WO2022242072A1 - Intracardiac three-dimensional ultrasonic imaging catheter and system, and cardiac three-dimensional model construction method - Google Patents

Intracardiac three-dimensional ultrasonic imaging catheter and system, and cardiac three-dimensional model construction method Download PDF

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Publication number
WO2022242072A1
WO2022242072A1 PCT/CN2021/131526 CN2021131526W WO2022242072A1 WO 2022242072 A1 WO2022242072 A1 WO 2022242072A1 CN 2021131526 W CN2021131526 W CN 2021131526W WO 2022242072 A1 WO2022242072 A1 WO 2022242072A1
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Prior art keywords
ultrasonic
dimensional
imaging
heart
intracardiac
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PCT/CN2021/131526
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French (fr)
Chinese (zh)
Inventor
何精才
刘斌
胡军
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深圳市赛禾医疗技术有限公司
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Publication of WO2022242072A1 publication Critical patent/WO2022242072A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/12Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/08Detecting organic movements or changes, e.g. tumours, cysts, swellings
    • A61B8/0883Detecting organic movements or changes, e.g. tumours, cysts, swellings for diagnosis of the heart
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/42Details of probe positioning or probe attachment to the patient
    • A61B8/4245Details of probe positioning or probe attachment to the patient involving determining the position of the probe, e.g. with respect to an external reference frame or to the patient
    • A61B8/4254Details of probe positioning or probe attachment to the patient involving determining the position of the probe, e.g. with respect to an external reference frame or to the patient using sensors mounted on the probe
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/48Diagnostic techniques
    • A61B8/483Diagnostic techniques involving the acquisition of a 3D volume of data
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/52Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/5207Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves involving processing of raw data to produce diagnostic data, e.g. for generating an image
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/56Details of data transmission or power supply

Definitions

  • the present application relates to the technical field of medical devices, in particular to a catheter and system for three-dimensional ultrasound imaging in the heart, and a method for constructing a three-dimensional model of the heart.
  • Ultrasound can be used as a supplement to optical observation for diagnosis and control, because sound waves can travel in media that are opaque to electromagnetic waves, so it has a wide range of applications in the medical field.
  • the corresponding three-dimensional ultrasound imaging has increasingly become an important tool for the diagnosis and treatment of cardiac abnormalities such as endocarditis, atrial septal defect, patent foramen ovale and ventricular septal defect (VSD).
  • the device can accurately obtain the anatomical structure information of the heart, and can simultaneously display the hemodynamics of the heart, real-time dynamic evaluation of the local myocardium and the overall heart function in vivo.
  • An ultrasound imaging device generally includes an ultrasound imaging host, an ultrasound catheter, and a control unit.
  • the ultrasonic catheter includes a sheath and an ultrasonic device.
  • the ultrasonic imaging host can then fit the three-dimensional ultrasonic imaging electrical signals into an image.
  • the existing intracardiac 3D ultrasound imaging catheter cannot precisely locate the attitude of the ultrasound device during imaging, which leads to image distortion when the ultrasound imaging host uses these 3D ultrasound imaging electrical signals to construct a 3D model of the heart, thereby affecting the imaging quality.
  • the application provides a three-dimensional ultrasound imaging catheter and system in the heart, and a method for constructing a three-dimensional model of the heart, which can accurately locate the posture and position of the ultrasound device during use, prevent image distortion, and ensure imaging quality.
  • the embodiment of the first aspect of the present application provides a three-dimensional ultrasound imaging catheter in the heart, including:
  • the sheath tube has a distal end and a proximal end, and the sheath tube is provided with a traction member;
  • an ultrasonic device arranged at the far end of the sheath, for obtaining electrical signals for three-dimensional ultrasonic imaging
  • control handle connected to the traction member, for controlling the posture of the ultrasonic device through the traction member
  • attitude sensor arranged in the sheath and adjacent to the ultrasonic device, the attitude sensor is used to obtain the three-dimensional attitude coordinates of the ultrasonic device;
  • the communication unit is used to transmit the signals of the ultrasonic device and the attitude sensor to the ultrasonic imaging host.
  • the ultrasonic device includes a fixed seat, a flexible circuit board, a backing layer and an ultrasonic chip arranged in sequence.
  • the ultrasonic chip includes an ultrasonic transceiver chip and an ultrasonic planar array chip, and the ultrasonic transceiver chip and the ultrasonic planar array chip are three-dimensionally integrated through a CMOS semiconductor process.
  • the side of the backing layer away from the ultrasonic chip is provided with a plurality of grooves.
  • the side wall of the groove is provided with a first reflective surface and a second reflective surface, and the first reflective surface and the second reflective surface are parallel to the bottom wall of the groove and along the The grooves are set at intervals in the depth direction.
  • the first reflective surface and the second reflective surface have a height difference along the depth direction of the groove, and the height difference is 1/4 of the ultrasonic wavelength.
  • a plurality of the first reflective surfaces and a plurality of the second reflective surfaces are arranged in the same groove, and a plurality of the first reflective surfaces and a plurality of the second reflective surfaces
  • the reflective surfaces are arranged alternately, and every two adjacent first reflective surfaces and the second reflective surfaces have a height difference along the depth direction of the groove, and the multiple height differences are not all equal.
  • the embodiment of the second aspect of the present application provides a three-dimensional ultrasound imaging system in the heart, including:
  • the intracardiac three-dimensional ultrasound imaging catheter as described in the first aspect of the present application.
  • the ultrasonic imaging host is used to control the ultrasonic wave device to perform ultrasonic emission scanning in the heart and receive the real-time three-dimensional ultrasonic imaging electrical signal output by the ultrasonic device, the ultrasonic imaging host is used to control the three-dimensional ultrasonic imaging Imaging electrical signals undergo signal processing and image processing to produce real-time three-dimensional images of the heart.
  • the embodiment of the third aspect of the present application provides a method for constructing a three-dimensional model of the heart, including:
  • Control the ultrasonic device to perform ultrasonic scanning receive the real-time three-dimensional ultrasonic imaging electrical signal output by the ultrasonic device through the ultrasonic imaging host, and perform signal processing and image processing on the three-dimensional ultrasonic imaging electrical signal to generate a real-time three-dimensional ultrasonic image;
  • Adjust the ultrasonic device to the next target scanning point acquire the corresponding three-dimensional attitude coordinate signal, and generate the corresponding three-dimensional ultrasonic image through the ultrasonic imaging host;
  • the corresponding electrocardiographic cycle signal is obtained through the electrocardiogram device;
  • the corresponding three-dimensional posture coordinate signals are fitted to generate a three-dimensional model of the heart.
  • the beneficial effect of a three-dimensional ultrasound imaging catheter in the heart provided by the present application: through the posture sensor arranged adjacent to the ultrasound device, the three-dimensional posture coordinates of the ultrasound device can be acquired while the ultrasound device is obtaining three-dimensional ultrasound imaging information, so that the three-dimensional posture coordinates of the ultrasound device can be obtained during imaging. Accurately locate the posture and position of the ultrasonic device to ensure the imaging quality.
  • the three-dimensional imaging system of the present application uses the ultrasonic imaging host to fit the three-dimensional ultrasonic imaging electrical signal and the three-dimensional attitude coordinate signal to generate a three-dimensional model of the heart, and can obtain the attitude coordinates corresponding to each frame of three-dimensional ultrasonic imaging, which can be accurate during imaging. Positioning the posture and position of the ultrasonic device, the ultrasonic imaging host improves the imaging quality when constructing a three-dimensional model of the heart through these three-dimensional ultrasonic imaging electrical signals.
  • the three-dimensional imaging method of the present application generates a three-dimensional model of the heart by fitting the three-dimensional ultrasonic imaging electrical signal and the three-dimensional attitude coordinate signal, which can accurately locate the attitude and position of the ultrasonic device, avoid image distortion, and can also synthesize the time when the heart beats as needed.
  • the three-dimensional models of the heart at different stages can reduce the influence of the beating heart on the synthesis of the three-dimensional model of the heart, and can better express the heart beating.
  • Fig. 1 is a schematic structural diagram of a three-dimensional ultrasound imaging catheter in the heart in one embodiment of the present application
  • Fig. 2 is a schematic diagram of the relative positions of the ultrasonic device and the attitude sensor in one of the embodiments of the present application;
  • Fig. 3 is a cross-sectional view of Fig. 2 along the axis of the sheath;
  • Figure 4 is a schematic cross-sectional view of a sheath in one of the embodiments of the present application.
  • Figure 5 is a schematic structural view of the backing layer in one of the embodiments of the present application.
  • Fig. 6 is a schematic structural diagram of a three-dimensional imaging system in one embodiment of the present application.
