JP2007222533A - Ultrasonic diagnostic apparatus and ultrasonic image processing method - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To appropriately set a reference point inside a movement tissue when the function of the movement tissue such as left ventricle is evaluated in an ultrasonic diagnostic apparatus. <P>SOLUTION: A plurality of outer contour points P1-P8 are set on the outer contour of the left ventricle being the movement tissue in initial frame data. Then, tracking processing is performed between frames by each outer contour point so as to determine the outer contour points on the outer contour in each frame data. In each frame, the reference points are set inside, based on the outer contour points. The influence of a heart attack, etc., hardly appears in the outer contour parts, so that the reference points are adequately set. <P>COPYRIGHT: (C)2007,JPO&INPIT

Description

  The present invention relates to an ultrasonic diagnostic apparatus, and more particularly to measurement of a moving tissue such as a heart.

  Ultrasound diagnostic apparatuses are widely used in the medical field, and are also used for diagnosis of moving tissues such as the heart. When analyzing or evaluating the function of the heart, the left ventricle is generally a measurement target (however, the right ventricle or the like may be a measurement target). When measuring the left ventricle, ultrasonic waves are transmitted to and received from the left ventricle, and an ultrasonic image (tomographic image, Doppler image, etc.) is formed based on the data obtained thereby. Specifically, a plurality of image data are continuously displayed as moving images on the display screen. The function of the left ventricle is evaluated based on part or all of the image data.

  When evaluating the function of the left ventricle, a measurement reference point is usually set in the left chamber on the ultrasound image. Typically, on the ultrasonic image, a plurality of divided regions extending radially from the reference point are set, and the area of the heart wall or the heart chamber or the area change rate is calculated for each divided region. For example, in a myocardial region where myocardial infarction has occurred, since the movement is slow, the increase or decrease in area is also small. Alternatively, an abnormal variation in area (for example, movement in the opposite direction) may be observed. Examples of measurement parameters other than the area include the thickness and torsion of the myocardium. In such a case, a reference point is set as the contraction center point of the left ventricle, and measurement is performed using the reference point as the coordinate origin. Each of the following patent documents describes an ultrasonic diagnostic apparatus that measures the function of the heart. However, there is no description about using the outer contour of the moving tissue (the outer membrane of the left ventricle) for setting the reference point.

JP-A-8-117236 Japanese Patent Laid-Open No. 9-253085 JP-A-9-122122 JP-A-8-0195540 JP 2005-169155 A

  It is burdensome for the user to input the coordinates of the measurement reference point for the ultrasonic image of each frame, and the objectivity and reproducibility of the measurement are problematic. There is a method of tracing the intima of the left ventricle, extracting a region surrounded by the intima trace line formed thereby, and using the center of gravity of the region as a reference point. Specifying the trace line manually is extremely complicated. On the other hand, even if the formation of the intima trace line is automated, the following problems can be pointed out with respect to the method. That is, in the case of a healthy person, the reference point can usually be set appropriately for each frame, but in the case of a non-healthy person in which a part of the myocardium is infarcted, the heart wall motion of the part is abnormal. Therefore, under the influence, the position of the center of gravity of the lumen region is greatly deviated from the center of the lumen or the center of contraction. If the reference point setting is not accurate, the measurement result may be larger or smaller than the true value, resulting in a decrease in measurement reliability. A method of fixing the reference point designated or calculated in a predetermined time phase (for example, end diastole) over one heartbeat is also conceivable. However, in this method, the reference point does not move even if the heart itself translates. If the translational motion is large, the reference point setting error increases. The above problems are particularly noticeable in the measurement of the left ventricle, but can also be pointed out in the same manner for the right ventricle or the moving tissue other than the heart.

  An object of the present invention is to enable accurate setting of a reference point used when measuring a moving tissue.

  Another object of the present invention is to make it possible to set a reference point without being affected by a movement abnormality site even if it exists in a movement tissue.

  Another object of the present invention is to realize a new reference point setting method using morphological information that is not significantly affected by the presence or absence of a movement abnormality site in a moving tissue.

(1) An ultrasonic diagnostic apparatus according to the present invention includes a transmission / reception unit that transmits / receives ultrasonic waves to / from a moving tissue, and an outer contour of the moving tissue in frame data obtained by the transmission / reception of the ultrasonic waves. Using the reference point setting means for setting a reference point for measurement inside the moving tissue based on a plurality of set outer contour points, and the reference point set inside the moving tissue, the frame data Measuring means for executing a measurement on.

