A method and system for obtaining operating parameters for 3d x ray acquisition

Abstract

The invention concerns a method for obtaining operating parameters for an x-ray CBCT imaging apparatus in view of acquiring a set of data of a patient's maxillofacial region. The method comprises: —identifying a patient's maxillofacial first region of interest (ROI 1 ), —determining a height of a horizontal plane of said patient's maxillofacial first region of interest (ROI 1 ) when the patient is in an occlusion position or bites a patient positioning accessory, —acquiring through a slit-shaped collimator window a first set of data relative to said patient's maxillofacial first region of interest (ROI 1 ) including the horizontal plane using x-ray CBCT imaging, —reconstructing an axial CBCT slice comprising the horizontal plane based on the first set of data relative to the reconstructed the patient's maxillofacial first region of interest (ROI 1 ), —displaying the reconstructed axial CBCT slice of the patient's maxillofacial first region of interest (ROI 1 ) from the acquired first set of data, —defining at least partially a second region of interest (ROI 2 ) based on the displayed reconstructed axial CBCT slice of the patient's maxillofacial first region of interest (ROI 1 ) and intersecting the latter, —obtaining operating parameters for an x-ray CBCT imaging apparatus based on at least the defined second region of interest (ROI 2 ) in view of acquiring a second set of data including the defined second region of interest (ROI 2 ).

What is claimed is: 
     
         1 . A method for obtaining operating parameters for an x-ray CBCT imaging apparatus in view of acquiring a set of data of a patient's maxillofacial region, the method comprising:
 identifying a patient's maxillofacial first region of interest (ROI 1 ),   determining a height of a horizontal plane of said patient's maxillofacial first region of interest (ROI 1 ) when the patient is in an occlusion position or bites a patient positioning accessory,   acquiring through a slit-shaped collimator window a first set of data relative to said patient's maxillofacial first region of interest (ROI 1 ) including the horizontal plane using x-ray CBCT imaging,   reconstructing an axial CBCT slice comprising the horizontal plane based on the first set of data relative to the patient's maxillofacial first region of interest (ROI 1 ),   displaying the reconstructed axial CBCT slice of the patient's maxillofacial first region of interest (ROI 1 ) from the acquired first set of data,   defining at least partially a second region of interest (ROI 2 ) based on the displayed reconstructed axial CBCT slice of the patient's maxillofacial first region of interest (ROI 1 ) and intersecting the latter,   obtaining operating parameters for an x-ray CBCT imaging apparatus based on at least the defined second region of interest (ROI 2 ) in view of acquiring a second set of data including the defined second region of interest (ROI 2 ).   
     
     
         2 . The method of  claim 1 , wherein defining at least partially the second region of interest (ROI 2 ) based on the displayed reconstructed axial CBCT slice of the patient's maxillofacial first region of interest (ROI 1 ) includes defining the position of the second region of interest (ROI 2 ) in the x, y plane of the axial slice. 
     
     
         3 . The method of  claim 2 , wherein defining the second region of interest (ROI 2 ) further includes defining the position of the second region of interest (ROI 2 ) along a z axis (height) that is perpendicular to the x, y plane of the axial slice. 
     
     
         4 . The method of  claim 3 , wherein defining the z-axis position of the second region of interest (ROI 2 ) includes beforehand one of the following:
 acquiring a lateral x-ray scout view comprising the patient's maxillofacial first region of interest (ROI 1 );   acquiring an optical image comprising the patient's maxillofacial first region of interest (ROI 1 ) including landmarks;   performing physical measurements on the patient's maxillofacial first region of interest (ROI 1 ) using a patient positioning device.   
     
     
         5 . The method of  claim 4 , wherein the method further comprises adjusting the height of the second region of interest (ROI 2 ) based on the lateral scout view, the optical image or the performed physical measurements. 
     
     
         6 . The method of  claim 3 , wherein the z-axis position of the second region of interest (ROI 2 ) is predetermined. 
     
     
         7 . The method of any of  claims 1  to  3 , wherein the second region of interest (ROI 2 ) has a size that is selected among a set of predetermined values. 
     
     
         8 . The method of any of  claims 3  to  5 , wherein defining the z-axis position of the second region of interest (ROI 2 ) is based on determining the height of an horizontal plane of said patient's maxillofacial first region of interest (ROI 1 ) when the patient is in an occlusion position or bites a patient positioning accessory. 
     
     
         9 . The method of any of  claims 1  to  8 , wherein determining a height of an horizontal plane of said patient's maxillofacial first region of interest (ROI 1 ) when the patient is in an occlusion position or bites a patient positioning accessory includes beforehand one of the following:
 acquiring a lateral x-ray scout view comprising the patient's maxillofacial first region of interest (ROI 1 ); 
 acquiring an optical image comprising the patient's maxillofacial first region of interest (ROI 1 ) including landmarks; 
 performing physical measurements on the patient's maxillofacial first region of interest (ROI 1 ) using a patient positioning device. 
 
     
     
         10 . The method of any of  claims 1  to  9 , wherein the first set of data is acquired while the patient is maintained in a first position through a patient positioning device, said first patient position being defined by a set of setting parameters for the patient positioning device. 
     
     
         11 . The method of  claim 10 , wherein it comprises prior adjusting the setting parameters of the patient positioning device before acquiring the second set of data. 
     
     
         12 . The method of any of  claims 1  to  11 , wherein the first set of data and the second set of data are separate in time. 
     
     
         13 . The method of any of  claims 1  to  12 , wherein the x-ray CBCT imaging apparatus comprises an x-ray source and an x-ray sensor that are both operable to simultaneously move around the patient's head along a predetermined trajectory and obtaining operating parameters for the x-ray CBCT imaging apparatus based on the defined second region of interest (ROI 2 ) comprises adjusting a trajectory for both x-ray source and x-ray sensor based on the defined second region of interest ROI 2 . 
     
     
         14 . A system for obtaining operating parameters for x-ray CBCT imaging a patient's maxillofacial region, comprising:
 an x-ray source and at least one x-ray sensor that are configured to move around a patient's maxillofacial first region of interest (ROI 1 ) while irradiating the latter with a slit-shaped x-ray beam so as to acquire a first set of data relative to said patient's maxillofacial first region of interest (ROI 1 ) when the patient is in an occlusion position or bites a patient positioning accessory, said patient's maxillofacial first region of interest (ROI 1 ) including an horizontal plane,   a microprocessor configured to:   
       reconstruct an axial CBCT slice comprising the horizontal plane based on the first set of data relative to the patient's maxillofacial first region of interest (ROI 1 ), 
       display the reconstructed axial CBCT slice of the patient's maxillofacial first region of interest (ROI 1 ) from the acquired first set of data with a view to defining at least partially a second region of interest (ROI 2 ) that is based on the displayed reconstructed axial CBCT slice and intersects the latter, 
       obtain operating parameters for an x-ray CBCT imaging apparatus based on at least the defined second region of interest (ROI 2 ) in view of acquiring a second set of data including the defined second region of interest (ROI 2 ). 
     
     
         15 . A computer storage medium having instructions stored therein for causing a computer or a microprocessor to perform the method of any of  claims 1  to  13 .