  • Fig. 7 is a schematic diagram of the three-dimensional imaging principle of the three-dimensional imaging system in one embodiment of the present application.
  • Fig. 8 is a flowchart of a three-dimensional imaging method in one embodiment of the present application.
  • Fig. 9 is a schematic diagram of a three-dimensional scanning of an ultrasonic device in one of the embodiments of the present application.
  • Fig. 10 is a diagram of the correspondence relationship between the electrical cycle signal and the three-dimensional posture coordinates of one embodiment of the present application.
  • first and second are used for descriptive purposes only, and cannot be interpreted as indicating or implying relative importance or implicitly specifying the quantity of indicated technical features. Thus, a feature defined as “first” and “second” may explicitly or implicitly include one or more of these features.
  • “plurality” means two or more, unless otherwise specifically defined.
  • the embodiment of the first aspect of the present application provides a three-dimensional ultrasound imaging catheter 100 in the heart, including a sheath tube 10 , an ultrasound device 20 , a control handle 30 , a posture sensor 40 and a communication unit 50 .
  • the ultrasonic device 20 and the attitude sensor 40 are arranged in the sheath 10
  • the control handle 30 is arranged on the sheath 10 .
  • the sheath tube 10 has a distal end 11 and a proximal end 12 for pushing and withdrawing the attitude sensor 40 and the ultrasonic device 20 in the body.
  • the sheath tube 10 has a multilayer structure, including one or more of braided wire, spring, and carved tube.
  • a reinforcing layer composed of two kinds; the sheath tube 10 is provided with a traction piece 13, which is used for the orientation adjustment of the ultrasonic device 20 in the body, and the traction piece 13 can be set as four traction wires arranged at uniform intervals along the circumferential direction of the sheath tube 10, through
  • the stretching of the four pulling wires can realize the bending of the distal end 11 of the sheath tube 10 in different directions, and the multi-position adjustment of the ultrasonic device 20 can be realized with the rotation of the sheath tube 10.
  • the material of the pulling wires can be polyetheretherketone wire or stainless steel wire Or nickel-titanium wire, etc., a cannula can be set in the sheath tube 10, so that the pulling wire is set in the cannula.
  • the ultrasonic device 20 is arranged at the distal end 11 of the sheath tube 10 , has the function of mutual conversion between acoustic energy and electrical energy, and is used to obtain electrical signals for three-dimensional ultrasonic imaging.
  • the ultrasonic device 20 includes a fixed seat 21 , a flexible circuit board 22 , a backing layer 23 and an ultrasonic chip 24 arranged in sequence.
  • the ultrasonic chip 24 is a phased array ultrasonic transceiver chip, including an ultrasonic transceiver chip and an ultrasonic planar array chip, and realizes monolithic three-dimensional integration through CMOS semiconductor technology.
  • the ultrasonic planar array chip is a planar array of transducers arranged in a matrix with M rows and N columns, including multiple transducer units. Prepared.
  • the ultrasonic transceiver chip includes a power management module, a clock circuit module, a transmitting circuit module, a receiving circuit module, an aperture synthesis circuit module, and an analog-to-digital conversion circuit module. It has the characteristics of high reliability, wide frequency bandwidth, and high sensitivity, which is conducive to improving image imaging quality.
  • the control handle 30 is connected to the traction member 13 for controlling the attitude of the ultrasonic device 20 through the traction member 13 .
  • a steering controller is provided on the control handle 30 , and the traction member 13 is pulled by the steering controller on the control handle 30 to realize the steering of the distal end 11 of the sheath tube 10 , thereby realizing the orientation adjustment of the ultrasonic chip 24 in the body.
  • the attitude sensor 40 is disposed in the sheath 10 and adjacent to the ultrasonic device 20 , and the attitude sensor 40 is used to obtain the three-dimensional attitude coordinates of the ultrasonic device 20 .
  • the attitude sensor 40 can calibrate the position and velocity of the ultrasonic device 20 relative to the shell of the distal end 11 of the sheath 10 to obtain its three-dimensional attitude coordinates.
  • the attitude sensor 40 can be configured as an x-ray, electromagnetic or optical sensor.
  • the communication unit 50 is used to transmit the signals of the ultrasonic device 20 and the attitude sensor 40 to the ultrasonic imaging host 200 .
  • the communication unit 50 can adopt wired communication and/or wireless communication. In the wired communication, the communication unit 50 can be provided with connecting lines, such as cable connectors.
  • the flexible circuit board 22 and the electrical leads are all arranged inside the sheath tube 10.
  • the signal of the ultrasonic chip 24 is used to transmit the signal of the ultrasonic imaging host 200 , and the electric wire transmits the signal of the posture sensor 40 to the ultrasonic imaging host 200 .
  • a three-dimensional ultrasound imaging catheter in the heart provided by the present application is applied in a three-dimensional imaging system, and the three-dimensional attitude coordinates of the ultrasonic device are acquired while the ultrasonic device 20 acquires ultrasonic image information through the attitude sensor 40 arranged adjacent to the ultrasonic device 20 , by fitting the ultrasonic image information and the three-dimensional attitude coordinate signal, the attitude and position of the ultrasonic device can be precisely positioned during imaging, preventing image distortion and ensuring imaging quality.
  • the side of the backing layer 23 away from the ultrasonic chip 24 is provided with a plurality of grooves 231 .
  • the groove 231 is used to scatter the ultrasonic signal reflected by the back of the ultrasonic chip 24 (as shown by the arrow in Figure 5), and the ultrasonic signal sent by the ultrasonic chip 24 causes strong scattering in the groove 231, thereby effectively reducing the specular reflection on the back, Avoid the reflected ultrasonic signal and the silicon base in the ultrasonic chip 24 to resonate, distort the response of the ultrasonic chip 24, affect the useful bandwidth of the ultrasonic chip 24, and improve the imaging quality.
  • the longitudinal waves are converted to shear waves at the back, and shear waves generally have higher propagation losses than incident longitudinal waves.
  • the side of the backing layer 23 away from the ultrasonic chip 24 can also be set as a serrated surface.
  • the ultrasonic signal is scattered in irregular directions around the serrated surface.
  • the serrated surface is also used to scatter the energy reflected from the back of the ultrasonic chip 24 to improve the imaging quality.
  • the sidewall of the groove 231 is provided with a first reflective surface 2311 and a second reflective surface 2312 , and the first reflective surface 2311 and the second reflective surface 2312 are along the depth direction of the groove 231 Parallel to the bottom wall of the groove 231 and arranged at intervals along the depth direction of the groove 231, the depth direction of the groove 231 is the direction connecting the notch of the groove 231 and the bottom wall, and the first reflective surface 2311 and the second reflective surface 2311 are provided.
  • the surface 2312 increases the scattering surface of the ultrasonic signal, provides a longer propagation path for the ultrasonic signal to return to the transducer, and further improves the imaging quality.
  • the first reflective surface 2311 and the second reflective surface 2312 have a height difference along the depth direction of the groove 231 , and the height difference is 1/4 of the ultrasonic wavelength.
  • the ultrasonic signal causes stronger scattering in the stepped first reflecting surface 2311 and the second reflecting surface 2312 , thereby effectively reducing the specular reflection on the back of the ultrasonic chip 24 .
  • first reflective surfaces 2311 and multiple second reflective surfaces 2312 are arranged in the same groove 231, and multiple first reflective surfaces 2311 and multiple second reflective surfaces 2312 are arranged alternately, Every two adjacent first reflective surfaces 2311 and second reflective surfaces 2312 have a height difference along a direction perpendicular to the bottom surface of the groove 231 , and the plurality of height differences are not all equal.
  • ultrasonic signals of different frequencies can be scattered.
  • four different height differences are required to eliminate the specular reflection of ultrasonic signals of two independent frequencies.
  • the embodiment of the second aspect of the present application provides a three-dimensional ultrasound imaging system in the heart, including:
  • the intracardiac three-dimensional ultrasound imaging catheter according to the first aspect of the present application.
  • the ultrasonic imaging host 200 the ultrasonic imaging host 200 is used to control the ultrasonic wave device to perform two-dimensional M rows and N columns of ultrasonic emission scanning in the heart and receive the real-time three-dimensional ultrasonic imaging electrical signal output by the ultrasonic device 20, the ultrasonic imaging host 200 is for the three-dimensional Ultrasound imaging electrical signals undergo signal processing and image processing to produce real-time three-dimensional images of the heart.
  • the attitude sensor 40 since the attitude sensor 40 is set on the three-dimensional ultrasound imaging catheter in the heart, the three-dimensional attitude coordinates of the ultrasonic device 20 can be obtained while the ultrasonic device 20 obtains the ultrasonic image information, so that the ultrasonic device can be precisely positioned during imaging. Posture and position to prevent image distortion and ensure image quality.
