0401489‐工芸‐医用画像22‐1/12[論文]柳田

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364-8501 6-100 321-3292 20-2 XR 277-0804 2-1 2004 10 3 2004 12 6 Effectiveness of Mobile Flat Panel Detector system Satoshi YANAGITA, Masako HITACHI, Tomoyuki SAKURAI, Yoshihiro SUZAKI, Takashi OGURA Eiji FUSE and Masaji OTAKEGUCHI Department of Radiology, Kitasato Institute Medical Center Hospital 6-100Arai, Kitamoto, Saitama, 364-8501, Japan Canon Inc., Mdical Equipment Group, 20-2, Kiyoharakougiyoudanchi, Utunomiya, Tochigi, 321-3292, Japan Hitachi Medical Corporation, Design Department, X-ray system Division 2-1Sintoyofuta, Kashiwa, Chiba, 277-0804, Japan Received October 3, 2004, in final form December 6, 2004 Abstract : We had an opportunity to use the 35cm x 43cm portable FPD with the mobile x-ray system in the cooperative research with Hitachi Medical Corporation and Canon Inc from February 2004. We have conducted the following three experiments to verify the clinical effectiveness ; 1. to measure the maximum exposure times possibly conducted with fully-charged battery on the mobile X-ray system, 2. to compare the mobile FPD system with conventional CR system in term of workflow, 3. to conduct the visibility test on various-sized intravenous hyper alimentation IVH catheters by viewing on the 10.4 inch TFT monitor of the laptop pc being used asthe operation unit for the FPD system The results are as follows ; 1. 191 exposures and image capturing were done, 2. The 9 steps of the procedures with the CR could be reduced to 5 steps with the mobile FPD system. 3. The tips of the catheters from 14G to 18G could be observed. The mobile FPD system provides immediate image viewing and can be used for various clinical applications. The system is also expected to be used effectively even in emergency or disastrous situations. Key words : mobile, FPD 1998 flat panel detector FPD FPD FPD computed radiography CR 1,2 FPD FPD Vol.22 No.1 2005 FPD FPD 3 FPD FPD FPD CR F/S FPD 4 FPD 65

1 2 3 4 5 FPD 6 radiology information system RIS 2004 2 FPD FPD 1 2 CR 3 intravenous hyper alimentation IVH FPD FPD X CXDI FPD CXDI-50 G X CXDI-50G FPD Gd2O2 S:Tb 3 a-si CXDI-50G 160 35cm 43cm 4.8kg 23 mm 7m CXDI-50G CXDI-50 G AC CXDI -50G PC Power box PC X Power box Fig. 1 The outline of the portable FPD with the mobile x-ray system 66

PC TOUGHBOOK CF-18 AW1AX operation panel unit OPU OPU RIS STUDIX DICOM modality work list management service class MWM X 3 OPU CR F/S 1 FPD FPD FPD X X X X 30m 1 30 m 1 X FPD CR CR Kodak CR900 RIS Kodak RIS-J IVH 3 IVH UK 14 G,16G,18G 14G 18 G IVH CR 80KV,16mAs,FSD : 110cm 4:1 Al 40 line/cmopu QA MAG QA-MAG IVH Table 1 Specification of Portable X-raygraphy by Kodak CR900 and Mobile FPD system Vol.22 No.1 2005 67

FPD 191 3 6km CR FPD CR RIS FPD RIS STUDIX ID UID CR X FPD Fig. 3 The check screen on the operaition panel unit CR FPD OPU Fig. 4 The QA-MAG screen and the zoom screen of the newborn infant chest XP Fig. 2 The work list screen of the mobile FPD system Fig. 5 The film outputted by the multi -format function 68

FPD 3 OPU CR FPD FPD Fig. 6 Relation between processing time and number of sheets OPU CR CR PACS FPD PACS CR900 FPD FPD CR CR 9 FPD IP 5 Fig. 7 Comparison of the workflow of the mobile FPD system and the CR system Vol.22 No.1 2005 69

14G,16G,18G IVH QA-MAG QA-MAG OPU Fig. 8 The visibility test on various-sized IVH catheters by viewing on the check screen of the OPU RIS RIS RIS RIS LAN Fig. 9 The visibility test on various-sized IVH catheters by viewing on the QA-MAG screen of the OPU CR FPD Fig. 10 The visibility test on various-sized IVH catheters by viewing on the QA-MAG zoom screen of the OPU FPD CXDI-50G 491 477mm FPD 70

CXDI-50G FPD FPD CXDI-31 FPD X 1 12 FPD 191 3 6km 1 FPD OPU CR FPD CR Vol.22 No.1 2005 CR FPD FPD CR 9 FPD 5 IVH OPU IVH FPD FPD FPD FPD 3 X 1 57 1, 58-77, 2001. 2 58 4, 455-461, 2002. 3 FPD 71

1.CXDI INNERVISION, 4, 8-11, 2003. 4 CR INNERVISION, 1, 120-123, 2000. 72