Medical image processing system and medical image processing method
A high-definition guide image for supporting a procedure that uses an X-ray fluoroscopic image is generated from 3D images taken in advance by a CT device and an MRI device, and the generated image is displayed. A parameter value is acquired from the parameters set in an X-ray imaging device upon taking the fluoroscopic image. After performing registration between the 3D CT image and the 3D MRI image, using the parameter value of the X-ray imaging device, the direction of light passage of the cone beam is set on each of the 3D CT image and the 3D MRI image, and 2D projected images are generated therefrom respectively. Then, the generated 2D projected images are superimposed and the superimposed image is displayed as the guide image.
1 . A medical image processing system that generates a subject image serving as a guide image for a procedure performed on a subject while viewing a fluoroscopic image taken by an X-ray imaging device, comprising
a three-dimensional image acquisition unit configured to receive a three-dimensional CT image of the subject taken in advance by a CT device, and a three-dimensional MRI image of the subject taken in advance by a magnetic resonance imaging device,
an image registration unit configured to perform registration between the three-dimensional CT image and the three-dimensional MRI image,
a tissue structure extraction unit configured to generate a three-dimensional MRI specific-tissue image by extracting a predetermined specific tissue image from the three-dimensional MRI image after the registration,
a parameter acquisition unit configured to acquire a value of predetermined type of parameter among multiple types of parameters set in the X-ray imaging device upon taking the fluoroscopic image,
a projection calculation unit configured to use the value of the parameter acquired by the parameter acquisition unit to set a direction of light passage corresponding to a direction in which the X-ray passes through the subject in the X-ray imaging device, on each of the three-dimensional CT image and the three-dimensional MRI specific-tissue image, and to project the three-dimensional CT image and the three-dimensional MRI specific-tissue image along the direction of light passage, respectively, to generate two-dimensional projected images, and
an image superimposition unit configured to generate a superimposed image in which the two-dimensional projected image of the three-dimensional CT image and the two-dimensional projected image of the three-dimensional MRI specific-tissue image are superimposed, and to display the generated superimposed image as the guide image.
2 . The medical image processing system according to claim 1 , wherein
the direction of light passage corresponds to the direction of a cone beam.
3 . The medical image processing system according to claim 2 , wherein
the image superimposition unit superimposes a radial pattern representing the direction of light passage of the cone beam, on the superimposed image.
4 . The medical image processing system according to claim 1 , wherein
the predetermined type of parameter includes a distance between an X-ray source and an X-ray detection panel and a size of the X-ray detection panel when the X-ray imaging device takes the fluoroscopic image.
5 . The medical image processing system according to claim 4 , wherein
the parameter acquisition unit acquires the value of the parameter from the X-ray imaging device in which the parameter is set.
6 . The medical image processing system according to claim 4 , wherein
the parameter acquisition unit acquires the value of the parameter from a database in which imaging parameters of the X-ray imaging device are stored in advance.
7 . The medical image processing system according to claim 1 , wherein
the superimposition unit displays the guide image side by side with the fluoroscopic image.
8 . The medical image processing system according to claim 1 , wherein
the parameter acquisition unit acquires as the parameter, an angle of the X-ray source of the X-ray imaging device with respect to the subject, and
when the angle of the X-ray source acquired by the parameter acquisition unit is rotated from a predetermined angle, the projection calculation unit rotates the direction of light passage to the acquired angle and generates the two-dimensional projected images.
9 . A medical image processing method that generates a subject image serving as a guide image for a procedure performed on a subject while viewing a fluoroscopic image taken by an X-ray imaging device, comprising
acquiring a value of predetermined type of parameter among multiple types of parameters set in the X-ray imaging device upon taking the fluoroscopic image,
receiving a three-dimensional CT image of the subject taken in advance by a CT device, and a three-dimensional MRI image of the subject taken in advance by a magnetic resonance imaging device,
performing registration between the three-dimensional CT image and the three-dimensional MRI image,
generating a three-dimensional MRI specific-tissue image by extracting a predetermined specific tissue image from the three-dimensional MRI image after the registration,
using the value of the parameter acquired by the parameter acquisition unit to set a direction of light passage corresponding to a direction in which the X-ray passes through the subject in the X-ray imaging device, on each of the three-dimensional CT image and the three-dimensional MRI specific-tissue image, and projecting the three-dimensional CT image and the three-dimensional MRI specific-tissue image along the direction of light passage, respectively, to generate two-dimensional projected images, and
generating a superimposed image in which the two-dimensional projected image of the three-dimensional CT image and the two-dimensional projected image of the three-dimensional MRI specific-tissue image are superimposed, and displaying the generated superimposed image as the guide image.