  According to the above configuration, a plurality of outer contour points are set on the outer contour of the moving tissue included in the frame data. Specifically, a plurality of outer contour points are artificially set or automatically set for initial frame data for starting measurement. A plurality of outer contour points are basically automatically set for each subsequent frame data following the initial frame data. If necessary, a region of interest (ROI) that wraps the moving tissue is set prior to setting a plurality of outer contour points. The plurality of outer contour points represent a rough outline of the moving tissue, and based on these, the measurement reference points are defined directly or indirectly. Measurement for the frame data is executed using the reference point set in this way.

  Conventionally, as described in each of the above patent documents, since the reference point is defined by the inner contour, when the motion or form of the inner contour exhibits an abnormality, the setting accuracy of the reference point becomes a problem. On the other hand, according to the above configuration, since the reference point is defined by the outer contour, in many cases, the reference point can be accurately set without being affected by the disease of the motor tissue.

  That is, according to the study of the present inventor, in the heart (particularly the left ventricle), the symptoms of myocardial infarction are likely to appear in the inner contour (intima). Tend to appear. Of course, if myocardial infarction progresses, it also appears in the motion and shape of the outer contour (outer membrane), but relatively, the inner contour is more likely to have symptoms than the outer contour. Therefore, when setting the reference point for measurement, if the inner contour is used as a basis, the coordinates of the reference point cannot be determined accurately. For example, in a contraction period during one heartbeat, if the movement of a part of the inner contour is slow or the part moves in the opposite direction, the reference point cannot be localized to the center of the lumen over one heartbeat. On the other hand, according to the present invention, since the reference point can be set based on the outer contour in which symptoms are difficult to occur, the origin, that is, the reference point, for measuring the function of the motor tissue can be appropriately set, and thereby the measurement reliability. Can be improved. Further, although the heart itself translates, according to the present invention, the reference point can be set stably without being greatly affected by such motion. In other words, if the reference point is set inside the moving tissue, it is natural to use the inner contour, which is the outer edge of the lumen, as the basis of calculation. In view of the mechanical instability and the morphological stability of the outer contour, the outer contour is used as a basis for calculation.

  By the way, for example, when a short-axis cross-sectional image of the heart is observed, there is a septum between the left ventricle and the right ventricle, and in that part, the outer contour of the left ventricle cannot be clearly specified, or the left ventricle It becomes difficult to automatically detect the outer contour of the. In order to cope with such a problem, it is desirable to use a combination of manual initial setting and subsequent automatic setting in setting a plurality of outer contour points, and to use an interframe tracking technique described later. The frame data may be data before coordinate conversion or may be data after coordinate conversion. Moreover, the data obtained in real time may be sufficient and the data read from memory | storage parts, such as a cine memory, may be sufficient. Furthermore, it may be data for displaying the tissue structure as a luminance image, or data for displaying Doppler information as a color image. It is also possible to apply or apply the above configuration to data acquired in a three-dimensional space.

(2) In the above configuration, preferably, there is provided an initial setting means for setting a plurality of outer contour points on the outer contour of the moving tissue in the initial frame data, and a function of tracking each outer contour point between frames. Tracking means for setting a plurality of outer contour points on the outer contour of the moving tissue in each subsequent frame data after the initial frame data. According to this configuration, tracking for each outer contour point is performed between the previous frame data and the rear frame data, that is, each outer contour point of the rear frame data is based on each outer contour point in the previous frame data. Can be determined. However, each outer contour point in the initial frame data is preferably set manually. Therefore, even in a situation where it is difficult to determine a plurality of outer contour points based on individual frame data itself, a plurality of outer contours are relatively easily and accurately determined for each frame data by the inter-frame tracking technology. A point can be set.

  Preferably, the initial setting means sets the plurality of outer contour points according to input of coordinates by a user. In this case, preferably, a tomographic image representing a cross section of the moving tissue is displayed, and coordinates are input on the screen. Preferably, the tracking unit executes pattern matching processing for each outer contour point between frames. Various other methods can be used as the tracking method.

