CN1909835A - Ultrasonic diagnostic equipment and method of controlling the same - Google Patents

Ultrasonic diagnostic equipment and method of controlling the same Download PDF

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Publication number
CN1909835A
CN1909835A CN 200580002020 CN200580002020A CN1909835A CN 1909835 A CN1909835 A CN 1909835A CN 200580002020 CN200580002020 CN 200580002020 CN 200580002020 A CN200580002020 A CN 200580002020A CN 1909835 A CN1909835 A CN 1909835A
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China
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ultrasonic
image
interval
puncture
medical diagnosis
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CN100479762C (en
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中屋重光
泻口宗基
市冈健一
挂江明弘
泷本雅夫
鹫见笃司
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Toshiba Corp
Canon Medical Systems Corp
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Toshiba Corp
Toshiba Medical Systems Corp
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Abstract

The invention provides an ultrasonic diagnostic equipment and the method for controlling the ultrasonic diagnostic equipment. Three ultrasonic transmissions of positive, negative and negative polarities are executed for each of a plurality of ultrasonic scan lines on the basis of a predetermined rate period. Echo signals generated due to the respective ultrasonic transmissions are received at the same rate. For each scanning line, addition of the echo signal based on the first ultrasound of positive polarity to the echo signal based on the second ultrasound of negative polarity produces a normal mode image. Also for each scanning line, addition of the echo signal based on the first ultrasound of positive polarity to the echo signal based on the third ultrasound of negative polarity produces centesis mode image data. The produced images of normal and centesis modes are displayed in a predetermined manner.

Description

The method of ultrasonic equipment for medical diagnosis and control ultrasonic equipment for medical diagnosis
Technical field
The present invention relates to improve for example paracentetic reliability of ultrasonic leading and accuracy, relate in particular to the ultrasonic equipment for medical diagnosis of the observability that is used for improveing puncture needle, and the method for controlling this equipment.
Background technology
Ultrasonic equipment for medical diagnosis is a kind of medical imaging devices, and it utilizes the ultrasonic pulse echo method non-invasively to obtain the faultage image of live body soft tissue from the surface of health.Compare with other medical imaging devices, ultrasonic equipment for medical diagnosis have size little, cheap, need not be exposed to X ray and have advantages such as tight security, and can carry out the blood flow imaging.Ultrasonic equipment for medical diagnosis is widely used in heart, abdominal part, urinary organs, and is used widely in department of obstetrics and gynecology etc.
When using ultrasonic equipment for medical diagnosis to carry out image-forming diagnose, as everyone knows, by extracting the harmonic component that the nonlinear waveform of organizing is propagated and the Non-Linear Vibration of contrast agent causes (the more higher harmonic components that occurs at the frequency place of fundamental frequency integral multiple) and making it imaging, can generate the very high-quality image that shows high-resolution and almost do not have pseudo-shadow (pseudo-shadow noise).Method as deriving the harmonic component that nonlinear component causes such as Non-Linear Vibration is typically filtering method.
In addition, for example at Iwao Abiru and Tomoo Kamakura " NonlinearPropagation of Ultrasonic Pulses " (Technical Report of the Instituteof Electronics, Information and Communication Engineers, US89-23, p53) set forth in, known that a kind of and above-mentioned filtering method is compared by more effectively removing fundametal compoment to extract the method for harmonic component.This method is such: two kinds of anti-phase ultrasonic pulses alternately are transmitted into identical ultrasonic scanning line mutually, will add up corresponding to two kinds of received signals of emission ultrasonic pulse.This method is called as " phase inversion method ".This method is a kind of very valuable technology: it is carried out fundametal compoment and offsets operation, thereby allows to remove the fundametal compoment that enters harmonic band that filtering method can't be removed; On the contrary, for harmonic component, it shows and adds and potentiation.
On the other hand, phase inversion method is under the immobilized situation at the tissue as propagation medium only, perhaps under the final identical situation of in-house propagation path, could accurately work.Therefore, if this method is applied to actual live body (in live body, existence is the motion of the organ of representative with the heart), under the influence of described motion, between the received signal at two rate times intervals (rates), displacement occurs in various piece, the result is that first-harmonic still is not eliminated, and produces motion artifacts on image.
In addition, when the transmission interval (PRF (PulseRepetition Frequency, pulse recurrence frequency) just) of ultrasonic pulse adds long time, the displacement of each several part becomes bigger, and the influence of motion artifacts becomes stronger.Motion artifacts can cover the part of wishing observation, the serious simultaneously picture quality that reduces.Therefore, in phase inversion method, common way is to carry out a kind of design that prevents motion artifacts, for example PRF is provided with unnecessarily not longly.
Simultaneously, at the radiofrequency ablation art (RFA of conduct to the topical therapeutic of hepatocarcinoma, radiofrequency ablation) in, perhaps in the biopsy of checking the hepatocyte tissue, carry out the ultrasonic leading paracentesis widely, and the interested part that accurately punctures is very important such as tumor.Therefore requirement can grasped the position that in vivo will insert puncture needle during puncturing beyond the question on the ultrasonography.
Yet in the ultrasonic leading paracentesis, the ultrasonography of puncture needle is usually buried in the image of live body.Therefore, there is the problem that is difficult to grasp the position that to insert puncture needle.
Summary of the invention
The present invention In view of the foregoing makes, and its objective is provides a kind of ultrasonic equipment for medical diagnosis that can for example strengthen the observability of puncture needle in the ultrasonic leading paracentesis, and a kind of method of controlling ultrasonic equipment for medical diagnosis.
To achieve these goals, the present invention has adopted following means.
First aspect of the present invention is a kind of ultrasonic equipment for medical diagnosis, wherein, for internal imaging to the patient, in patient's body, carry out ultrasonic emitting according to very first time interval, thereby obtain first image, this ultrasonic equipment for medical diagnosis comprises: transmitter/receiver unit, and this transmitter/receiver unit carries out the emission of repeated ultrasonic ripple according to second interval longer at interval than the very first time in patient's body, and from the echo-signal of patient's reception corresponding to each time ultrasonic waves transmitted; Image generation unit wherein, will or subtract each other corresponding to the echo-signal addition of each time ultrasonic waves transmitted, thereby generate second view data; And display unit, it shows second image based on second view data.
A second aspect of the present invention is a kind of ultrasonic equipment for medical diagnosis, and it comprises: ultrasound probe, and it comprises ultrasonic transducer, they carry out the ultrasonic emitting/reception on a plurality of ultrasonic scanning directions in patient's body in response to the driving signal that is applied respectively; Emission controlling unit, it provides described driving signal to described ultrasonic transducer, to carry out the emission of repeated ultrasonic ripple on each direction in described a plurality of ultrasonic scanning directions, these ultrasonic emitting are according to predetermined rate time interval (rate period, the speed cycle) carries out, and comprise an at least polarity inversion; Receiving element, it receives a plurality of echos of launching based on described repeatedly ultrasonic waves transmitted according to described predetermined rate time interval (rate period); Image generation unit, wherein, use two echos that separate at least two rate times intervals (rates) in time according to described predetermined rate time interval (rateperiod) in described a plurality of echo to carry out addition or subtraction process, thereby generate first view data; And display unit, it shows first image based on described first view data.
A third aspect of the present invention is a kind of method of controlling ultrasonic equipment for medical diagnosis, wherein, for internal imaging to the patient, in patient's body, carry out ultrasonic emitting according to very first time interval, thereby obtain first image, this method comprises: in patient's body, carry out the emission of repeated ultrasonic ripple according to second interval longer at interval than the very first time, and from the echo-signal of patient's reception corresponding to each time ultrasonic waves transmitted; To or subtract each other corresponding to the echo-signal addition of each time ultrasonic waves transmitted, thereby generate second view data; And, show second image based on second view data.
