown in Figure 15 in embodiment 5;
Figure 21 is the assembled state schematic diagram of RT-CT integrated equipments shown in Figure 20;
Figure 22 is structural representation of the RT-CT integrated equipments in embodiment 6 shown in Figure 15.
In Fig. 1:
RT equipment 100, CT equipment 200, therapeutic bed 300;
In Fig. 2-22:
The rotation centerline M of rotation centerline X, CT equipment of RT equipment;
RT equipment 1, RT equipment rotary frame 11, RT equipment ray emitter 12, cantilever 13, balance weight body 14, the rotation of RT equipment Favourable turn frame 15, the first axial pass-through holes 151, RT device drives part 16, RT equipment rotary frame 17, the second axial pass-through holes 171, RT equipment fixed frame 18;
CT equipment 2, CT equipment rotary frame 21, CT equipment ray emitter 22, CT equipment ray receiver 23, CT equipment Scan ring 24, CT equipment rotary frame 25;
Therapeutic bed 3, bed body 31, bed board 32, bed board support system 33;
Support system 4, installation portion 41, the first installation portion 411, the second installation portion 412, support base 42, actuator 43, first Actuator 431, the second actuator 432, brake component 44, the first brake component 441, the second brake component 442, bearing 45, clutch shaft bearing 451st, second bearing 452, drive control unit 46, brak control unit 47;
Shielding harness 5.
Specific embodiment
Core of the invention is to provide a kind of RT-CT integrated equipments, can shorten the spacing of RT equipment and CT equipment, and carries Both relative positional accuracies high, installing space needed for not only can reducing integrated equipment also reduces the motion dimension of therapeutic bed Degree, largely improves the precision of diagnosis and radiotherapy.
Below in conjunction with accompanying drawing, RT-CT integrated equipments of the present invention are specifically introduced, so that those skilled in the art are accurate Understand technical scheme.
It is as herein described up and down with RT-CT integrated equipment normal operating conditions as reference, RT-CT integrated equipments are normally used When, under being near the direction on ground, the direction away from ground is upper.
Axial direction as herein described refers to the bearing of trend of the axis of RT-CT integrated equipments, specifically, RT equipment 1 Rotation centerline X is the axis of RT equipment 1, and the rotation centerline M of CT equipment 2 is the axis of CT equipment 2, RT equipment The bearing of trend of rotation centerline M of rotation centerline X and CT equipment be the axial direction.
For ease of description, fore-and-aft direction can also be defined herein.With therapeutic bed 3 as reference before and after as herein described, in axle Upwards, the direction pointed by the head of a bed of therapeutic bed 3 is preceding, that is to say, that before whole RT-CT integrated equipments are in therapeutic bed 3 End, then the equipment near therapeutic bed 3 is rear, away from therapeutic bed 3 equipment preceding.
First, second grade word as herein described, only for the same or similar two or more portions of specification configuration Part, does not indicate that certain particular determination to order.
As shown in Fig. 2-4 and Figure 15, the invention provides a kind of RT-CT integrated equipments (hereinafter referred to as integrated equipment), Including RT equipment 1 and CT equipment 2, RT equipment 1 and CT equipment 2 are placed in same one end of therapeutic bed 3, and RT equipment 1 pivot Line X is on same axis with the rotation centerline M of CT equipment 2, and in other words, RT equipment 1 is coaxially disposed with CT equipment 2.
Specifically, RT equipment 1 and CT equipment 2 can vertically be arranged in same one end of therapeutic bed 3;Theoretically, exist In the case of ensureing that the ray of RT equipment 1 and CT equipment 2 does not interfere with each other, RT equipment 1 and CT equipment 2 can be with nested structures, i.e., One of which is sleeved on outside another one.The set-up mode only for RT equipment 1 and the axial arranging of CT equipment 2 is carried out specifically herein Explanation.
As in Figure 2-4, wherein in a kind of set-up mode, can be integrally disposed by RT equipment 1 and CT equipment 2, combination Form an integral device, i.e. CT equipment 2 and RT equipment 1 uses monolithic construction.Both can be specifically integrated in same In support system 4, that is, unified support system 4 is set, is then simplified RT equipment of the prior art and CT equipment, and Radiotherapy relevant apparatus and CT diagnosis relevant apparatus are integrated into the support system 4, the RT equipment 1 and CT equipment is constituted 2。
As shown in figure 15, in another set-up mode, RT equipment 1 and CT equipment 2 can be with relatively independent, and both can not There is annexation, integrated equipment now is a split type structure.RT equipment 1 and CT equipment 2 can be along the longitudinal direction It is intervally arranged in same one end of therapeutic bed 3, there can be predetermined axial gap between the two.
Either combine the integral device or relatively independent Split type structure of formation, in integrated equipment of the invention, RT Equipment 1 and CT equipment 2 are arranged successively vertically, and the same one end in therapeutic bed 3.In the switching of Clinics and Practices pattern During, therapeutic bed 3 need to only be moved in front and rear direction, in the absence of horizontally rotating, as shown in Fig. 2-4 and Figure 15, and the present invention Integrated equipment cause the movable switching for completing Clinics and Practices of therapeutic bed 3.Now, on the one hand, movable category Moved along a straight line in one kind, and the precision for moving along a straight line is easily controllable;On the other hand, in diagnosis and therapeutic process, therapeutic bed 3 is only There is motion in front and rear this dimension, the kinematic accuracy of this single dimension is higher;So, therapeutic bed 3 can be more smart Patient really is moved into treatment position by diagnostic position, therapeutic bed 3 is reduced for diagnosing and treating the influence of precision so that Diagnostic position is higher with the matching precision for the treatment of position, reduces the error for the treatment of position and tumour physical location, so as to improve Therapeutic effect, reduces to the hurtful probability of healthy cell.
Furthermore, the setting of integrated equipment causes that therapeutic bed 3 need not horizontally rotate, so as to avoid patient in rotation process Spinning sensation and fear are produced, comfort level of the patient in diagnosis and therapeutic process is improve.