  Preferably, the reference point setting means includes means for forming an outer contour trace line along the outer contour of the moving tissue based on the plurality of outer contour points, and a center of gravity of a region surrounded by the outer contour trace line. Means for calculating the reference point. In forming the trace line, a linear interpolation method or a curve interpolation method can be applied. Preferably, the reference point setting means includes means for calculating the reference point as a center point inside the plurality of outer contour points by geometric calculation using the plurality of outer contour points. For example, the reference point is determined as a point that can be regarded as an equidistant point from a plurality of outer contour points or an equidistant point.

  Preferably, the measurement means includes means for setting a plurality of reference areas for the moving tissue, and means for calculating an evaluation value for each of the plurality of reference areas. Preferably, each reference area is a two-dimensional area, and the evaluation value calculated for each reference area is a value related to the area of each two-dimensional area. Preferably, each reference area is a one-dimensional area, and the evaluation value calculated for each reference area is a value related to the length or inclination of each one-dimensional area. Preferably, the plurality of reference regions are at least of an outer contour trace line formed along an outer contour of the moving tissue and an inner contour trace line formed along an inner contour of the moving tissue. Set based on one. Preferably, the plurality of reference regions are at least of a plurality of outer contour points set on the outer contour of the moving tissue and a plurality of inner contour points set on the inner contour of the moving tissue. Set based on one.

(3) The method according to the present invention is an ultrasonic image processing method for processing frame data obtained by transmitting / receiving ultrasonic waves to / from the left ventricle, on the outer membrane of the left ventricle in the frame data. A step of setting a plurality of outer membrane points, a step of setting a reference point for measurement in the left ventricle in the frame data based on the plurality of outer membrane points, and the left using the frame data Performing a measurement of the chamber. Preferably, the method includes a step of setting a plurality of intima points on the intima of the left ventricle in the frame data, and the measurement of the left ventricle is performed based on the plurality of outer membrane points and the plurality of intima points. Executed.

  As described above, according to the present invention, it is possible to accurately set a reference point used when measuring a moving tissue. According to the present invention, even if there is an abnormal movement site in the moving tissue, the reference point can be set without being affected by it. Or according to this invention, the new reference point setting method which paid its attention to the morphological information which is not influenced so much by the presence or absence of the abnormal movement site | part in a moving tissue is realizable.

  DESCRIPTION OF EXEMPLARY EMBODIMENTS Hereinafter, preferred embodiments of the invention will be described with reference to the drawings.

  FIG. 1 shows a preferred embodiment of an ultrasonic diagnostic apparatus according to the present invention, and FIG. 1 is a block diagram showing the overall configuration thereof.

  The probe 10 is a transducer that transmits and receives ultrasonic waves. The probe 10 is used in contact with the surface of a living body. When performing an ultrasonic diagnosis of the heart, the probe 10 is brought into contact with the chest in the living body. The probe 10 has an array transducer composed of a plurality of vibration elements. An ultrasonic beam is formed by the array transducer, and the ultrasonic beam is electronically scanned. As the electronic scanning method, electronic linear scanning, electronic sector scanning, and the like are known.

  The transmission / reception unit 12 functions as a transmission beam former and a reception beam former. A plurality of transmission signals are supplied from the transmission / reception unit 12 to the plurality of vibration elements, thereby forming a transmission beam. Reflections from within the living body are received by a plurality of vibration elements, and a plurality of received signals are output from them to the transmitting / receiving unit 12. The transmission / reception unit 12 executes phasing addition processing on a plurality of reception signals, and outputs the reception signals after phasing addition. The received signal is output to the luminance signal processing unit 14 and the Doppler signal processing unit 24 in this embodiment.

  The luminance signal processing unit 14 executes signal processing for forming a B-mode image (two-dimensional tomographic image). Specifically, processing such as detection and logarithmic compression is performed on the received signal. The processed reception signal (echo data) is output to the digital scan converter (DSC) 16. The DSC 16 has a coordinate conversion function from a transmission / reception coordinate system to a display coordinate system, and the like, and a tomographic image is formed based on echo data by the action of the DSC 16. The image data is sent to the luminance image processing unit 20 and the analysis unit 34. The luminance image processing unit 20 has a function of adjusting the image quality of the B-mode image, and the processed image data is output to the display processing unit 22.

  On the other hand, the Doppler signal processing unit 24 includes a quadrature detector, an autocorrelation circuit, and the like, extracts Doppler information from the received signal, and outputs speed data based on the Doppler information to the DSC 26. The DSC 26 has the same function as the DSC 16 described above, and a two-dimensional blood flow image is formed by the action of the DSC 26. The image data is sent to the Doppler image processing unit 28 and the analysis unit 34. The Doppler image processing unit 28 executes color coding processing and the like, and outputs the image data subjected to coloring processing to the display processing unit 22.

