DE4021102A1 - Medical diagnosis station providing anginal cardiogram - combines two different images by fading and ultrasonic image with X=ray image - Google Patents
Medical diagnosis station providing anginal cardiogram - combines two different images by fading and ultrasonic image with X=ray imageInfo
- Publication number
- DE4021102A1 DE4021102A1 DE19904021102 DE4021102A DE4021102A1 DE 4021102 A1 DE4021102 A1 DE 4021102A1 DE 19904021102 DE19904021102 DE 19904021102 DE 4021102 A DE4021102 A DE 4021102A DE 4021102 A1 DE4021102 A1 DE 4021102A1
- Authority
- DE
- Germany
- Prior art keywords
- image
- ray
- images
- ultrasound
- fading
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Ceased
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/44—Constructional features of apparatus for radiation diagnosis
- A61B6/4429—Constructional features of apparatus for radiation diagnosis related to the mounting of source units and detector units
- A61B6/4435—Constructional features of apparatus for radiation diagnosis related to the mounting of source units and detector units the source unit and the detector unit being coupled by a rigid structure
- A61B6/4441—Constructional features of apparatus for radiation diagnosis related to the mounting of source units and detector units the source unit and the detector unit being coupled by a rigid structure the rigid structure being a C-arm or U-arm
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/04—Positioning of patients; Tiltable beds or the like
- A61B6/0407—Supports, e.g. tables or beds, for the body or parts of the body
- A61B6/0464—Supports, e.g. tables or beds, for the body or parts of the body mounted to ceiling
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/44—Constructional features of apparatus for radiation diagnosis
- A61B6/4417—Constructional features of apparatus for radiation diagnosis related to combined acquisition of different diagnostic modalities
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/50—Clinical applications
- A61B6/504—Clinical applications involving diagnosis of blood vessels, e.g. by angiography
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/52—Devices using data or image processing specially adapted for radiation diagnosis
- A61B6/5211—Devices using data or image processing specially adapted for radiation diagnosis involving processing of medical diagnostic data
- A61B6/5229—Devices using data or image processing specially adapted for radiation diagnosis involving processing of medical diagnostic data combining image data of a patient, e.g. combining a functional image with an anatomical image
- A61B6/5247—Devices using data or image processing specially adapted for radiation diagnosis involving processing of medical diagnostic data combining image data of a patient, e.g. combining a functional image with an anatomical image combining images from an ionising-radiation diagnostic technique and a non-ionising radiation diagnostic technique, e.g. X-ray and ultrasound
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/13—Tomography
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/52—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/5215—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves involving processing of medical diagnostic data
- A61B8/5238—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves involving processing of medical diagnostic data for combining image data of patient, e.g. merging several images from different acquisition modes into one image
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/48—Diagnostic techniques
- A61B6/481—Diagnostic techniques involving the use of contrast agents
Abstract
Description
Die Erfindung betrifft eine medizinische Diagnostikanlage mit zwei integrierten bildgebenden Systemen, von denen eines ein Ultraschallsystem zur Erzeugung von Ultraschall-Schnittbildern, das andere vorzugsweise ein Röntgendiagnostiksystem ist, wobei Mittel zum Einblenden der räumlichen Lage des jeweils erzeugten Ultraschallbildes in das andere Bild vorhanden sind.The invention relates to a medical diagnostic system two integrated imaging systems, one of which is a Ultrasound system for generating ultrasound sectional images, the other is preferably an X-ray diagnostic system, wherein Means for showing the spatial position of the generated Ultrasound image in the other image are available.
Die Ultraschallbildgebung wird z.B. in der Kardiologie zur Bildgebung bei der Katheterisierung eingesetzt. In diesem Fall werden auch Röntgenbilder erzeugt und es ist erforderlich, das jeweilige Ultraschall-Schnittbild dem in der gleichen Sitzung angefertigten Röntgenbild zuzuordnen.Ultrasound imaging is e.g. in cardiology for Imaging used in catheterization. In this case X-ray images are also generated and it is necessary that respective ultrasound slice in the same session assign the prepared X-ray image.
Der Erfindung liegt die Aufgabe zugrunde, eine medizinische Diagnostikanlage der eingangs genannten Art so auszuführen, daß die Zuordnung des Ultraschall-Schnittbildes zu dem anderen Bild, insbesondere einem angiokardiographischen Röntgenbild, in einfacher Weise erfolgen kann.The invention has for its object a medical Diagnostic system of the type mentioned in such a way that the assignment of the ultrasound sectional image to the other Image, especially an angiocardiographic x-ray image, in can be done easily.
