[0001] This invention relates to radiographic apparatus and procedures and more particularly
to scanning X-ray systems which produce signals which may be used to present a visible
image at a cathode ray tube screen or the like.
[0002] The present invention was initially develop- for usage in dental and medical radiology,
and to facilitate description the invention will be herein discussed with reference
to this particular field of use. As will be apparent, the apparatus may also be advantageously
adapted to various other radiographic operations.
[0003]
[0004] Although the conventional periapical X-ray procedure is very extensively used, it
is subject to several serious disadvantages. The need to insert and retain a relatively
large film packet in a patient's mouth, for example, often causes discomfort or gagging
and may not be tolerable to certain patients such as small children and elderly persons.
Further, no visible image is available to the dentist until the film packet has been
removed and subjected to time-consuming development procedures. An instantaneous radiographic
image can be much more useful to the - dentist.
[0005] Another very serious problem is that undesirably large radiation dosage exposures
of the patient are needed in order to produce a complete set of dental X-ray images..
This is in part a result of the very low detection efficiency of the unscreened X-ray
film commonly used for dental X-ray operations.
[0006] Techniques for reducing radiation exposure have heretofore been developed utilizing
screened film in which detection efficiency is greatly improved by disposing an image-intensifying
phosphorescent material in. contact with the X-ray film emulsion surface. Owing to
several disadvantages of its own, such as reduced image definition, the screened film
procedure has not proved to be practical in many situations.
[0007] The problem of high radiation exposure in dental radiology is often aggravated by
a need to repeat the X-ray imaging process. It may be found that the critical alignment
requirements were not met during the original exposure or errors in developing the
exposed X-ray film may be made, both of which are fairly common occurrences.
[0008] In part to alleviate the radiation exposure problem, another procedure known as the
pantomographic image technique has been developed and has been extensively utilized
in the recent past by dentists and oral surgeons. In this procedure panoramic or wide
angle X-ray images are produced by generating a narrow linear X-ray beam which is
revolved during the exposure about an axis of rotation situated within the patient's
head. The X-ray tube is essentially a conventional one at which X-rays are generated
at a small fixed point on an anode. Radiation generated at this point is collimated
by a first slit which is parallel to the axis of rotation and then passes through
the patient's head and then through a second similar collimating slit situated in
front of a screened film cassette which is rotated in synchronism with the rotational
movement of the X-ray beam. The tube and detector motion causes the X-ray beam to
sweep across the intervening anatomical structures. Upon development of the film,
a panoramic two-dimensional strip image is produced of curved anatomical structures
in the patient's head such as the mandible or maxilla.
[0009] Although a significant reduction of patient radiation dosage may be realized in comparison
with periapical procedures, the conventional pa.ntomogra.phic image technique is itself
subject to several disadvantages. It is necessary that the X-ray beam pass through
the entire skull of the patient, even if it is only desired to obtain an image of
a portion of the skull such as the dental arch. Consequently, unwanted images are
superimposed upon the desired image data. This makes interpretation of the image more
difficult and detracts from the general quality of the image by obscuring desired
data to some extent with undesired information. Moreover, radiation exposure remains
undesirably high as the X
-ray beam must necessarily penetrate through the entire skull. Anatomical structures
which are not of particular interest are thereby necessarily subjected to radiation
dosage which does not contribute any useful information but instead detracts from
the quality of the desired data. Further a significant amount of X-ray scattering
occurs during passage of the X-ray beam through the patient's entire head creating
a background fog in the image on the developed film which undesirably limits the range
of contrast in the image and which may cause loss of definition.
[0010] Additional losses of definition and contrast arise from the presence of the intensifying
screen in front of the -ray film. Underlying and supplementing these contrast limitations
peculiar to the pantomographic image technique is the undesirably limited grey scale
latitude of X-ray film in general. Still further, a long exposure time, typically
about 20 seconds, is needed to complete a full mouth pantomographic image. A-s a result,
problems often arise from patient motion or equipment vibration with consequent blurring
of the resulting X-ray images. This tends to be particularly severe when the patient
is an infant or young child. Finally, a considerable degree of distortion of the depicted
objects is normally present in the conventional pantomographic image.
[0011] A radically different form of radiographic imaging system that alleviates or eliminates
much of the disadvantages of prior techniques and apparatus is disclosed in Applicant's
United States Patent No. 3,949,229 and Applicant's copending application Serial No.
663,988 filed March 4, 1976. Applicant's copending applications Serial No. 674,059,
filed April 5, 1976, and Serial No. 673,908, also filed March 4,. 1976 are also directed
to scanning X-ray systems of this general kind.
[0012] The general form of scanning X-ray system disclosed in the above-identified prior
patent and copending applications dispenses with the use of film as an X-ray detection
medium and produces signals which may be used to produce a visible image on the screen
of a cathode ray tube display device including instantaneous images if desired. Radiation
dosage of the patient is substantially reduced. The system may be utilized to image
only a selected portion of a subject such as a patient's dental arch for example without
including superimposed data from other regions of the subject. Image data may be electronically
stored on magnetic tape or by any of various other data storage means and the image
data may also readily be processed by various electronic enhancement techniques to
further improve image quality or to emphasize specific image characteristics.
[0013] A system of the general type described in the above-described patent and copending
applications uses a scanning X-ray tube in which an electron beam is systematically;swept
in a raster pattern on a broad target or anode plate to pro-. duce a moving point
source of X-rays. The region of the subject which is to be imaged is situated between
the anode plate of the X-ray tube and an X-ray detector which'is small in relation
to the size of the raster pattern and which may therefore readily be situated in the
oral cavity or the like of a dental or medical patient or in similarly constricted
interior spaces of an inanimate subject. The raster sweep signals of a cathode ray
tube display are coordinated with the scanning action of the electron beam in the
X-ray tube and a signal derived from the X-ray detector output is applied to the intensity
signal terminal of the cathode ray tube. As a result, a visible radiographic image
of the region of the subject situated between the X-ray source and the detector is
produced on the screen of the display device.
[0014] In order to be most useful for dental and medical usages and for certain other radiological
operations where similar problems may be encountered, a scanning X-ray system of this
general type should possess certain specific capabilities. First, radiation dosage
should be minimized to the extent possible while producing an image of high definition
and contrast range. Second, the dentist or other operator should be able to position
the X-ray detector very precisely relative to the X-ray tube at any of a plurality
of different positions within the patient's mouth, or in other constricted spaces,
with a minimum of difficulty and with maximum patient comfort.
[0015] Further, it is highly desirable that the effective focal length of the system be
readily and precisely changeable in order to obtain images of different degrees of
magnification.
[0016] Still further, such a system should minimize opti-
distortions and other forms of image degradation, which can be present in apparatus
of this general form, in order to facilitate image interpretation.
Summary of the Invention
[0017] This invention is a scanning X-ray system for producing signals that may be used
to present high-quality radiographic images on the screen of a cathode ray tube with
relatively low radiation dosage of the subject and- having structural provisions which
greatly facilitate the obtaining of radiographs of different forms and radiographs
taken from different locations, including locations within a patient's body or other
constricted areas, with a single X-ray tube and accessories.
[0018] The X-ray tube has an electron gun, a broad target anode plate and deflector means
for sweeping the electron beam on the anode plate to produce a moving X-ray origin
point. An X-ray detector is positioned in spaced-apart re- laticnship to the X-ray
tube on the opposite side of the portion of a subject which is to be radiographed.
The detector then produces output signals indicative of variations of radiation transmissiveness
within the region of the subject which is scanned by the moving X-ray origin point.
Raster scanning at a cathode ray tube may be coordinated with the scanning action
of the X-ray tube while the intensity of the cathode ray tube display is modulated
by the X-ray detector output signals to produce the desired visible radiographie image
on the screen of the cathode ray tuhe.
[0019] In one aspect, the invention greatly facilitates the positioning and support of the
X-ray detector at any of a variety of different positions in the oral cavity of a
dental patient or at any of various other internal or external positions relative
to a dental patient, a medical patient or an inanimate object which is to be imaged.
For this purpose a series of X-ray detectors are provided, each being situated within
a separate one of a series of long narrow probes of different lengths and configurations.
,Each probe has a base end releasably engageable in an attachment means situated on
the X-ray tube and which contains means for receiving output signal data from the
detector through the probe. Emplacement of a detector at any of a variety of different
positions in or adjacent to a patient or other subject is then easily and quickly
accomplished by selecting an appropriate one of the series of probes of different
length and configuration. Adaptability of the system to production of any of a variety
of different radiographs of different regions of the subject may be still further
enhanced by providing a plurality of the probe attachment means at different locations
on the X-ray tube.
[0020] In another aspect, the invention provides for obtaining radiographic images with
very low radiation dosage while providing high definition and high contrast in the
image. A radiation collimator is disposed between the X-ray tube and the subject'to
absorb X-rays that are not directed towards the X-ray detector and therefore could
not contribute meaningful data to the desired image. In a preferred and highly advantageous
form the collimator is an element formed of lead glass.or the like having a large
number of very minute spaced-apart radiation-transmissive passages which have axes
convergent at the position of the X-ray detector. Utilization of lead glass for the
collimator enables the providing of a very large number of extremely small and closely
spaced radiation-transmissive passages, thereby enhancing definition in the image,
inasmuch as collimators of this kind can readily and economically be produced by fiber
optical techniques. In a preferred form, a plurality
with further in which the radiation passages are convergent on a more distant or a
closer X-ray detector as might be desired To shift the location of the detector itself
in conjunction with such a change of collimator and focal length, the series of probes
discussed above include a number of probes which situate the X-ray detector at differing
distances from the X-ray tube as determined by the different convergence points of
the collimators.
[0021] In still another aspect, the invention provides for the reduction or elimination
of several forms of optical distortion and image degradation which can otherwise be
present in portions of an image produced by a system of this general type and which
can complicate the process of interpreting the image. Means are provided, for example,
for delinearizing the scanning action of the electron beam within the X-ray tube to
compensate for variable magnification effects at different portions of the image which
can otherwise be inherent in the geometry of such a system. Further means may be provided
to increase electron beam current in the X-ray tube as the beam moves away from a
centered position on the anode plate. This compensates for the fact that X-rays traveling
toward the detector must pass through an increasing amount of target material as the
X-ray origin point moves away from the axis of the tube and may also be used to compensate
for inverse square law attenuation of the X-ray beam. Still further, means may be
provided to change the energy of the electron beam in the tube at different areas
of the scanning raster to compansate for differences in radiolucence of different
regions of the subject which is being imaged. Such a
change can arise, for example, from the pronounced difference in the thickness of
the molar teeth of a dental patient as opposed to the more forward teeth in the dental
arch.