A fourth aspect of the present invention is a kind of ultrasonic equipment for medical diagnosis control method, it comprises: provide the driving signal to ultrasonic transducer, to carry out the emission of repeated ultrasonic ripple on each direction in a plurality of ultrasonic scanning directions in patient's body, these ultrasonic emitting are to carry out according to predetermined rate time interval (rate period), and comprise an at least polarity inversion; Receive a plurality of echos of launching based on described repeatedly ultrasonic waves transmitted according to described predetermined rate time interval (rate period); Use two echos that separate at least two rate times intervals (rates) in time according to described predetermined rate time interval (rate period) in described a plurality of echo to carry out addition or subtraction process, thereby generate first view data; And, show first image based on described first view data.
Description of drawings
The schematic illustration of Fig. 1 according to an example of the block configuration of the ultrasonic equipment for medical diagnosis of first kind of embodiment;
Fig. 2 is used to illustrate according to the conceptual schematic view of first kind of embodiment by the scanning sequence of puncture mode capabilities execution;
Fig. 3 is used to illustrate according to the conceptual schematic view of first kind of embodiment to the signal processing of the ultrasonic echo signal that obtained by the puncture mode capabilities;
The schematic illustration of Fig. 4 an example showing of the ultrasonography carried out by the puncture mode capabilities;
The schematic illustration of Fig. 5 another example of showing of the ultrasonography carried out by the puncture mode capabilities;
The flowchart illustrations of Fig. 6 the flow process of each treatment step of carrying out by the puncture mode capabilities;
Fig. 7 is used to illustrate according to the conceptual schematic view of second kind of embodiment by the scanning sequence of puncture mode capabilities execution;
Fig. 8 is used to illustrate according to the conceptual schematic view of second kind of embodiment to the signal processing of the ultrasonic echo signal that obtained by the puncture mode capabilities;
Fig. 9 is used to illustrate according to the conceptual schematic view of the third embodiment by the scanning sequence of puncture mode capabilities execution;
Figure 10 is used to illustrate according to the third embodiment by the conceptual schematic view of puncture mode capabilities to the signal processing of ultrasonic echo signal execution;
Figure 11 is used to illustrate according to the conceptual schematic view of the 4th kind of embodiment by the scanning sequence of puncture mode capabilities execution;
Figure 12 is used to illustrate according to the 4th kind of embodiment by the conceptual schematic view of puncture mode capabilities to the signal processing of ultrasonic echo signal execution;
Figure 13 is used to illustrate according to the conceptual schematic view of the 5th kind of embodiment by the scanning sequence of manual puncture mode capabilities execution;
Figure 14 is used to illustrate according to the conceptual schematic view of the 5th kind of embodiment to the signal processing of the ultrasonic echo signal that obtained by manual puncture mode capabilities;
The flowchart illustrations of Figure 15 the flow process of each treatment step of carrying out by manual puncture mode capabilities according to the 5th kind of embodiment;
The block diagram of Figure 16 has illustrated the configuration according to the ultrasonic equipment for medical diagnosis of the 6th kind of embodiment;
The flowchart illustrations of Figure 17 according to the operation in the ultrasonic equipment for medical diagnosis of the 6th kind of embodiment;
The schematic illustration of Figure 18 A in the 6th kind of embodiment at the ultrasonography that on monitor 25, shows during the puncture pattern; In addition, the schematic illustration of Figure 18 B in the prior art at the ultrasonography that on monitor 25, shows during the puncture pattern;
The schematic illustration of Figure 19 puncture needle carried out the puncture needle image that peak value keeps by above-mentioned processing when entering and withdrawing from patient's body;
Figure 20 illustrates the sketch map under the following situation: when puncture needle departs from the angles of display of puncture lead (puncture guideline), from the angle of dynamic(al) correction puncture lead to show again;
The schematic illustration of Figure 21 in the 6th kind of embodiment, when puncture needle is bent into shaped form, be presented at puncture lead on the monitor.
The specific embodiment
Below in conjunction with accompanying drawing four kinds of embodiments of first kind of embodiment to the of the present invention are described.Explanation in passing, in the following description, the ingredient with essentially identical function and structure has identical Reference numeral, only in the occasion of necessity, will they be repeated in this description.
(first kind of embodiment)
Fig. 1 illustrates the configuration block diagram according to the ultrasonic equipment for medical diagnosis of this embodiment.As shown in the figure, this ultrasonic equipment for medical diagnosis is made of ultrasound probe 1, memory element 30, input block 7, monitor 25 and equipment body 50.
Ultrasound probe 1 generates ultrasound wave and launches ultrasound wave to the patient, receives from the echo of patient's body internal reflection and generates echo-signal.It has piezoelectric transducer.These piezoelectric transducers are acoustic-electric reversible transducers of piezoelectric ceramics or similar material.Described a plurality of piezoelectric transducer parallel arranged is set at the end of ultrasound probe 1.
Memory element 30 is stored the image that forms in the past therein, is received image the equipment, is used to carry out the dedicated program of predetermined imaging sequence from network or interchangeable storage medium, or the like.
Input block 7 comprises LCD panel and input equipment on its control panel, such as keyboard, tracking ball, mouse and the special purpose interface of " the puncture pattern " that will describe below being used to carry out.Operator use input block 7 to carry out the input of emission/condition of acceptance (such as patient information and rate time interval (rate period) Tr), and the selection of image display mode, or the like.
Monitor 25 is shown as intravital morphologic information or blood flow information the image of the video signal that receives based on slave unit main body 50.In response to scheduled operation, be presented at image on the monitor 25 etc. and be stored in the memory element in the equipment body 50 from input block 7 grades.
Equipment body 50 comprises: ultrasonic transmitting element 2, and it carries out the emission control from ultrasound probe 1 ultrasonic waves transmitted; Ultrasound wave receiving element 3, it carries out the pretreatment of the echo-signal that ultrasound probe 1 is received; Harmonic wave detecting unit 4, it is from detecting harmonic component through the pretreated echo-signal; Signal processing unit 5, it generates view data by detected harmonic component is handled through prearranged signal; Image generation unit 8, it generates ultrasonography based on described view data, to show this image; And control circuit (CPU) 6.
Ultrasonic transmitting element 2 comprises speed pulse (rate pulse) generator 11, emission delay circuit 12 and pulse generator 13.The 11 generating rate pulses of speed pulse generator, the repetition period that the speed pulse determines to be radiated the intravital ultrasonic pulse of patient, (rate time at interval, the speed cycle, rate period), speed pulse generator 11 offers emission delay circuit 12 with the speed pulse.Subsequently, (the individual delays circuit by M passage constitutes emission delay circuit 12, the quantity of M passage equals to be used for the quantity of ultrasonic waves transmitted transducer) give the focusing time delay that is used for ultrasonic pulse is focused on desired depth to the speed pulse that receives, and the deflection time delay that is used for ultrasonic pulse is transmitted into predetermined direction.The emission delay circuit offers pulse generator 13 with the speed pulse that obtains.In addition, impulse sender 13 has the self-powered circuit of M passage, and the quantity of M passage equals to launch the quantity of the passage of delay circuit 12.The driving signal that each drive circuit generates is applied in to the ultrasonic transducer that is arranged on the correspondence in the ultrasound probe 1, thereby, thereby each ultrasonic transducer is driven to patient's internal radiation ultrasonic pulse.