Diese Aufgabe ist erfindungsgemäß dadurch gelöst, daß die Schnittebene als Sektor eingeblendet wird. Die Mittel zum Ein blenden des Sektors können z.B. von einem Gelenkarm gebildet sein, an dem das Ultraschallsystem aufgehängt ist und der an seinen Gelenken Geber für die jeweilige räumliche Lage des Ultraschall-Schnittbildes aufweist. Diese Lage kann dann in das andere Bild, welches vorzugsweise ein angiokardiographisches Röntgenbild ist, als Sektor eingeblendet werden.This object is achieved in that the Section plane is displayed as a sector. The means to one blinds of the sector can e.g. formed by an articulated arm on which the ultrasound system is suspended and on his joints donor for the respective spatial location of the Has ultrasound sectional image. This location can then in the other image, which is preferably an angiocardiographic X-ray image is shown as a sector.
Die Erfindung ist nachfolgend anhand eines in der Zeichnung dargestellten Ausführungsbeispieles näher erläutert. Es zeigen: The invention is based on one in the drawing illustrated embodiment explained in more detail. Show it:
Fig. 1 eine medizinische Diagnostikanlage nach der Erfindung, und Fig. 1 shows a medical diagnostic system according to the invention, and
Fig. 2 und 3 zwei Beispiele für durch die Diagnostikanlage ge mäß Fig. 1 erzeugte Bilder. Fig. 2 and 3 show two examples of ge by the diagnostic system Mäss Fig. 1 generated images.
In der Fig. 1 ist ein Zweiebenen-Angiographiesystem 1 mit zwei C-Bogen 2, 3 dargestellt, welche an ihren Enden je einen Rönt genstrahler 4, 5 und einen Röntgenbildverstärker 6, 7 tragen. Der Röntgenstrahler 4 und der Röntgenbildverstärker 6 sowie der Röntgenstrahler 5 und der Röntgenbildverstärker 7 sind jeweils zueinander ausgerichtet. Die Zentralstrahlen der beiden Rönt genstrahler 4, 5 sind dabei in einer Ebene um 90° gegeneinander versetzt. Dadurch ist es möglich, einen auf einem Tisch 8 lie genden Patienten in zwei zueinander senkrechten Richtungen zu durchstrahlen und demgemäß zwei Röntgen-Übersichtsaufnahmen aus diesen Richtungen zu erzeugen.In Fig. 1, a two-level angiography system 1 is shown with two C-arms 2 , 3 , each of which carries an X-ray generator 4 , 5 and an X-ray image intensifier 6 , 7 at their ends. The x-ray emitter 4 and the x-ray image intensifier 6 as well as the x-ray emitter 5 and the x-ray image intensifier 7 are each aligned with one another. The central rays of the two X-ray emitters 4 , 5 are offset from one another in one plane by 90 °. This makes it possible to irradiate a patient lying on a table 8 in two mutually perpendicular directions and accordingly to produce two x-ray overview images from these directions.
Das Angiographiesystem 1 weist einen Elektronikschrank 9 auf, der die Aufnahmeeinheiten 4, 6; 5, 7 speist und steuert und die Bilddaten der Röntgenbildverstärker 6, 7, die mit Hilfe von Fernsehkameras aufgenommen werden, empfängt und mittels eines Rechners 10 zu einem auf einem Monitor 11 wiedergebbaren Bild verarbeitet. Auf dem Monitor 11 können dabei die beiden aus unterschiedlichen Richtungen erzeugten Übersichtsaufnahmen nacheinander wiedergegeben werden. Es ist aber auch möglich, zwei Monitore zur gleichzeitigen Wiedergabe dieser Aufnahmen vorzusehen.The angiography system 1 has an electronics cabinet 9 , which the recording units 4 , 6 ; 5 , 7 feeds and controls and receives the image data of the X-ray image intensifiers 6 , 7 , which are recorded with the aid of television cameras, and processed by means of a computer 10 to form an image which can be reproduced on a monitor 11 . The two overview images generated from different directions can be reproduced one after the other on the monitor 11 . However, it is also possible to provide two monitors for the simultaneous playback of these recordings.