[0022] The several aspects of the invention briefly described above are preferably jointly
utilized in a single system and then coact to enable the production of high-quality
images with very low radiation doses of the subject and further provide a high degree
of adaptability of a single instrument to the production of different forms of image,
and to different orientations of the X-ray tube and detector relative to a subject.
However, each of the above-described aspects may also be utilized independently of
the others in a scanning X-ray system in circumstances where all of the several advantages
of the invention may not be required.
Brief Description of the Drawings
[0023] In the accompanying drawings:
Figure 1 is a broken-out view of a scanning X-ray system in accordance with-the invention
as utilized for dental radiography with portions of the X-ray tube and the detector
probe being broken out to illustrate internal structure and with certain electrical
circuit components of the system being shown in schematic form,
Figure 2 is a frontal view of the face of the scanning X-ray-apparatus of Figure 1,
Figure 3 is a diagrammatic sectional view of a portion of a radiation collimator used
in the apparatus of Figures 2 and 3 better illustrating the construction and operational
effects of the collimator, taken along line III-III of Figure 2,
Figure 4 is another diagrammatic section view of the collimator of the apparatus of
Figures 1 and 2 taken along line IV-IV of Figure 2 at right angles to the plane of
Figure 3,
Figure 5 is a partially broken-out view of the forward portion of an X-ray tube essentially
similar to that of Figures 1 and 2 illustrating how the focal length of the system
may be selectively changed by replacement of the X-ray probe and X-ray collimator,
Figure 6'is a perspective view of the forward portion of an X-ray tube similar to that of Figures
1 and 2 but employing a modified form of detector probe particularly' adapted for
the production of periapical dental X-ray images,
Figure 7 further illustrates the utilization of the invention for the production of
periapical dental X-rays,
Figure 8 is another perspective view of the forward portion of an X-ray tube essentially
similar to that of Figures 1 and 2 illustrating the usage of a different form of X-ray
detector probe mounted at a different location on the face of the X-ray tube,
Figure 9 is a diagram illustrating how certain optical distortions can arise in a
scanning X-ray system in the absence of corrective mechanisms,
Figure 10 is a diagram further clarifying one form of optical distortion which can
arise in a scanning X-ray system when the scan departs from the central axis of the
system in a first or X direction,
Figure 11 is a diagram illustrating a related form of distortion which can arise in
such a system as the scan departs from the central axis in an orthogonal or Y direction,
Figure 12 is a diagram illustrating how still other forms of distortion can arise
in the absence of corrective provisions,
Figure 13 is a circuit diagram of electrical components of the scanning X-ray system
of the preceding figures including distortion correction means,
Figure 14 is a circuit diagram illustrating an example of a suitable, more detailed
circuit for certain components shown in block form in Figure 13,
Figure 15A is a diagram illustrating the X axis sweep frequency wave form utilized
for the X-ray tube and display device of the system of the preceding figures,
Figure 15B is a diagram illustrating a modification of the wave form of Figure 15A,
prior to application to the X-ray tube, in order to compensate for the form of optical
distortion which can otherwise occur if .a linear X axis sweep is utilized in the
X-ray tube,
Figure 15C is a diagram illustrating a modification of the Y axis sweep wave form
which is made to compensate for a form of distortion which can otherwise occur upon
departure of the electron beam of the X-ray tube from the axis of the system in the
Y scan direction, and
Figure 16 illustrates a modification of the X-ray tube and detector probe of the invention
embodying still another means for alleviating image distortion effects.
Description of Preferred Embodiments
[0024] Referring initially to Figure 1 of the drawings, a scanning X-ray system 11 is shown
which greatly facilitates the obtaining of a variety of different forms of dental
radiograph including the providing of instantaneous high-quality images with relatively
low radiation dosage of the patient. The apparatus is depicted in Figure 1 as utilized
to produce a pantomographic image of the left half of the lower dental arch of a subject
12. As will hereinafter be discussed, the same apparatus may then be quickly and conveniently
adjusted to provide additional images for completing a set of pantomographic images,
to provide one or more periapical images of individual teeth of particular interest
and may also easily be used to produce images of other anatomical structures or of
inanimate objects.
[0025] Salient components of the scanning X-ray system 11 include a scanning X-ray tube
13 of specialized construction, an X-ray detector probe 14A extending outwardly from
the face of the tube and being supported thereby and an electrical control and signal
processing circuit 16 including a cathode ray tube or other type of X-Y display device
17 of the form having a screen at which visible images are displayed in response to
X and Y axis sweep frequency signals received at terminals X and Y respectively and
in response to Intensity signals received at another terminal Z. Oscilloscopes, television
receivers and the like of known construction may readily be utilized as the display
device 17.
[0026] X-ray tube 13 includes a vacuum enclosure 19, formed of glass or other suitable electrically
insulative material, which defines an evacuated region 21. Vacuum enclosure 19 has
a relatively narrow end containing an electron gun 22 of suitable knoinconstruction
for producing and accelerating an electron beam 23 towards an opposite target end
of the enclosure. The target end of enclosure 19 is larger than the electron gun end
and is preferably of rectangular configuration where the system is to be used primarily
for dental X-ray operations. The target end of vacuum enclosure 19 is formed at least
in part by a target anode plate 24 having at least an inner surface 26 consisting
of one of the electrically conductive metals which produce X-rays upon being bombarded
by high-energy electrons, copper, tungsten and tantalum being examples of metals suitable
for the target anode surface 26. Contrast in the image is enhanced if the X-rays which
reach the detector are monochromatic or nearly so. This may be arranged for by an
appropriate selection of the thickness of the target anode plate 24 since elemental
target materials tend to be more transmissive of their own characteristic X-rays than
of other X-ray wavelengths.
[0027] Vacuum enclosure 19 is disposed within a housing 27 to support and protect the enclosure
and to enable the mounting of additional components on the tube as will hereinafter
be described. Housing 27 may be formed of radiation-absorbent material such as steel
or of any of various known plastics which contain a sizable admixture of a heavy radiation-absorbent
metal or, as in this example, of plastic having a layer 27' of radiation-absorber
at the outer surface. As best seen by referring to Figure 2 in conjunction with Figure
1, housing 27 has a rectangular collimator'receiving opening 28 in the region of the
face of the tube which opening conforms in size and configuration with the target
anode plate 26 of the tube. An X-ray collimator .29A, which will hereinafter be discussed
in more detail, is received and supported in opening 28.
[0028] To generate a moving point source of X-rays, electron beam 23 is swept in a raster
pattern on target anode plate 26. The electron beam movement includes a repetitive
sweep movement back and forth across the anode surface 26 in a first direction which
is parallel to the plane of Figure 1, and which is herein designated the X-axis direction.
At the same time, the electron beam is also swept at a slower rate back and forth
in an orthogonal direction which in this example is normal to the plane of Figure
1 and is herein designated the Y-axis direction. The combining of these two movements
causes the electron beam to sweep successively along a series of substantially parallel
lines which jointly define a rectangular raster pattern area on surface 26 of the
anode plate. Sweeping of the.electron beam in this manner is accomplished with deflector
means which may be of known internal construction, an annular magnetic beam deflector
31 being utilized in this example. Magnet deflector 31 may be of the form having four
magnetic poles angularly spaced in quadrature, of which a single pole 32Y and winding
33Y appears in Figure 1, and having an annular ferromagnetic yoke 34 which encircles
each of the poles. Deflector 31 is disposed coaxially around.the vacuum enclosure
19 between the electron gun 22 and target anode plate 26 within an annular groove
36 in the inside surface of housing 27.
[0029] Under certain circumstances it may be desirable to selectively change the focal length
of the scanning X-ray system by making certain adjustments which will hereinafter
be explained in more detail. One adjustment which compensates for an optical distortion
which could otherwise occur upon a change of focal length requires the providing of
means for selectively shifting the axial position of the area in which beam deflection
occurs so that the beam deflection area may be moved further from target anode plate
26-or closer to the target anode place. To enable such an adjustment in this example,
the annular groove 36 in which deflector 31 is situated is of greater length along
the axis of the tube than is the deflector itself so that the deflector may be moved
in the axial direction towards the target anode plate 26 or toward the electron gun
32 as desired. To facilitate such movement of the deflector 31 and to hold the deflector
at a selected axial position, tats 37 extend radially outwardly from opposite sides
of the deflector through slots 38 provided in housing 27 for that purpose. A boss
39 is formed on housing 27 adjacent the forward end of each slot 38 and one of a pair
of disengageable screws 41 extends through each tab 37, through a series of annular
washers 42 and engages in a threaded bore
113 in the adjacent boss 39.
[0030] Thus by temporarily disengaging screws 41 and adding or removing washers 42 as necessary,
and then replacing the screws, the deflector 31 may be located and fixed at'any desired
axial position within the limits established by the length of groove 36. In instances
where frequent changes of the axial position of the deflector 31 may be desirable,
more quickly operated axial positioning means of any of various forms may be utilized
in place of the screws 41, the threaded rotatable telescoping sleeve mechanisms commonly
used for changing the focal length of photographic cameras by axial movement.of lenses
being one example. It should also be noted that while this example of the invention
utilizes beam deflection means of the magnetic variety, electrostatic beam deflection
may also be used.
[0031] Considering now a suitable construction for the probe 14A, X-rays produced at target
anode plate surface 26 and transmitted through collimator 29A converge at a relatively
small X-ray detector 44 situated at the distal end of the probe l4A at a location
on the central longitudinal axis of the X-ray tube. The location of detector 44 is
spaced from the face of the tube, including collimator 29A, to enable positioning
of the subject 12 which is to be imaged between the collimator and detector. Thus
X-rays received at the detector 44 must first pass through the anatomical region or
the like which is to be imaged. Definition in the image is in part a function of the
difference in size between the raster pattern area at target anode plate 26 and the
radiation-sensitive area of the detector 44. Accordingly detector 44 should preferably
have a radiation-sensitive area as small as possible consistent with the need to obtain
an adequate count rate from the amount of radiation which is received. A form of radiation
detector 44 highly suited for this purpose, in view of a very high detection efficiency
and a minimum of structural complication, is a scintillation crystal of any of the
known suitable forms such as sodium iodide doped with thallium, bismuth ger- manate
or calcium fluoride. For clarity of illustration, the scintillation crystal detector
44 is necessarily'depicted in Figure 1 as being somewhat larger than is usually optimum
in actual practice, crystals. measuring less than one millimeter in size being typical.