Ultrasound wave receiving element 3 comprises that preamplifier 14, analog-digital converter 15, beam form device 16 and adder 28.Preamplifier 14 is designed to amplify the tiny signal that is converted to electrical receive signal by ultrasonic transducer, and guarantees gratifying signal to noise ratio.The fundametal compoment and the harmonic component that are enlarged into the received signal of predetermined amplitude in preamplifier 14 are converted to digital signal by analog-digital converter 15, and digital signal is sent to beam and forms device 16.16 pairs of devices of beam formation are converted into the received signal of digital signal and give the focusing time delay that is used to focus on from the ultrasonic reflections ripple of desired depth, and are used for the deflection time delay of scan patients by the receiving directivity that changes the ultrasonic reflections ripple in proper order.Adder 28 makes the resulting output that forms device 16 from beam through phasing addition process (phasing addition) (wherein, the received signal that obtains from predetermined direction is with the addition of homophase mode).
Harmonic extraction unit 4 comprises wave memorizer 17, adder/subtracter 18 and filter circuit 19.Wave memorizer 17 temporarily is stored in the received signal that the first time, emission/reception was obtained of predetermined direction therein.The received signal that preserve in the n time (wherein n is at least 2 natural number, supposes n=4) received signal that emission/reception obtained and the wave memorizer 17 second time of 18 pairs of predetermined directions of adder/subtracter is carried out addition or subtraction.On the other hand, filter circuit 19 is to reduce because the wave filter of thereby the fundametal compoment that can not by phase inversion method be eliminated former such as the motion of organ and the motion of health etc.
Signal processing unit 5 comprises envelope detector 20, logarithmic converter 21 and persists transducer (persistence converter) 22.Envelope detector 20 makes the digital signal of input calculate through envelope detection, thus the detected envelope line.In addition, logarithmic converter 21 comprises the question blank to number conversion of carrying out input value, and exports the value that obtains, and the amplitude of received signal is carried out number conversion in logarithmic converter 21, to emphasize small-signal relatively.Persist the scanning line of transducer several frames of temporary transient storage in memorizer, and carry out the processing that brightness flop is average.
Image generation unit 8 comprises display image memory 23 and image generative circuit 24.In display image memory 23, the view data that provides from signal processing unit 5 is synthesized and is temporarily stored such as character relevant with view data and numeral with additional data.In addition, in display image memory 23, the temporary transient synthetic in a predefined manner view data that forms of puncture mode image that general mode image and back will be described of preserving.View data of being preserved and additional data are changed through digital-to-analogue conversion and TV format in image generative circuit 24, to be presented on the CRT monitor 25.
Based on the instruction of user from the relevant model selection of input block 7 input, emission/end etc., control circuit 6 is read emission/condition of acceptance and the dedicated program that is stored in the memory element 30, and the condition that its basis is read etc. is controlled individual unit and whole system statically or dynamically.
Especially in the present embodiment, control circuit 6 is read the dedicated program that is used for the puncture mode capabilities that will describe the specific implementation back from memory element 30, and program is expanded on the predetermined memory, thereby carries out each unitary control according to program.As an example, control unit 6 provides the polar switch-over control signal of the driving pulse in the pulse generator 13 to ultrasonic transmitting element 2, be provided for determining the control signal of the filtering characteristic (such as mid frequency and frequency band) in the filter circuit 19 and the add-subtract control signal in wave memorizer 17 and the adder/subtracter 18 to harmonic extraction unit 4.
(puncture mode capabilities)
The puncture mode capabilities that ultrasonic equipment for medical diagnosis has is described below.This functional utilization phase inversion method is imaged as motion artifacts with the motion of puncture needle.In passing the explanation, in this embodiment, below such image-forming condition be called " puncture pattern ", under this image-forming condition: PRF is prolonged, intentionally generating motion artifacts, thereby strengthen the observability of puncture needle, although this is not suitable for the diagnosis of intravital image.In addition, the image-forming condition that is used for common diagnosis before this is called " general mode ".
Fig. 2 is the conceptual schematic view that is used to illustrate the scanning sequence of being carried out by the puncture mode capabilities.As shown in the figure, when carrying out imaging based on the puncture pattern, according to predetermined PRF each bar scanning line is carried out three ultrasonic emitting, wherein, polarity is just being become (moment t 1), negative (t constantly 2) and negative (moment t 3).Additional disclosure, the SP among Fig. 2 1, SP 2And SP 3The expression of simulation ground is by the spectrum waveform of the last echo-signal that ultrasonic emitting obtained.
Fig. 3 is the conceptual schematic view that is used to illustrate to the signal processing of the ultrasonic echo signal that obtained by the puncture mode capabilities.As shown in the figure, the general mode view data that is used for generating diagnostic ultrasonography (general mode image) for example generates by this way in adder/subtracter 18: for each bar scanning line, make echo-signal corresponding to the ultrasonic emitting first time (just at the moment of Fig. 2 t 1The hyperacoustic echo-signal with positive polarity) with corresponding to the echo-signal of the ultrasonic emitting second time (just at the moment of Fig. 2 t 2The hyperacoustic echo-signal with negative polarity) add up mutually.
By contrast, the puncture mode image data that are used for generating the ultrasonography (puncture mode image) of the motion that is used to grasp puncture needle generate in such a way in for example adder/subtracter 18: will corresponding to the first time ultrasonic emitting echo-signal with corresponding to the echo-signal of ultrasonic emitting for the third time (just at the moment of Fig. 2 t 3The hyperacoustic echo-signal with negative polarity) add up mutually.
Here, the difference that will discuss below is between the generation of the generation of general mode view data and the mode image data that puncture.The general mode view data is to use the PRF corresponding to common relatively short interval to generate.Therefore, it is lower to be attributable to ultrasonic emitting for the first time and the motion artifacts of the reasons such as motion of health produces between the ultrasonic emitting for the second time probability, and therefore can generate can be to the organ ultrasonography data of imaging suitably.On the other hand, puncture mode image data are to use the PRF corresponding to the length of the PRF length that is twice in the general mode view data to generate, therefore can generate can be suitably to the ultrasonography data of motion artifacts (being attributable to ultrasonic emitting and body kinematics that takes place between the ultrasonic emitting for the third time and puncture needle motion for the first time) imaging.
In filter circuit 19 and signal processing unit 5 subsequently, the general mode view data is handled through prearranged signal, and is shown as the general mode image on monitor 5.Equally, puncture mode image data are handled through similar, and are presented on the monitor 5 as the puncture mode image.
The schematic illustration of Fig. 4 an example showing of the ultrasonography carried out by the puncture mode capabilities.As shown in the figure, on monitor 5, as an example, show general mode image and puncture mode image side by side simultaneously.Operator confirm the position of puncture needle on the puncture mode image, can observe the state of organ simultaneously on the general mode image, and can handle this organ.Especially during operation, produce the brightness flop of ultrasonography sometimes by mobile a little puncture needle, thereby strengthen the observability of puncture needle.Because the puncture mode image is to use in time than two signals separating more usually and generates, compared with prior art, motion artifacts is showed more obviously.Therefore, compared with prior art, operator can be from the position of identification puncture needle on ultrasonography more definitely visually.
The schematic illustration of Fig. 5 another example of showing of the ultrasonography carried out by the puncture mode capabilities.As shown in the figure, on display 5, as an example, stack ground shows general mode image and puncture mode image, thereby can realize same purpose.
Explanation in passing in the puncture pattern, preferably makes dynamic range, gain, post-processed, the Flame Image Process projects such as (persistence) that persists is different from the Flame Image Process project in the general mode, to strengthen the observability of puncture needle.
In addition, even the peak value maintenance processing (maximum brightness value keeps handling) of carrying out the image that utilizes several frames individually in order when the motion of pin is stopped, also to keep observability, equipment can be designed as.
In addition, for the ease of the position of identification puncture needle, equipment can be designed as the color of at least a portion (zone that for example comprises puncture needle) with the puncture mode image and is shown as and is different from around this part or the color of general mode image.
(operation)
Operation under the puncture pattern of ultrasonic equipment for medical diagnosis is described below.The flowchart illustrations of Fig. 6 the stream of the treatment step under the puncture pattern, carried out.As shown in the figure, at first import (step S1) such as patient information, diagnosis parts, select imaging pattern (selecting " puncture pattern " here) (step S2).