  • the three-dimensional imaging system also includes an electrocardiogram device, and the ultrasonic imaging host 200 can receive the electrocardiographic cycle signal 60 obtained by the electrocardiographic device, and the three-dimensional ultrasonic imaging electrical signal , the three-dimensional posture coordinates 70 and the electrocardiographic cycle signal 60 to generate a three-dimensional model of the heart.
  • the three-dimensional models of the heart at different stages of the heartbeat can be synthesized according to the needs. For example, the three-dimensional posture coordinates 70 and the three-dimensional ultrasound imaging electrical signals corresponding to the ST segment of the heartbeat can be found.
  • the three-dimensional ultrasound imaging electrical signals and the three-dimensional attitude coordinates 70 and the electrocardiographic cycle signal 60 are fitted to generate a three-dimensional model of the heart, thereby reducing the influence of the beating heart on the synthesis of the three-dimensional heart model, and at the same time better representing the beating heart.
  • the embodiment of the third aspect of the present application provides a method for constructing a three-dimensional model of the heart, including:
  • S10 Transport the intracardiac three-dimensional ultrasound imaging catheter 100 into the heart cavity, and acquire the three-dimensional attitude coordinate signal of the initial scanning point of the ultrasonic device 20;
  • the intracardiac three-dimensional ultrasound imaging catheter 100 is transported into the heart chamber through the femoral vein, and the initial scanning point of the ultrasonic device 20 is adjusted by operating the control handle 30, so that the posture sensor acquires the three-dimensional posture of the initial scanning point of the ultrasonic device 20 coordinate signal.
  • S20 Control the ultrasonic device 20 to perform ultrasonic scanning, receive the real-time three-dimensional ultrasonic imaging electrical signal output by the ultrasonic device 20 through the ultrasonic imaging host 200, and perform signal processing and image processing on the three-dimensional ultrasonic imaging electrical signal to generate a real-time three-dimensional ultrasonic image.
  • the attitude sensor 40 acquires the three-dimensional attitude coordinate signal at this time, and at the same time, the ultrasonic imaging host 200 generates a corresponding three-dimensional ultrasonic image.
  • the ultrasound imaging host 200 fits multiple 3D ultrasound images and multiple corresponding 3D attitude coordinate signals. Since the 3D ultrasound images correspond to the 3D attitude coordinates one by one, an accurate 3D model of the heart can be obtained.
  • the ultrasonic imaging host 200 since the ultrasonic imaging host 200 is used to fit the three-dimensional ultrasonic imaging electrical signal and the three-dimensional attitude coordinate signal to generate a three-dimensional model of the heart, the attitude coordinates corresponding to each frame of three-dimensional ultrasonic imaging can be obtained. Accurate positioning of the posture and position of the ultrasonic device avoids image distortion when the ultrasonic imaging host uses these three-dimensional ultrasonic imaging electrical signals to construct a three-dimensional model of the heart, and improves the imaging quality.
  • the corresponding electrocardiographic cycle signal is obtained through the electrocardiogram device;
  • the corresponding three-dimensional posture coordinate signals are fitted to generate a three-dimensional model of the heart.
  • Extracting the three-dimensional ultrasound imaging electrical signals corresponding to different ECG cycles and fitting them with the three-dimensional posture coordinate signal 70 can reduce the influence of the beating heart on the synthesis of the three-dimensional model of the viscera, and at the same time better represent the beating of the heart in different ECG cycles .

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Abstract

Provided is an intracardiac three-dimensional ultrasonic imaging catheter (100), comprising: a sheath tube (10), wherein a traction member (13) is arranged on the sheath tube (10); an ultrasonic device (20), which is arranged at a distal end of the sheath tube (10); a control handle (30), which is connected to the traction member (13); an attitude sensor (40), which is used for acquiring three-dimensional attitude coordinates of the ultrasonic device (20); and a communication unit (50), which is used for transmitting signals of the ultrasonic device (20) and the attitude sensor (40) to an ultrasonic imaging host (200). Provided are an intracardiac three-dimensional ultrasonic imaging system and a cardiac three-dimensional model construction method. By means of providing the attitude sensor (40), three-dimensional attitude coordinates of the ultrasonic device (20) are acquired while the ultrasonic device (20) acquires a three-dimensional ultrasonic imaging electrical signal, such that the attitude and location of the ultrasonic device (20) can be accurately positioned when a cardiac three-dimensional model is constructed, thereby ensuring the imaging quality and better restoring the beating state of a heart.

Description

心脏内三维超声成像导管及系统、心脏三维模型构建方法Intracardiac three-dimensional ultrasound imaging catheter and system, and heart three-dimensional model construction method
本申请要求于2021年05月21日在中国专利局提交的、申请号为202110557641.7的中国专利申请的优先权,其全部内容通过引用结合在本申请中。This application claims priority to a Chinese patent application with application number 202110557641.7 filed at the China Patent Office on May 21, 2021, the entire contents of which are incorporated herein by reference.
技术领域technical field
本申请涉及医疗器械技术领域,尤其涉及一种心脏内三维超声成像导管及系统、心脏三维模型构建方法。The present application relates to the technical field of medical devices, in particular to a catheter and system for three-dimensional ultrasound imaging in the heart, and a method for constructing a three-dimensional model of the heart.
背景技术Background technique
超声波能够作为光学观察的补充来进行诊断和控制,因为声波可以在对电磁波不透明的介质中行进行,因此在医学领域有着广泛的应用。与之对应的超声三维成像日益成为诊断和治疗诸如心内膜炎、房间隔缺损、卵圆孔未闭和室间隔缺损(VSD) 等心脏异常的重要工具,可以通过放置于心腔内部的显像装置来精确获取心脏的解剖结构信息,并可以同步显示心脏血流动力学、实时动态评估局部心肌和整体心脏功能体内。超声成像装置一般包括超声成像主机、超声导管和控制单元。超声导管包括鞘管以及超声波器件,可以通过调整超声换能器的姿态,并获得对应的三维超声成像电信号,超声成像主机再将这些三维超声成像电信号拟合成像。现有的心脏内三维超声成像导管在成像时由于无法精准定位超声波器件的姿态,导致超声成像主机在通过这些三维超声成像电信号进行心脏三维模型构建时发生图像失真的现象,进而影响成像质量。Ultrasound can be used as a supplement to optical observation for diagnosis and control, because sound waves can travel in media that are opaque to electromagnetic waves, so it has a wide range of applications in the medical field. The corresponding three-dimensional ultrasound imaging has increasingly become an important tool for the diagnosis and treatment of cardiac abnormalities such as endocarditis, atrial septal defect, patent foramen ovale and ventricular septal defect (VSD). The device can accurately obtain the anatomical structure information of the heart, and can simultaneously display the hemodynamics of the heart, real-time dynamic evaluation of the local myocardium and the overall heart function in vivo. An ultrasound imaging device generally includes an ultrasound imaging host, an ultrasound catheter, and a control unit. The ultrasonic catheter includes a sheath and an ultrasonic device. By adjusting the posture of the ultrasonic transducer, the corresponding three-dimensional ultrasonic imaging electrical signals can be obtained, and the ultrasonic imaging host can then fit the three-dimensional ultrasonic imaging electrical signals into an image. The existing intracardiac 3D ultrasound imaging catheter cannot precisely locate the attitude of the ultrasound device during imaging, which leads to image distortion when the ultrasound imaging host uses these 3D ultrasound imaging electrical signals to construct a 3D model of the heart, thereby affecting the imaging quality.
技术问题technical problem
本申请提供了一种心脏内三维超声成像导管及系统、心脏三维模型构建方法,使用时可以精准定位超声波器件的姿态和位置,防止图像失真,保证成像质量。The application provides a three-dimensional ultrasound imaging catheter and system in the heart, and a method for constructing a three-dimensional model of the heart, which can accurately locate the posture and position of the ultrasound device during use, prevent image distortion, and ensure imaging quality.
技术解决方案technical solution
本申请第一方面的实施例提供了一种心脏内三维超声成像导管,包括:The embodiment of the first aspect of the present application provides a three-dimensional ultrasound imaging catheter in the heart, including:
鞘管,所述鞘管具有远端和近端,所述鞘管上设置有牵引件;a sheath tube, the sheath tube has a distal end and a proximal end, and the sheath tube is provided with a traction member;
超声波器件,设置在所述鞘管的远端,用于获取三维超声成像电信号;an ultrasonic device, arranged at the far end of the sheath, for obtaining electrical signals for three-dimensional ultrasonic imaging;
控制手柄,连接所述牵引件,用于通过所述牵引件控制所述超声波器件的姿态;a control handle, connected to the traction member, for controlling the posture of the ultrasonic device through the traction member;
姿态传感器,设置在所述鞘管内且与所述超声波器件相邻设置,所述姿态传感器用于获取所述超声波器件的三维姿态坐标;及An attitude sensor, arranged in the sheath and adjacent to the ultrasonic device, the attitude sensor is used to obtain the three-dimensional attitude coordinates of the ultrasonic device; and
通信单元,用于将所述超声波器件和所述姿态传感器的信号传送至超声成像主机。The communication unit is used to transmit the signals of the ultrasonic device and the attitude sensor to the ultrasonic imaging host.