Scintillation crystals of this kind respond to individual X-rays by producing scintillations
of visible light which.may be converted to electrical X-ray count signals by photosensitive
means. To further optimize definition in the image, detector scintillator 44 preferably
is formed in the shape of a sector of a sphere and is situated coaxially with the
axis of the X-ray tube with the apex of. the sector being most distance from the X-ray
tube and being it the point of convergence of the X-rays from target anode plate 26
that are transmitted through collimator 29A.
[0032] In addition to supporting and positioning the X-ray detector 44, the probe 14A also
transmits the X-ray count signals produced by the detector to a photomultiplier tube
46 of known internal construction which in this example is situated adjacent the small
end of vacuum enclosure 19 within housing 27, the housing having a protruding portion
47 formed to receive the photomultiplier tube. For this purpose the probe l4A is primarily
formed of a light pipe core 48 of light-transmissive material, the detector 44 scintillation
crystal being partially embedded in or otherwise optically coupled to the light pipe
core 48 near the end of the core which is remote from the X-ray tube. To prevent ambient
external light from affecting the optical X-ray count signals, a coating 49 of opaque
material encloses all surfaces of the core 48 and of the X-ray detector 44 which would
otherwise be exposed to ambient light. To reduce spurious X-ray count signals from
radiation arriving at detector 44 from directions other than that of the collimator
29A, an additional inner lining 49 of lead or other highly radiation-absorbent material
may enclose the end portion of the core 48 in the region of detector 44 except for
the surface of the detector which faces the X-ray tube.
[0033] Probe 14A has a base end 51A releasably securable in any selected one of a series
of attachment means 52A, 52B, 52C and 52D situated at different positions on the X-ray
tube. As best seen by referring to Figures 1 and 2 in conjunction, attachment means
52A in this example is situated at one side of the collimator-receiving opening 28
at the mid-plane of the X-ray tube while a second essentially similar attachment means
52B is provided at the same plane on the opposite side of the collimator-receiving
opening. Another attachment means 52C is located below the center of the collimator-receiving
opening 28 while still another such attachment means 52D is situated above the center
of the opening.
[0034] Attachment means 52A may include a cylindrical passage 53 penetrating for a distance
into the face of housing 27 and shaped to receive base portion 51A of probe 14A. In
order to assure that the probe enters the passage 53 only in an orientation which
situates the X-ray detector 44 at the central axis of the X-ray tube, a linear rib
or key 54 is formed on base portion 51A of the probe and is received in a conforming
axially extending slot 56 in the wall of passage 53. To assure that the probe is firmly
and fully seated in the attachment means with the X-ray detector 44 being situated
at the point of convergence of radiation transmitted through colimator 59, detent
means may be provided which in this example consist of a plunger 56 axially slidable
in a passage 57 at right angles to passage 53 and having a spherical end surface suitable
for engaging a conforming spherical cavity in the side wall of the base portion 51A
of the probe 14A. Plunger 56 is biased towards passage 53 by a compression spring
58 and snaps into detenting position when the probe has been fully inserted while
enabling easy removal of the probe when it is to be replaced with a probe of different
configuration or when it is to be shifted to a different one of the attachment means
52.
[0035] In order to retract the plunger 56 as the probe 14A is being inserted in passage
53 and to provide for efficient coupling of optical signals to photomultiplier tube
46, the end 59 of the base portion 51A of the probe.14A is a projecting end of the
light pipe core 48 having a conical configuration.
[0036] Each of the other attachment means 52B, 52C and 52D may have a. similar construction
except insofar as each such attachment means has a different angular orientation with
the keyway slots 56 of each attachment means always being adjacent the collimator-receiving
opening 28 and the detent means always being on the outward side.
[0037] To transmit X-ray count data optical signals from end 59 of probe 14A to the photosensitive
surface of photomultiplier tube 46, a light pipe 61 is disposed within housing 27
and has a broad base portion 6? disposed against the photosensitive surface of the
photo tube 46. Forward from base portion 62, the light pipe 61 divides into four arms
63A, 63B, 63C and 63D. Arm 63A has a forward end extending into the inner end of passage
53 of attachment means 52A and has a conical indentation receiving the pointed end
59 of the base 51A of probe 14A. To facilitate the transmission of optical signals
across the boundary, the juncture between end 59 of the probe and the forward end
of arm 63A of light pipe 61 may be coated with silicone grease or other known materials
suitable for such purpose. The other arms 63B, 63C and 63D of the light pipe 61 extend
to the other attachment means 52B, 52C and 52D respectively in an essentially similar
manner.
[0038] To prevent external light from entering the passages 53 of the ones of the attachment
means 52 which are not coupled to probe 14A during an operation of the system, opaque
closure plugs 64 are inserted in the passages 53 of such attachment means and are
disengageably retained therein by the same detent plungers 56B which otherwise engage
a probe.
[0039] The probe 14A depicted in Figures 1 and 2 is designed to facilitate the obtaining
of pantomographic images embracing a sizable portion of a dental arch of a subject
12. Such images are usually a panoramic image of approximately one-half of the dental
arch. For such purposes, it is usually preferable to locate the X-ray detector 44
in the general vicinity of the patient's third molar tooth at the opposite side of
the dental arch. To effect this detector disposition with a minimum of discomfort
to the patient this particular probe 14A has an essentially quarter circular configuration
between the linear base portion 51A and the immediate region of the detector 44 so
that it curves around the front of the patient's face and extends a small distance
into the opposite side of the mouth.
[0040] 'In order to obtain a complementary pantomographic image of the other side of the dental
arch of the subject 12, closure 64 is removed from attachment means 56B and the probe
14A is removed from attachment means 52A. The probe is then rotated and inserted into
attachment means 528, and the closure 64 is then inserted into attachment means 52A.
The probe 14A then extends from the. opposite -side of the face of the X-ray tube
13 as depicted by dashed lines 14A' in Figure 1, the X-ray detector 44 again being
situated at the same centered position as before. The X-ray tube 13, including the
probe 14A, may then be rotated around to the opposite side of the patient or alternately
the patient may be turned to locate the detector 44 in an essentially similar manner
but at the other rear molar 65L of the dental arch.
[0041] Basically, the ability of a scanning X-ray system 11 of this general form to produce
a radiographic image of a subject is not dependent on the presence of a collimator
29A since only X-rays which are directed towards the minute detector 44 can contribute
to the image. The primary function of the collimator 29A.is to minimize radiation
dosage of the subject. In addition, the collimator acts to enhance contrast in the
image by reducing spurious counts at detector 44 from scattered radiation, X-ray fluorescence
and the like. As a practical matter, the colltmator 29A may detract somewhat from
definition in the image as compared with a similar scanning X-ray system not having
a collimator but the magnitude of this effect can easily be kept within acceptable
limits and may be made insignificant since any reduction of definition caused by the
collimator may be made to be less than the inherent definition limitations of the
image display device 17. As the matter of reducing patient radiation dosage is generally
a more critical one, it is usually desirable in dental or medical usages to operate
system 11 with the collimator 29A in place.
[0042] The collimater 29A of this invention is of a specialized construction which provides
for a high degree of reduction of patient radiation exposure while minimizing any
consequent loss of image definition. In particular, the collimator 29A includes a
collimation element 67 formed of lead glass or other radiation absorbent material
having similar properties. Collimation element 6'i is formed with a large number of
spaced-apart radiation transmissive passages 68, of very small cross-sectional area,
for transmitting X-rays which originate at target surface 26 towards the detector
44. The passages 68 are aligned in directions which are convergent at the X-ray detector
44. In other words, each of the passages 68 extends along a separate radium of a hypothetical
sphere having the apex end of detector 44 as a center.
[0043] Referring now to Figure 3, the impact of the electron beam 23 on target anode place
26 causes X-rays 69 to be emitted in all directions from the point of impact. The
effect of the collimator 29A is to absorb those of the X-rays 69 which are emitted
in the general direction of the patient but which are not traveling precisely towards
the detector 44 and therefore cannot contribute useful information to the desired
image. The collimator has a similar effect on secondary X-rays which may be produced
by interaction of a primary X-ray 69 with material behind or within the collimater.
[0044] As may be seen by reference to Figure 4, which is a cross section of the collimator
29A taken at right angles to the plane of Figure 3, the radiation transmissive passages
68 are convergent toward detector 44 when viewed in an orthogonal plane as well as
in the plane of Figures 1 and 3 and thus the effect of the collimator is to intercept
X-rays 69 which are directed towards the subject 12 other than the particular X-rays
69' which are directed exactly towards detector 44, regardless of the angular direction
in which the unusable X-rays 69 deviate from a line extending towards the detector.
[0045] Referring again to Figure 1, the X-rays produced at target anode plate 24 by impact
of the electron beam 23 include X-rays of various different energies and the lowest
energy component of the X-ray spectrum is of little or minimal value insofar as the
production of the desired image is concerned. To. avoid unnecessary exposure of the
patient to these low-energy X-rays, one or more absorbent filtering means formed of
a low-atomic-number material, such as aluminum for example, may be situated between
the target anode plate 26 and the patient. In this-example a first such filter layer
71, which may typically be two or three millimeters of aluminum or equivalent radiation
absorber, is disposed. against the forward surface of the target anode plate. Additional
suppression of low-energy X-rays may be provided for by disposing another layer 72
of filter material on the surface of collimator element 67 which is closest to the
target anode plate and by providing still another layer of such material 73 on the
outer surface of the collimator element. The outer layer 73 of filter material has
the further beneficial effect of absorbing scattered.X-rays araising from scattering
effects within the collimator 29A itself. For similar reasons, the radiation transmissive
passages 68.may be filled with a material such as aluminum or any of various suitable
plastics which absorb very low-energy X-rays in order to further reduce radiation
dosage from X-ray scattering within the collimator. Thus it should be understood that
the radiation-transmissive passages 68 are not necessarily unobstructed open passages
nor are they necessarily transmissive to all forms of X-rays. The term radiation-transmissive
passage is herein used to define a zone through the collimator which is transmissive
to X-rays of a desired energy but not necessarily transmissive to other things.