  The cine memory 30 is configured as a storage unit that stores echo data and Doppler data (velocity data), and data is always stored in the cine memory 30 over a certain period during a real-time operation. The cine memory 30 generally has a ring buffer structure. It is also possible to output data stored in the cine memory 30 to the external storage device 32 as necessary, and store the data in a portable storage medium or the like. When analyzing an image, necessary data is read from the cine memory 30, and the data is output to the DSC 16 or DSC 26, and an image forming process is executed as described above.

  The display processing unit 22 has a function of combining a plurality of ultrasonic images and a function of combining a graphic image. Image data is sent from the display processing unit 22 to the display unit 46, and A sound image and a synthesized image obtained by synthesizing a graphic image are displayed. Note that the analysis unit 34 described later generates a graphic image to be combined with the ultrasound image, and particularly generates a graphic image representing the result of analyzing the function of the heart.

  The control unit 41 performs operation control of each component shown in FIG. An operation panel 42 is connected to the control unit 41. The operation panel 42 includes input devices such as a keyboard and a trackball. The electrocardiograph 44 detects an electrocardiogram signal from a living body and outputs the detection signal to the control unit 41 and the display processing unit 22. When displaying an ultrasound image or the like on the display unit 46, an electrocardiographic waveform can also be displayed. Further, the control unit 41 detects an R wave or the like in the electrocardiogram signal, and performs operation control of each component in synchronization with the heartbeat. For example, it is possible to loop-reproduce data for one heartbeat from the cine memory 30.

  Next, a specific configuration of the analysis unit 34 illustrated in FIG. 1 will be described. The analysis unit 34 is provided for evaluating the function of the heart, particularly the left ventricle. Data to be analyzed is tomographic image data or blood flow image data of each frame. One or both of them can be analyzed by the analysis unit 34. Incidentally, the analysis unit 34 is configured as dedicated hardware or configured as a processor that performs a program operation. The analysis unit 34 is provided in the subsequent stage of the DSCs 16 and 26 in the present embodiment, but the analysis unit 34 may be provided in the previous stage. That is, it is possible to perform analysis on data according to the transmission / reception coordinate system.

  As will be described in detail later, the analysis unit 34 has a tracking function, a trace function, a reference point calculation function, and the like. These functions are shown as a tracking unit 36, a trace unit 38, and a reference point calculation unit 40 in FIG. The tracking unit 36 is a module that sequentially executes tracking processing between frames for a plurality of outer contour points (outer membrane points) set on the outer contour (outer membrane) of the left ventricle. The trace unit 38 is a module that forms an outer contour trace line along the outer contour by interpolation processing based on a plurality of outer contour points set for each frame. In the present embodiment, the reference point calculation unit 40 is a module that calculates the area centroid for the region surrounded by the outer contour trace line and sets the area centroid as the reference point. Each of these processes is executed for each frame. That is, the analysis may be performed on the frame data sequentially obtained during the real-time operation, or the analysis may be performed on each frame data read from the cine memory 30. Normally, the initial frame is displayed as an ultrasonic image in the frozen state, and after the predetermined processing is performed on the initial frame data on the displayed ultrasonic image, it is automatically performed for each subsequent frame data thereafter. The processing described below is executed.

  The effect | action of the analysis part 34 is explained in full detail using FIGS.

  FIG. 2 shows a tomographic image 100A representing a cross section of the left ventricle as an example of the ultrasonic image. The left ventricular cross section is a so-called short-axis cross section. Reference numeral 102 represents the left ventricle, and reference numeral 104 represents the right ventricle. Reference numeral 106 represents a septum. Reference numeral 108 represents the lumen of the left ventricle, reference numeral 102A represents the inner membrane or inner contour of the left ventricle 102, and reference symbol 102B represents the outer membrane or outer contour.