在其中一些实施例中,所述超声波器件包括依次设置的固定座、柔性电路板、背衬层和超声波芯片。In some of the embodiments, the ultrasonic device includes a fixed seat, a flexible circuit board, a backing layer and an ultrasonic chip arranged in sequence.
在其中一些实施例中,所述超声波芯片包括超声波收发器芯片和超声波平面阵列芯片,所述超声波收发器芯片和所述超声波平面阵列芯片通过CMOS半导体工艺三维集成。In some of the embodiments, the ultrasonic chip includes an ultrasonic transceiver chip and an ultrasonic planar array chip, and the ultrasonic transceiver chip and the ultrasonic planar array chip are three-dimensionally integrated through a CMOS semiconductor process.
在其中一些实施例中,所述背衬层远离所述超声波芯片的一面设置有多个凹槽。In some of the embodiments, the side of the backing layer away from the ultrasonic chip is provided with a plurality of grooves.
在其中一些实施例中,所述凹槽的侧壁设置有第一反射面和第二反射面,所述第一反射面和所述第二反射面平行于凹槽的底壁且沿所述凹槽的深度方向间隔设置。In some of these embodiments, the side wall of the groove is provided with a first reflective surface and a second reflective surface, and the first reflective surface and the second reflective surface are parallel to the bottom wall of the groove and along the The grooves are set at intervals in the depth direction.
在其中一些实施例中,所述第一反射面和所述第二反射面沿所述凹槽的深度方向具有一高度差,所述高度差为超声波波长的1/4。In some of the embodiments, the first reflective surface and the second reflective surface have a height difference along the depth direction of the groove, and the height difference is 1/4 of the ultrasonic wavelength.
在其中一些实施例中,在同一个所述凹槽中设置有多个所述第一反射面和多个所述第二反射面,多个所述第一反射面和多个所述第二反射面交替设置,每两个相邻的所述第一反射面和所述第二反射面沿所述凹槽的深度方向具有一高度差,多个高度差不全相等。In some of these embodiments, a plurality of the first reflective surfaces and a plurality of the second reflective surfaces are arranged in the same groove, and a plurality of the first reflective surfaces and a plurality of the second reflective surfaces The reflective surfaces are arranged alternately, and every two adjacent first reflective surfaces and the second reflective surfaces have a height difference along the depth direction of the groove, and the multiple height differences are not all equal.
本申请第二方面的实施例提供了一种心脏内三维超声成像系统,包括:The embodiment of the second aspect of the present application provides a three-dimensional ultrasound imaging system in the heart, including:
如本申请第一方面所述的心脏内三维超声成像导管;及The intracardiac three-dimensional ultrasound imaging catheter as described in the first aspect of the present application; and
超声成像主机,所述超声成像主机用于控制所述超声波波器件在心脏内进行超声波发射扫描并接收所述超声波器件输出的实时的三维超声成像电信号,所述超声成像主对所述三维超声成像电信号进行信号处理和图像处理后生产实时的心脏内三维影像。Ultrasonic imaging host, the ultrasonic imaging host is used to control the ultrasonic wave device to perform ultrasonic emission scanning in the heart and receive the real-time three-dimensional ultrasonic imaging electrical signal output by the ultrasonic device, the ultrasonic imaging host is used to control the three-dimensional ultrasonic imaging Imaging electrical signals undergo signal processing and image processing to produce real-time three-dimensional images of the heart.
本申请第三方面的实施例提供了一种心脏三维模型构建方法,包括:The embodiment of the third aspect of the present application provides a method for constructing a three-dimensional model of the heart, including:
将心腔内三维超声成像导管输送至心腔内,并获得超声波器件的初始扫描点的三维姿态坐标信号;Transporting the intracardiac three-dimensional ultrasound imaging catheter into the heart cavity, and obtaining the three-dimensional attitude coordinate signal of the initial scanning point of the ultrasonic device;
控制超声波器件进行超声波扫描,通过超声成像主机接收超声波器件输出的实时的三维超声成像电信号并对所述三维超声成像电信号进行信号处理和图像处理之后生成实时的三维超声图像;Control the ultrasonic device to perform ultrasonic scanning, receive the real-time three-dimensional ultrasonic imaging electrical signal output by the ultrasonic device through the ultrasonic imaging host, and perform signal processing and image processing on the three-dimensional ultrasonic imaging electrical signal to generate a real-time three-dimensional ultrasonic image;
调整超声波器件至下一目标扫描点,获取对应的三维姿态坐标信号,通过所述超声波成像主机生成对应的所述三维超声图像;Adjust the ultrasonic device to the next target scanning point, acquire the corresponding three-dimensional attitude coordinate signal, and generate the corresponding three-dimensional ultrasonic image through the ultrasonic imaging host;
对多个所述三维超声图像和多个对应的所述三维姿态坐标信号进行拟合,生成心脏三维模型。Fitting a plurality of the three-dimensional ultrasound images and a plurality of corresponding three-dimensional attitude coordinate signals to generate a three-dimensional model of the heart.
在其中一些实施例中,在控制超声波器件进行超声波扫描时,通过心电图设备获取对应的心电周期信号;在生成心脏三维模型时,对心电周期信号、多个所述三维超声图像和多个对应的所述三维姿态坐标信号进行拟合,生成心脏三维模型。In some of these embodiments, when the ultrasonic device is controlled to perform ultrasonic scanning, the corresponding electrocardiographic cycle signal is obtained through the electrocardiogram device; The corresponding three-dimensional posture coordinate signals are fitted to generate a three-dimensional model of the heart.
本申请提供的一种心脏内三维超声成像导管的有益效果:通过与超声波器件相邻设置的姿态传感器,在超声波器件获取三维超声成像信息的同时获取超声波器件的三维姿态坐标,从而可以在成像时精准定位超声波器件的姿态和位置,保证成像质量。The beneficial effect of a three-dimensional ultrasound imaging catheter in the heart provided by the present application: through the posture sensor arranged adjacent to the ultrasound device, the three-dimensional posture coordinates of the ultrasound device can be acquired while the ultrasound device is obtaining three-dimensional ultrasound imaging information, so that the three-dimensional posture coordinates of the ultrasound device can be obtained during imaging. Accurately locate the posture and position of the ultrasonic device to ensure the imaging quality.
本申请之三维成像系统,由于采用超声成像主机对三维超声成像电信号和三维姿态坐标信号进行拟合来生成心脏三维模型,可以获取每一帧三维超声成像对应的姿态坐标,在成像时可以精准定位超声波器件的姿态和位置,超声成像主机在通过这些三维超声成像电信号进行心脏三维模型构建时提高了成像质量。The three-dimensional imaging system of the present application uses the ultrasonic imaging host to fit the three-dimensional ultrasonic imaging electrical signal and the three-dimensional attitude coordinate signal to generate a three-dimensional model of the heart, and can obtain the attitude coordinates corresponding to each frame of three-dimensional ultrasonic imaging, which can be accurate during imaging. Positioning the posture and position of the ultrasonic device, the ultrasonic imaging host improves the imaging quality when constructing a three-dimensional model of the heart through these three-dimensional ultrasonic imaging electrical signals.
本申请之三维成像方法,通过对三维超声成像电信号和三维姿态坐标信号进行拟合来生成心脏三维模型,可以精准定位超声波器件的姿态和位置,避免图像失真,还可以根据需要合成心脏跳动时不同阶段的心脏三维模型,减少由于心脏跳动对心脏三维模型合成的影响,同时能更好的表现心脏跳动的情况。The three-dimensional imaging method of the present application generates a three-dimensional model of the heart by fitting the three-dimensional ultrasonic imaging electrical signal and the three-dimensional attitude coordinate signal, which can accurately locate the attitude and position of the ultrasonic device, avoid image distortion, and can also synthesize the time when the heart beats as needed. The three-dimensional models of the heart at different stages can reduce the influence of the beating heart on the synthesis of the three-dimensional model of the heart, and can better express the heart beating.