[0046] A collimator element 67 having the physical characteristics descrihed above may be
manufactured by very precise drilling of the passages 68 through a lead glass element
and if formed in this manner, laser beam drilling techniques may be preferred in order
to enable the providing of a very large number of closely spaced passages 68 of a
very minute cross-sectional area. As a practical matter it is preferable to form the
collimator element 67 by fiber optical techniques similar to those heretofore used
for manufacturing microchannel plates as used for example in night- vision devices
and image-intensi.fiers. In one such technique, for example, the element 67 is initially
formed by disposing a large number of tubular lead glass rods in parallel relationship
with the passages through the rods being initially filled with a water- or acid-soluble
core material. The array of glass rods is then fused by heating and is then drawn,
in which process interstices between the adjacent glass rods are eliminated and cross-sectional
size is reduced. The fused array, known an a boule, is then cut transversely to produce
an element of the desired thickness. The resulting fused array is then etched to remove
the soluble core material from the passages and the faces are polished to form the
desired microchannel plate. Elements can be produced by these techniques in which
the passages 68 are typically about 25 microns in diameter and have a center-to-center
spacing of about 37 microns. After processing to the extent described above, the collimating
element has passages 68 which are parallel rather than convergent. To produce the
desired convergence, a sagging process may be used in which the microchannel plate
is disposed on a sphere having a center at the point towards which the passages are
to converge. The element is then heated to a temperature where sagging occurs either
as a result of the weight of the mass of the mjcrochannel plate or if necessary with
the aid of externally applied pressure. This sagging causes the plate to conform to
the surface of the sphere which deformation has the effect of causing the intitial-ly
parallel passages 68 to now be convergent at the center of curvature of the sphere.
[0047] As will hereinafter be discussed in more detail, the primary effect of this sagging
is to produce the desired convergence of the radiation-transmissive passages.68. The
spherical curvature of the collimator element 67 as a whole as depicted in Figure
1 is also produced by the sagging operation and may have an advantage in many cases
in that it enables closer fitting of the X-ray source against curved exterior portions
of the patient's anatomy such as the curvature in the jaw region. However, in other
instances the collimator element 67 need not have an overall curvature but can be
planar provided that the internal passages 68 have the desired convergence, an example
of such a flat collimator being hereinafter described. If the collimator is to be
flat, it may be produced by a somewhat different process which does not involve the
sagging step. In particular, a fused array of hollow lead glass capillary tubing may
be heated and drawn into the form of a long cone both to reduce passage size and to
produce the desired convergence of all passages towards a single point. A desired
flat section of the cone may then be produced by transverse cuts, with the resulting
flat end surfaces being polished to produce the finished collimator element. This
technique is capable of producing passages 68 down to around 200 microns in diameter
without difficulty although with care still smaller passages may be produced.
[0048] In instances where it will not be necessary to change the focal length of the X-ray
tube, defined as the distance between the detector 44 and the target anode plate 24,
the collimator-29A may simply be permanently mounted in position at the face of the
X-ray tube. The embodiment of Figure 1 utilizes a releasable collimator 29A so that
the collimator may be removed and replaced with another collimator in which the passages
68 converge at a point further out from or closer to the target anode plate depending
on whether focal length is to be increased or decreased. For this purpose the collimator
element 67 is disposed in a rectangular frame 74 which fits into the collimator-receiving
opening 28 at the face of the tube and which is disengageably retained therein by
threaded screws 76 and which is preferably formed of radiation-absorbent material.
As best seen in Figure-2, screws 76 extend into the foreward side portions of housing
27 and enter a short distance into appropriately located bores in the side of the
collimator frame 74. Thus by disengaging the screws 76, the collimator 29A may be
removed from opening 28 and another collimator of different focal length may be inserted
and may be held in place by re- engaging the screws. Screws 76 may be replaced by
more elaborate but more quickly operated latching means in instances where frequent
changes of focal length are contemplated.
[0049] Referring again to Figure 1, a pantomographic image of the left side of the dental
arch of a suhject 12 will be produced on screen 18 of X-Y display device 17 by coupling
the output of an X-sweep frequency generator or oscillator 77 to both the X-sweep
terminal 78 of beam deflector 31 and to the X-sweep terminal 79 of the display 17.
The output of a Y-sweep frequency generator 81, which produces a repetitive sweep
wave form of substantially lower frequency than that of the X-sweep frequency generator
77, is coupled to the Y-sweep signal terminal 82 of the beam deflector 31 and also
to the Y-sweep terminal 83 of the display device 17. Accordingly, the electron beam
23 is caused to repetitively sweep through a raster pattern on target anode plate
24 and the electron beam sweep of the display device 17 is coordinated with that of
the source. Circuits for this purpose will hereinafter be described in more detail.
[0050] The X-ray count signals produced at detector 44 vary in number in the course of this
scanning action in accordance with variations of the radiation-trans
anatomy which is being scanned and the image at screen 18 constitutes the desired
radiegraphic image. If each complete scanning raster is completed within the period
of eye persistence of the human biovisual system, the image may he viewed directly
at screen 18. The image may also be viewed in that manner, without regard to such
scanning time limitation, if a long persistence cathode ray tube screen 18 is used
and preferably one of the adjustable persistence type. To provide a perma- . nent
record or to provide the viewable image itself where a relatively long scanning time
and short persistence screen 18 prevent direct viewing, a camera 18' may be used to
photograph the screen with the exposure time being equal to that required for at least
one complete scanning raster.
[0051] Suitable additional components for the above-described control circuit 16, by which
various electronic image enhancement techniques may he utilized if desired and by
which radiographic image data may be stored on magnetic tape or the like instead of
at ilizing the cumbersome conventional film storage, are described in applicant's
prior United States Patent No. 3,949,229 and may be embodied in the present system
if desired. The electrical control circuit 16 of this example will hereinafter be
described in more detail in connection with certain additional provisions which may
be employed in the circuit to alleviate forms of optical distortion in the image which
can otherwise be present.
[0052] Certain structural arrangements have been mentioned above for the purpose of selectively
changing the focal length of the system. A focal length adjustment may be needed where
a single instrument is to be used for the production of both wide-angle panoramic
pantomographic images and also periapical dental radiographs or other images in which
a smaller portion of the subject is to be imaged at a larger magnification. This is
accomplished by replacing the probe 14A with another probe which locates the detector
44 further out from the target anode plate 24 when focal length is to be increased
or which locates the detector closer to the target anode plate when focal length is
to be decreased. When the location of the detector 44 is changed in this manner, collimator
29A must also be replaced with another collimator having radiation transparent passages
68 convergent towards the new location of the detector 44. Still another adjustment
may also be made in conjunction with such a change of probe and collimator. In particular,
if the region within the X-ray tube where the electron beam 23 is being deflected
from the central axis of the tube is spaced from the target anode plate 24 a distance
substantially different from the spacing of the detector 44 from the target anode
plate a distortion of the image can occur. Although such distortion can be tolerated
in many instances, it may be reduced or eliminated if in conjunction with the above-described
change of probe and collimator to select a different focal length, the axial position
of the deflector 31 is also shifted by the previously described means so that the
electron beam deflection region and the detector 44 remain substantially equidistant
from, or in constant distance ratio to, the target anode plate surface 26.
[0053] Figure 5 depicts the forward portion of the X-ray tube 13 after adjustment have been
made as discussed above in order to increase the focal length. Thus in Figure 5, the
original probe has been replaced with a new probe 14B which may have an internal construction
essentially similar to that of the probe described above except that it is of greater
length to position the detector 44B further out from the face of the tube. The curvature
of the probe 14B may also be modified as necessary to maximize patient comfort. Similarly,
the original collimator has been replaced with a second collimator 29B in which the
radiation-transmissive passages 68B have a different angular orientation in order
to be convergent at the new, more distant, location of the detector 44B. It may be
observed that collimator 29B also differs from that depicted in Figure 1 by being
of the flat configuration previously described.
[0054] The forms of probe 14 described in connection with Figures 1 to 5 are primarily designed
for production of pantomographic dental X-rays and have been shown and described as
being mounted at one lateral side or the other of the face of the X-ray tube. For
other purposes, such as the making of periapical dental X-rays, the probe may have
a considerably different configuration and may be attached to the X-ray tube at a
different location. Figure 6 depicts the forward portion of the X-ray tube 13 as adjusted
to provide for the-making. of periapical X-ray images of individual teeth or of a
small number of individual teeth of the lower jaw of the patient. In particular, a
modified probe 14C is mounted on the face of the X-ray tube at the particular attachment
means 52B which is situated above the central axis of the tube. The modified probe.l4C
has a different configuration from the previously described probe and extends directly
forward from the face of the tube and has a slight downward curvature towards the
remote or distal end of the probe. In this example this situates the detector 44C
at a differing distance from the face of the tube than in the case of the other probe
and therefore a different collimator 29C is utilized which has a correspondingly changed
focal length as hereinbefore described.
[0055] The same modified probe 14C may then be used to make periapical X-rays of teeth of
the upper jaw by removing the probe from attachment means 52D and remounting it in
the lower attachment means 52C below the collimator 29C as shown by dashed lines 14C'
in Figure 6.' Use of the apparatus of Figure 6 to make a periapical X-ray image of
the upper incisor teeth of a patient, with the probe at dashed line position l4C'
is depicted in Figure 7. In particular, the X-ray tube 13 may be positioned directly
in front of the patient's upper jaw with the probe 14C' extending into the patient's
mouth and slightly upwardly to locate the detector 44C of the probe directly behind
the upper front incisor teeth of the subject 12.
[0056] In order to support the X-ray tube 13 including probe l4C', a mounting bracket 88
may be secured to housing 27 at the underside of the housing'in this instance for
connection to suitable support means 89. The support means 89 in this example is a
semi-rigid tubular gooseneck of the form which can be bent to different'configurations
by applying sizable force but which is otherwise sufficiently rigid to support the
X-ray tube 13 in a selected position and orientation. In instances where the weight
of the X-ray tube 13 or other causes require a non-bendable support, scissors brackets
or the like of the known forms used to support more conventional dental X-ray tubes
may be used. Support means 89 may, if desired, attach to a housing 91 which contains
electrical control circuit components of the system in which case conductors for coupling
the electrical components of the tube' with the rest of the circuit may be situated
within the support tube 89.
[0057] The examples of the invention described above have utilized replaceable probes having
lengths and configurations designed to facilitate the making of certain specific forms
of dental radiograph. It should be understood that other probes 14 may be provided
with different lengths and configurations suitable for making other types of radiograph
either with invivo subjects or in connection with X-.ray inspection of inanimate objects
such as metallurgical castings for. example. Figure 8, for example, illustrates the
forward portion of the X-ray tube 13 supporting still another probe 14D which is designed
for facilitating the making of a medical.X-ray image of the central region of a patient's
head and showing, among other anatomical features, the bony structure of the ear.
