CN109589140B - Ultrasonic measurement multi-project processing method and ultrasonic diagnosis system - Google Patents

Ultrasonic measurement multi-project processing method and ultrasonic diagnosis system Download PDF

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CN109589140B
CN109589140B CN201811601889.3A CN201811601889A CN109589140B CN 109589140 B CN109589140 B CN 109589140B CN 201811601889 A CN201811601889 A CN 201811601889A CN 109589140 B CN109589140 B CN 109589140B
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CN109589140A (en
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党静
许龙
邓鸿俊
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Sonoscape Medical Corp
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    • 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
    • A61B8/0866Detecting organic movements or changes, e.g. tumours, cysts, swellings involving foetal diagnosis; pre-natal or peri-natal diagnosis of the baby
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/44Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/46Ultrasonic, sonic or infrasonic diagnostic devices with special arrangements for interfacing with the operator or the patient
    • A61B8/461Displaying means of special interest
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/46Ultrasonic, sonic or infrasonic diagnostic devices with special arrangements for interfacing with the operator or the patient
    • A61B8/467Ultrasonic, sonic or infrasonic diagnostic devices with special arrangements for interfacing with the operator or the patient characterised by special input means
    • 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
    • A61B8/5215Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves involving processing of medical diagnostic data

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Abstract

The invention discloses an ultrasonic measurement multi-project processing method, which comprises the following steps: acquiring a diagnosis mode, and marking a plurality of ultrasonic measurement items contained in the diagnosis mode, wherein each ultrasonic measurement item at least contains one biomass to be measured; biomass measurement: acquiring an ultrasonic image, identifying an ultrasonic measurement item corresponding to the ultrasonic image according to a preset algorithm, judging whether the ultrasonic measurement item is marked, if so, starting an image processing program corresponding to the ultrasonic measurement item to process the ultrasonic image to obtain a measurement result of biomass to be measured in the ultrasonic measurement item, and canceling the marking of the ultrasonic measurement item with the obtained measurement result; and judging whether the marked ultrasonic measurement item exists or not, if so, repeating the biological quantity measurement and/or outputting the first information, and otherwise, outputting the second information. The invention also discloses an ultrasonic diagnosis system for executing the corresponding method. The invention reduces the operation steps of a doctor and improves the efficiency of the ultrasonic measurement process.

Description

Ultrasonic measurement multi-project processing method and ultrasonic diagnosis system
Technical Field
The invention relates to the technical field of ultrasonic diagnosis, in particular to an ultrasonic measurement multi-item processing method and an ultrasonic diagnosis system.
Background
During an ultrasound examination, a department (or a diagnostic category) typically needs to take multiple ultrasound measurements. After entering a diagnosis mode (usually named after departments or categories of diagnosis items, such as obstetrics, midgestation, and level i screening), a physician needs to repeatedly operate an ultrasound diagnostic apparatus to perform scanning (operate an ultrasound probe by an appropriate method), freeze (select a standard section when an ultrasound image is a two-dimensional image), select a measurement item, measure biomass, save measurement results, and after completing all ultrasound measurement items, the physician analyzes and makes a diagnosis report according to the measurement results.
For doctors in a department (or a diagnosis project category), the ultrasound examination is carried out on a large number of patients, the operation repeatability is very high, and the measurement of a plurality of ultrasound measurement projects each time is very complicated, so that the operation fatigue of the doctors is caused, and the efficiency is low; in addition, a plurality of ultrasound measurement items need to be measured in one ultrasound examination, and a physician needs to spend effort to think which ultrasound measurement items have not been measured yet.
Disclosure of Invention
The present invention is directed to solving, at least to some extent, one of the technical problems in the related art. To this end, it is an object of the present invention to provide an ultrasonic instrument control method and system.
As shown in fig. 1, the technical solution adopted by the present invention is: an ultrasonic measurement multi-item processing method, the method comprising: acquiring a diagnosis mode, and marking a plurality of ultrasonic measurement items contained in the diagnosis mode, wherein each ultrasonic measurement item at least contains one biomass to be measured; biomass measurement: acquiring an ultrasonic image, identifying an ultrasonic measurement item corresponding to the ultrasonic image according to a preset algorithm, judging whether the ultrasonic measurement item is marked, if so, starting an image processing program corresponding to the ultrasonic measurement item to process the ultrasonic image to obtain a measurement result of biomass to be measured in the ultrasonic measurement item, and canceling the marking of the ultrasonic measurement item with the obtained measurement result; and judging whether the marked ultrasonic measurement item exists or not, if so, repeating the biological quantity measurement and/or outputting the first information, and otherwise, outputting the second information.