Next, to in a plurality of ultrasonic scanning lines (scanning direction) each, according to predetermined rate time at interval, carry out three ultrasonic emitting (step S3) with positive and negative and negative polarity, (speed rate) receives the echo (step S4) that is caused and produced by each time ultrasonic emitting according to same frequency.
Subsequently, at each scanning line, will based on the first time positive polarity during ultrasonic emitting hyperacoustic echo-signal and based on the second time during ultrasonic emitting hyperacoustic echo-signal of negative polarity add up, thereby generate the general mode view data.In addition, at each scanning line, will based on the first time positive polarity during ultrasonic emitting hyperacoustic echo-signal and during based on ultrasonic emitting for the third time hyperacoustic echo-signal of negative polarity add up, thereby generate puncture mode image data (step S5).
Subsequently, show general mode image and puncture mode image (step S6) based on each view data that generates according to predetermined mode.
According to above-mentioned configuration, can obtain advantage described below.
According to this ultrasonic equipment for medical diagnosis, when utilizing the phase inversion method imaging, use at least two echos comparing interval De Gengkai in time at least with two echos that are used for diagnostic image (first image) to generate second image that intentional imaging goes out motion artifacts.For example when using puncture needle to handle,, just, can grasp the position of puncture needle more definitely than prior art by observing first image and second image of demonstration side by side or overlapping demonstration by using second image.As a result, this ultrasonic equipment for medical diagnosis can help to provide high-quality medical treatment.
In addition, according to this ultrasonic equipment for medical diagnosis, for the imaging of puncture needle, except at first selecting not need other operation the puncture pattern.Therefore, the ultrasonography that operator can observe wherein more definitely to the puncture needle imaging, and need not carry out any special operation, thus can alleviate operator's operation burden during operation.
In addition, can be realized by this way by the puncture mode capabilities of this ultrasonic equipment for medical diagnosis specific implementation: the dedicated program that will be used for this function of specific implementation is installed in existing ultrasonic system.Therefore, can realize safe puncture needle etc. easily and at low cost.
(second embodiment)
Second embodiment of the present invention is described below.This embodiment is: by further utilize rate time at interval subtractive method (rate subtraction method) carry out the imaging of the observability that strengthens puncture needle etc.Additional disclosure, " rate time is subtractive method at interval " is a kind of like this technology: utilize the difference between the same phase images (image of identical polar) to carry out imaging.This technology for example has description in JP-A-8-336527.
The conceptual schematic view of Fig. 7 is used to describe the scanning sequence of being carried out by the puncture mode capabilities according to second embodiment.In addition, the conceptual schematic view of Fig. 8 is used to describe the signal processing of being carried out by the puncture mode capabilities according to second embodiment to the ultrasonic echo signal.
As shown in Figure 7, for example, in a plurality of ultrasonic scanning lines each, with the ultrasonic pulse emission of positive and negative in other words, the positive polarity of reversed polarity three times.Explanation in passing, in the drawings, the echo-signal that obtains by ultrasonic emitting is expressed as SP with spectrum waveform respectively 1, SP 2And SP 3
In this embodiment, the same with first embodiment, based on echo-signal SP 1View data that addition obtains between (positive polarity) and the echo-signal SP2 (negative polarity) generates the general mode image.On the other hand, based on echo-signal SP 1(positive polarity) and echo-signal SP 3View data that subtraction obtains between (positive polarity) generates the puncture mode image.In this case, in the puncture mode image, in ultrasonic emitting the and not have part of motion not pass through the subtraction process imaging for the third time between the ultrasonic emitting first time.But, under the situation that puncture needle between twice has moved, use difference with remaining motion artifacts component suitably imaging come out.
By such configuration, can obtain the advantage identical with first embodiment, realize goal of the invention equally.
(the 3rd embodiment)
The third embodiment of the present invention is described below.This embodiment is, utilizes empty rate time interval (dummy rate) to strengthen the imaging of the observability of puncture needle.
Explanation in passing, " empty rate time at interval " be a kind of like this rate time at interval: carry out ultrasonic emitting at interval according to this rate time, but do not carry out the imaging that the echo that utilizes ultrasonic emitting to obtain carries out, perhaps, interbody spacer does not carry out ultrasonic emitting itself at this rate.
The conceptual schematic view of Fig. 9 is used to describe the scanning sequence of being carried out by the puncture mode capabilities according to the 3rd embodiment.In addition, the conceptual schematic view of Figure 10 is used to describe the signal processing of being carried out by the puncture mode capabilities according to the 3rd embodiment to the ultrasonic echo signal.
In this embodiment, as shown in Figure 9, as an example,, carry out ultrasonic emitting three times in a plurality of ultrasonic scanning lines each: positive polarity, negative polarity, be then empty rate time at interval, be negative polarity then.In addition, in this embodiment, as shown in figure 10, with the same in first or second embodiment, based on echo SP 1(positive polarity) and echo SP 2The view data that addition obtained between (negative polarity) generates the general mode image.On the other hand, based on the echo SP that launches for the first time 1(positive polarity) and the echo SP of emission for the third time after empty rate time interval 3The view data that addition obtained between (negative polarity) generates the puncture mode image.
Owing to insert empty rate time so at interval, compare with the situation of first or second embodiment, PRF can be prolonged a ultrasonic pulse emission.Therefore, can carry out imaging therebetween, can strengthen the observability of puncture needle the motion artifacts of the greater number that occurs.
Additional disclosure can be designed to this embodiment generate like this puncture mode image: carry out rate time interval subtractive method by ultrasonic waves transmitted for the first time and for the third time is provided with identical polarity.
(the 4th embodiment)
The 4th kind of embodiment of the present invention is described below.This embodiment is to utilize empty rate time another example at interval.
The conceptual schematic view of Figure 11 is used to describe the scanning sequence of being carried out by the puncture mode capabilities according to the 4th embodiment.In addition, the conceptual schematic view of Figure 12 is used to describe the signal processing of being carried out by the puncture mode capabilities according to the 4th embodiment to the ultrasonic echo signal.
In this embodiment, as shown in figure 11, for example,, carry out ultrasonic emitting twice in a plurality of ultrasonic scanning lines each: positive polarity, be then empty rate time at interval, be negative polarity then.The general mode image is to form like this: do not having under the B pattern of paraphase, only to the positive polarity imaging of emission for the first time; And the puncture mode image utilizes the positive polarity ultrasound wave of emission for the first time and carries out imaging at the negative polarity ultrasound wave of launching for the third time of empty rate time after at interval and forms.
In the 3rd embodiment,, PRF can be prolonged a ultrasonic pulse emission owing to added empty rate time at interval.Therefore, can carry out imaging therebetween, strengthen the observability of puncture needle the motion artifacts of the greater number that occurs.
Additional disclosure, this embodiment also can be configured to generate like this puncture mode image: carry out rate time interval subtractive method by ultrasonic waves transmitted for the first time and for the second time is provided with identical polarity.
Explanation the invention is not restricted to above-mentioned embodiment in passing, when implementing, can realize by revise building block in the scope that does not depart from its purport.A kind of practicable modification in this way as described as follows.
(the 5th kind of embodiment)
The 5th kind of embodiment of the present invention is described below.In first to the 4th kind of embodiment each has all adopted and has prolonged PRF, deliberately generates the technology of motion artifacts with the observability that strengthens puncture needle, although this is not suitable for the in vivo diagnosis of image.By contrast, present embodiment will be explained a kind of like this imaging technique: in phase inversion method, for each scanning line, the time delay of wishing in the past after the benchmark ultrasonic emitting is after the T, execution is used for the ultrasonic emitting to the puncture needle imaging, thereby, be used for ultrasonic emitting by utilization to the puncture needle imaging, intentionally generate motion artifacts.