For this purpose, the probe 14B may be mounted in one of the side attachment means
at the face of the tube, attachment means 52B in this case. Probe 14D is of greater
length than those previously depicted and described and is shaped to curve around
the head of the patient and to enter a small distance into the ear canal at the side
of the patient's head opposite from the face of the X-ray tube. As will be apparent,
a variety of other probe configurations may be utillzed to locate the detector at
appropriate positions either at the opposite side of a patient from the X-ray source
or within any of various body cavities and openings into which probes may be inserted.
Similarly, probes having still other configurations may be provided to locate the
detector within cavities of manufactured industrial parts, such as castings, for example,
which are to be inspected by X-ray imaging.
[0058] Reference has been made to the fact that the basic electrical control system jnsofar
as hereinbefore described may under certain circumstances result in the presence of
forms of optical distortion in the visible image at the display device 17. Distortions
may be tolerated in the image, at least for many purposes provided that the dentist,
doctor or'other interpreter of the image is aware of the distortions and makes appropriate
allowances in interpreting the data. However, it is obviously preferable to reduce
or ilinimate such distortions to the extent possible in order to simplify the task
of image-interpretation. The present invention furthe provides control circuit componetns
for this purpose.
[0059] Components for eliminating a distortion which could otherwise arise from changing
the relative spacing of the detector and the tube electron beam deflection region
from the target anode plate have already been described. Several other forms of image
distortion or image degradation can occur unless corrections are provided for. These
include both geometrical distortions arising from variations of degree of magnification
at different areas of the image and image intensity variations arising from unwanted
variations of the amount of radiation which reaches the subject or the detector at
different times or at different areas of the scanning raster.
[0060] Considering variable magnification effects first, it should be appreciated that convenient
adjustment of the degree of magnification of the subject in the image is one of the
advantages of a scanning X-ray system of this general type. This can be done in either
of two ways. A first method is to increase or decrease the size of the scanning raster
at the visual display device 17 relative to the scanning raster size at the X-ray
tube 13. The other method is to change the position of the subject relative to the
target anode plate 24 and detector 44. If the subject is positioned relatively close
to the detector 44 it is highly magnified in the image although the field of view
is reduced. Conversely, if the subject is repositioned closer to the target anode
plate 24 and further from the detector 44, magnification is decreased but a wider-
angle view is obtained.
[0061] The first method of magnification control can readily be effected simply by adjusting
the beam deflection controls of either the X-ray tube 13 or the visual display device
17 or both. The second method is accomplished by simply moving the X-ray tube 13 and
probe 14 relative to the subject or vice versa.-The problem of variable magnification
at different regions of the image arises in part from the same factors which underlie
the second method of magnification adjustment described above. By referring to Figure
9, it is readily apparent'that the several teeth of the dental arch 12 which are being
displayed in the image have different relative positions between the target anode
plate 2.4 and the detector 44. Teeth near the center of the image area are relatively
close to the target anode plate 24 and relatively distant from the detector 44 as
compared with the teeth nearer the sides of the image area. Thus, in accordance with
the factors discussed above, the teeth will exhibit different degrees of magnification
in the image in'the absence of a correction.
[0062] A second factor which can cause variable magnification at different areas of the
image arise from the fact that if the rate of scanning of the electron beam along
the target anode plate 24 is uniform, then the effective rate of scanning along the
subject to be imaged may not be uniform. Referring again to Figure 9, the teeth of
the dental arch 12 to be imaged in this example are situated approximately along a
circular arc A having a radius R and having a center of curvature D at the detector
44. If the electron beam of X-ray tube 13 is' scanned in the X-direction, that is
in the plane of Figure 9, at a uniform speed, the effective scanning rate along arc
A is variable.. Effective scanning rate is slowest along the central portions of arc
A which are closest to being parallel to the target anode plate 24 but progressively
increases toward the end portions of arc A which increasingly curve away from the
plane of the target anode plate. In the absence of correction, the practical effect
is that the central teeth occupy a. disproportionately large amount of-the image in
the X or lateral direction or, in other words, tend to be more greatly magnified in
the X direction than are the teeth nearer the sides of the image.
[0063] Both of the variable magnification effects described above may be reduced or substantially
eliminated by delinearizing the scanning sweep speeds in both the X and the Y directions
in either the X-ray tube 13 or the visual display device 17 in order to compensate
for the effects described above. It is preferable to delinearize the scanning action
of the X-ray tube 13 for this purpose, and electrical circuits for this purpose will
be hereinafter described. In order to best understand the operation of such circuits,
a more mathematical analysis of the above-described effects is required.
[0064] In Figure 9, point 0 designates the center of the target anode plate 24 which is
the point of impact of the undeflected electron beam along the axis of the tube and
defines the origin point of the coordinate system for the following equations. Point
P represents an arbitrarily chosen point of electron beam impact on the target anode
plate in the course of a scanning raster. The letter D designates the position of
the detector 44 at the center of curvature of arc A along which the teeth to be imaged
are situated while R is the radius of the arc. C designates the fixed distance of
arc A from point 0 along the central ray path O-D while V is a variable representing
the distance of arc A from the momentary electron beam impact point P. X is a variable
representing the displacement of point P from point 0 in the X-scan direction and
9 is a variable representing the angle formed by ray lines O-D and P-D. S is the coordinate
distance of ray line P-D from ray line O-D measured along arc A.
[0065] From basic trigonometric relationships, it may be seen that:
and
From (1) and (2), it follows that there is a non-linear relationship between S and
X since S varies linearly with 9 while X varies as the tangent of 9. Thus if the electron
beam sweep rates of both the X-ray tube 13 and the visual display device 17 are constant,
image distortion occurs wherein teeth closer to the central ray path O-D are more
greatly magnified than teeth which are further away from path O-D. In order to remove
this particular form of distortion, 9, rather than X, is caused to vary in a linear
manner in the course of each X-direction scan. This is accomplished by causing the
electron beam sweep rate, in the X-direction, to vary as a function of the tangent
of 9, suitable electrical circuit means for this purpose being hereinafter described.
A similar correction may be applied to correct for curvatures in the orthogonal or
Y-direction when the configuration of the subject makes it advisable.
[0066] Considering now suitable corrections for variable magnification effects in the Y-direction,
that is at right angles to the plane of figure 9, for a subject having the configuration
of dental arch 12 it should be assumed, to avoid unnecessary complication of the present
analysis, that all of the teeth lying along arc A have the same vertical height in
the Y-direction. Figure 10 is a diagrammatic section view taken along line X-X of
Figure 9 or in other words along a vertical plane containing the central ray path
O-D. The tooth Tl which that plane intercepts requires a Y-direction sweep distance
of Y in order to be fully imaged and is magnified by the factor (R + C)/R for the
reasons hereinbefore discussed. Figure 11 is a diagrammatic section view taken along
line XI-XI of Figure 9 or in other words along a vertical plane containing the ray
path P-D. The different tooth T2 which the plane of Figure 11 intercepts requires
a Y-direction sweep distance of Y in order to be fully imaged and is magnified by
the factor (V + R)/(C + R) relative to the magnification of tooth.Tl. Thus while the
teeth Tl and T2 of Figures 10 and 11 respectively are actually of the same height,
tooth T2 is more greatly magnified in the image than is tooth Tl. By analyzing this
effect for a series of additional vertical planes, it may be seen, referring back
to Figure 9, that objects of constant height such as the teeth are assumed to be in
this case and which lie along arc A become increasingly more magnified in the image
as S increases in either direction from the central ray path O-D. This effect may
be reduced or eliminated by delinearizing the Y-direction electron beam sweep rate
in the X-ray tube 13. The Y-sweep rate correction needed for this purpose is derived
as follows: Referring to Figures 10 and 11, it may be seen that:
From Figure 9, it may be seen that:
Combining (3) and (4) gives:
[0067] The objective of the correction is to cause all teeth in the image to exhibit'the
same height Y
o since as postulated for the present analysis, that is the actual fact. Mathematically
this may be derived as follows:
[0068] The displacement in Y that passes through the origin 0 varies with time:
In this example, F(t) is a triangular wave function owing to the lack of significant
curvature of the teeth in the vertical direction. Combining (5) and (6) gives:
Thus the Y-direction sweep rate of the electron beam in the X-ray tube 13 should be
delinearized and caused to vary as a secant function of θ, circuit means for this
purpose being hereinafter described.
[0069] Use of the secant function for this purpose results from the disposition of the teeth
along an arc A having a constant radius of curvature R. If the object or series of
objects to be imaged lie along a path having some other configuration wherein the
radius of curvature is not constant; but instead varies as a function of 9, then a
more complicated function than the secant function must be generated by essentially
similar trigonometric analysis.
[0070] Considering now techniques for correcting those forms of image degradation which
are not geometrical in nature but instead cause undesirable variations in intensity
or contrast in different regions of the image, reference should again be made to Figure
9. Like many other subjects, the teeth which are to be imaged in this example are
of different thickness along the X-ray paths from the target anode plate 24 to detector
44. Thus the X-ray energy level best suited for producing a clear image of one tooth
may not be the value best suited for imaging others of the teeth which have a different
radiolucence. In the example of Figure 9, the teeth tend to increase in thickness
and therefore in radio- opacity from the front of the patient's dental arch 12 towards
the back or, in the depicted geometry, in the direction of increasing 9. In other
words, the X-ray absorbency of the subject to be imaged is lowest at the extreme minus
9 portion of the X-direction scan and tends to increase as the angle 9 approaches
its maximum positive value.
[0071] Clarity of the image may be enhanced by changing the energy of the electron beam
within the X-ray tube 13 in the course of the scanning action in a programmed manner
which compensates for the variations of radiolucence of different regions of the subject
which have been described above, circuit means for this purpose being hereinafter
described. In the example of Figure 9, this may take the form of progressively increasing
electron beam energy, in the course of each X-scan, as a function of 9. If a more
precise compensation is desired, the energy change in the course of each scan need
not be a continuous gradual, rise but may consist of a series of stepped increases
or decreases each determined by the radiolucence of the particular tooth or portion
of a tooth being imaged at successive stages in the scan. Alternately, an acceptable
degree of compensation may often be achieved by simply changing electron beam energy
level once in the course of each scan at the stage where the scan passes between the
relatively thick back or molar teeth and the more radiation-transparent anterior teeth.