Preferably, the method further comprises: acquiring an ultrasonic imaging mode; correspondingly, the determining whether there is a marked ultrasonic measurement item, if so, repeating the biometric measurement and/or outputting first information, otherwise, outputting second information, including: judging whether the ultrasonic measurement item with the mark belongs to the ultrasonic imaging mode, if so, repeating the biological quantity measurement and/or outputting first information, and otherwise, outputting second information; wherein the second information comprises information related to an ultrasound imaging mode.
Preferably, the first information includes: an incomplete ultrasound measurement item, one or more of marked ultrasound measurement items, and/or a selection of an end ultrasound measurement.
Preferably, the second information includes: ultrasonic measurement project measurement completion, and/or ultrasonic measurement project measurement results.
Preferably, the determining whether the ultrasonic measurement item is marked further includes: if not, outputting third information and/or repeated biological quantity measurement.
Preferably, the third information includes: one or more of the ultrasonic measurement item is completed, the ultrasonic measurement item is not an item to be measured, and/or a marked ultrasonic measurement item.
Preferably, the starting of the image processing program corresponding to the ultrasonic measurement item to process the ultrasonic image to obtain a measurement result of the biomass to be measured in the ultrasonic measurement item, and the unmarking of the ultrasonic measurement item for which the measurement result has been obtained, includes: starting an image processing program corresponding to the ultrasonic measurement item to process the ultrasonic image to obtain a measurement result of the biomass to be measured in the ultrasonic measurement item; outputting the fourth information; when the first feedback signal is received, the ultrasonic measurement item is unmarked, and the measurement result of the biomass to be measured in the ultrasonic measurement item is output and/or stored; when the second feedback signal is received, repeating the biometric measurement and/or outputting the fifth information, and keeping the mark of the ultrasonic measurement item.
Preferably, the fourth information includes: the measurement of the biomass to be measured and/or whether the measurement is accepted; the fifth information includes: re-measuring the ultrasonic measurement item; and triggering a first feedback signal when the user selects to accept the measurement result, and triggering a second feedback signal when the user selects not to accept the measurement result.
Preferably, when the ultrasound image is a two-dimensional image, the identifying an ultrasound measurement item corresponding to the ultrasound image according to a preset algorithm includes: calculating the similarity between the ultrasonic image and a plurality of standard tangent planes according to a preset algorithm, and obtaining a corresponding ultrasonic measurement item according to the standard tangent plane type with the maximum similarity; when the ultrasonic image is a spectrogram, identifying an ultrasonic measurement item corresponding to the ultrasonic image according to a preset algorithm includes: extracting features in the spectrogram according to a preset algorithm and/or calculating non-image information to obtain a corresponding ultrasonic measurement item; wherein the non-image information includes: a diagnostic mode, an ultrasound imaging mode, and/or patient information.
In another aspect, the present invention further provides an ultrasound diagnostic system, including a processor, a display, and an external input device, for implementing the ultrasound measurement multi-item processing method as described above.
The invention has the beneficial effects that:
the invention realizes the automatic measurement process of all ultrasonic measurement items in the same diagnosis mode by marking and canceling the ultrasonic measurement items in the same diagnosis mode, judging whether the currently measured ultrasonic measurement items are marked or not and judging whether all the ultrasonic measurement items are finished (canceling the marking), on the premise of not limiting the measurement sequence of the ultrasonic measurement items, improves the automation degree of the ultrasonic diagnosis equipment, reduces the operation steps of doctors and improves the efficiency of the ultrasonic measurement process.
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FIG. 1 is a schematic diagram of an ultrasonic measurement multi-project processing method of the present invention;
FIG. 2 is a schematic diagram of one embodiment of an ultrasonic measurement multi-item processing method of the present invention;
fig. 3 is a schematic diagram of an ultrasonic diagnostic system of the present invention.
Detailed Description
It should be noted that the embodiments and features of the embodiments in the present application may be combined with each other without conflict.
Example 1
The embodiment provides an ultrasonic measurement multi-item processing method as shown in fig. 2, which comprises the following steps:
and S1, acquiring a diagnosis mode, and marking a plurality of ultrasonic measurement items contained in the diagnosis mode.