Further, since RT equipment 1 and CT equipment 2 are in same one end of therapeutic bed 3, with office therapeutic bed 3 in the prior art The structure type at two ends is compared, and RT equipment 1 can be as far as possible reduced with the spacing of CT equipment 2, when both spacing reduce When, axiality can be guaranteed, and the control difficulty of axiality can be also greatly lowered.And, RT equipment 1 and CT equipment When 2 spacing reduces, the installing space of whole integrated equipment can be reduced, reduce the restrictive condition for using integrated equipment, more Be conducive to the popularization and application of integrated equipment.
It should be noted that illustrated as a example by rear in preceding, RT equipment 1 by CT equipment 2 in Fig. 2-4 and Figure 15, but Be, it will be understood by those skilled in the art that can also RT equipment 1 in preceding, CT equipment 2 rear.In other words, the He of RT equipment 1 The tandem of the arrangement of CT equipment 2 can be exchanged, when the tandem of arrangement is exchanged, it is only necessary to replace corresponding attachment structure , only it is specifically described by taking one of which arrangement mode as an example herein.
As shown in Figure 3 and Figure 4, when needing to be diagnosed, drive therapeutic bed 3 to be moved forward according to the direction of arrow shown in Fig. 3, control Bed 3 is treated to bring in CT equipment 2 patient into;When needing to be treated, therapeutic bed 3 is driven to be moved according to after the direction of arrow shown in Fig. 4, To drive patient to be transferred in RT equipment 1 by CT equipment 2, the scanning result according to CT equipment 2 is carried out to the position for needing treatment Radiotherapy.Above-mentioned steps are equally applicable to the split-type structural shown in Figure 15.
Below in conjunction with Fig. 5-14, the integrated equipment to the monolithic construction shown in Fig. 2-4 is described in detail;For entirety Formula structure, three kinds of embodiments given below are illustrated.
Embodiment 1
As viewed in figures 5-8, integrated equipment can include RT equipment 1 and CT equipment 2, and both are arranged on same support system On 4;Wherein, support system 4 includes being provided with the support base 42 of installation portion 41, and CT equipment 2 includes CT equipment rotary frame 21, CT Equipment ray emitter 22 and CT equipment ray receiver 23, RT equipment 1 include that RT equipment rotary frame 11 and RT equipment are penetrated Line transmitter 12;CT equipment ray emitter 22 and CT equipment ray receiver 23 are arranged on CT equipment rotary frame 21, RT equipment ray emitter 12 is arranged on RT equipment rotary frame 11;RT equipment rotary frame 11 and CT equipment rotary frame 21 It is socketed on the installation portion 41 of support base 42, RT equipment rotary frame 11, CT equipment rotary frame 21 and installation portion 41 can To be coaxially disposed;CT equipment rotary frame 21 and RT equipment rotary frame 11 are fixedly connected on axially and radially, in circumference It is rotatably connected.
The mode that RT equipment rotary frame 11 and CT equipment rotary frame 21 are socketed on installation portion 41 is various, and both of which can To be directly socketed with installation portion 41, it is also possible to which one of which is socketed in another one, another one and installation portion are then passed through again 41 sockets.Just illustrated so that RT equipment rotary frame 11 is socketed on CT equipment rotary frame 21 as an example in the present embodiment.
As viewed in figures 5-8, RT equipment rotary frame 11, CT equipment rotary frame 21 and installation portion 41 can vertically successively Socket, i.e., RT equipment rotary frame 11 can be socketed in the front end of CT equipment rotary frame 21, CT equipment rotary frames with its rear end 21 front ends that installation portion 41 can be socketed in its rear end, installation portion 41 can extend in the axial direction, it is possible to which its rear end is fixed and set Put on support base 42;Wherein, each socket place can be relatively fixed connection on axially and radially, and rotatably connect circumferentially Connect.
As shown in figure 5, support base 42 can be generally configured as L-type, ground is supported in the transverse part of L-type, with the vertical part of L-type Upwardly extend, at this point it is possible to set installation portion 41 in the vertical part of L-type, installation portion 41 substantially can in the horizontal extend, specifically may be used Extended in the same direction with the transverse part with L-type;It is then possible to CT equipment rotary frame 21 and RT equipment rotary frame 11 are set to hollow The rotary frame of column, and be socketed in successively on installation portion 41, by setting the connectors such as bearing so that formed after socket and only may be used With the integrated equipment for circumferentially rotating.
As shown in fig. 6, in the support system 4 of the application, support base 42 is used to bear the load of whole integrated equipment, can be with It is directly placed or is fixedly mounted on the ground;Installation portion 41 can be open column shape, specifically could be arranged to axle To the cylindrical-shaped structure of the through hole for extending;As described above, when 42 substantially L-shaped setting of support base, installation portion 41 can be with The vertical part of L-type is arranged on, and is extended transversely by the inner face (towards the end face of transverse part) of vertical part, transverse direction now is described Axially.
In detail, installation portion 41 can be fixedly mounted on the vertical part of support base 42 with its front end, with its rear end towards therapeutic bed 3 Extend, clutch shaft bearing 451 can be set in the rear end of installation portion 41, and coordinated with installation portion 41 with the inner face of clutch shaft bearing 451, The outside of clutch shaft bearing 451 is used to coordinate with the inner face of CT equipment rotary frame 21.Wherein, with the inner face phase of clutch shaft bearing 451 The outside of the installation portion 41 of cooperation can be formed by machining, to form the outer shaft coordinated with the inner face of clutch shaft bearing 451 Neck so that the center line of clutch shaft bearing 451, the center line of installation portion 41 and the center line of whole integrated equipment keep good same Axle degree, for the assembling of CT equipment rotary frame 21 provides good basis.