[0072] Essentially similar programming of beam energy at different regions of the scanning
raster may be used where the subject is something other than the teeth of a dental
patient but which also exhibits pronounced differences of thickness and/or of radiation
absorbency at different regions. While the foregoing discussion of varying X-ray energy
has dealt with variations in the X-direction, similar steps may be taken in conjunction
with the scanning action in the orthogonal or Y-direction if the characteristics of
the subject make it desirable. Thus, with reference to Figure 10, electron beam energy
may be varied in a continuous or stepped manner or in a combination thereof as a function
of angle 0 as determined by variations of radiolucence of the subject in the Y-direction.
[0073] To enhance image clarity, it may also be desirable to assure that the radiation flux
intensity applied to the subject throughout the scanning action remains substantially
constant aside from the deliberate variations to accommodate to variations of radiolucence
as described immediately above. In the absence of corrections, non-uniform irradiation
of the subject at different regions of the scanning raster may occur simply as a result
of the fact that the X-rays originate at different points on the target anode plate
24 at different times in each scanning raster. Two different effects create such a
non-uniformity. A first such effect is the attenuation of a radiation flux with distance
in accordance with the well-known inverse square law. Referring again to Figure 9,
it may be seen that ray path P-D is longer than the central ray path O-D and in general
the distance which X-rays must travel from the target anode plate 24 to detector 44
progressively increases from the center of the X-scan towards each extremity of such
scan. This is also true of scanning action in the Y-direction. Owing to inverse square
law attenuation this will cause count rate variations at the detector 44 even if a
subject of uniform X-ray opacity is being imaged or if there is no X-ray absorber
at all between the X-ray source and the detector. More specifically, as the electron
beam moves away from the central point 0, there is a fall-off in X-ray count rate
at detector 44 which varies as a function of the ratio: (R + C)
2/r
2, where r is the distance of the detector 44 from the momentary point of impact of
the electron beam on target anode plate 24. This relationship does not take into account
the second effect which causes an unwanted variation of X-ray count during the scanning
action and which will now be discussed.
[0074] In particular, the target anode plate 24 at which X-rays originate has a finite thickness
which is not evident in Figure 9 but which may be seen by reference to Figure 12 wherein
such thickness, designated T, has been greatly exaggerated for clarity of illustration.
An arbitrary point of electron impact on target anode plate 24 is identified by the
letter E in Figure 12 and its coordinates are shown a.s r, 9 and φ with such coordinates
and other symbols having the same meaning as in the previous figures and discussion
except that it should be understood that r, the distance from the X-ray origin point
to detector 44, includes.the thickness T of the target anode plate.
[0075] X-rays originating at point 0 at the center of the scanning raster pass directly
through the target anode plate 24 to reach the detector 44 and are attenuated to some
specific degree because of absorption by the target anode plate material. X-rays originating
at an off-center point such as E must pass obliquely through the thickness T of the
target anode plate and are therefore attenuated to a greater degree. The effective
length of the X-ray path through the target anode plate, designated T
r, progressively increases towards the extremities of the scan in both the X and the
Y directions. Thus a corresponding unwanted variation of X-ray count rate occurs at
detector 44 unless a correction is provided.
[0076] Correction for both the inverse square law form of X-ray count variation and the
variable effective target thickness form of X-ray count variation, may be realized
by varying the electron beam current within the X-ray tube 13 during the scanning
operations to adjust radiation flux in such a manner as to compensate for these effects.
Considering now the electron beam current variation needed for this purpose, it has
been previously pointed out that insofar as the inverse square law effect alone is
concerned, X-ray count rate at the detector 44 varies as a function of the ratio (R
+ C)
2/r
2. When the variable absorption effect in the target anode plate effect is also taken
into account the unwanted variation of X-ray count may be represented by the following
relationship:
(8) I/I
o = [(R + C)
2/r
2]e-
uTr
where I = X-ray flux to the detector from arbitrary point E,
Io = the minimally attenuated X-ray flux to the detector along the central ray path
O-D,
u = the linear absorption coefficient of the target anode plate material
and wherein the other terms have the previously
' described meanings.
[0077] Referring to Figure 12, it may be seen from trigonometric relationships that
Since the objective is to cause a constant flux of radiation to be received at the
detector, in the absence of a subject to he imaged, from all positions on the target
anode plate, that is for all values of Y
p and θ, the right side of express (8) must be multiplied by a correction factor K
which will cause the left side of expression (8), that is I/I
o, to be a constant for all values of Y and 9. The correction faction K may be expressed
as:
For small amounts of X-ray attenuation, the following approximation is acceptably
valid:
combining expressions (10) and (11) gives:
From Figure 10, it may be seen that:
and
Therefore from (9) and (14) it may be seen that:.
From Figures 9, 10 and 11, it may be seen that:
Substituting expressions (15) and (16) into (12) gives:
which represents the variation of electron beam current in the course of each X-direction
scan which is needed to compensate.for the unwanted variation of X-ray count at detector
44 which has been previously described. Suitable circuit means for varying electron
beam current in accordance with this relationship (17) will be hereinafter described.
[0078] The several different forms of potential optical distortion and image clarity degradation
described above may be greatly reduced or eliminated by delinearizing the rate of
the electron beam sweep in the X-ray tube 13 in both the X and Y directions and by
modulating electron beam energy and current in accordance or in approximate accordance
with the several mathematical functions which have also been described above. A suitable
electrical control circuit for accomplishing each of these corrections is depicted
in Figure 13.
[0079] Referring now to Figure 13, electron beam generating. and controlling elements of
the X-ray tube 13 include a cathode 101 which emits electrons upon being heated by
a filament 102 in the conventional manner and which has a terminal 101' to which a
high negative electrical potential is applied from a high-voltage supply 103 in order
to produce an electrical field which accelerates the electrons towards the grounded
target anode plate 24 of the X-ray tube. Maintaining the cathode 101 at a high voltage
while grounding the anode 24 is the reverse of the conventional arrangement in X-ray
tubes and offers the advantage that a dental or medical patient or' an electrically
conductive inanimate object may be placed very close to the face of the X-ray tube
or even against the face of the X-ray tube without creating a risk of electrical shock.
Where this is not a problem, the cathode may be grounded and a positive high voltage
supply may be connected to the anode plate, -if desired. The high voltage supply 103
is of the programmable form in which the magnitude of the output voltage delivered
to cathode 101 is adjustable by varying an input voltage signal so that the electron
beam energy may be modulated in the course of the scanning action as will hereinafter
be discussed in more detail.
[0080] The electron gun 22 of X-ray tube 13 also has a control grid 105 with a terminal
105' to which a voltage may be applied for the purpose of modulating electron beam
current as will also be discussed in more detail. The electron gun 22 may also have
further elements such as a first anode 104 and ul- torfocusing grid 106 which are
not utilized in accomplishing the image corrections of the present invention but which
are present for their conventional purposes. As previously described, the X-ray tube
13'also has an X-beam deflection coil 33X and a Y-beam.deflection coil 33Y for.controlling
the point of-impact of the electron beam on target anode plate.24, the coils respectively
having an X-deflection signal terminal 78 and a Y-deflection signal terminal 82.
[0081] The control circuit is further provided with a regulated DC power supply 107 having
a first output terminal B+ at which a constant positive voltage is provided for operating
other components of the circuit and a second output terminal Bat which a constant
negative voltage is provided for similar purposes. To avoid excessive complication
in drawing, the power supply connections to most components of the circuit are not
depicted where such connections may be of the conventional known form.
[0082] The X-sweep frequency generator 77 has an output terminal 77' connected to the X-sweep
frequency terminal 79 of the visual display device 17 and may be of the known construction
which generates a ramp signal output wave form of the type depicted at 77W which cyclically
oscillates in a linear manner between a maximum negative voltage and a maximum positive
voltage at a frequency corresponding to the desired X-sweep or scan frequency at both
the X-ray tube 13 and the visual display device 17. Similarly, the Y-sweep frequency
generator 81 has ah output terminal 81' coupled to the Y-sweep frequency terminal
of visual display device 17 and is of the known form that produces a ramp signal 81W
similar in general form to that of the X-swe'ep frequency generator except insofar
as it has a substantially lower frequency as determined by the number of horizontal
scan lines which are desired in the scanning raster. The difference between the X
and Y-sweep frequencies is normally much greater than appears from the wave forms
77W and 81W in Figure 13, it being impractical to illustrate the actual difference
because of space limitations in the drawings.
[0083] Optical X-ray count signals originating at the detector 44 are converted to electrical
signals by phot-omulti- plier tube 46 as previously described. The X-ray count' signal
output terminal 84 of photomultiplier tube 46 is coupled to the Z or intensity signal
terminal 86 of the visual display device 17 through an adjustable gain amplifier 108
and then through one input of a differential amplifier 109. The other input of the
differential amplifier 109 is connected to a selectable DC voltage source 111 which
may consist of an adjustable contact 112 movable along a resistive element 113 having
opposite ends connecting to the B+ and B- terminals of the DC power supply 107.
[0084] Adjustable gain amplifier 108 enables selective control of the voltage level of the
intensity signal applied to the visual display device while the differential amplifier
109 and selectable voltage source 111 aids in suppressing detector noise by suppressing
electrical pulses of less than a selected amplitude. This form of intensity signal
channel is best adapted to instances where the average rate of X-ray counts at detector
44 is sufficiently low that individual counts are separated in time and can be distinguished
and individually processed. In instances where a higher X-ray count is present such
that X-ray count pulses pile up to produce a varying voltage level proportional to
detected X-ray flux, rather than distinguishable pulses, an integrating form of Z
signal channel may be utilized as described for example in prior United States Patent
No. 3,949,229.
[0085] The control circuit an described to this point can be utilized without further complication
to produce an image at display device 17 if output terminal 77' of the X-sweep frequency
generator is connected to X-deflection coil terminal 78 of the X-ray tube, output
terminal 81' of the Y-sweep frequency generator is connected to terminal 82 of the
X-ray tube and constant voltages are applied to the cathode terminal 101' and control
grid terminal 105' of the X-ray tube but in that event each of the previously described
forms of image distortion and image clarity degradation may be present. Such images
may be useful under many circumstances particularly where the detector 44 is spaced
a substantial distance away from the target anode plate 24 of the X-ray tube since
the severity of several of these effects is an inverse function of the focal length
of the system as determined by the degree of convergence of the various X.-ray paths
from the tube toward the detector. However, it is of course preferable that such distortions
be reduced or eliminated, particularly where the detector 44 is situated relatively
close to the X-ray tube 13 as is the case in certain of the dental usages hereinbefore
described and in many other instances as well. Accordingly, compensation circuit means
114 are connected between the sweep frequency generators 77 and 81 and the X-ray tube
13 terminals in order to modify the X- and Y-sweep frequency wave forms and to modulate
the electron beam energy and current in accordance with the several controlling mathematical
relationships hereinbefore derived.