For example, when the physician selects the diagnosis mode "level i prenatal ultrasound examination", the ultrasound measurement items (including the biomass to be measured) to be measured are: thalamus (double apical diameter, head circumference), abdomen (abdominal circumference), femur (femur length), amniotic fluid (maximum depth of amniotic fluid pool), placenta (placenta thickness), umbilical artery (fetal heart rate). The ultrasonic imaging mode for measuring the umbilical artery adopts a PW mode (ultrasonic images are spectrograms), and other ultrasonic measurement items adopt a B mode (ultrasonic images are two-dimensional images). When the thalamus is measured, two biomasses of double apical diameter and head circumference can be measured simultaneously, and only one biomass can be measured by other ultrasonic measurement items. The ultrasonic diagnostic apparatus can mark the above ultrasonic measurement items. The marking may be performed by assigning a variable representing each ultrasound measurement item (unmarking, i.e., assigning another value), or by using a data table/matrix to indicate which ultrasound measurement items are included in the "class i prenatal ultrasound exam", and the specific manner may be flexibly changed by those skilled in the art, which is the manner protected by the present invention.
And S2, acquiring an ultrasonic imaging mode.
This step is required when multiple ultrasound imaging modes are required in the diagnostic mode. For example, in the above-mentioned "class i prenatal ultrasound examination", after all the ultrasound measurement items are measured in the B mode, the physician can measure the umbilical artery in the PW mode again. Therefore, if marking, unmarking and outputting prompt information are required, the ultrasonic diagnostic equipment needs to acquire an ultrasonic imaging mode to know whether all ultrasonic measurement items are measured in the current ultrasonic diagnostic mode.
And S3, acquiring an ultrasonic image, and identifying an ultrasonic measurement item corresponding to the ultrasonic image according to a preset algorithm.
For example, in the B mode, the ultrasound image obtained in real time is a two-dimensional image, dynamically shows the change of the biological region under scanning, the ultrasound diagnostic apparatus may calculate the similarity between the ultrasound image and several standard slices according to a preset algorithm (for example, an artificial neural network trained by the standard slices) in real time, when the maximum similarity among the similarities between a frame of ultrasound image and several standard slices is higher than a certain threshold, it may be considered that the frame of ultrasound image is very close to a certain type of standard slice, and at this time, according to the type of standard slice (for example, thalamus plane) to which the frame is close, a corresponding ultrasound measurement item (for example, thalamus) may be determined; in addition, a physician can select a frozen ultrasonic image, select a frame (most satisfactory and closest to a standard tangent plane) from the stored movie as an ultrasonic image to be measured, the ultrasonic diagnostic equipment can calculate the similarity between the ultrasonic image and a plurality of standard tangent planes according to a preset algorithm, and determine a corresponding ultrasonic measurement item according to the standard tangent plane type with the maximum similarity; of course, the ultrasound diagnostic apparatus may be further configured to automatically screen a frame of ultrasound image with the greatest similarity from the movie to determine the ultrasound measurement items.
In the PW mode, the physician selects freezing, and acquires a spectrum (graph) with time as the horizontal axis and the variation speed as the vertical axis, so that the spectrum graph can measure the peak flow rate, the end-diastolic flow rate, the resistance index, the pulsatility index, the heart rate and the like; the ultrasonic diagnosis device extracts features (such as peak values, periods and the like) in the spectrogram according to a preset algorithm, matches the features with the spectral features of various biomasses in the database, and can determine the biomasses and further determine ultrasonic measurement items. Or, the corresponding ultrasonic measurement item may be obtained by looking up a preset relation table according to non-image information (e.g., a diagnosis mode, an ultrasonic imaging mode, and patient information), for example, the ultrasonic measurement item is correspondingly obtained as an umbilical artery according to the diagnosis mode being obstetrics, the ultrasonic imaging mode PW mode, and the gestational week in the patient information.
S4, judging whether the ultrasonic measurement item is marked, if so, executing a step S5; otherwise, step S5' is performed.
Marked to indicate that the ultrasonic measurement item has not been measured or has not been measured, if the marking is removed to indicate that the ultrasonic measurement item has been measured.