Support system 4 can also include actuator 43, and drive RT equipment rotary frame 11 and CT to set by actuator 43 Standby rotary frame 21 is circumferentially rotated.Actuator 43 can specifically include driving wheel, can be set in RT equipment rotary frame 11 and CT The follower matched with the driving wheel is set on standby rotary frame 21, then RT is set with realization is separated by the engagement of gear Whether is the driving of standby rotary frame 11 and CT equipment rotary frame 21;The follower that can be engaged by converting driving wheel changes By driven object.
In the embodiment shown in fig. 6, actuator 43 could be arranged to two, i.e. actuator 43 can include that first drives The actuator 432 of moving part 431 and second, the first actuator 431 and the second actuator 432 could be arranged to the structure shape of driving wheel Formula, naturally it is also possible to drive leading screw, driving the other structures forms such as frame or drive shaft.First actuator 431 can be with CT equipment rotary frame 21 is connected, and to drive CT equipment rotary frame 21 to circumferentially rotate, the second actuator 432 can be with RT equipment Rotary frame 11 is connected, to drive RT equipment rotary frame 11 to circumferentially rotate.When using different driving structures, the rotation of RT equipment Favourable turn frame 11 and CT equipment rotary frame 21 can also set corresponding fit structure, to realize that power is transmitted.By taking driving wheel as an example, First actuator 431 and the second actuator 432 can be connected with power source, then export dynamic by axially extending connecting shaft To power output members such as travelling gears, each power output member can be arranged on the position corresponding with corresponding rotary frame to power, And then realize driving.
Auto-lock function can also be set for actuator 43, to realize to RT equipment rotary frame 11 and CT equipment rotary frames The braking of one of which in 21, so that another one can be relatively rotated.For example:First actuator 431 can be drive gear, and The engaging tooth that can be engaged with the first actuator 431 in the setting of the periphery of CT equipment rotary frame 21, when the first actuator 431 not output driving power when, the first actuator 431 is locked, limitation the first actuator 431 it is each to the free degree, just can lead to The locking CT equipment of the first actuator 431 rotary frame 21 is crossed, the braking of CT equipment rotary frame 21 is realized;Similarly, second drive Moving part 432 can also have auto-lock function, to realize the braking to RT equipment rotary frame 11.That is, can drive Integrated braking function on part 43, without being separately provided brake component 44, can equally realize setting RT equipment rotary frame 11 and CT For being operated alone and independent brake for rotary frame 21.
The support system 4 of the application can also be separately provided brake component 44, for braking RT equipment rotary frame 11 and CT Equipment rotary frame 21.Brake component 44 can be a part, optionally brake RT equipment rotary frame 11 or the rotation of CT equipment Favourable turn frame 21, or RT equipment rotary frame 11 and CT equipment rotary frame 21 are separately provided corresponding brake component 44.Such as Shown in Fig. 6, brake component 44 can be including for braking the first brake component 441 of CT equipment rotation frame 21 and being set for braking RT Second brake component 442 of standby rotary frame 11.
Brake component 44 can be any form of brake structure in the prior art, for example, realizing the system of braking by rubbing Moving plate, or can be the braked wheel braked by CONTACT WITH FRICTION, can also be retainer.
At the same time it can also set corresponding control unit in support system 4, for example, be connected with the signal of actuator 43 Drive control unit 46 and the brak control unit 47 of the signal of brake component 44 connection etc..
When actuator 43 includes the first actuator 431 and the second actuator 432, the first actuator 431 and second drives Part 432 can be connected with drive control unit 46, when driving instruction is received, be completed to revolve CT equipment according to command request The driving of favourable turn frame 21 or RT equipment rotary frame 11;When driving instruction is not received by, CT equipment whirlers can be forbidden Frame 21 or RT equipment rotary frame 11 are rotated, to realize above-mentioned locking braking function.
When brak control unit 47 is provided with, braking instruction can be sent to brake component 44 by brak control unit 47, To control CT equipment rotary frame 21 or RT equipment rotary frame 11 to brake.First brake component 441 and the are included with brake component 44 As a example by two brake components 442, both of which can be connected with the signal of brak control unit 47, when braking instruction is received, according to finger Order requires to prevent CT equipment rotary frame 21 or RT equipment rotary frame 11 from rotating, to realize the formulation of corresponding rotary frame;When When being not received by braking instruction, braking can be released.
The brak control unit 47 and drive control unit 46 can also signal communication, so as to braking and drive signal Coordinate, it is to avoid contradiction control instruction occur.And, the content of the driving instruction and braking instruction can be entered as needed Row definition, in the above-described embodiments, by driving instruction for execution drive actions, braking instruction are to be carried out as a example by performing braking maneuver Explanation;Can be adjusted to for driving instruction as needed not perform drive actions by those skilled in the art, it is also possible to by brake finger Order is adjusted to not perform braking maneuver etc., specifically can be according to CT equipment rotary frame 21 and the normality of RT equipment rotary frame 11 Set.
The signal connection refers to a kind of connected mode for realizing signal transmission in wired or wireless manner.
As shown in fig. 7, CT equipment rotary frame 21 could be arranged to hollow loop configuration frame, the front end of its inner face can With the structure for being configured to coordinate with above-mentioned clutch shaft bearing 451;The outside of CT equipment rotary frame 21 could be arranged to and The corresponding form that one actuator 431 coordinates, is specifically as follows any part of outside, can be for front end, rear end or in preceding Part between two ends afterwards.
Second bearing 452 can be assembled outside the rear end of CT equipment rotary frame 21, for connecting RT equipment whirlers Frame 11;Wherein, the part of the assembling of CT equipment rotary frame 21 second bearing 452 can be processed by machining, to be formed The outer journal coordinated with second bearing 452, and then ensure the axiality of CT equipment rotary frame 21 and second bearing 452.Similarly, The part that the front end of CT equipment rotary frame 21 coordinates with clutch shaft bearing 451 can also be processed using mach form, To form the interior axis hole coordinated with clutch shaft bearing 451, so as to ensure that CT equipment rotary frame 21 is coaxial with clutch shaft bearing 451 Degree.