  When evaluating the function of the left ventricle using a tomographic image as shown in FIG. 2, the motion of the heart wall is analyzed for each frame. In particular, the momentum of each part of the heart wall and its change during one heartbeat are analyzed. Therefore, as shown in FIG. 3, first, a plurality of outer contour points (outer membrane points) P1-P8 are set for the initial frame data. Specifically, in a state where the tomographic image 100A is displayed on the screen of the display unit, the user manually sets a plurality of outer contour points P1-P8 on the outer contour 102B in the left ventricle using the operation panel. Is done. Of course, these outer contour points P1-P8 may be set automatically. However, in the short-axis tomographic image of the left ventricle, the left ventricle 102 and the right ventricle 104 are connected via the septum 106, that is, the outer contour 102B of the left ventricle 102 is unclear near the septum 106. . Therefore, in the present embodiment, the tomographic image is observed by the user, and a plurality of outer contour points P1-P8 are set on the outer contour 102B recognized on the tomographic image. In this case, as indicated by reference numerals 112 and 114, the outer contour is interrupted at the connecting portion between the right chamber 104 and the left chamber 102, but a plurality of outer contour points P1-P8 are avoided as uniformly as possible while avoiding such a portion. It is desirable to set. In FIG. 3, as indicated by reference numeral 110, two outer contour points P7 and P8 are set on a part of the outer contour 102B on the right ventricle 104 side.

  In the present embodiment, eight outer contour points are set as described above. However, the number of the outer contour points can be variably set. For example, six or sixteen points may be set. If the set number of outer contour points is increased, the result of tracing the outer contour can be improved by that amount. On the other hand, if the number of outer contour points is decreased, the burden on the user can be reduced.

  The setting of the plurality of outer contour points P1 to P8 is performed on the displayed tomographic image in relation to the user, but in the inside of the ultrasonic diagnostic apparatus, the frame data that is the origin of the tomographic image Therefore, the coordinates of the plurality of outer contour points P1-P8 are managed. That is, the analysis unit 34 generates a graphic image as described above, and each outer contour point P1-P8 set by the user is reflected on the display screen as a mark on the graphic image.

  When a plurality of outer contour points P1-P8 are set as described above for the initial frame data, the operation of the analysis unit 34 shown in FIG. Are connected by a line, thereby generating an outer contour trace line 116. In FIG. 4, the outer contour trace line 116 is formed by so-called linear interpolation. However, by using another interpolation method such as spline interpolation, an outer contour trace line that matches the shape of the outer contour 102B is formed. May be. Further, based on the plurality of outer contour points P1 to P8 set by the user, a plurality of interpolation outer contour points that are more or less than that are generated by interpolation processing, and the outer contour trace line 116 is generated based on them. You may make it form.

  When the outer contour trace line 116 is formed as described above, the center of gravity of the closed region surrounded by the outer contour trace line 116 is calculated by the action of the analysis unit 34 shown in FIG. The center of gravity is set as a reference point 118 as shown in FIG. As a result, an initial reference point 118 in the initial frame data is determined. Various analyzes for evaluating the function of the left ventricle are performed on the initial frame data using the reference point 118, which will be described in detail later. Similarly, similar analysis is performed for each subsequent frame data after the initial frame data, which will be described later.

  The analysis unit 34 shown in FIG. 1 has a function of performing tracking for each outer contour point between frames simultaneously with or before or after the calculation of the reference point. This will be described with reference to FIG. In FIG. 5, reference numeral 100A indicates a tomographic image corresponding to the previous frame data (here, initial frame data), and reference numeral 100B indicates a tomographic image corresponding to the subsequent frame data. In the present embodiment, for each individual outer contour point P1-P8 in the previous frame data, an individual reference area R1-R8 is set on the subsequent frame data on the basis of the coordinates. Then, pattern matching processing is applied to each reference area R1-R8 based on the local image that the corresponding outer contour point has. For example, when focusing on the outer contour point P1 in the previous frame data, a reference area R1 having a predetermined shape centered on the coordinates of the outer contour point P1 is set on the rear frame data, and the outer contour point is set in the reference area R1. Matching processing with the local image which P1 has is performed sequentially. In the reference area R1, the position where the matching of the image is the best is determined as the coordinates of the new outer contour point P1 '. Each reference area R1-R8 may have a rectangular shape or another shape. The size may be determined as appropriate according to the amount of movement of each tissue site between frames.