In the present embodiment, below such imaging pattern is called " manual puncture pattern ": wherein, intentionally generate motion artifacts by time delay T is set, thereby can strengthen the observability of puncture needle, even now is not suitable for the in vivo diagnosis of image.
The structure of block diagram of the ultrasonic equipment for medical diagnosis 1 of present embodiment and shown in Figure 2 basic identical.Describe below with the embodiment of having described in the different ingredient of function.
Memory element 30 is stored the dedicated program that is used for the manual puncture needle imaging pattern that will describe the specific implementation back therein, and is used in the parameter in the manual puncture needle imaging pattern.
Control circuit 6 is read the dedicated program of storage in the memory element 30, and this program is expanded on the not shown memorizer, with the manual puncture of specific implementation mode capabilities.Describe the content of this function below in detail.
Ultrasonic emitting/receiving element 2 is carried out ultrasonic emitting/reception according to the setting launching condition under the manual puncture pattern.
Input block 7 is interfaces that T time delay that is used for will describing the back is set to needed value.
(manual puncture mode capabilities)
Manual puncture mode capabilities is described below.In this pattern, the benchmark ultrasonic emitting is set.It is selected as the time started of T time delay.As an example, in n the ultrasonic emitting that each bar scanning line execution is comprised at least paraphase (here, n represents to be at least 3 integer) situation under, first ultrasonic emitting or next-door neighbour are used for can being adopted to described benchmark ultrasonic emitting to the last ultrasonic emitting of the ultrasonic emitting of puncture needle imaging.
Explanation in passing, in this embodiment, in order to make explanation more concrete, supposed an example, wherein manual puncture pattern is applied to scanning sequence according to first kind of embodiment, just, in this example, under the situation of each bar scanning line being carried out three ultrasonic emitting comprising at least paraphase ultrasonic emitting of negative polarity (positive and negative), carry out the ultrasonic emitting that is used for the puncture needle imaging for the third time according to T time delay that sets with reference to ultrasonic emitting for the first time.But manual puncture pattern for example also can be applied to any one scanning sequence in second to the 4th embodiment, and need not stick to the example of being supposed.
The conceptual schematic view of Figure 13 is used to illustrate the scanning sequence of being carried out by manual puncture mode capabilities.As shown in the figure, when carrying out imaging,, carry out polarity and fallen to be (moment t just respectively in a plurality of scanning lines each based on manual puncture pattern 1), negative (t constantly 2) and negative (moment t 3) three ultrasonic emitting.Here, moment t 1With moment t 2Between interval be rate time at interval, t constantly 1With moment t 3Between interval be T time delay.Therefore, operator by predetermined operation with time delay T be set at required value, thereby can be according to carrying out the ultrasonic emitting that is used for the puncture needle imaging with the irrelevant at interval interval of PRF, can intentionally generate motion artifacts by the emission of this imaging ultrasound ripple, with to the puncture needle imaging.
The conceptual schematic view of Figure 14 is used to illustrate the signal processing of the ultrasonic echo signal that manual puncture mode capabilities is obtained.As shown in the figure, for example in adder/subtracter 18, generate the general mode view data be used to generate diagnostic ultrasonography (general mode image) in the following manner: for each scanning line, will corresponding to the first time ultrasonic waves transmitted (just at the moment of Figure 13 t 1The ultrasound wave with positive polarity) echo-signal with corresponding to the second time ultrasonic waves transmitted (just at the moment of Figure 13 t 2The ultrasound wave with negative polarity) the echo-signal addition.
By contrast, for example in adder/subtracter 18, generate the view data of the ultrasonography (manual puncture mode image) be used to generate the motion that is used to grasp puncture needle in the following manner: will be corresponding at moment t 1The emission the first time ultrasonic waves transmitted echo-signal with at moment t 1Pass by the ultrasonic waves transmitted for the third time of emission after the time delay T afterwards (just at the moment of Figure 13 t 3The ultrasound wave with negative polarity) pairing echo-signal adds up mutually.At filter circuit at different levels subsequently 19 and signal processing unit 5 the manual puncture mode image data that generated are handled through prearranged signal, thereby generated manual puncture mode image.The manual puncture mode image that is generated for example is presented on the monitor 5 in mode shown in Figure 4.
Here, for example generation of the puncture mode image data that obtain in the first embodiment, and between the generation of the manual puncture mode image data that obtain in the present embodiment, have difference as described below.It is that the echo-signal of twice ultrasonic emitting of the integral multiple (being two times in the first embodiment) of PRF generates that puncture mode image data are to use corresponding to interval.On the other hand, manual puncture mode image data then are to use following echo-signal to generate: corresponding at moment t 1First hyperacoustic echo-signal of emission, and corresponding at moment t 1Pass by afterwards the moment t of T time delay 3The 3rd hyperacoustic echo-signal of emission.According to manual puncture mode image data, for the motion artifacts of the motion that is attributable to take place during the T, suitably imaging in the desirable time delay that the integral multiple with PRF has nothing to do.
Additional disclosure, same, in manual puncture pattern, the same with the situation of puncture pattern, in order to strengthen the observability of puncture needle, preferably execution and dynamic range, gain, post-processed, persist etc. that relevant Flame Image Process, peak value keeps handling and at least the colour of parts of images show, or the like.
(operation)
Operation in the manual puncture pattern of ultrasonic equipment for medical diagnosis is described below.The flowchart illustrations of Figure 15 the flow process of the treatment step in manual puncture pattern, carried out.As shown in the figure, at first import (step S11) such as patient information, diagnosis parts, select imaging pattern (selecting " manual puncture pattern " here) (step S12).
Subsequently, import parameter (step S13) relevant with ultrasonic emitting/reception under manual puncture pattern.Here, the following at least parameter of term " under manual puncture pattern relevant parameter " expression with ultrasonic emitting/reception: the emitting times n of each scanning line, PRF and/or time delay T.For the selection of parameter, as an example, in memory element 30, store the table of the predetermined combinations that constitutes by a plurality of setting values in advance, from table, to select needed combination in the described combination.
Next, for in described a plurality of ultrasonic scanning lines (scanning direction) each, according to PRF and predetermined T time delay, carry out three ultrasonic emitting (step S14) with positive and negative and negative polarity, receive the echo (step S15) that each time ultrasonic emitting causes and generates.
Next, at each scanning line, will based on positive polarity the first time ultrasonic emitting echo-signal and based on negative polarity the second time ultrasonic emitting echo-signal add up, thereby generate the general mode view data.In addition, at each scanning line, will based on positive polarity the first time ultrasonic emitting echo-signal and add up based on the echo of the ultrasonic emitting for the third time of negative polarity, to generate manual puncture mode image data (step S16).Based on the view data that is generated, show general mode image and manual puncture mode image (step S17) in a predefined manner respectively.
According to above-mentioned configuration, obtain following advantage.
According to this ultrasonic equipment for medical diagnosis, under the situation of n the ultrasonic emitting that each scanning line is comprised at least paraphase (n is at least 3 integer), after the benchmark ultrasonic emitting, carry out the ultrasonic emitting that is used for the puncture needle imaging behind T time delay in the past.Therefore, can be used for ultrasonic emitting with (just the benchmark ultrasonic emitting after T time delay after) the in the past execution of irrelevant moment of the integral multiple of PRF to the puncture needle imaging, thereby, for the motion artifacts of the motion of the puncture needle that is attributable to take place during the T, suitably imaging in this time delay.
In addition, can by scheduled operation with time delay T be set at the value that operator wish.Therefore, operator can by predetermined operation according to desirable time delay T carry out the ultrasonic emitting that is used for the puncture needle imaging, thereby, utilize this to be used for the ultrasonic emitting of imaging, can intentionally generate motion artifacts, thereby to the puncture needle imaging.