Mit Hilfe des Angiographiesystems 1 ist es insbesondere mög lich, durch geeignete Injektion von Kontrastmittel in den Pati enten Leer- und Füllungsbilder von Blutgefäßen zu erzeugen, aus denen mit Hilfe des Rechners 10 digitale Subtraktionsangiogra phien erzeugt werden.With the aid of the angiography system 1 , it is in particular possible to generate empty and filling images of blood vessels by suitable injection of contrast medium in the patient, from which 10 digital subtraction angiographies are generated with the aid of the computer.
Von dem auf dem Tisch 8 liegenden Patienten ist mittels eines Ultraschallsystems 12 mit einem Ultraschallkopf 13 auch die Er zeugung von Ultraschall-Schnittbildern möglich. Hierzu wird der Ultraschallkopf 13 an einer bestimmten Stelle des Körpers des Patienten aufgesetzt und durchschallt diesen z.B. sektorförmig. Die Lage der Schnittebene wird dabei dadurch erfaßt, daß den Gelenken eines den Ultraschallkopf 13 tragenden Gelenkarmes Geber 14, 15 zugeordnet sind, die entsprechende elektrische Signale einer Schaltung 16 zuführen. Die Schaltung 16 bewirkt die Einblendung der Lage der Schnittebene des jeweils erzeugten Ultraschall-Schnittbildes in die Übersichtsaufnahme auf dem Monitor 11.From the patient lying on the table 8 , the generation of ultrasound sectional images is also possible by means of an ultrasound system 12 with an ultrasound head 13 . For this purpose, the ultrasound head 13 is placed on a specific point on the patient's body and passes through it, for example in the form of a sector. The position of the cutting plane is detected by the fact that the joints of an articulated arm carrying the ultrasound head 13 are assigned sensors 14 , 15 which supply corresponding electrical signals to a circuit 16 . The circuit 16 causes the position of the cutting plane of the ultrasound sectional image generated in each case to be superimposed on the overview image on the monitor 11 .
Die Fig. 2 zeigt beispielsweise ein Röntgen-Übersichtsbild 20, in dem eine Linie 17 eingeblendet ist, die die Lage der Schnittebene des auf einem Monitor 18 wiedergegebenen Ultra schallbildes zeigt.The Fig. 2 for example shows an X-ray overview screen 20 is displayed in which a line 17 which shows the location of the cutting plane of the reproduced on a monitor 18 ultrasound image.
In der Fig. 3 ist die Orientierung des Ultraschall-Schnittbil des gegenüber dem Röntgen-Übersichtsbild 20 verändert. Ein Sek tor 19 zeigt die Lage dieser Schnittebene an. Die Schnittebene liegt demgemäß in Fig. 2 senkrecht zur Zeichenebene, während sie in der Fig. 3 in der Zeichenebene liegt oder diese unter einem von 90° abweichenden Winkel schneidet.In FIG. 3, the orientation of the ultrasound sectional image is changed compared to the X-ray overview image 20 . A sector 19 shows the position of this cutting plane. The section plane is accordingly perpendicular to the drawing plane in FIG. 2, while in FIG. 3 it lies in the drawing plane or cuts it at an angle deviating from 90 °.
Die Lage der Schnittebene bzw. Schnittebenen kann in Form der Referenzlinie oder entsprechender räumlicher Koordinaten doku mentiert werden. Somit ist der Bezug zu den Schnittebenen und eine Reproduzierbarkeit der Lage der Schnittebenen bei späteren Untersuchungen gewährleistet.The position of the cutting plane or cutting planes can be in the form of Reference line or corresponding spatial coordinates doku be mented. This is the reference to the cutting planes and a reproducibility of the position of the cutting planes in later Investigations guaranteed.
Die Erfindung ist in Verbindung mit der Erzeugung von Röntgen- Übersichtsbildern beschrieben. Sie ist aber auch in Verbindung mit anderen bildgebenden Systemen, z.B. in Verbindung mit einem Computertomographen, anwendbar.The invention is related to the generation of x-ray Overview pictures described. But it is also connected with other imaging systems, e.g. in connection with a Computer tomographs, applicable.