附图说明Description of drawings
为了更清楚地说明本申请实施例中的技术方案,下面将对实施例或现有技术描述中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图仅仅是本申请的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动性的前提下,还可以根据这些附图获得其他的附图。In order to more clearly illustrate the technical solutions in the embodiments of the present application, the accompanying drawings that need to be used in the descriptions of the embodiments or the prior art will be briefly introduced below. Obviously, the accompanying drawings in the following description are only for the present application For some embodiments, those of ordinary skill in the art can also obtain other drawings based on these drawings without paying creative efforts.
图1是本申请其中一个实施例中心脏内三维超声成像导管的结构示意图;Fig. 1 is a schematic structural diagram of a three-dimensional ultrasound imaging catheter in the heart in one embodiment of the present application;
图2是本申请其中一个实施例中超声波器件和姿态传感器的相对位置示意图;Fig. 2 is a schematic diagram of the relative positions of the ultrasonic device and the attitude sensor in one of the embodiments of the present application;
图3是图2沿鞘管轴线的剖视图;Fig. 3 is a cross-sectional view of Fig. 2 along the axis of the sheath;
图4是本申请其中一个实施例中的鞘管的剖视示意图;Figure 4 is a schematic cross-sectional view of a sheath in one of the embodiments of the present application;
图5是本申请其中一个实施例中背衬层的结构示意图;Figure 5 is a schematic structural view of the backing layer in one of the embodiments of the present application;
图6是本申请其中一个实施例中三维成像系统的结构示意图;Fig. 6 is a schematic structural diagram of a three-dimensional imaging system in one embodiment of the present application;
图7是本申请其中一个实施例中三维成像系统的三维成像原理示意图;Fig. 7 is a schematic diagram of the three-dimensional imaging principle of the three-dimensional imaging system in one embodiment of the present application;
图8是本申请其中一个实施例中三维成像方法流程图;Fig. 8 is a flowchart of a three-dimensional imaging method in one embodiment of the present application;
图9是本申请其中一个实施例中超声波器件的三维扫描示意图;Fig. 9 is a schematic diagram of a three-dimensional scanning of an ultrasonic device in one of the embodiments of the present application;
图10是本申请其中一个实施例中心电周期信号和三维姿态坐标的对应关系图。Fig. 10 is a diagram of the correspondence relationship between the electrical cycle signal and the three-dimensional posture coordinates of one embodiment of the present application.
图中标记的含义为:The meanings of the marks in the figure are:
100、心脏内三维超声成像导管;10、鞘管;11、远端;12、近端;13、牵引件;20、超声波器件;21、固定座;22、柔性电路板;23、背衬层;231、凹槽;2311、第一反射面;2312、第二反射面;24、超声波芯片;30、控制手柄;40、姿态传感器;50、通信单元;60、心电周期信号;70、三维姿态坐标信号;200、超声成像主机。100. Intracardiac three-dimensional ultrasound imaging catheter; 10. Sheath tube; 11. Distal end; 12. Proximal end; 13. Tractor; 20. Ultrasonic device; 21. Fixing seat; 22. Flexible circuit board; 23. Backing layer ; 231, groove; 2311, first reflective surface; 2312, second reflective surface; 24, ultrasonic chip; 30, control handle; 40, attitude sensor; 50, communication unit; 60, ECG cycle signal; 70, three-dimensional Attitude coordinate signal; 200. Ultrasonic imaging host.
本发明的实施方式Embodiments of the present invention
为了使本申请的目的、技术方案及优点更加清楚明白,以下结合附图即实施例,对本申请进行进一步详细说明。应当理解,此处所描述的具体实施例仅用以解释本申请,并不用于限定本申请。In order to make the purpose, technical solutions and advantages of the present application clearer, the present application will be further described in detail below in conjunction with the accompanying drawings, that is, embodiments. It should be understood that the specific embodiments described here are only used to explain the present application, not to limit the present application.
需要说明的是,当元件被称为“固定于”或“设置于”另一个元件,它可以直接在另一个元件上或者间接在该另一个元件上。当一个元件被称为是“连接于”另一个元件,它可以是直接连接到另一个元件或间接连接至该另一个元件上。It should be noted that when an element is referred to as being “fixed” or “disposed on” another element, it may be directly on the other element or be indirectly on the other element. When an element is referred to as being "connected to" another element, it can be directly connected to the other element or indirectly connected to the other element.
此外,术语“第一”、“第二”仅用于描述目的,而不能理解为指示或暗示相对重要性或者隐含指明所指示的技术特征的数量。由此,限定有“第一”、“第二”的特征可以明示或者隐含地包括一个或者更多个该特征。在本申请的描述中,“多个”的含义是两个或两个以上,除非另有明确具体的限定。In addition, the terms "first" and "second" are used for descriptive purposes only, and cannot be interpreted as indicating or implying relative importance or implicitly specifying the quantity of indicated technical features. Thus, a feature defined as "first" and "second" may explicitly or implicitly include one or more of these features. In the description of the present application, "plurality" means two or more, unless otherwise specifically defined.
为了说明本申请的技术方案,下面结合具体附图及实施例来进行说明。In order to illustrate the technical solution of the present application, the following will be described in conjunction with specific drawings and embodiments.
请参考图1至图4,本申请第一方面的实施例提供了一种心脏内三维超声成像导管100,包括鞘管10、超声波器件20、控制手柄30、姿态传感器40和通信单元50。超声波器件20、姿态传感器40设于鞘管10内,控制手柄30设于鞘管10上。Please refer to FIG. 1 to FIG. 4 , the embodiment of the first aspect of the present application provides a three-dimensional ultrasound imaging catheter 100 in the heart, including a sheath tube 10 , an ultrasound device 20 , a control handle 30 , a posture sensor 40 and a communication unit 50 . The ultrasonic device 20 and the attitude sensor 40 are arranged in the sheath 10 , and the control handle 30 is arranged on the sheath 10 .
鞘管10具有远端11和近端12,用于姿态传感器40和超声波器件20在体内的推送和撤出,鞘管10具有多层结构,包括编织线,弹簧,雕刻管的一种或多种组成的增强层;鞘管10上设置有牵引件13,用于超声波器件20在体内的方位调整,牵引件13可以设置为沿鞘管10的周向均匀间隔设置的四根牵引丝,通过四根牵引丝的拉伸可以实现鞘管10远端11向不同方向的弯曲,配合鞘管10的旋转可以实现超声波器件20的多姿态调整,牵引丝材质可为聚醚醚酮丝、不锈钢丝或镍钛丝等,鞘管10内可设置套管,使得牵引丝设置在套管内。The sheath tube 10 has a distal end 11 and a proximal end 12 for pushing and withdrawing the attitude sensor 40 and the ultrasonic device 20 in the body. The sheath tube 10 has a multilayer structure, including one or more of braided wire, spring, and carved tube. A reinforcing layer composed of two kinds; the sheath tube 10 is provided with a traction piece 13, which is used for the orientation adjustment of the ultrasonic device 20 in the body, and the traction piece 13 can be set as four traction wires arranged at uniform intervals along the circumferential direction of the sheath tube 10, through The stretching of the four pulling wires can realize the bending of the distal end 11 of the sheath tube 10 in different directions, and the multi-position adjustment of the ultrasonic device 20 can be realized with the rotation of the sheath tube 10. The material of the pulling wires can be polyetheretherketone wire or stainless steel wire Or nickel-titanium wire, etc., a cannula can be set in the sheath tube 10, so that the pulling wire is set in the cannula.
超声波器件20设置在鞘管10的远端11,具有声能与电能的相互转换的作用,用于获取三维超声成像电信号。可选的,超声波器件20包括依次设置的固定座21、柔性电路板22、背衬层23和超声波芯片24。超声波芯片24为相控阵超声波收发器芯片,包括超声波收发器芯片和超声波平面阵列芯片,并通过CMOS半导体工艺实现单片三维集成。The ultrasonic device 20 is arranged at the distal end 11 of the sheath tube 10 , has the function of mutual conversion between acoustic energy and electrical energy, and is used to obtain electrical signals for three-dimensional ultrasonic imaging. Optionally, the ultrasonic device 20 includes a fixed seat 21 , a flexible circuit board 22 , a backing layer 23 and an ultrasonic chip 24 arranged in sequence. The ultrasonic chip 24 is a phased array ultrasonic transceiver chip, including an ultrasonic transceiver chip and an ultrasonic planar array chip, and realizes monolithic three-dimensional integration through CMOS semiconductor technology.