And S5, starting an image processing program corresponding to the ultrasonic measurement item to process the ultrasonic image to obtain the measurement result of the biomass to be measured in the ultrasonic measurement item, and canceling the mark of the ultrasonic measurement item with the obtained measurement result. The method comprises the following substeps:
and S51, starting an image processing program corresponding to the ultrasonic measurement item to process the ultrasonic image to obtain the measurement result of the biomass to be measured in the ultrasonic measurement item.
The image processing program is used for measuring and calculating the ultrasonic image. For example, when the ultrasound image is a two-dimensional image, the corresponding image processing program is used to identify the position and contour of the biological site therein, draw a measurement line, and calculate a measurement value of biomass; when the ultrasound image is a spectrogram, a corresponding image processing program is used to identify spectral features and calculate a measure of biomass.
S52, outputting the measurement result of the biomass to be measured, and prompting whether to accept the measurement result, executing step S53 when the user chooses to accept the measurement result, and executing step S53' when the user chooses not to accept the measurement result.
S53, the ultrasonic measurement item is unmarked, and the measurement result of the biomass to be measured in the ultrasonic measurement item is saved.
S53', a prompt to remeasure the ultrasonic measurement item is output, the label of the ultrasonic measurement item is retained, and the process returns to step S3.
S5', a prompt is output that the ultrasonic measurement item is completed, and an unmeasured (marked) ultrasonic measurement item is prompted, returning to step S3.
Any of the unmeasured ultrasound measurement items may be prompted, although this order may be preset or prompted based on previously recorded operating habits of the physician.
And if the ultrasonic measurement item does not belong to the items to be measured in the diagnosis mode selected by the user, not outputting the prompt that the ultrasonic measurement item is finished, but outputting the prompt that the ultrasonic measurement item is not the item to be measured. This is less likely because the physician knows which ultrasound measurements should be taken in the selected diagnostic mode during the procedure, and typically operates the ultrasound probe to acquire ultrasound images for the biomass to be measured.
S6, judging whether the ultrasonic measurement item with the mark belongs to the ultrasonic imaging mode, if so, executing the step S7, otherwise, executing the step S7'.
S7, outputting a prompt indicating that the ultrasonic measurement item is not completed, and prompting an unmeasured (marked) ultrasonic measurement item, and returning to step S3.
An option to end the ultrasound measurement may also be provided, the physician may choose to end the measurement if all ultrasound measurement items are not completed, and the subsequent procedure may be freely operated by the physician.
S7', a prompt is output that all ultrasonic measurement items in the ultrasonic imaging mode have been completed.
When all the ultrasonic measurement items in the ultrasonic imaging mode are completed in the diagnosis mode and the ultrasonic measurement items in other ultrasonic imaging modes are not completed, it may be only suggested that all the ultrasonic measurement items in the ultrasonic imaging mode are completed or that other ultrasonic imaging modes in which measurement is not completed are also suggested.
When all the ultrasonic measurement items in all the ultrasonic imaging modes are completed in the diagnosis mode, a prompt that all the ultrasonic measurement items in the diagnosis mode are completed can be output, and whether a report of measurement data is generated or a report is directly generated can be prompted.
Through the steps S1-S7, the physician can complete all the ultrasound measurement items in all the ultrasound imaging modes in the same diagnostic mode without limiting the measurement sequence of the ultrasound measurement items, the ultrasound diagnostic apparatus can automatically identify the ultrasound measurement items according to the ultrasound images (and other non-image information) acquired by the physician, the physician does not need to manually select the ultrasound measurement items, the biomass does not need to be manually measured, the physician does not need to think that the ultrasound measurement items are not completed, and the operation flow is automatically completed by the ultrasound diagnostic apparatus. Thus, the operation steps of the doctor are reduced greatly for each patient examination, and the efficiency is particularly improved for departments with almost the same operation process for repeatedly examining a plurality of patients every day.
Example 2
The present embodiment provides an ultrasound diagnostic system as shown in fig. 3, which is used for implementing the above ultrasound measurement multi-item processing method, and includes a touch screen 1, configured to obtain a user selection of a diagnostic mode; the keyboard 2 is used for acquiring the selection of the ultrasonic imaging mode by a user; the processor 3 is used for measuring the biological quantity, marking and canceling the ultrasonic measurement items, judging and calculating and the like; a display 4 for displaying the ultrasound image and the biomass measurement result; a trackball 5 for moving (mouse) the arrow position. A plurality of external input devices (the touch screen 1, the keyboard 2 and the trackball 5) are used in cooperation for operating the ultrasonic diagnostic apparatus to realize various functions.