Claims (1)
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP89112998 | 1989-07-14 |
Publications (1)
Publication Number | Publication Date |
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DE4021102A1 true DE4021102A1 (en) | 1991-01-17 |
Family
ID=8201627
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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DE19904021102 Ceased DE4021102A1 (en) | 1989-07-14 | 1990-07-02 | Medical diagnosis station providing anginal cardiogram - combines two different images by fading and ultrasonic image with X=ray image |
Country Status (1)
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DE (1) | DE4021102A1 (en) |
Cited By (17)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE4130761A1 (en) * | 1991-09-16 | 1993-03-18 | Siemens Ag | DEVICE FOR TREATING A LIVING BEING WITH ACOUSTIC WAVES |
EP0581704A1 (en) * | 1992-07-31 | 1994-02-02 | Universite Joseph Fourier | Method for determining the position of an organ |
US5840022A (en) * | 1993-03-22 | 1998-11-24 | Siemens Aktiengesellschaft | Method for imaging display of a part of the human body |
DE19848765A1 (en) * | 1998-10-22 | 2000-05-11 | Brainlab Med Computersyst Gmbh | Three-dimensional positioning reference insertion method for video camera image e.g. for positioning patient for computer tomography, uses computer-aided evaluation of infra-red images of space viewed by video camera |
DE10015826A1 (en) * | 2000-03-30 | 2001-10-11 | Siemens Ag | Image generating system for medical surgery |
DE10015824A1 (en) * | 2000-03-30 | 2001-10-11 | Siemens Ag | Image data set generating system for medical X-ray system |
DE10015815A1 (en) * | 2000-03-30 | 2001-10-11 | Siemens Ag | Image data set generating system for medical diagnostics - superimposes or merges image data obtained from X-ray and ultrasound systems, whose position was determined using navigation system |
DE10130611A1 (en) * | 2001-06-26 | 2003-01-02 | Siemens Ag | Method for positioning of digital imaging systems, especially for medical X-ray use, so that the desired image, showing an area of interest, is obtained with minimum repeat exposures |
DE10210648A1 (en) * | 2002-03-11 | 2003-10-02 | Siemens Ag | Medical 3-D imaging method for organ and catheter type instrument portrayal in which 2-D ultrasound images, the location and orientation of which are known, are combined in a reference coordinate system to form a 3-D image |
EP1405604A1 (en) * | 2002-10-04 | 2004-04-07 | HMT High Medical Technologies AG | Device for the localisation and/or diagnosis of a treatment zone of the human or animal body |
DE10317137A1 (en) * | 2003-04-14 | 2004-11-18 | Siemens Ag | X-ray apparatus with scanning support taking series of two-dimensional projections from object under investigation and includes three-dimensional sensor on carrier |
DE10328765A1 (en) * | 2003-06-25 | 2005-02-03 | aviCOM Gesellschaft für angewandte visuelle Systeme mbH | Device and method for joining image of electric field of heart with image of actual heart using camera, ultra sonic device, and ECG mapping unit |
WO2008018054A3 (en) * | 2006-08-08 | 2008-09-25 | Keter Medical Ltd | Imaging system |
US20130053681A1 (en) * | 2011-08-31 | 2013-02-28 | Canon Kabushiki Kaisha | Information processing apparatus, ultrasonic imaging apparatus, and information processing method |
CN108784734A (en) * | 2017-04-26 | 2018-11-13 | 西门子保健有限责任公司 | Device and method for ultrasonic examination |
US20190167212A1 (en) * | 2016-08-12 | 2019-06-06 | Leoni Kabel Gmbh | Patient support device and patient positioning system |
US11213273B2 (en) | 2012-12-03 | 2022-01-04 | Koninklijke Philips N.V. | Integration of ultrasound and x-ray modalities |
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DE3426398C1 (en) * | 1984-07-18 | 1987-11-12 | Dornier System Gmbh, 7990 Friedrichshafen | Device for spatial location and positioning of calculus |
-
1990
- 1990-07-02 DE DE19904021102 patent/DE4021102A1/en not_active Ceased
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DE3426398C1 (en) * | 1984-07-18 | 1987-11-12 | Dornier System Gmbh, 7990 Friedrichshafen | Device for spatial location and positioning of calculus |
Non-Patent Citations (1)
Title |
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DE-B.: Kompendium Elektromedizin, 2. Aufl. 1978, S. 231-232 * |
Cited By (28)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE4130761A1 (en) * | 1991-09-16 | 1993-03-18 | Siemens Ag | DEVICE FOR TREATING A LIVING BEING WITH ACOUSTIC WAVES |