超声波平面阵列芯片为一个呈矩阵化排列的M行、N列换能器平面阵列,包括多个换能器单元,换能器单元采用方形或者圆形振膜结构,由微机电PMUT或者CMUT工艺制备而成。超声波收发器芯片包括电源管理模块、时钟电路模块、发射电路模块、接收电路模块、孔径合成电路模块、模数转换电路模块,具有可靠性高、频带宽、灵敏度高等特点,有利于提高图像的成像质量。The ultrasonic planar array chip is a planar array of transducers arranged in a matrix with M rows and N columns, including multiple transducer units. Prepared. The ultrasonic transceiver chip includes a power management module, a clock circuit module, a transmitting circuit module, a receiving circuit module, an aperture synthesis circuit module, and an analog-to-digital conversion circuit module. It has the characteristics of high reliability, wide frequency bandwidth, and high sensitivity, which is conducive to improving image imaging quality.
控制手柄30连接牵引件13,用于通过牵引件13控制超声波器件20的姿态。控制手柄30上设置有转向控制器,通过控制手柄30上的转向控制器拉动牵引件13,实现鞘管10的远端11的转向,进而实现超声波芯片24在体内的方位调整。The control handle 30 is connected to the traction member 13 for controlling the attitude of the ultrasonic device 20 through the traction member 13 . A steering controller is provided on the control handle 30 , and the traction member 13 is pulled by the steering controller on the control handle 30 to realize the steering of the distal end 11 of the sheath tube 10 , thereby realizing the orientation adjustment of the ultrasonic chip 24 in the body.
姿态传感器40设置在鞘管10内且与超声波器件20相邻设置,姿态传感器40用于获取超声波器件20的三维姿态坐标。姿态传感器40可以对超声波器件20相对于鞘管10远端11壳体发生旋转运动的位置和速度进行标定,进而获取其三维姿态坐标。姿态传感器40可以设置为x射线、电磁或光学等传感器。The attitude sensor 40 is disposed in the sheath 10 and adjacent to the ultrasonic device 20 , and the attitude sensor 40 is used to obtain the three-dimensional attitude coordinates of the ultrasonic device 20 . The attitude sensor 40 can calibrate the position and velocity of the ultrasonic device 20 relative to the shell of the distal end 11 of the sheath 10 to obtain its three-dimensional attitude coordinates. The attitude sensor 40 can be configured as an x-ray, electromagnetic or optical sensor.
通信单元50用于将超声波器件20和姿态传感器40的信号传送至超声成像主机200。通信单元50可以采用有线通信和/或无线通信,有线通信中通信单元50可以设置连接线路,如线缆连接器,柔性电路板22和电导线均设置在鞘管10的内部,柔性电路板22用于将超声波芯片24的信号传送至超声成像主机200,电导线将姿态传感器40的信号传送至超声成像主机200。The communication unit 50 is used to transmit the signals of the ultrasonic device 20 and the attitude sensor 40 to the ultrasonic imaging host 200 . The communication unit 50 can adopt wired communication and/or wireless communication. In the wired communication, the communication unit 50 can be provided with connecting lines, such as cable connectors. The flexible circuit board 22 and the electrical leads are all arranged inside the sheath tube 10. The signal of the ultrasonic chip 24 is used to transmit the signal of the ultrasonic imaging host 200 , and the electric wire transmits the signal of the posture sensor 40 to the ultrasonic imaging host 200 .
本申请提供的一种心脏内三维超声成像导管,应用于三维成像系统中,通过与超声波器件20相邻设置的姿态传感器40,在超声波器件20获取超声图像信息的同时获取超声波器件的三维姿态坐标,通过对超声图像信息和三维姿态坐标信号进行拟合,可以在成像时精准定位超声波器件的姿态和位置,防止图像失真,保证成像质量。A three-dimensional ultrasound imaging catheter in the heart provided by the present application is applied in a three-dimensional imaging system, and the three-dimensional attitude coordinates of the ultrasonic device are acquired while the ultrasonic device 20 acquires ultrasonic image information through the attitude sensor 40 arranged adjacent to the ultrasonic device 20 , by fitting the ultrasonic image information and the three-dimensional attitude coordinate signal, the attitude and position of the ultrasonic device can be precisely positioned during imaging, preventing image distortion and ensuring imaging quality.
请参考图3和图5,在其中一些实施例中,背衬层23远离超声波芯片24的一面设置有多个凹槽231。凹槽231用于散射超声波芯片24背面反射的超声波信号(如图5中箭头所示),超声波芯片24发出的超声波信号在凹槽231内引起强烈的散射,从而有效地减少背面的镜面反射,避免了反射的超声波信号与超声波芯片24中的硅基产生共振,扭曲超声波芯片24的响应,影响超声波芯片24的有用带宽,提高了成像质量,另外,凹槽231还将部分地超声波信号中的纵波转换成背面的横波,而横波通常比入射纵波有更高的传播损失。Please refer to FIG. 3 and FIG. 5 , in some embodiments, the side of the backing layer 23 away from the ultrasonic chip 24 is provided with a plurality of grooves 231 . The groove 231 is used to scatter the ultrasonic signal reflected by the back of the ultrasonic chip 24 (as shown by the arrow in Figure 5), and the ultrasonic signal sent by the ultrasonic chip 24 causes strong scattering in the groove 231, thereby effectively reducing the specular reflection on the back, Avoid the reflected ultrasonic signal and the silicon base in the ultrasonic chip 24 to resonate, distort the response of the ultrasonic chip 24, affect the useful bandwidth of the ultrasonic chip 24, and improve the imaging quality. The longitudinal waves are converted to shear waves at the back, and shear waves generally have higher propagation losses than incident longitudinal waves.
背衬层23远离超声波芯片24的一面也可以设置为锯齿状表面,超声波信号在锯齿状表面向四周不规则方向散射,锯齿状表面同样用于散射超声波芯片24背面反射的能量,提高成像质量。The side of the backing layer 23 away from the ultrasonic chip 24 can also be set as a serrated surface. The ultrasonic signal is scattered in irregular directions around the serrated surface. The serrated surface is also used to scatter the energy reflected from the back of the ultrasonic chip 24 to improve the imaging quality.
请参考图5,在其中一些实施例中,凹槽231的侧壁设置有第一反射面2311和第二反射面2312,第一反射面2311和第二反射面2312沿凹槽231的深度方向平行于凹槽231的底壁且沿凹槽231的深度方向间隔设置,凹槽231的深度方向为凹槽231的槽口与底壁连线的方向,设置第一反射面2311和第二反射面2312增大了超声波信号的散射面,为超声波信号返回到换能器提供了更长的传播路径,进一步提高了成像的质量。Please refer to FIG. 5 , in some embodiments, the sidewall of the groove 231 is provided with a first reflective surface 2311 and a second reflective surface 2312 , and the first reflective surface 2311 and the second reflective surface 2312 are along the depth direction of the groove 231 Parallel to the bottom wall of the groove 231 and arranged at intervals along the depth direction of the groove 231, the depth direction of the groove 231 is the direction connecting the notch of the groove 231 and the bottom wall, and the first reflective surface 2311 and the second reflective surface 2311 are provided. The surface 2312 increases the scattering surface of the ultrasonic signal, provides a longer propagation path for the ultrasonic signal to return to the transducer, and further improves the imaging quality.
请再次参考图5,在其中一些实施例中,第一反射面2311和第二反射面2312沿凹槽231的深度方向具有一高度差,高度差为超声波波长的1/4。超声波信号在呈台阶状的第一反射面2311和第二反射面2312内引起更为强烈的散射,从而有效地减少超声波芯片24背面的镜面反射。Please refer to FIG. 5 again, in some embodiments, the first reflective surface 2311 and the second reflective surface 2312 have a height difference along the depth direction of the groove 231 , and the height difference is 1/4 of the ultrasonic wavelength. The ultrasonic signal causes stronger scattering in the stepped first reflecting surface 2311 and the second reflecting surface 2312 , thereby effectively reducing the specular reflection on the back of the ultrasonic chip 24 .
在其中一些实施例中,在同一个凹槽231中设置有多个第一反射面2311和多个第二反射面2312,多个第一反射面2311和多个第二反射面2312交替设置,每两个相邻的第一反射面2311和第二反射面2312沿垂直于凹槽231底面方向具有一高度差,多个高度差不全相等。通过设置多个不同的高度差,可以散射不同频率的超声波信号。作为一种可能的实现方式,消除两个独立频率的超声波信号的镜面反射,需要四个不同的高度差。In some of these embodiments, multiple first reflective surfaces 2311 and multiple second reflective surfaces 2312 are arranged in the same groove 231, and multiple first reflective surfaces 2311 and multiple second reflective surfaces 2312 are arranged alternately, Every two adjacent first reflective surfaces 2311 and second reflective surfaces 2312 have a height difference along a direction perpendicular to the bottom surface of the groove 231 , and the plurality of height differences are not all equal. By setting multiple different height differences, ultrasonic signals of different frequencies can be scattered. As a possible implementation, four different height differences are required to eliminate the specular reflection of ultrasonic signals of two independent frequencies.