In the CT equipment 2 of the application, CT equipment ray emitter 22 and CT equipment ray receiver 23 can be arranged on The radially opposite sides of CT equipment rotary frame 21, to ensure that the ray that CT equipment ray emitter 22 is launched can be penetrated by CT equipment Line receiver 23 is received;And, in the rotation process of CT equipment rotary frame 21, CT equipment ray emitter 22 and CT equipment Ray receiver 23 also can be with rotation, when CT equipment ray generator and CT equipment ray receiver 23 are in radially opposite sides When, it is possible to increase the degree of balance of CT equipment rotary frame 21, and then improve the stable of rotation.When 21 sets of CT equipment rotary frame It is connected on when on installation portion 41, CT equipment ray emitter 22 and CT equipment ray receiver 23 may be at above-below direction, specifically Can with CT equipment ray emitter 22 in upper, CT equipment ray receiver 23 under, as shown in Figure 5.
CT equipment ray emitter 22 and CT equipment ray receiver 23 can also be arranged on CT equipment rotary frame 21 Rear end, near the direction of therapeutic bed 3, to reduce displacement when therapeutic bed 3 stretches into scanning space, improve therapeutic bed 3 pairs The support reliability of patient.Certainly, those skilled in the art can also as needed adjust CT equipment ray emitter 22 and CT The installation site of equipment ray receiver 23, is not limited to the rear end of CT equipment rotary frame 21, can also be that front end or CT set The optional position of the standby axial direction of rotary frame 21.
CT equipment ray emitter 22 and CT equipment ray receiver 23 can specifically set multipair CT with mounted in pairs Equipment ray emitter 22 and CT equipment ray receiver 23;Corresponding CT equipment ray emitter 22 and CT equipment ray are received Device 23 may be at radially opposite sides, to be scanned to patient comprehensively.
As shown in figure 8, in the RT equipment 1 of the application, RT equipment ray emitter 12 specifically may be at the rotation of RT equipment The top of frame 11, can also be arranged on the rear end of RT equipment rotary frame 11, i.e., near therapeutic bed 3, away from the rotation of CT equipment One end of frame 21.Now, on the one hand, RT equipment ray emitter 12 has more installing spaces, improves install convenient Property;On the other hand, RT equipment ray emitter 12 can also be penetrated as far away from CT equipment ray emitter 22 and CT equipment Line receiver 23, to avoid being disturbed with CT equipment 2, it is also possible to reduce its damage of the high-energy ray for CT equipment 2 for occurring.
More specifically, RT equipment 1 can also set cantilever 13, and cantilever 13 substantially can extend in the axial direction, Huo Zheyou A-P extends;The front end of cantilever 13 constitutes its root, and rear end constitutes its head, then cantilever 13 can be fixedly connected on its root On RT equipment rotary frame 11, then RT equipment ray emitter 12 is arranged on the head of cantilever 13, as shown in Figure 8.
What is launched by RT equipment ray emitter 12 is MV grades of high-energy ray, and the institute of CT equipment ray emitter 22 Transmitting is KV grade of ray, that is to say, that the ray that RT equipment ray emitter 12 is launched is possible to damage CT equipment 2, Then by above-mentioned cantilever 13, the axial distance of the equipment 2 of RT equipment ray emitter 12 to CT can be increased, and then cause that RT sets It is standby that there is certain safe distance between ray emitter 12 and CT equipment 2, it is to avoid what RT equipment ray emitter 12 sent penetrates Line loss hinders CT equipment 2, especially CT equipment ray receiver 23.
Those skilled in the art can be arranged as required to the length of cantilever 13, to increase the length of cantilever 13 as needed Degree, and then extend the distance of the equipment 2 of RT equipment ray emitter 12 to CT.
Shielding harness 5 can also be set, as shown in figure 5, can specifically be set in the rear end of CT equipment ray receiver 23 Shielding harness 5, with shield RT equipment ray emitter 12 transmitting, be possible to by penetrating that CT equipment ray receiver 23 is received Line.Shielding harness 5 is specifically as follows the structure types such as barricade.The position of shielding harness 5 is also not necessarily limited to CT equipment ray emissions The rear end of device 22, is specifically as follows and transmits road by the whole ray of the equipment ray receiver 23 of RT equipment ray emitter 12 to CT Optional position on footpath.
As shown in figure 8, RT equipment 1 can also include balance weight body 14, balance weight body 14 and RT equipment ray emitter 12 can be with The other end of the radial alignment at the place of RT equipment ray emitter 12 is specifically diametrically may be in same, to cause RT Equipment rotary frame 11 can balance rotation, improve the rotational stability of RT equipment rotary frame 11.
To realize the installation of RT equipment rotary frame 11, the front end of RT equipment rotary frame 11 can be socketed in above-mentioned On two bearings 452, the outside of second bearing 452 can be specifically socketed in.At this time it is also possible to in RT equipment rotary frame 11 End face is machined out treatment, to form the interior axis hole being engaged with the outside of second bearing 452, to ensure RT equipment whirlers Frame 11 and the axiality of second bearing 452, finally cause RT equipment rotary frame 11, CT equipment rotary frame 21 and installation portion 41 have axiality higher, improve diagnosis and treatment precision.
In addition, in the present embodiment, socket is realized by clutch shaft bearing 451 and second bearing 452, it can also be ensured that socket Place axially and radially locates reliability, while so that two parts of mutually socket have it is enough circumferentially rotate the free degree, It is not only simple in structure, also with use reliability higher and convenience.Certainly, those skilled in the art can also use axle Hold other connected modes beyond coordinating to realize circumferentially rotating, here is omitted.
And, the axis hole and axle journal coordinated with clutch shaft bearing 451 and second bearing 452 can be using machining shapes Into so as to ensure clutch shaft bearing 451, second bearing 452 and RT equipment rotary frame 11, CT equipment rotary frame 21 and peace Dress portion 41 is coaxially disposed.