[0086] Compensation circuit means 114 relies primarily on a series of electronic function
generators 116, 117, 118, 119 and 121 and.multipliers 122, 123 and 124 which are depicted
in block form in Figure 13 inasmuch as such circuit components may be of known internal
construction and are available commercially. In general, function generators of this
kind produce an output voltage which varies, as a function of an input voltage, in
accordance with a predetermined mathematical relationship. Function generator 116
for example is of the known form which produces an output voltage that varies as a
tangent function of'an input voltage while function generator 117 is of the form producing.an
output voltage that varies as a secant function of the input voltage. Function generators
118 and 119 are of the form which produces nn output voltage proportional to the square
of the input voltage and function generator 121 produces an output voltage proportional
to the square root of an input voltage. Multipliers 122, 123 and 124 are each of the
known form that produce an output voltage proportional to the product of two voltages
applied to two inputs of the multiplier. Function generators and multipliers of this'
general form are often used for example in analog computer circuits. While the design
of such function generators is known, a suitable internal circuit for a representative
one of the function generators 116 will be hereinafter described in order to facilitate
an understanding of certain characteristics of the compensation circuit means 114
as a whole.
[0087] By referring back to the previously given mathematical expressions (1) and (2) and
accompanying analysis, it may be seen that variable magnification effects in the X-scan
direction may be compensated for by varying the X-sweep frequency signal as applied
to terminal 78 of the X-ray tube 13 as a function of the tangent of 9 rather than
in the linear manner produced by the X-sweep frequency generator 77. For this purpose
output terminal 77' of the X-sweep frequency generator may be coupled to the input
of tangent function generator 116 through an adjustable gain amplified 126 which enables
adjustment of signal level to determine the length of the X-direction scan in the
X-ray tube. Since the magnetic deflection system employed in the present example of
the X-ray tube 13 is responsive to current through the X-de flection coil 33X, rather
than to voltage as such as in the case of an electrostatic deflector, the output of
tangent function generator 116 is coupled to X-ray tube terminal 78 through a current
amplifier 127 and variable resLstor 128. If an electrostatic deflection system is
used in X-ray tube 13, a voltage amplifier may be substituted for current amplifier
127.
[0088] Although suitable internal circuits for a tangent function generator 116 are known,
a specific example is depicted in Figure 14 and will be briefly discussed in order
to facilitate an understanding of certain properties of the modified wave forms which
are applied to the X-ray tube control terminals.
[0089] Referring now to Figure 14, the input X-sweep frequency wave form 77W applied to
the tangent function generator 116 input terminal 116i may be treated as consisting
of a sequence of triangular electrical pulses of.positive polor- ity alternated with
similar but inverted pulses of negative polarity. The upper half of the circuit of
Figure 14 processes the positive portions of the input wave form 77W while the Lower
half of the circuit pocesses the negative portions of the input wave form. The input
wave form 77W is applied to one input of a differential amplifier 129P which has a
reference input connected to a selectable DC voltage source 131P which may be adjusted
to cause amplifier 129F to suppress the negative portions of the incoming wave form
while transmitting the positive portion on as a series of triangular positive pulses
separated in time. A first diode 132P and variable resistor 133P are connected between
amplifier 129P and a summing junction 134. A second diode 136P and variable resistor
137P are also connected between amplifier 129P and summing junction 134 except that
in this instance the input of diode 136P connects to the output of amplifier 129P
through the adjustable contact of a potentiometer 139P having a resistive element
connected between the output of amplifier 129P and the negative power supply terminal
B-. Similarly, a third diode 141P and variable resistor'l42P are connected between
the output of amplifier 129P and the summing junction 134 through the movable contact
of another potentiometer 143P having a resistive element connected between the output
of amplifier 129F and power supply terminal B-. Summing junction 134 is in turn coupled
to the output terminal 1160 of the tangent function generator through an operational
amplifier 144 and a resistor 146 connected in parallel with the operational. amplifier.
[0090] Figure 15A illustrates the wave form 77W of the X-sweep frequency signal applied
to the input 116i of the tangent function generator of Figure 14. Figure 15B illustrates
the modified output wave form of the tangent function generator at output terminal
116
0. In particular and with reference to the positive half only of the wave form of Figure
15B, it may be seen that the output voltage rises in a non-linear manner in a series
of three voltage rise segments, a, b and c each of which taken individually is linear
but which are of progressively increasing slope. The positive output voltage then
decreases in a similar series of linear segments of progressively diminishing slope.
[0091] The circuit of Figure 14 modified the triangular input wave form in this manner since
as the leading edge of the positive triangular pulse appears at the output of amplifier
129P, diode 132P conducts immediately to transmit a rising current to summing junction
134. Immediate conduction of diode 132P is provided for by adjusting selectable voltage
source 131P to offset the forward bias of the diode with a base voltage output from
amplifier 129P. This corresponds to the initial segment a of the wave form of Figure
15B. Diodes 136P and 146P do not initially conduct because of the respectively more
negative biases applied to the inputs of such diodes by potentiometers 139P and 143P
respectively. As the input wave form continues to rise a point is reached where diode
130P begins to conduct and thereby increases the amount of current being applied to
summing junction 134. Thus the current input to the summing junction now rises more
sharply as represented by the wave form segment b of Figure 15B. As the incoming wave
form 77W rises still further, eventually diode 141P also begins to conduct thereby
adding still a third increment to the current being delivered to summing junction
134 corresponding to the most steeply sloped segment c of the wave form of Figure
15B. Operational amplifier 144 and resistor 146 convert this rising current at the
suming junction 134 to a corresponding rising voltage output signal at output terminal
1160.
[0092] Subsequently, when the input voltage begins to decrease in a linear manner, a reverse
sequence of operation occurs in which diode 141P stops conduction, then diode 136P
later stops conduction and finally diode. 132P stops conducting as the input wave
form passes from the positive region to the negative region, to produce the non-linear
descending portion of the positive part of the wave form of Figure 15B.
[0093] The bottom half of the circuit of Figure 14 is essentially similar to the top half
except insofar as the diodes 132N, 136N and 131N are inverted relative to the counterpart
diodes of the top half of the circuit and except insofar as the potentiometers 131N,
139N and 143N are connected to the B+ power supply terminal rather than the B- terminal
as in the case of the counterpart potentiometers of the upper half of the circuit.
Thus the lower half of the circuit modifies the negative portions of the incoming
wave form in essentially the same manner that the upper half of the circuit modifies
the positive portions of the incoming wave form and the two portions as modified are
combined at summing junction 134 to produce the complete modified output wave form
77T at the output terminal 1160.
[0094] Referring again to Fibure 15B, it may be seen that this form. of function generator
does not produce the desired wave form in an idealized form free of discontinuities
but instead approximates the desired wave form by a series of segments a, b and c
which in themselves are linear. The remaining distortion in the image arising from
this departure from an ideal modified sweep signal is sufficiently small that it does
not present any practical problems is most cases. In instances where the remaining
distortion needs to be further reduced, the circuit of Figure 14 may be modified by
adding additional stages of the diodes 132, 136, 141, variable resistors 133, 137,
142 and potentiometers 139 and 143 on both the positive upper side and the negative
lower side of the circuit so that the output wave form as shown in Figure 15B is modified
by having a greater number of the linear segments a, b and c, each of shorter duration
than in the present case, so that the desired idealized wa.ve form is even more closely
approached.
[0095] Considering now circuit means for correcting variable magnification effects in the
Y-sweep direction, from the previously derived mathematical expression (7) and accompanying
discussion,. it should be recalled that the Y-sweep frequency signal 81W should be
delinearized and caused to:vary as a secant function of θ. For this purpose, with
reference again to Figure 13, output 81' of the Y-sweep frequency generator is coupled
to one input of multiplier 122. Output 77' of the X-sweep frequency generator is coupled
to the input of function generator 117 through an adjustable gain amplifier 147. Function
generator 117 produces an output wave form representing the secant function of 9 and
such output is transmitted to the other input of multiplier 122 through another adjustable
gain amplifier 148. Thus as shown in Figure 15C the output of multiplier 122 is a
voltage wave form 122W corresponding to the linear Y-sweep frequency generator output
signal 81W as delinearized to vary as a secant function of angle 9 during each successive
X-direction scan. As the output of the multiplier 122 is typically a low current voltage
signal-whereas the magnetic Y-deflection coil of the X-ray tube requires a relatively
high current, the output of multiplier 122 is coupled to the Y-defelction signal terminal
82 of the X-ray tube through an adjustable gain amplifier 149 and a current amplifier
151 and variable resistor 152.
[0096] Considering now suitable circuit means for programming in changes of electron beam
energy within the X-ray tube 13 in the course of each X-djrection scan in order to
compensate for variations of radiolucence of the subject as previously described,
still another function generator 153 may have an input connected to the X-sweep frequency
output terminal 77' through an adjustable gain amplifier 154 and has an output. connected
to the voltage control signal terminal 103' of programmable high voltage supply 103
through another adjustable gain amplifier 156.. If the variation of X-ray energy in
the course of the X-scan is always to be the same for all usages of the x-ray tube
13, then the function generator,153 may be of the form which produces some single
predetermined modification of the input signal with corresponds to the desired change
of beam energy in the course of the scanning action. For example, if the X-ray tube
is always to be used to produce a pantomographic dental X-ray image under the conditions
depicted in Figure 1, wherein the teeth to be imaged are of more or less progressively
increasing thickness from the left side of the image to the right, then, referring
back to Figure 13, the function generator 153 may be of the fixed form which simply
produces a gradual relative rise of the output signal as compared to the input signal
in order to cause the programmable high voltage supply 103 to progressively increase
electron beam energy during the course of each X-scan line of the X-ray tube 13. Preferably
and as in this example, function generator 153 is of the form which enables selection
of any of a variety of functions in order to readily accommodate to different usages
of the X-ray tube 13 and to subjects which may have differing patterns of varying
radiolucence in the X-direction. The function generator circuit of Figure 14, for
example, offers considerable latitude for selection of different output waveforms
by selected adjustments of the several variable resistances 133, 137, 142 and potentiometers
131, 139 and 143. Other forms of function generator enabling an even greater variety
of predetermined wave form modulations are known to the art and may be utilized if
desired.