In addition, can realize by this way by the manual puncture mode capabilities of ultrasonic equipment for medical diagnosis specific implementation: the dedicated program of the described function of specific implementation is installed in the existing ultrasonic system.Therefore, can realize safe puncture needle etc. easily and at low cost.
(the 6th kind of embodiment)
The 6th kind of embodiment of the present invention is described below.This embodiment strengthens the observability of puncture needle on the image.
The block diagram illustration of Figure 16 according to the configuration of the ultrasonic equipment for medical diagnosis of present embodiment.As shown in the figure, the ultrasonic equipment for medical diagnosis 1 of the present embodiment place that is different from the configuration of Fig. 1 is also to comprise graphics processing unit 40 and Doppler's processing unit 50.The ingredient that graphics processing unit 40 and other function are different from aforementioned content is described below.
Graphics processing unit 40 comprises variable gain amplifier 41 and image processor 42.Variable gain amplifier 41 is used to increase or reduce the gain of doppler image signal, and it for example is made of multiplication type digital to analog converter.Image processor 42 is that image generates auxiliary unit, its function is, utilization is carried out peak value to the signal that is identified as the expression puncture needle and is kept handling from the B mode image signal of signal processing unit 5 transmission and the doppler image signal that transmits from Doppler's processing unit 50, shows track then; Its function also has from the stroke of the trajectory predictions puncture needle that is obtained, and guides from dynamic(al) correction when the trip departs from the puncture lead.Here, image processor 42 changes the gain of variable gain amplifier 41, to reduce the color sensitivity of color flow picture.
In the back in the diagnosing sequence that will describe, radiating circuit 13 is according to meeting emission ultrasound wave such as the various potential pulses of finishing the launching condition of journey, tranmitting frequency.
Tomography (tomographic layer) after the conversion that image generative circuit 24 will be made of the item of information of each scanning line is divided into pixel, and each pixel is distributed to storage address, to store the reflex strength information of sectional analysis layer therein.In addition, for the puncture lead of the on position of describing to represent puncture needle, image generative circuit 24 is stored the some position of puncture lead therein, as data.
Doppler's processing unit 50 is by phase detecting circuit 51, analog-digital converter 52, mti filter 53, correlation unit 54 and constituting arithmetical unit 55 automatically, it extracts the component motion based on Doppler effect of blood flow component and puncture needle needle point, with Doppler image information projects such as the average speed that obtains a plurality of points, variance, power.By image generation unit 8 the Doppler image information project is sent to monitor 25, and by the colored combination image that is shown as average speed image, variance image, power diagram picture or these images.
Monitor 25 with the following mode that will describe show add to tomographic analytic image to and the puncture needle needle point that is synthesized together with it, puncture lead etc.
(operation)
Below in conjunction with the operation of accompanying drawing description according to ultrasonic equipment for medical diagnosis of the present invention.
The flowchart illustrations of Figure 17 the operation in an embodiment of ultrasonic equipment for medical diagnosis of the present invention.In addition, the schematic illustration of Figure 18 A carry out during the puncture ultrasonography that on monitor 25, shows in the present embodiment.In addition, as a reference, in Figure 18 B, illustrate puncturing during, the ultrasonography of the prior art that on monitor 25, shows.
As shown in figure 17, when mobile puncture needle first (S1), Doppler signal is sent to image generation unit 8 from signal processing unit 5 and Doppler's processing unit 50.Doppler's processing unit 50 judges that relevant signal is the signal (S2) by the motion generation of puncture needle.
Shown in Figure 18 B, in the prior art, the image of puncture needle is buried in the image of live body, is difficult to discern puncture needle and where is positioned at.Therefore, shown in Figure 18 A, discern puncture needle like this: utilize to send to the signal of image generation unit 8 from signal processing unit 5 and Doppler's processing unit 50, speed under brightness under the B pattern and positional information project, the doppler mode, power and direction of travel information project, or the like, in image processor 42, carry out threshold determination.
Be used for discerning the threshold value of the judgement of puncture needle for image processor 42, as an example, following condition arranged:
(1) the brightness height under the B pattern;
(2) signal is near the signal the puncture lead;
(3) in doppler mode, comprise velocity component;
(4) direction in the doppler mode and puncture lead indicated direction basically identical;
(5) performance number is big.
The signal that satisfies above-mentioned some at least conditions is identified as puncture needle by image processor 42.In addition, threshold value is stored in the memory element 30, and under the situation of carrying out threshold determination, image processor 42 is read this threshold value from memory element 30.
Generally speaking, puncture needle only shows relative higher brightness at needle point (end portion), show lower brightness in other parts, so the image of puncture needle is buried in the image of live body.Therefore, under the situation that identifies the Doppler signal that satisfies above-mentioned condition (S2: "Yes"), then its to be identified as be to be produced by the motion of puncture needle, image processor 42 makes the B mode image signal of the needle point of puncture needle keep handling through peak value.Like this, the track of the needle point of puncture needle is regarded as the image of whole puncture needle.Therefore, it is more definite that the image of puncture needle becomes, even when the motion of puncture needle stops and no longer producing Doppler's component, also can know the position at puncture needle needle point place, and the residing state of whole puncture needle.It is to carry out (just under puncture needle such as inserts, stops and extracting at any state in all states) under any state of the puncture of carrying out with puncture needle that additional disclosure, the peak value of image processor 42 keep handling.In addition, when puncture needle moves, do not carry out Doppler measurement in the prior art.
Here, in the present embodiment, the puncture needle that identifies also can be handled through the colorize of image processor 42, thereby strengthens its observability.
In addition, when image processor 42 execution only showed the processing of the puncture needle tip portion of being discerned by B mode image signal with different colors, only the puncture needle needle point was emphasized, it is more clear and definite that the position that puncture needle has advanced to becomes.
The schematic illustration of Figure 19 in puncture needle inserts patient's body and when in patient's body, withdrawing from, carried out the puncture needle image that peak value keeps by above-mentioned processing.
When puncture, carried out puncture needle is inserted the part (" target tumor of puncture " among the figure) that will be punctured, and the series of after this puncture needle being extracted operation.Shown in the condition (3), when inserting puncture needle, doppler image signal has the component of the body surface left as described above, and when extracting puncture needle, doppler image signal has the component of convergence body surface.
Therefore, image processor 42 is carried out such processing: when inserting puncture needle, just, (S3 among Figure 17: "Yes"), as previously mentioned, the track of puncture needle (needle point) is left when doppler image signal has the component that leaves body surface; (the S3 among Figure 17: "No") when extracting puncture needle, just, when detecting doppler image signal and have the component of convergence body surface, keep the track of the puncture needle needle point that shows for carry out peak value by aforementioned processing, eliminate moving displacement component (S5 among Figure 17).
Like this, prevented from after extracting puncture needle, to stay the track of puncture needle.
Figure 20 illustrates sketch map in the following cases: when puncture needle departs from the angles of display of the lead that punctures, from the angle of dynamic(al) correction puncture lead, to show again.
Usually, under the puncture pattern, the image that is called as the lines (for example dotted line) of " puncture lead " by graphics processing unit 40 generates to be handled, and by control circuit 6 its stack is presented on the monitor 25 and (is superimposed upon on the ultrasonography), thereby the demonstration of these lines can be compared with the demonstration of the behavior of puncture needle (puncture needle inserts in patient's body or extracts in patient's body).
But in some cases, because the influence of in vivo tissue, puncture needle has distortion, and puncture needle is not according to advancing with the direction of puncture lead indication.