In the present embodiment, it is socketed in outside installation portion 41 with CT equipment rotary frame 21, RT equipment rotary frame 11 is socketed in As a example by CT equipment rotary frame 21 is outer, but, this is only a kind of specific socket mode, in each socket place, the internal and external relation of socket Can exchange.
Embodiment 2
As shown in figs9-12, as described in above-mentioned embodiment 1, RT equipment rotary frame 11 and CT equipment rotary frame 21 also may be used To be directly socketed with installation portion 41, in the present embodiment, based on embodiment 1, RT equipment rotary frame 11 and CT equipment are revolved Favourable turn frame 21 is socketed in the two ends of support base 42 respectively.
As shown in figs9-12, in the support base 42 of support system 4, installation portion 41 can include the first installation portion 411 and the Two installation portions 412, the first installation portion 411 and the second installation portion 412 mutually can privately be arranged on the rear and front end of support base 42, and And can be coaxially disposed;CT equipment rotary frame 21 can be socketed on the first installation portion 411, by RT equipment rotary frame 11 It is socketed on the second installation portion 412, as shown in Figure 9;Meanwhile, CT equipment rotary frame 21 and the first installation portion 411 can be caused Axially and radially it is fixedly connected, is circumferentially rotatably connected, RT equipment rotary frame 11 and the second installation portion 412 is axially and radially On be fixedly connected, be circumferentially rotatably connected.
The socket that bearing 45 realizes CT equipment rotary frame 21 and the first installation portion 411, and RT can also be specifically set The socket of the installation portion 412 of equipment rotary frame 11 and second.First installation portion 411 and the second installation portion 412 can be with analogy realities The installation portion 41 applied in example 1 is configured, and the difference of the first installation portion 411 and the second installation portion 412 can be only that extension side To, one of them extension facing forward, another extends backwards;In the present embodiment, with facing forward, the second installation of the first installation portion 411 Portion 412 illustrates as a example by extending backwards.
Specifically, the CT equipment ray emitter 22 and CT equipment ray receiver 23 in the present embodiment can be arranged on CT The front end face of equipment rotary frame 21;RT equipment ray emitter 12 can be arranged on the rear end face of RT equipment rotary frame 11, As shown in figure 9, because CT equipment 2 is disposed opposite to each other with RT equipment 1, between RT equipment ray emitter 12 and CT equipment 2 between be separated with First installation portion 411 and the second installation portion 412, then the high-energy ray that now RT equipment ray emitter 12 is sent is substantially not CT equipment 2 can be delivered to, therefore above-mentioned shielding harness 5 can be set.Now, can also be straight by RT equipment ray emitter 12 Connect on RT equipment rotary frame 11, and the structure of cantilever 13 of above-mentioned connection need not be set.
First installation portion 411 and the second installation portion 412 could be arranged on symmetrical structure form before and after support base 42, Can also be adjusted as needed;RT equipment rotary frame 11 and CT equipment rotary frame 21 front and rear can also be symmetrical arranged, Or structure is roughly the same.
In the present embodiment, the first installation portion 411 and the second installation portion 412 are arranged on support base 42 with being integrally formed On, to improve both axialities.And, RT equipment rotary frame 11 and CT equipment rotary frame 21 now are directly installed on On support base 42, between the two in the absence of matching relationship, axial assembly reliability can be improved, improve the control essence of axiality Degree, reduces assembly difficulty.
As shown in Figure 10, the support base 42 of support system 4 can be generally configured as inverted T font structures, with T fonts Transverse part is supported in ground, and the both sides of vertical part are respectively provided with the first installation portion 411 and the second installation portion 412 for extending laterally, respectively Realize the installation of CT equipment rotary frame 21 and RT equipment rotary frame 11.
First actuator 431 and the second actuator 432 can also be set, and concrete structure is referred to embodiment 1 and is set Put, here is omitted.
It should be noted that because CT equipment 2 in the present embodiment and RT equipment 1 do not exist direct assembly relation, then, can To be not provided with brake component 44 or save braking function, further to simplify the structure of integrated equipment.It is of course also possible to analogy reality The actuator 43 in example 1 is applied, braking function is integrated on actuator 43, to better control over the fortune of CT equipment 2 and RT equipment 1 It is dynamic.
As shown in figure 11, the structure of the CT equipment 2 in the present embodiment can be substantially same as Example 1, the rotation of CT equipment Frame 21 is it can also be provided that hollow columnar structures, form hollow ring rotation frame shape structure, and set CT thereon Equipment ray emitter 22 and CT equipment ray receiver 23, specific set-up mode can also be with reference to embodiment 1.Can by Figure 11 Know, due to now without RT equipment 1 is socketed in CT equipment 2, then can be without set the on CT equipment rotary frame 21 Two bearings 452.In fact, the CT equipment 2 in the present embodiment can be only that direction with the difference of embodiment 1.
As shown in figure 12, the RT equipment 1 of the present embodiment can also analogy embodiment 1 be configured, as described above, this reality The RT equipment 1 for applying example can save cantilever 13.
The other structures of the present embodiment are referred to embodiment 1 and are configured, for example, the first installation portion 411 sets with CT The socket of standby rotary frame 21, the second installation portion 412 and the socket of RT equipment rotary frame 11 can use bearing 45, also Can pair with bearing 45 coordinate axis hole or axle journal be machined out treatment, to improve axiality, it is ensured that diagnosis and treat precision.
Embodiment 3
As shown in Figure 13 and Figure 14, in the implementation method that CT equipment 2 and RT equipment 1 are disposed opposite to each other in example 2, may be used also To be separately provided brake component 44.
Specifically, as shown in figure 13, support system 4 can also include brake component 44, and brake component 44 can be as one solely Vertical part is arranged on support base 42, the braking for controlling CT equipment 2 or RT equipment 1, it is also possible in analogy embodiment 1 Brake component 44 is configured, and can also set corresponding brak control unit 47, no longer repeats one by one herein, please be with reference to implementation Example 1.