[0097] Referring again to Figure 13, the remaining components of the circuit means 114 compensate
for the previously described unwanted variations of radiation flux level at the subject
and at the detector arising from inverse square law effects and the variation of absorption
of X-rays in the target anode plate 24 at different portions of the scanning action.
The previously derived mathematical expression (17) is the controlling relationship
in accordance with which the voltage applied to the control grid 105 of the X-ray
tube must be varied in the course of the scanning action in order to vary electron
beam cu-rrent in such a manner as to compensate for these effects. As is immediately
evident from expression (17), a considerably more complex correction function is involved
than is the case with the other forms of correction described above.
[0098] In order to modulate control grid 105 voltage in accordance with mathematical expression
(17), one input of multiplier 123 receives the output of secant 9 function generator
117 through squaring function generator 118. Thus the one input of multiplier 123
receives a sec29 signal. Output 81' of the Y-sweep frequency generator is coupled
to the input of function generator 119, which is also a squaring module of the form
that produces an output voltage proportional to the square of the input voltage. The
output of squaring function generator 119 is connected to one input of a differential
amplifier 157 having an output connected to the remaining input of multiplier 123.
The other input of differential amplifier 157 is connected to a selectable voltage
source 158 which may be of the form having a resistive element connected across the
B+ and B- terminals of the power supply and having a movable element connected to
the reference input of differential amplifier 157. Selectable voltage source 158 is
adjusted to generate a voltage representing the constant (R+C)
2 term of mathematical expression (13). As the output of squaring function generator
119 is a representative of the term Y 02 of that same-mathematical expression and
the two are summed by amplifier 157, the output of amplifier 157 is the r
o2 term of the controlling mathematical expression (17) This r
o2 signal voltage is multiplied by the sec
2θ signal voltage from function generator 118 in multiplier 123. The output voltage
from multiplier 123 is transmitted through a selectable gain amplifier 158 which is
adjusted to scale the input signal by the constant (uT/R+C)
2 term of mathematical expression (17)-and the output of amplifier 158 is then passed
through the square root function generator 121 to produce a voltage signal representing
the function (uT/R+C) (r
osec 9) at one input of multiplier 124. The other input of multiplier 124 receives
the r
o2sec
2θ voltage signal from the output of multiplier 123. Thus the output of multiplier
124 represents (uT r
o3sec
3θ/(R+C) which is the second term in the sum given by mathematical expression (17).
The correction factor K of expression (17) is then obtained by adding in the expression
r
o2sec
2θ which as previously described is available at the output of multiplier 123. For
this purpose an adding amplifier 159 has one input connected to the output of multiplier
124 and has the other input connected to the output of multiplier 123. This results
in an analog voltage appearing at the output of amplifier 159 which is representative
of the desired correction factor K as defined in the previously given mathematical
expression (17.). The output of amplifier 159 is connected to the control grid terminal
105' of the X-ray tube in order to modulate-electron beam current to provide the desired
image correction.
[0099] As there is considerable variation in size and configuration of teeth or other anatomical
structures among different individuals,'adjustment'of the several adjustable controls
of the circuit of Figure 13 to minimize image distortion may be facilitated by using
a coarse, preferably flexible gauze material formed of X-ray opaque wires or the like.
Such a gauze may be wrapped around the.subject to be imaged and the scanning X-ray
system may then be temporarily operated at a low power level while viewing the image
of the gauze on the screen of the visual display device. The several controls of the
distortion correction circuit then readily be adjusted to bring the images of the
wires of the gauze into parallelism in both the horizontal and vertical directions
with the intervening open spaces being equalized. After linearization of the low-level
image has been achieved, the gauze may be removed and the electron beam energy of
the tube increased to the normal operating level for obtaining the desired radiograph.
[0100] While the circuit of Figure 13 includes components for providing each of the several
forms of image correction hereinbefore discussed, there are instances where at least
some of the forms of distortion or image degradation are not significant enough to
need correction in which case the corresponding corrective component portions of the
circuit of Figure 13 may be omitted. A notable example of this occurs when the X-ray
tube and detector are used in a. computed tomographic system such as that described
in Applicant's hereinbefore- identified copending application Serial No. 674,059.
In some forms of computed tomographic system, the electron beam scanning raster at
the X-ray tube may be limited to a single scan line in the X-direction. In such cases,
the corrections herein described which involve the Y-direction are of course not needed.
[0101] With the exception of the correction for varying radiolucence of different regions
of the subject being imaged, all of the several forms of potential optical distortion
and image degradation discussed above derive from the essentially triangular, conical
or pyramidal configuration of the scanned region as defined by the borad area of the
target anode plate 24 as a base and the essentially point detector 44 as an apex.
That is, all useful rays generated in the course of a complete scanning raster converge
at the position of the detector 44 with the distance of the detector from the target
anode plate along the shortest ray path, that is the central ray path O-D of Figure
9, being defined as the focal length of the system.
[0102] The severity of these potential distortions and degradations.diminishes as the focal
length is increased, that is as the small detector 44 is moved further away from the
target anode plate 24. This characteristic offers still another technique for reducing
the degree of image
'distortion and degradation. In particular,-and with reference to Figure 16, this may
be accomplished simply by increasing the focal length of the system or in other words,
by decreasing' the degree of convergence of the ray paths from the X-ray tube 13E
to the detector 44E. Under some circumstances, distortions and degradations may be
reduced to a degree that little or none of the electronic signal compensations hereinbefore
described are needed. Where conditions make it practical, the small X-ray detector
of the previously described embodiments may simply be positioned further out from
the face of the X-ray tube and a modified collimator may be used which has radiation-transmissive
passages which are less convergent and which are directed at the more distant X-ray
detector. However, in some usages, such an arrangement produces other adverse effects
which outweigh the advantages of lessened distortion. For example, looking at Figure
16, if a small detector were situated at the distant focal point 161 of such an arrangement,
the image would include the particular teeth which are intended to be in the image
but superimposed thereon would also be images of teeth or other anatomical structures
at the other side of the dental patient's head.and such images would tend to obscure
the desired images of the particular teeth of interest. To avoid this problem, as.well
as others associated with a long focal length, the embodiment of Figure 16 utilizes
a modified detector 44E which differs from that' of the previously described embodiments
by being larger and by being situated between the tube 13E and the focal point 161
rather than at the focal point. The radiation-sensitive area of the detector 44E is
preferably just large enough to intercept the X-rays traveling from the scanning raster
at target anode plate 24E towards the focal point 161 since the configuration of the
subject may limit detector size. In other words, a very large detector cannot be inserted
into constricted spaces such as i-nto the mouth of the dental patient of Figure 16.
[0103] Because of these restrictions caused by geometry and detector-size limitations, the
embodiment of Figure 16 is particularly appropriate for periapical rather than panoramic
imaging. The smaller field of view, which may be in some cases dictated by the restriction
on detector 44E size, is characteristic of periapical radiography. For similar reasons,
the embodiment of Figure 16 may employ an X-ray source 13E of smaller size having
a smaller scanning raster area. However, panoramic images may still be obtained by
shifting the X-ray tube and detector and making a series of images. Thus the detector
44E and X-ray tube 13E may be shifted to the dashed-line positions 44E' and 13E' for
example by rotation along an arc 163 having a rotational axis at the approximate center
of curvature of the portion of the dental arch 12 being imaged. The X-ray tube 13E
and detector 44E may also be translated in a direction parallel to that rotational
axis so that both maxillary and mandibulary teeth or other cranial features may be
imaged. If desired, all of the images taken from these different viewpoints may be
displayed - on a single screen for viewing or to make up a mosaic of views combining
the entire dental arch on one picture. This may
Je done, for example, by mechanically coupling the visual iisplay sweep centering control
to such mechanical means as night be used for shifting the X-ray tube 13 and detector
so that each image appears at a different location on the screen. In instances where
the image on the
display devise is to be photographed to provide a permanent radiograph, the camera
shutter may be held open during the imaging process except during those periods when
the X-ray tube 13E and detector 44E are in the process of being repositioned. By this
means the entire dental arch 12 may be displayed on one radiographic photograph. The
detector 44E may, if desired, be supported and positioned by a probe 14E similar to
those previously described and other portions of the system of Figure 16 may be similar
to the corresponding parts of the previously described embodiments.
[0104] Systems which employ, a sizable detector 44E are more subject to spurious X-ray counts
from scattered radiation, secondary X-rays and the like than are systems using . the
minute detector of the previously described embodiments. This is itself a form of
image degradation since such spurious counts fog the image and reduce contrast. Thus
selection of a system similar to that of Figure 16 as opposed to one of the earlier
described embodiments is a matter of weighing the relative advantages and disadvantages
of each with reference to the specific use conditions. However, image degradation
from spurious counts may be considerably reduced in the Figure 16 system by utilizing
an additional collimator 164 which is situated between the subject and the detector.
In the present instance the additional collimator 164 is secured directly against
the detector 44E as this maximizes effectiveness, minimizes collimator size and facilitates
positioning and support of the collimator. Secondary or scattered X-rays which are
traveling in the general direction of the detector but at angles other than that of
the X-rays from the primary collimator 29E are absorbed by the additional collimator
164 and thus do not produce erroneous signals in the detector. Under some circumstances,
notably where the subject to be imaged is not a living organism for which radiation
dosage should be minimized, the additional collimator 164 may be used without the
primary collimator 29E. Either collimator alone is capable of limiting X-ray transmission
from the tube to the detector to a single path at a given instance in order to enable
the production of an image. However, where the subject is a living organism, the presence
of a collimator between the subject and the X-ray tube is beneficial in that it suppresses
X-rays which are not directed towards the subject along the particular path from which
meaningful image data can be obtained.
[0105] While the operation of the system has been discussed primarily with reference to
obtaining an instantaneous radiographic image at the screen of the visual.display
device 17 of Figure 13, it should be Understood that the electronic signals carrying
the image data and which are transmitted to terminals 79, 83 and 86 in Figure 13,
may alternately or at the same time be stored on magnetic tape or by other means for
later reproduction of an image. Any of the various image-enhancement techniques as
employed, for example, in the processing of video signals in television systems or
in computed tomography may also be utilized to enhance the image, to emphasize certain
image characteristics or to create specialized image displays. Similarly, the image
displayed at the screen 18 of visual display device 17 may be photographed to provide
a permanent radiograph. Techniques for storing and processing signals from a scanning
X-ray system of this general type in these ways are described in applicant's prior
United States Patent . No. 3,949,229. "
[0106] While the invention has been described with respect to certain specific embodiments,
numerous modifications are possible and it is not intended to limit the invention
except as defined in the following claims.