Therefore, carrying out linear regression by image processor 42 based on the track of the shown puncture needle needle point of aforementioned processing calculates or similar processing, control circuit 6 is based on the direction of advance of the prediction of result puncture needle of image processor 42 acquisitions, and proofread and correct the deviation of puncture lead, thereby on monitor 25, show the puncture lead again with respect to this prediction direction.
Particularly, so again show the puncture lead: control circuit 6 is indicated based on B mode image signal, puncture needle is the position of each on ultrasonography as time goes by, carrying out linear regression calculates, thereby find the position that will show the lead that punctures, thereby control circuit 6 lead that should puncture writes display image memory 23.Just, pointed puncture needle needle point each position (point) as time goes by of B mode image signal is regarded as statistical data, carry out calculating as a kind of linear regression of statistical disposition, thereby, can predict that puncture needle can be roughly along the straight ahead of the relation between the described point of expression, this straight line is shown as the puncture lead.
Like this, under the situation that the correction of the position of the puncture lead of the on position of manual ultrasonography that carries out puncture needle and indication puncture needle and angle is handled before the patient is punctured, man-hour can be shortened.In addition, owing to only just can proofread and correct the puncture lead, therefore can proofread and correct with cheap device by the linear regression counting circuit is set.
In addition, the puncture lead in the present embodiment also can be shown as formation two straight lines at any angle, rather than straight line.Here under the expected position and the situation of angle as corrected value that exceeds maximum lead through the position of gauged puncture lead and angle, equipment can be by showing that error messages come alert to proofread and correct once more.
As an example, even the puncture lead that is generated at image processor 42 at first is presented on the monitor 25 with 67 degree by control circuit 6, puncture needle is biased under the situation of 63 degree from 67 degree, angle by the sensing puncture needle, image processor 42 is carried out the processing that the lead that will puncture is corrected to 63 degree, control circuit 6 display result again on monitor 25, thus the direction of advance of puncture needle can be shown as the puncture lead.
In addition, at puncture needle very big departing from arranged, be biased under the situation of 50 degree from 67 degree with respect to the puncture lead, image processor 42 command monitor display message on ultrasonography is such as " can not accurately puncture ".Like this, the operator that known this message just have an opportunity to puncture again.
Because such demonstration, operator can confirm puncture needle with respect to significantly the departing from of puncture lead, thereby can prevent from the patient is produced injury.
The schematic illustration of Figure 21 in the present embodiment, when puncture needle is bent into shaped form, be presented at the puncture lead on the monitor.
As shown in figure 21, under the situation of puncture needle curved, based on the view data (coordinate information on ultrasonography) that control circuit 6 calculates by the execution quadratic regression or similar calculating (as the method for the deviation of proofreading and correct the puncture lead) obtains, the puncture lead of performance bending.
Equally, in this case, control circuit 6 based on B mode image signal indicated, puncture needle as time goes by each position (coordinate) on ultrasonography carries out quadratic regression and calculates.In addition, control circuit 6 will calculate the coordinate on ultrasonography that obtains and write display image memory 23, as curve puncture lead, and make monitor 25 show information in the above.Like this, even when puncture needle is bent into curve, control circuit 6 calculates the expectation stroke of puncture needles, and monitor 25 shows the trip, thereby can enough cheap device correction puncture leads.
(the 7th kind of embodiment)
The 7th kind of embodiment is described below.Ultrasonic equipment for medical diagnosis according to this embodiment is: in the imaging according to the puncture pattern of one of first to the 5th embodiment or manual puncture pattern, carry out according to the puncture lead of the 6th embodiment and emphasize to show.
Particularly, control circuit 6 control variable gain amplifiers 41, image processor 42, display image memory 23, image generative circuit 24 etc. are emphasized to show so that the view data that can use the imaging pattern (automatic puncturing pattern or manual puncture pattern) according to one of first to the 5th embodiment to obtain is carried out according to the puncture lead of the 6th embodiment.
For example, under the situation that execution puncture lead is emphasized to show when using the puncture mode imaging of first embodiment, carry out processing shown in Figure 17 at the step S6 of Fig. 6.Just, control circuit 6, image processor 42 etc. use that puncture mode image data and manual puncture mode image data carry out that peak value keeps handling, the angle correction procedure of puncture lead etc.In addition, Doppler's processing unit 50 uses at least two to separate at least two rate times velocity component in the echo of (rates) (correspond respectively to first and the echo of ultrasonic emitting) for the third time detection doppler mode at interval for each bar scanning line.The velocity component that uses such as control circuit 6, image processor 42 obtained is carried out the identification of puncture needle etc.
According to such configuration, imaging pattern by means of one of first to the 5th embodiment, can be suitably to the motion artifacts imaging of the motion that is attributable to puncture needle, simultaneously can be by the puncture lead emphasized to be presented at the accurate puncture lead that shows high-visibility on the ultrasonography.As a result, present embodiment helps further to improve the quality of medical services.
(1) function of above-mentioned each embodiment of specific implementation in the following manner: the program that will carry out respective handling is installed on the computer (such as work station), and program is expanded on the memorizer.In this case, the program that can make computer carry out described processing also can be distributed with the state that is stored on the recording medium, and described recording medium is such as being disk (floppy disk, hard disk etc.), CD (CD-ROM, DVD etc.) or semiconductor memory.
(2) in each embodiment, the enhancing of puncture needle observability has been described as an example.But this is not to limit the invention to puncture needle, and the present invention also can be applied to observe other of motion of live body in Useful Information project medically.
(3) in each embodiment, as an example, the situation to three ultrasonic emitting of each execution (perhaps comprising empty rate time three ultrasonic emitting at interval) in a plurality of ultrasonic scanning lines has been described.But this is not the ultrasonic emitting number of times of each bar scanning line will be confined to three times, and the present invention also can be configured to carry out the ultrasonic emitting of more times number.Even under the situation of this configuration, use echo-signal based on twice ultrasonic emitting that separates at least two rate times intervals (rates) on the time, thus can be than prior art better to imagings such as puncture needles.
(4) much less, in all embodiments,, can carry out symmetric replacement (all positive polarity is replaced negative polarity, perhaps all negative polarity are replaced positive polarity) to the polarity of ultrasonic emitting for hyperacoustic characteristic.
In addition, by suitably being combined in disclosed a plurality of elements in the aforementioned embodiments, can form various inventions.As an example, the some or all of element of pointing out in each embodiment also can be omitted.In addition, the element of different embodiments also can suitably be made up.
Industrial applicibility
According to above-described the present invention, can realize a kind of have strengthen for example B-ultrasound The ultrasonic equipment for medical diagnosis of the function of the observability of the puncture needle in the centesis, and a kind of control The method of this ultrasonic equipment for medical diagnosis.

Claims (26)

1. a ultrasonic equipment for medical diagnosis wherein, for the internal imaging to the patient, carries out ultrasonic emitting according to very first time interval, thereby obtains first image in patient's body, and this ultrasonic equipment for medical diagnosis comprises:
In patient's body, carry out the emission of repeated ultrasonic ripple according to second interval longer at interval than the very first time, and from the transmitter/receiver unit of patient's reception corresponding to the echo-signal of each time ultrasonic waves transmitted;
Image generation unit wherein, is added or subtracts each other corresponding to the echo-signal of each time ultrasonic emitting, thereby generate second view data; And
The display unit that shows second image based on second view data.
2. ultrasonic equipment for medical diagnosis as claimed in claim 1, wherein:
First image is the image that is used for patient's tissue is carried out imaging;
Second image is to be used for inserting the image that the intravital puncture needle of patient carries out imaging.
3. ultrasonic equipment for medical diagnosis as claimed in claim 1, wherein, described display unit shows first image and second image simultaneously.
4. ultrasonic equipment for medical diagnosis as claimed in claim 1, wherein, the length of second interval is very first time integral multiple at interval.