In detail, as shown in figure 14, brake component 44 can also include the first brake component 441 and the second brake component 442, to divide Not Kong Zhi CT equipment rotary frame 21 and RT equipment rotary frame 11 braking, both of which can be with the signal of brak control unit 47 Connection.
The concrete scheme of the present embodiment is referred to embodiment 2 and is configured, and it can with the difference of embodiment 2 in other words To be only that brake component 44.
Embodiment 4
As shown in figure 15, the integrated equipment of the application can use split-type structural, below in conjunction with accompanying drawing, for split type The concrete form of structure is described in detail.
As illustrated in figs. 16-19, RT equipment 1 can include RT equipment rotary frame 15, be arranged on RT equipment in the present embodiment RT ray emitters 12 on rotary frame 15 and the RT device drives part 16 for driving RT equipment rotary frame 15 to rotate; CT equipment 2 can include CT device scans ring 24 and CT equipment rotary frame 25, wherein, CT device scans ring 24 is arranged on CT and sets On standby rotary frame 25;Now, CT equipment rotary frame 25 and RT equipment rotary frame 15 can vertically be arranged in same axle On line, it is possible to control CT equipment rotary frame 25 to be in preset range with the axial distance of RT equipment rotary frame 15, or Person says there is predetermined axial gap between CT equipment rotary frame 25 and RT equipment rotary frame 15;At the same time it can also in RT Being offered on equipment rotary frame 15 can lead to the first axial pass-through holes 151 of CT device scans ring 24.
In Figure 16-19, illustrated preceding in rear, CT equipment rotary frame 25 with RT equipment rotary frame 15.Such as Figure 16 Shown, RT equipment rotary frame 15 and CT equipment rotary frame 25 can be with relatively independent, and RT equipment rotary frame 15 can be as The carrying basis of RT equipment ray emitter 12, for installing RT equipment ray emitter 12;CT equipment rotary frame 25 can be with As the carrying basis of CT device scans ring 24, CT device scans ring 24 can be specifically built in CT frames 25, then will RT equipment rotary frame 15 and CT equipment rotary frame 25 are pressed close to so that both are intervally arranged in treatment with predetermined axial gap Same one end of bed 3.Due to opening up the first axial pass-through holes 151 on RT equipment rotary frame 15 so that therapeutic bed 3 can be through the One axial pass-through holes 151 and reach CT device scans ring 24 and diagnosed.
As shown in figure 17, when diagnosis is needed, therapeutic bed 3 can be driven to move forward, to drive patient to enter CT device scans The scanning area of ring 24, diagnoses to patient;After diagnosis terminates, moved after therapeutic bed 3 can be driven, to reach and RT equipment The corresponding position of ray emitter 12, carries out radiotherapy, as shown in figure 18.
In detail, patient first can be fixed on the bed board 32 of therapeutic bed 3 using fixing device (for example head can be used Headrest and head mould are fixed), then drive bed board 32 to forward extend out, through the first axial pass-through holes in the middle of RT equipment rotary frame 15 151 extend into the inspection hole of CT device scans ring 24, into diagnostic mode;CT is scanned, and lead mark is provided with bed board 32 Note point, can determine that knub position and lead mark point position after the completion of scanning on CT images, be can be calculated by software swollen The predeterminated position of knurl and the deviation of physical location.It is then possible to be moved after driving bed board 32, it is retracted into up to treatment position, that is, schemes Position shown in 18, now, bed board 32 finally can cause actual therapeutic position more according to the position of above-mentioned deviation amendment patient Plus it is accurate, reach the purpose of accurate treatment.
RT equipment rotary frame 15 and CT equipment rotary frame 25 can be existing structure.Wherein, RT equipment rotation Frame 15 can be the other parts of removing associated drives structure in existing RT equipment, be specifically as follows and contain RT equipment ray hair The rotary frame of emitter 12;CT equipment rotary frame 25 can be the main part of CT equipment in the prior art, specifically can be only Using the part wherein containing CT device scans ring 24 as the application CT equipment 2.
As shown in figure 19, RT equipment rotary frame 15 can be circular-cylindrical formula structure;Generally, in the prior art can be in RT Built-in corresponding driving structure in equipment rotary frame 15, herein to simplify RT equipment 1, while being easy to the first axial pass-through holes 151 open up, can be separately provided the driving structure of RT equipment rotary frame 15.As shown in figure 19, RT device drives part 16 can Think the driving rolls for being arranged on the both sides of RT frames 15, specifically can be mutually circumscribed with the both sides of RT equipment rotary frame 15, may be used also To set the power sources such as motor, for driving driving rolls to rotate, and then the rotation of RT equipment rotary frame 15 is realized.
CT frames 25 can be the cyclic structure matched with RT frames 15, may be arranged as other forms, mainly can For accommodating CT device scans ring 24, and cause that scanning center line M and radiotherapy center line X is coaxially disposed.It is appreciated that CT Frame 25 can be with the built-in driving structure for driving CT device scans ring 24 to rotate.
Additionally, the aperture of the first axial pass-through holes 151 on RT equipment rotary frame 15 can sweep more than or equal to CT equipment The external diameter of ring 24 is retouched, so that therapeutic bed 3 can enter in CT device scan rings via the first axial pass-through holes 151.It is specific and Speech, the first axial pass-through holes 151 can be coaxially disposed with CT device scans ring 24, and the aperture of the first axial pass-through holes 151 can To be substantially equal to the external diameter of CT device scans ring 24, now, rotation and the CT device scans ring 24 of RT equipment rotary frame 15 Rotation can not interfere with each other with relatively independent.
The predetermined axial gap is generally touched with preventing RT equipment rotary frame 15 and CT equipment rotary frame 25 from producing Contact is hit to be advisable.
To improve the axiality of CT equipment rotary frame 25 and RT equipment rotary frame 15, the CT equipment 2 of the application may be used also With including for adjusting the height of CT equipment rotary frame 25 and the adjusting means at inclination angle.The concrete form of the adjusting means Prior art is refer to, here is omitted.