请参考图6和图7,本申请第二方面的实施例提供了一种心脏内三维超声成像系统,包括:Please refer to FIG. 6 and FIG. 7, the embodiment of the second aspect of the present application provides a three-dimensional ultrasound imaging system in the heart, including:
如本申请第一方面的心脏内三维超声成像导管;及The intracardiac three-dimensional ultrasound imaging catheter according to the first aspect of the present application; and
超声成像主机200,超声成像主机200用于控制超声波波器件在心脏内进行二维M行、N列超声波发射扫描并接收超声波器件20输出的实时的三维超声成像电信号,超声成像主机200对三维超声成像电信号进行信号处理和图像处理后生产实时的心脏内三维影像。The ultrasonic imaging host 200, the ultrasonic imaging host 200 is used to control the ultrasonic wave device to perform two-dimensional M rows and N columns of ultrasonic emission scanning in the heart and receive the real-time three-dimensional ultrasonic imaging electrical signal output by the ultrasonic device 20, the ultrasonic imaging host 200 is for the three-dimensional Ultrasound imaging electrical signals undergo signal processing and image processing to produce real-time three-dimensional images of the heart.
本申请之三维成像系统,由于在心脏内三维超声成像导管上设置姿态传感器40,在超声波器件20获取超声图像信息的同时获取超声波器件20的三维姿态坐标,从而可以在成像时精准定位超声波器件的姿态和位置,防止图像失真,保证成像质量。In the three-dimensional imaging system of the present application, since the attitude sensor 40 is set on the three-dimensional ultrasound imaging catheter in the heart, the three-dimensional attitude coordinates of the ultrasonic device 20 can be obtained while the ultrasonic device 20 obtains the ultrasonic image information, so that the ultrasonic device can be precisely positioned during imaging. Posture and position to prevent image distortion and ensure image quality.
请参考图6、图7和图10,在其中一些实施例中,三维成像系统还包括心电图设备,超声成像主机200能够接收心电图设备所获取的心电周期信号60,并对三维超声成像电信号、三维姿态坐标70及心电周期信号60进行拟合,以生成心脏三维模型。实际应用中可以根据需要合成心脏跳动时不同阶段的心脏三维模型,例如可以找到心脏跳动的ST段对应的三维姿态坐标70和三维超声成像电信号,对此时三维超声成像电信号、三维姿态坐标70及心电周期信号60进行拟合,以生成心脏三维模型,从而减少由于心脏跳动对心脏三维模型合成的影响,同时能更好的表现心脏跳动的情况。Please refer to Fig. 6, Fig. 7 and Fig. 10, in some of the embodiments, the three-dimensional imaging system also includes an electrocardiogram device, and the ultrasonic imaging host 200 can receive the electrocardiographic cycle signal 60 obtained by the electrocardiographic device, and the three-dimensional ultrasonic imaging electrical signal , the three-dimensional posture coordinates 70 and the electrocardiographic cycle signal 60 to generate a three-dimensional model of the heart. In practical applications, the three-dimensional models of the heart at different stages of the heartbeat can be synthesized according to the needs. For example, the three-dimensional posture coordinates 70 and the three-dimensional ultrasound imaging electrical signals corresponding to the ST segment of the heartbeat can be found. At this time, the three-dimensional ultrasound imaging electrical signals and the three-dimensional attitude coordinates 70 and the electrocardiographic cycle signal 60 are fitted to generate a three-dimensional model of the heart, thereby reducing the influence of the beating heart on the synthesis of the three-dimensional heart model, and at the same time better representing the beating heart.
请参考图1至图10,本申请第三方面的实施例提供了一种心脏三维模型构建方法,包括:Please refer to FIG. 1 to FIG. 10 , the embodiment of the third aspect of the present application provides a method for constructing a three-dimensional model of the heart, including:
S10:将心腔内三维超声成像导管100输送至心腔内,并获取超声波器件20的初始扫描点的三维姿态坐标信号;S10: Transport the intracardiac three-dimensional ultrasound imaging catheter 100 into the heart cavity, and acquire the three-dimensional attitude coordinate signal of the initial scanning point of the ultrasonic device 20;
具体的,经股静脉将心腔内三维超声成像导管100输送至心腔内,并通过操作控制手柄30调整超声波器件20的初始扫描点,使得姿态传感器获取超声波器件20的初始扫描点的三维姿态坐标信号。Specifically, the intracardiac three-dimensional ultrasound imaging catheter 100 is transported into the heart chamber through the femoral vein, and the initial scanning point of the ultrasonic device 20 is adjusted by operating the control handle 30, so that the posture sensor acquires the three-dimensional posture of the initial scanning point of the ultrasonic device 20 coordinate signal.
S20:控制超声波器件20进行超声波扫描,通过超声成像主机200接收超声波器件20输出的实时的三维超声成像电信号并对三维超声成像电信号进行信号处理和图像处理之后生成实时的三维超声图像。S20: Control the ultrasonic device 20 to perform ultrasonic scanning, receive the real-time three-dimensional ultrasonic imaging electrical signal output by the ultrasonic device 20 through the ultrasonic imaging host 200, and perform signal processing and image processing on the three-dimensional ultrasonic imaging electrical signal to generate a real-time three-dimensional ultrasonic image.
S30:调整超声波器件20至下一目标扫描点,获取相应的三维姿态坐标信号,通过超声波成像主机生成对应的三维超声图像。S30: Adjust the ultrasonic device 20 to the next target scanning point, acquire corresponding three-dimensional attitude coordinate signals, and generate corresponding three-dimensional ultrasonic images through the ultrasonic imaging host.
具体的,通过控制手柄30调整超声波器件20至下一目标扫描点时,姿态传感器40获取此时的三维姿态坐标信号,同时通过超声波成像主机200生成对应的三维超声图像。Specifically, when the ultrasonic device 20 is adjusted to the next target scanning point through the control handle 30 , the attitude sensor 40 acquires the three-dimensional attitude coordinate signal at this time, and at the same time, the ultrasonic imaging host 200 generates a corresponding three-dimensional ultrasonic image.
S40:对多个三维超声图像和多个对应的三维姿态坐标信号进行拟合,生成心脏三维模型。S40: Fitting multiple three-dimensional ultrasound images and multiple corresponding three-dimensional posture coordinate signals to generate a three-dimensional model of the heart.
具体的,超声波成像主机200对对多个三维超声图像和多个对应的三维姿态坐标信号进行拟合,由于三维超声图像和三维姿态坐标一一对应,可以获得精准的心脏三维模型,Specifically, the ultrasound imaging host 200 fits multiple 3D ultrasound images and multiple corresponding 3D attitude coordinate signals. Since the 3D ultrasound images correspond to the 3D attitude coordinates one by one, an accurate 3D model of the heart can be obtained.
本申请之三维成像方法,由于采用超声成像主机200对三维超声成像电信号和三维姿态坐标信号进行拟合来生成心脏三维模型,可以获取每一帧三维超声成像对应的姿态坐标,在成像时可以精准定位超声波器件的姿态和位置,避免超声成像主机在通过这些三维超声成像电信号进行心脏三维模型构建时发生图像失真的现象,提高了成像质量。In the three-dimensional imaging method of the present application, since the ultrasonic imaging host 200 is used to fit the three-dimensional ultrasonic imaging electrical signal and the three-dimensional attitude coordinate signal to generate a three-dimensional model of the heart, the attitude coordinates corresponding to each frame of three-dimensional ultrasonic imaging can be obtained. Accurate positioning of the posture and position of the ultrasonic device avoids image distortion when the ultrasonic imaging host uses these three-dimensional ultrasonic imaging electrical signals to construct a three-dimensional model of the heart, and improves the imaging quality.
在其中一些实施例中,在控制超声波器件20进行超声波扫描时,通过心电图设备获取对应的心电周期信号;在生成心脏三维模型时,对心电周期信号、多个所述三维超声图像和多个对应的所述三维姿态坐标信号进行拟合,生成心脏三维模型。In some of these embodiments, when controlling the ultrasonic device 20 to perform ultrasonic scanning, the corresponding electrocardiographic cycle signal is obtained through the electrocardiogram device; The corresponding three-dimensional posture coordinate signals are fitted to generate a three-dimensional model of the heart.
抽取不同心电周期对应的三维超声成像电信号与三维姿态坐标信号70进行拟合,可以减少由于心脏跳动对脏三维模型合成的影响,同时能更好的表现心脏在不同心电周期跳动的情况。Extracting the three-dimensional ultrasound imaging electrical signals corresponding to different ECG cycles and fitting them with the three-dimensional posture coordinate signal 70 can reduce the influence of the beating heart on the synthesis of the three-dimensional model of the viscera, and at the same time better represent the beating of the heart in different ECG cycles .