5. ultrasonic equipment for medical diagnosis as claimed in claim 1 also comprises:
Be used to import the input block of second interval;
Described transmitter/receiver unit carries out described repeated ultrasonic ripple emission according to second interval with described input block input in patient's body.
6. ultrasonic equipment for medical diagnosis as claimed in claim 1, wherein:
Described image generation unit at least one information from following information determines to insert the position of the intravital puncture needle needle point of patient: the monochrome information of second image, and based on doppler information that separates at least the second interval ultrasonic waves transmitted and positional information; And
Its generation comprises second image of the track of the described needle point that is determined.
7. ultrasonic equipment for medical diagnosis as claimed in claim 6, wherein, in the described position that is determined of needle point, described image generation unit keeps handling to carrying out peak value corresponding to the signal of needle point, thereby generates second image of the track that comprises the described needle point that is determined.
8. ultrasonic equipment for medical diagnosis as claimed in claim 7, wherein, under the situation of second image that uses the moving displacement that generates the convergence patient surface that comprises puncture needle at least based on the doppler information that separates the second interval ultrasonic waves transmitted, described image generation unit is eliminated the needle point track that keeps processing based on peak value.
9. ultrasonic equipment for medical diagnosis as claimed in claim 6, wherein, based on the track of puncture needle needle point, described image generation unit generation comprises first image as the puncture lead of the expectation travel path of puncture needle.
10. ultrasonic equipment for medical diagnosis as claimed in claim 9 also comprises:
Report unit, the deviation between the track of puncture lead and puncture needle needle point be during above predetermined amplitude, reports to operator deviation has taken place.
11. a ultrasonic equipment for medical diagnosis comprises:
The ultrasound probe that comprises ultrasonic transducer, these ultrasonic transducers carry out hyperacoustic emission/reception in response to the driving signal that is applied in the intravital a plurality of ultrasonic scanning directions of patient respectively;
Emission controlling unit, provide the driving signal to described ultrasonic transducer, carry out the emission of repeated ultrasonic ripple with each direction in described a plurality of ultrasonic scanning directions, described repeated ultrasonic ripple emission is to carry out at interval according to predetermined rate time, comprises an at least polarity inversion;
Receiving element according to described predetermined rate time at interval, receives a plurality of echos based on described repeatedly ultrasonic waves transmitted;
Image generation unit wherein, uses in described a plurality of echo to separate at least two rate times two echos at interval in time according to described set rate interval and carry out addition or subtraction process, to generate first view data; And
Display unit shows first image based on first view data.
12. ultrasonic equipment for medical diagnosis as claimed in claim 11, wherein, first image is the image that is used for the puncture needle imaging.
13. ultrasonic equipment for medical diagnosis as claimed in claim 11, wherein:
Described image generation unit uses at least two echos to carry out addition or subtraction process, thereby generate second view data, described at least two echos are the predetermined echos in described a plurality of echo, perhaps corresponding to the adjacent rate time of described a plurality of echos at interval; And
Described display unit is arranged side by side or stack demonstration first image and second image based on described second view data.
14. ultrasonic equipment for medical diagnosis as claimed in claim 11, wherein:
Described emission controlling unit is carried out the emission of described repeated ultrasonic ripple, and described repeated ultrasonic ripple emission comprises that at least one does not launch hyperacoustic empty rate time at interval;
Described image generation unit use in described a plurality of echo according to described set rate interval separate in time at least two rate times at interval and two echos with opposite polarity carry out addition process, thereby generate described first view data; And
It generates second view data based on the predetermined echo in described a plurality of echos; And
Described display unit is arranged side by side or stack described first image of demonstration and second image based on described second view data.
15. ultrasonic equipment for medical diagnosis as claimed in claim 11, wherein, with regard to dynamic range, gain, post-processed, persist with other image capture conditions with regard to, described image generation unit uses the setting that is different from second image to generate first image.
16. ultrasonic equipment for medical diagnosis as claimed in claim 13, wherein, described display unit is shown as the color that is different from second image with at least a portion of first image.
17. ultrasonic equipment for medical diagnosis as claimed in claim 11, wherein:
Described emission controlling unit is carried out described repeated ultrasonic ripple emission, and described repeated ultrasonic ripple emission comprises at least twice polarity inversion; And,
Described image generation unit use in described a plurality of echo according to described set rate interval separate in time at least two rate times at interval and two echos with identical polar carry out subtraction process, thereby generate described first view data.
18. as the ultrasonic equipment for medical diagnosis of claim 11, wherein:
Described emission controlling unit is carried out the emission of described repeated ultrasonic ripple, and described repeated ultrasonic ripple emission comprises that at least one does not launch hyperacoustic empty rate time at interval; And
Described image generation unit use in described a plurality of echo according to described set rate interval separate in time at least two rate times at interval and two echos with identical polar carry out subtraction process, thereby generate described first view data.
19. ultrasonic equipment for medical diagnosis as claimed in claim 11, wherein:
Described emission controlling unit is carried out the emission of described repeated ultrasonic ripple, and described repeated ultrasonic ripple emission comprises that at least one does not launch hyperacoustic empty rate time at interval; And
Described image generation unit use in described a plurality of echo according to described set rate interval separate in time at least two rate times at interval and two echos with opposite polarity carry out addition process, thereby generate described first view data.
20. ultrasonic equipment for medical diagnosis as claimed in claim 11, wherein:
Described image generation unit at least one information from following information determines to insert the position of the intravital puncture needle needle point of patient: the monochrome information of first image, and based on the doppler information and the positional information that separate at least two rate times two echos at interval according to the set rate interval in time; And
Its generation comprises first image of the track of the described needle point that is determined.
21. ultrasonic equipment for medical diagnosis as claimed in claim 11, wherein, in the described position that is determined of needle point, described image generation unit keeps handling to carrying out peak value corresponding to the signal of needle point, thereby generates first image of the track that comprises the described needle point that is determined.
22. ultrasonic equipment for medical diagnosis as claimed in claim 21, wherein, under the situation of first image that uses the moving displacement that generates the convergence patient surface that comprises puncture needle at least based on the doppler information that separates two rate times, two echos at interval according to the set rate interval in time, described image generation unit is eliminated the needle point track that maintenance is handled based on peak value.
23. ultrasonic equipment for medical diagnosis as claimed in claim 20, wherein, based on the track of puncture needle needle point, described image generation unit generation comprises first image as the puncture lead of the expectation travel path of puncture needle.
24. ultrasonic equipment for medical diagnosis as claimed in claim 23 also comprises:
The report unit surpasses under the situation of predetermined amplitude in the deviation between the track of puncture lead and puncture needle needle point, reports to operator deviation has taken place.
25. a method of controlling ultrasonic equipment for medical diagnosis wherein, for the internal imaging to the patient, is carried out ultrasonic emitting according to very first time interval, thereby obtained first image in patient's body, this method comprises:
In patient's body, carry out the emission of repeated ultrasonic ripple according to second interval longer at interval than the very first time, and from the echo-signal of patient's reception corresponding to each time ultrasonic waves transmitted;
To or subtract each other corresponding to the echo-signal addition of each time ultrasonic waves transmitted, thereby generate second view data; And,
Show second image based on second view data.
26. a ultrasonic equipment for medical diagnosis control method comprises:
Provide the driving signal to ultrasonic transducer, to carry out the emission of repeated ultrasonic ripple on each direction in a plurality of ultrasonic scanning directions in patient's body, these ultrasonic emitting are to carry out at interval according to predetermined rate time, and comprise an at least polarity inversion;
Receive a plurality of echos of launching based on described repeatedly ultrasonic waves transmitted at interval according to described predetermined rate time;
Use two echos that separate at least two rate times intervals at interval in time according to described predetermined rate time in described a plurality of echo to carry out addition or subtraction process, thereby generate first view data; And,
Show first image based on described first view data.
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