Embodiment 5
As shown in figures 20-21, on the basis of embodiment 4, the application further can also improve to be formed shown in embodiment 5 Split-type structural.
As shown in figure 21, CT device scans ring 24 can be arranged on the end face of CT equipment rotary frame 25, specifically Can be protruded by the end face of CT equipment rotary frame 25 and set, and extended in the axial direction, with CT device scans ring 24 in Figure 21 As a example by protrusion is arranged on the rear end face of CT equipment rotary frame 25, now, CT device scans ring 24 is towards RT equipment whirlers Frame 15 extends;The first axial pass-through holes 151 on RT equipment rotary frame 15 can be enough to accommodate CT device scans ring 24, then may be used It is directly protruding into the first axial pass-through holes 151 with by CT device scans ring 24, as shown in figure 21.
Now, there can be predetermined radial clearance between the axial pass-through holes 151 of CT device scans ring 24 and first, to keep away Exempt from CT device scans ring 24 and RT equipment rotary frame 15 produces contact-impact, and then ensure that the rotation of CT device scans ring 24 can By property.
Meanwhile, can also have described in embodiment 4 between RT equipment rotary frame 15 and CT equipment rotary frame 25 Predetermined axial gap, is contacted with the front end face for avoiding RT frames 15 with the rear end face of CT frames 25.
The present embodiment can be only that the protrusion of CT device scans ring 24 is arranged on CT equipment whirlers with the difference of embodiment 4 The end face of frame 25, other parts are referred to embodiment 4 and are configured.
Additionally, protector can also be set in the present embodiment, to protect CT device scans ring 24, for shielding The ray that RT equipment ray emitter 12 is possible to be transmitted into CT device scans ring 24 is covered, and then improves CT device scans ring 24 Use reliability, the service life of extension CT device scans ring 24.
Embodiment 6
As shown in figure 22, the split-type structural of the integrated equipment of the application can also be by RT equipment of the prior art Improvement is obtained.
In detail, in the present embodiment, RT equipment 1 can include RT equipment fixed frame 18, the and of RT equipment rotary frame 17 RT equipment ray emitter 12, RT equipment rotary frame 17 and RT equipment fixed frame 18 be fixedly connected on axially and radially, Circumferentially it is rotatably connected, specifically above-mentioned annexation can be realized using structure of the prior art, can also be by bearing reality The connection of existing RT equipment rotary frame 17 and RT equipment fixed frame 18, to realize above-mentioned annexation.RT equipment can be penetrated Line transmitter 12 is fixedly installed on the RT equipment rotary frame 17, and concrete mode may be referred to prior art.
The CT equipment 2 can include the CT device scans ring 24 being built in the RT equipment fixed frame 18, change speech It, CT equipment 2 can only include the CT device scans ring 24 being scanned, then by the RT equipment fixed frames of RT equipment 1 18 pairs its be fixed support.Meanwhile, can be offered on RT equipment rotary frame 17 and lead to the CT device scans ring 24 The second axial pass-through holes 171, to form the integrated equipment shown in Figure 22.
Due to being built-in with the driving structure for driving RT equipment rotary frame 17 to rotate in RT equipment fixed frame 18, then Driving structure can be separately provided for the rotation of RT equipment rotary frame 17, from the appearance, the integrated of the present embodiment sets It is standby to be as good as with RT equipment of the prior art.
Simultaneously, it is possible to use the driving structure in RT equipment fixed frame 18 realizes the driving to CT device scans ring 24, The driving structure for being specifically referred to CT device scans ring 24 is improved, or by the respective drive knot of CT device scans ring 24 Structure is also built in RT equipment fixed frame 18.
Now, the second axial pass-through holes 171 can also be coaxially disposed with CT device scans ring 24, and its aperture can also basis Needs are configured, usually not less than the external diameter of CT device scans ring 24.
On the basis of the above, for the integrated equipment of the application, either monoblock type or split-type structural, it is necessary to protect Scanning center line M is coaxial with radiotherapy center line X for card.Can be with the isocenter point of RT equipment as reference on coaxial determination.It is so-called Isocenter point refers to the rotary shaft of the treatment head for referring to RT equipment ray emitter 12 and the rotary shaft of RT equipment rotary frame 15 Intersection point, be also important anchor point in therapeutic process;During treatment, it is desirable to which the positioning precision of the isocenter point is less than ± 1mm, Thus it is guaranteed that the positioning precision of this point just can guarantee that the degree of accuracy for the treatment of.
The advantage being coaxially disposed is accurate positioning, and structure design is simple, under reducing because causing positioning precision moving component more Drop problem.When CT equipment 2 is coaxial with RT equipment 1, can to greatest extent ensure the accuracy of positioning;Meanwhile, CT equipment 2 passes through tomography Scan rebuilding threedimensional model, can be accurately positioned out the position of internal tumours and the position of body surface location point;Again by RT equipment 1 Positioning, calculates position deviation, and then adjusts the position of therapeutic bed 3, final to reduce because of fortune to ensure the Position location accuracy for the treatment of The cumulative errors that dynamic component excessively causes, solve because of the inaccurate problem of positioning that error causes.
Using the integrated equipment of the application, diagnosis and treatment can be performed according to following steps:
Beginning → therapeutic bed 3 moves into → it is scanned → enters RT 1 → RT of equipment equipment 1 into CT 2 → CT of equipment equipment 2 Radiotherapy → therapeutic bed 3 is carried out to remove → terminate.
Additionally, in the integrated equipment of the application, the structure of therapeutic bed 3 can also be improved accordingly.With further reference to Figure 17 and Figure 18, therapeutic bed 3 can may move the bed board 32 being connected including bed body 31 and with the bed body 31, in the bed body 31 Bed board support system 33 is also provided with, to be supported to bed board 32 when bed board 32 stretches out long.