US5327890A (en) * | 1991-09-16 | 1994-07-12 | Siemens Aktiengesellschaft | Apparatus for treating a patient with acoustic waves |
EP0581704A1 (en) * | 1992-07-31 | 1994-02-02 | Universite Joseph Fourier | Method for determining the position of an organ |
FR2694881A1 (en) * | 1992-07-31 | 1994-02-25 | Univ Joseph Fourier | Method for determining the position of an organ. |
US5447154A (en) * | 1992-07-31 | 1995-09-05 | Universite Joseph Fourier | Method for determining the position of an organ |
US5840022A (en) * | 1993-03-22 | 1998-11-24 | Siemens Aktiengesellschaft | Method for imaging display of a part of the human body |
DE19848765A1 (en) * | 1998-10-22 | 2000-05-11 | Brainlab Med Computersyst Gmbh | Three-dimensional positioning reference insertion method for video camera image e.g. for positioning patient for computer tomography, uses computer-aided evaluation of infra-red images of space viewed by video camera |
DE19848765C2 (en) * | 1998-10-22 | 2000-12-21 | Brainlab Med Computersyst Gmbh | Position verification in camera images |
DE10015826A1 (en) * | 2000-03-30 | 2001-10-11 | Siemens Ag | Image generating system for medical surgery |
DE10015824A1 (en) * | 2000-03-30 | 2001-10-11 | Siemens Ag | Image data set generating system for medical X-ray system |
DE10015815A1 (en) * | 2000-03-30 | 2001-10-11 | Siemens Ag | Image data set generating system for medical diagnostics - superimposes or merges image data obtained from X-ray and ultrasound systems, whose position was determined using navigation system |
DE10015824C2 (en) * | 2000-03-30 | 2002-11-21 | Siemens Ag | System and method for generating an image data set |
US6768496B2 (en) | 2000-03-30 | 2004-07-27 | Siemens Aktiengesellschaft | System and method for generating an image from an image dataset and a video image |
US6795571B2 (en) | 2000-03-30 | 2004-09-21 | Siemens Aktiengesellschaft | System and method for generating an image dataset |
DE10130611A1 (en) * | 2001-06-26 | 2003-01-02 | Siemens Ag | Method for positioning of digital imaging systems, especially for medical X-ray use, so that the desired image, showing an area of interest, is obtained with minimum repeat exposures |
DE10210648A1 (en) * | 2002-03-11 | 2003-10-02 | Siemens Ag | Medical 3-D imaging method for organ and catheter type instrument portrayal in which 2-D ultrasound images, the location and orientation of which are known, are combined in a reference coordinate system to form a 3-D image |
US6923768B2 (en) | 2002-03-11 | 2005-08-02 | Siemens Aktiengesellschaft | Method and apparatus for acquiring and displaying a medical instrument introduced into a cavity organ of a patient to be examined or treated |
EP1405604A1 (en) * | 2002-10-04 | 2004-04-07 | HMT High Medical Technologies AG | Device for the localisation and/or diagnosis of a treatment zone of the human or animal body |
DE10317137A1 (en) * | 2003-04-14 | 2004-11-18 | Siemens Ag | X-ray apparatus with scanning support taking series of two-dimensional projections from object under investigation and includes three-dimensional sensor on carrier |
DE10328765A1 (en) * | 2003-06-25 | 2005-02-03 | aviCOM Gesellschaft für angewandte visuelle Systeme mbH | Device and method for joining image of electric field of heart with image of actual heart using camera, ultra sonic device, and ECG mapping unit |
DE10328765B4 (en) * | 2003-06-25 | 2005-11-24 | aviCOM Gesellschaft für angewandte visuelle Systeme mbH | Device and method for connecting the representation of the electric cardiac field with the representation of the associated heart |
WO2008018054A3 (en) * | 2006-08-08 | 2008-09-25 | Keter Medical Ltd | Imaging system |
US20130053681A1 (en) * | 2011-08-31 | 2013-02-28 | Canon Kabushiki Kaisha | Information processing apparatus, ultrasonic imaging apparatus, and information processing method |
US11213273B2 (en) | 2012-12-03 | 2022-01-04 | Koninklijke Philips N.V. | Integration of ultrasound and x-ray modalities |
US20190167212A1 (en) * | 2016-08-12 | 2019-06-06 | Leoni Kabel Gmbh | Patient support device and patient positioning system |
US11950943B2 (en) * | 2016-08-12 | 2024-04-09 | Bizlink Industry Germany Gmbh | Patient support device and patient positioning system |
CN108784734A (en) * | 2017-04-26 | 2018-11-13 | 西门子保健有限责任公司 | Device and method for ultrasonic examination |
US11357475B2 (en) | 2017-04-26 | 2022-06-14 | Siemens Healthcare Gmbh | Device and method for ultrasound examination |
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