While the preferred embodiments of the present invention have been illustrated and described, it will be understood by those skilled in the art that various changes in form and details may be made therein without departing from the spirit and scope of the invention as defined by the appended claims.

Claims (9)

1. An ultrasonic measurement multi-item processing method, characterized in that the method comprises:
acquiring a diagnosis mode, and marking a plurality of ultrasonic measurement items contained in the diagnosis mode, wherein each ultrasonic measurement item at least contains one biomass to be measured;
biomass measurement: acquiring an ultrasonic image, identifying an ultrasonic measurement item corresponding to the ultrasonic image according to a preset algorithm, judging whether the ultrasonic measurement item is marked, if so, starting an image processing program corresponding to the ultrasonic measurement item to process the ultrasonic image to obtain a measurement result of biomass to be measured in the ultrasonic measurement item, and canceling the marking of the ultrasonic measurement item with the obtained measurement result; the preset algorithm is an artificial neural network trained by a standard tangent plane and a second preset algorithm;
when the ultrasound image is a two-dimensional image, identifying an ultrasound measurement item corresponding to the ultrasound image according to a preset algorithm, further comprising:
calculating the similarity between the ultrasonic image and a plurality of standard tangent planes according to the artificial neural network, and obtaining the corresponding ultrasonic measurement item according to the standard tangent plane type with the maximum similarity;
when the ultrasonic image is a spectrogram, identifying an ultrasonic measurement item corresponding to the ultrasonic image according to a preset algorithm further includes:
extracting features in the spectrogram and/or calculating non-image information according to the second preset algorithm to obtain a corresponding ultrasonic measurement item; wherein the non-image information includes: a diagnostic mode, an ultrasound imaging mode, and/or patient information;
and judging whether the marked ultrasonic measurement item exists or not, if so, repeating the biological quantity measurement and/or outputting the first information, and otherwise, outputting the second information.
2. The method of claim 1, further comprising: acquiring an ultrasonic imaging mode; correspondingly, the determining whether there is a marked ultrasonic measurement item, if so, repeating the biometric measurement and/or outputting first information, otherwise, outputting second information, including:
judging whether the ultrasonic measurement item with the mark belongs to the ultrasonic imaging mode, if so, repeating the biological quantity measurement and/or outputting first information, and otherwise, outputting second information; wherein the second information comprises information related to an ultrasound imaging mode.
3. The method of any of claims 1-2, wherein the first information comprises: an incomplete ultrasound measurement item, one or more of marked ultrasound measurement items, and/or a selection of an end ultrasound measurement.
4. The method of any of claims 1-2, wherein the second information comprises: ultrasonic measurement project measurement completion, and/or ultrasonic measurement project measurement results.
5. The method of claim 1, wherein said determining whether the ultrasonic measurement item is marked further comprises: if not, outputting third information and/or repeated biological quantity measurement.
6. The method of claim 5, wherein the third information comprises: one or more of the ultrasonic measurement item is completed, the ultrasonic measurement item is not an item to be measured, and/or a marked ultrasonic measurement item.
7. The method of claim 1, wherein the initiating an image processing program corresponding to the ultrasound measurement item to process the ultrasound image to obtain a measurement result of biomass to be measured in the ultrasound measurement item, and unmarking the ultrasound measurement item for which the measurement result has been obtained comprises:
starting an image processing program corresponding to the ultrasonic measurement item to process the ultrasonic image to obtain a measurement result of the biomass to be measured in the ultrasonic measurement item;
outputting the fourth information;
when the first feedback signal is received, the ultrasonic measurement item is unmarked, and the measurement result of the biomass to be measured in the ultrasonic measurement item is output and/or stored;
when the second feedback signal is received, repeating the biometric measurement and/or outputting the fifth information, and keeping the mark of the ultrasonic measurement item.
8. The method of claim 7, wherein the fourth information comprises: the measurement of the biomass to be measured and/or whether the measurement is accepted; the fifth information includes: re-measuring the ultrasonic measurement item; and triggering a first feedback signal when the user selects to accept the measurement result, and triggering a second feedback signal when the user selects not to accept the measurement result.
9. An ultrasonic diagnostic system comprising a processor, a display, an external input device, characterized in that the ultrasonic diagnostic system is configured to implement the ultrasonic measurement multi-item processing method according to any one of claims 1 to 8.
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