Specifically, in the RT equipment 1 and the CT equipment 2, one of which is in away from the remote of the therapeutic bed 3 End, another one is in the near-end near the therapeutic bed 3;When the bed board 32 stretches into the equipment in distal end, the bed board Support system 33 can be stretched out to support the bed board 32, as shown in figure 17 by the bed body 31;When bed board 32 is retracted, place is stretched into When the equipment of near-end, bed board support system 33 may be withdrawn into bed body 31, as shown in figure 18.
The bed board support system 33 can be various structure types, be specifically as follows strut or be auxiliary support plate, Can using it is foldable or can the structure type of pull be connected in bed body 31, be referred to prior art and be configured, this Place is no longer described in detail.
It is emphasized that integrated equipment is various using monoblock type and split type concrete form, herein only with wherein six It is specifically described as a example by kind concrete form;But, those skilled in the art should be derived more by above-described embodiment Implementation method, the core of this paper is that RT equipment 1 and CT equipment 2 are placed in same one end of therapeutic bed 3, all to be that by Mode should belong to the protection domain of the application.
It will be understood by those skilled in the art that diagnostic device is not limited to above-mentioned CT equipment, can also be set using other The standby CT equipment for substituting the application, forms new integrated equipment.For example, diagnostic device can also be X-ray production apparatus, PET, ECT etc. Equipment, at this time it is also possible to be improved to these equipment using the structure of above-mentioned CT equipment, so as to RT integration of equipments.
RT-CT integrated equipments provided by the present invention are described in detail above.Specific case used herein Principle of the invention and implementation method are set forth, the explanation of above example is only intended to help and understands core of the invention Thought is thought.It should be pointed out that for those skilled in the art, under the premise without departing from the principles of the invention, Some improvement and modification can also be carried out to the present invention, these are improved and modification also falls into the protection domain of the claims in the present invention It is interior.

Claims (11)

1. a kind of RT-CT integrated equipments, including RT equipment (1) and CT equipment (2), it is characterised in that the rotation of the RT equipment (1) The rotation centerline (M) for turning center line (X) and the CT equipment (2) is on same axis, the RT equipment (1) and described The same one end of CT equipment (2) in therapeutic bed (3), the RT equipment (1) and the CT equipment (2) are relatively independent.
2. RT-CT integrated equipments as claimed in claim 1, it is characterised in that the RT equipment (1) includes RT equipment whirlers Frame (15), RT equipment ray emitter (12) being arranged on the RT equipment rotary frame (15) and the driving RT equipment RT device drives part (16) that rotary frame (15) is rotated;The CT equipment (2) includes the CT with CT device scans ring (24) Equipment rotary frame (25);The CT equipment rotary frame (25) is with the RT equipment rotary frame (15) along same axis with pre- Fixed axial gap is intervally arranged, and the RT equipment rotary frame (15) offers and leads to the CT device scans ring (24) First axial pass-through holes (151).
3. RT-CT integrated equipments as claimed in claim 2, it is characterised in that first axial pass-through holes (151) with it is described CT device scans ring (24) are coaxially disposed, and the aperture of first axial pass-through holes (151) is not less than the CT device scans The external diameter of ring (24).
4. RT-CT integrated equipments as claimed in claim 3, it is characterised in that the CT device scans ring (24) is built in institute In stating CT equipment rotary frame (25).
5. RT-CT integrated equipments as claimed in claim 3, it is characterised in that CT device scans ring (24) protrusion is set On the end face of the CT equipment rotary frame (25), and stretch into first axial pass-through holes (151), the CT equipment is swept Retouching has predetermined radial clearance between ring (24) and first axial pass-through holes (151).
6. RT-CT integrated equipments as claimed in claim 5, it is characterised in that also including protector, the protector is used Launch to the ray of the CT device scans ring (24) in the RT equipment ray emitter (12) is shielded.
7. RT-CT integrated equipments as claimed in claim 2, it is characterised in that the CT equipment (2) is also included for adjusting institute State the height of CT equipment rotary frame (25) and the adjusting means at inclination angle.
8. RT-CT integrated equipments as described in claim any one of 2-7, it is characterised in that the RT equipment rotary frame (15) be annular tubular, the RT device drives part (16) for be arranged on RT equipment rotary frame (15) both sides and with institute State the circumscribed driving rolls of RT equipment rotary frame (15).
9. RT-CT integrated equipments as claimed in claim 1, it is characterised in that the RT equipment (1) includes RT equipment whirlers Frame (17), RT equipment fixed frame (18) and RT equipment ray emitter (12), the RT equipment rotary frame (17) with it is described RT equipment fixed frame (18) is fixedly connected on axially and radially, it is circumferential be rotatably connected, the RT equipment ray emitter (12) it is arranged on the RT equipment rotary frame (17);The CT equipment (2) is including being built in the RT equipment fixed frame (18) CT device scans ring (24) in, the RT equipment rotary frame (17) offers leads to the CT device scans ring (24) The second axial pass-through holes (171).
10. RT-CT integrated equipments as any one of claim 1-7 or 9, it is characterised in that therapeutic bed (3) bag Bed body (31) and the bed board (32) be connected removable with the bed body (31) are included, bed board support is additionally provided with the bed body (31) is System (33);In the RT equipment (1) and the CT equipment (2), one of which is in the distal end away from the therapeutic bed (3), separately One is in the near-end near the therapeutic bed (3);When the bed board (32) stretches into the equipment in distal end, the bed board branch Support system (33) is stretched out to support the bed board (32) by the bed body (31).
11. RT-CT integrated equipments as claimed in claim 10, it is characterised in that when the bed board (32) is stretched into near-end Equipment when, the bed board support system (33) is retracted to the bed body (31).
CN201510873858.3A 2015-12-02 2015-12-02 A kind of RT-CT integrated equipments Pending CN106798567A (en)

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CN201510873858.3A CN106798567A (en) 2015-12-02 2015-12-02 A kind of RT-CT integrated equipments
US15/367,211 US10478138B2 (en) 2015-12-02 2016-12-02 RT-CT integrated device

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Cited By (4)

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