以上实施例仅用以说明本申请的技术方案,而非对其限制;尽管参照前述实施例对本申请进行了详细的说明,本领域的普通技术人员应当理解:其依然可以对前述各实施例所记载的技术方案进行修改,或者对其中部分技术特征进行等同替换;而这些修改或者替换,并不使相应技术方案的本质脱离本申请各实施例技术方案的精神和范围,均应包含在本申请的保护范围之内。The above embodiments are only used to illustrate the technical solutions of the present application, rather than to limit them; although the present application has been described in detail with reference to the foregoing embodiments, those of ordinary skill in the art should understand that: it can still apply to the foregoing embodiments Modifications to the technical solutions recorded, or equivalent replacements for some of the technical features; and these modifications or replacements do not make the essence of the corresponding technical solutions deviate from the spirit and scope of the technical solutions of each embodiment of the application, and should be included in this application. within the scope of protection.

Claims (10)

  1. 一种心脏内三维超声成像导管,其特征在于,包括: A three-dimensional ultrasound imaging catheter in the heart, characterized in that it includes:
    鞘管,所述鞘管具有远端和近端,所述鞘管上设置有牵引件;a sheath tube, the sheath tube has a distal end and a proximal end, and the sheath tube is provided with a traction member;
    超声波器件,设置在所述鞘管的远端,用于获取三维超声成像电信号;an ultrasonic device, arranged at the far end of the sheath, for obtaining electrical signals for three-dimensional ultrasonic imaging;
    控制手柄,连接所述牵引件,用于通过所述牵引件控制所述超声波器件的姿态;a control handle, connected to the traction member, for controlling the posture of the ultrasonic device through the traction member;
    姿态传感器,设置在所述鞘管内且与所述超声波器件相邻设置,所述姿态传感器用于获取所述超声波器件的三维姿态坐标;及An attitude sensor, arranged in the sheath and adjacent to the ultrasonic device, the attitude sensor is used to obtain the three-dimensional attitude coordinates of the ultrasonic device; and
    通信单元,用于将所述超声波器件和所述姿态传感器的信号传送至超声成像主机。The communication unit is used to transmit the signals of the ultrasonic device and the attitude sensor to the ultrasonic imaging host.
  2. 根据权利要求1所述的心脏内三维超声成像导管,其特征在于,所述超声波器件包括依次设置的固定座、柔性电路板、背衬层和超声波芯片。 The intracardiac three-dimensional ultrasonic imaging catheter according to claim 1, wherein the ultrasonic device comprises a fixed seat, a flexible circuit board, a backing layer and an ultrasonic chip arranged in sequence.
  3. 根据权利要求2所述的心脏内三维超声成像导管,其特征在于,所述超声波芯片包括超声波收发器芯片和超声波平面阵列芯片,所述超声波收发器芯片和所述超声波平面阵列芯片通过CMOS半导体工艺三维集成。 The intracardiac three-dimensional ultrasound imaging catheter according to claim 2, wherein the ultrasonic chip includes an ultrasonic transceiver chip and an ultrasonic planar array chip, and the ultrasonic transceiver chip and the ultrasonic planar array chip are processed by a CMOS semiconductor process. 3D integration.
  4. 根据权利要求2所述的心脏内三维超声成像导管,其特征在于,所述背衬层远离所述超声波芯片的一面设置有多个凹槽。 The intracardiac three-dimensional ultrasound imaging catheter according to claim 2, wherein a plurality of grooves are provided on the side of the backing layer away from the ultrasound chip.
  5. 根据权利要求4所述的心脏内三维超声成像导管,其特征在于,所述凹槽的侧壁设置有第一反射面和第二反射面,所述第一反射面和所述第二反射面平行于凹槽的底壁且沿所述凹槽的深度方向间隔设置。 The intracardiac three-dimensional ultrasound imaging catheter according to claim 4, wherein the side wall of the groove is provided with a first reflective surface and a second reflective surface, and the first reflective surface and the second reflective surface parallel to the bottom wall of the groove and arranged at intervals along the depth direction of the groove.
  6. 根据权利要求5所述的心脏内三维超声成像导管,其特征在于,所述第一反射面和所述第二反射面沿所述凹槽的深度方向具有一高度差,所述高度差为超声波波长的1/4。 The intracardiac three-dimensional ultrasound imaging catheter according to claim 5, wherein the first reflective surface and the second reflective surface have a height difference along the depth direction of the groove, and the height difference is an ultrasonic 1/4 of the wavelength.
  7. 根据权利要求5所述的心脏内三维超声成像导管,其特征在于,在同一个所述凹槽中设置有多个所述第一反射面和多个所述第二反射面,多个所述第一反射面和多个所述第二反射面交替设置,每两个相邻的所述第一反射面和所述第二反射面沿所述凹槽的深度方向具有一高度差,多个高度差不全相等。 The intracardiac three-dimensional ultrasound imaging catheter according to claim 5, wherein a plurality of first reflective surfaces and a plurality of second reflective surfaces are arranged in the same groove, and a plurality of said second reflective surfaces are arranged in the same groove. The first reflective surface and a plurality of the second reflective surfaces are arranged alternately, and every two adjacent first reflective surfaces and the second reflective surfaces have a height difference along the depth direction of the groove, and the multiple The height difference is not all equal.
  8. 一种心脏内三维超声成像系统,其特征在于,包括: A three-dimensional ultrasound imaging system in the heart, characterized in that it includes:
    如权利要求1至7中任意一项所述的心脏内三维超声成像导管;及The intracardiac three-dimensional ultrasound imaging catheter according to any one of claims 1 to 7; and
    超声成像主机,所述超声成像主机用于控制所述超声波波器件在心脏内进行超声波发射扫描并接收所述超声波器件输出的实时的三维超声成像电信号,所述超声成像主对所述三维超声成像电信号进行信号处理和图像处理后生产实时的心脏内三维影像。Ultrasonic imaging host, the ultrasonic imaging host is used to control the ultrasonic wave device to perform ultrasonic emission scanning in the heart and receive the real-time three-dimensional ultrasonic imaging electrical signal output by the ultrasonic device, the ultrasonic imaging host is used to control the three-dimensional ultrasonic imaging Imaging electrical signals undergo signal processing and image processing to produce real-time three-dimensional images of the heart.
  9. 一种心脏三维模型构建方法,其特征在于,包括: A method for constructing a three-dimensional model of the heart, comprising:
    将心腔内三维超声成像导管输送至心腔内,并获取超声波器件的初始扫描点的三维姿态坐标信号;Transporting the intracardiac three-dimensional ultrasound imaging catheter into the heart cavity, and obtaining the three-dimensional attitude coordinate signal of the initial scanning point of the ultrasonic device;
    控制超声波器件进行超声波扫描,通过超声成像主机接收超声波器件输出的实时的三维超声成像电信号并对所述三维超声成像电信号进行信号处理和图像处理之后生成实时的三维超声图像;Control the ultrasonic device to perform ultrasonic scanning, receive the real-time three-dimensional ultrasonic imaging electrical signal output by the ultrasonic device through the ultrasonic imaging host, and perform signal processing and image processing on the three-dimensional ultrasonic imaging electrical signal to generate a real-time three-dimensional ultrasonic image;
    调整超声波器件至下一目标扫描点,获取对应的三维姿态坐标信号,通过所述超声波成像主机生成对应的所述三维超声图像;Adjust the ultrasonic device to the next target scanning point, acquire the corresponding three-dimensional attitude coordinate signal, and generate the corresponding three-dimensional ultrasonic image through the ultrasonic imaging host;
    对多个所述三维超声图像和多个对应的所述三维姿态坐标信号进行拟合,生成心脏三维模型。Fitting a plurality of the three-dimensional ultrasound images and a plurality of corresponding three-dimensional attitude coordinate signals to generate a three-dimensional model of the heart.
  10. 根据权利要求9所述的心脏三维模型构建方法,其特征在于,在控制超声波器件进行超声波扫描时,通过心电图设备获取对应的心电周期信号;在生成心脏三维模型时,对心电周期信号、多个所述三维超声图像和多个对应的所述三维姿态坐标信号进行拟合,生成心脏三维模型。 The method for constructing a three-dimensional model of the heart according to claim 9, wherein, when the ultrasonic device is controlled to perform ultrasonic scanning, the corresponding electrocardiographic cycle signal is obtained through an electrocardiogram device; A plurality of the three-dimensional ultrasound images are fitted with a plurality of corresponding three-dimensional posture coordinate signals to generate a three-dimensional model of the heart.
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