  When the processing as described above is executed for each outer contour point P1-P8, a plurality of outer contour points P1'-P8 'are set on the outer contour included therein in the subsequent frame data. These outer contour points become new search criteria, and tracking processing is executed with the next frame data, which is sequentially repeated. In this embodiment, a general template matching method is used as a pattern matching method. However, a known DP matching method or the like can be used. Use of the pattern matching method is advantageous because even if the contour itself is unclear on the screen, tracking can be performed with matching image contents. In particular, there is an advantage that the contour point can be properly tracked even in the portion where the left ventricle and the right ventricle are connected or in the contour on the septum.

  If the tracking process between the frames as described above proceeds sequentially, for example, even if a movement abnormality or morphological abnormality occurs in a part of the inner contour during the systole within one heartbeat, it causes an incorrect position. It is possible to prevent the reference point from being set in advance. Further, although the heart itself performs translational movement, there is an advantage that the reference point can be set stably without being influenced by such translational movement. FIG. 6 shows a tomographic image 100C after translational motion has occurred. FIG. 6 shows a state in the end systole, but the reference point 118 can be set at an appropriate position by the tracking for each outer contour point described above.

  In the above embodiment, the center of gravity of the area surrounded by the outer contour trace line is used as the reference point. However, the reference point may be set as a point that is equidistant from a plurality of outer contour points or a point that can be regarded as equidistant. In any case, the reference point may be objectively determined based on a plurality of outer contour points. Since the outer contour itself is difficult to reflect a medical condition due to myocardial infarction, setting a reference point with the outer contour as a reference has an advantage of improving objectivity, reproducibility, and measurement reliability.

  Next, a cardiac function evaluation method will be described with reference to FIGS. The contents shown in FIG. 7 to FIG. 12 are only examples, and various evaluation methods can be used as long as objectively set reference points are used directly or indirectly for analysis.

  In the example shown in FIG. 7, a plurality of division lines L1-L6 are set radially from the reference point 118 as an origin, and a plurality of sector areas are defined between adjacent division lines. Then, according to such a coordinate system, areas S1 to S6 of the partial regions belonging to the lumen 108 of the left ventricle are calculated. Prior to that, an inner contour trace line 120 representing the inner contour (intima) in the left ventricle 102 is formed, and even in this case, the reference point 118 is set as a calculation origin. For example, it is possible to detect an inner contour on each reference line by setting a large number of reference lines radially from the reference point 118 and sequentially performing edge detection from the reference point 118 on each reference line. The inner contour trace line 120 can be configured by connecting the detected points to each other. Of course, various techniques can be applied as a method of forming the inner contour trace line.

  In the example shown in FIG. 7, the area S1-S6 of each lumen portion is calculated for each frame data. Such information is used as an evaluation value for evaluating cardiac function. Of course, the area change rate may be calculated instead of the area. Incidentally, it is desirable to set a region of interest (ROI) prior to the tracing of the inner contour. In this case, a reference point, a plurality of outer contour points, or an outer contour trace line may be used. For example, an ROI centered on a reference point may be generated, an outer contour trace line may be used as an ROI, or an ROI is set on the inside based on a plurality of outer contour points You may make it do.

  In the example shown in FIG. 8, as in the example shown in FIG. 7, a plurality of sections are set with the reference point 118 as the origin, but the area S1-S6 of the myocardial part is calculated for each section. In that case, the inner contour trace line 120 and the outer contour trace line 122 are used. Here, since the outer contour trace line 122 forms a closed loop across the portion corresponding to the connecting portion between the left ventricle and the right ventricle (see reference numerals 122A and 122B), the area of the myocardial portion in each section is reduced. It is possible to calculate appropriately. For example, in a site where myocardial infarction has occurred, the movement of the site becomes dull, so that the medical condition can be recognized as the area or the rate of change of the area.

  In the example shown in FIG. 9, a plurality of lines L1-L6 are set radially with the reference point 118 as the center, and a distance D1-D6 corresponding to the thickness of the myocardium is calculated on each line. Even in this case, the inner contour trace line 120 and the outer contour trace line 122 are used. For each frame data, the thickness of the myocardium may be observed, or the rate of change of the thickness of the myocardium can be obtained. It is also possible to observe the torsion of each part in the myocardium using the method described below. This will be described with reference to FIGS.

  FIG. 10 shows a short-axis cross section of the left ventricle. Specifically, FIG. 10 shows a left ventricular tomographic image 130 at the end diastole, for example. A plurality of lines are set radially from the reference point 118-1, and a point Q1- on the inner contour is set on each line. Q6 and points P1-P6 on the outer contour are specified. Incidentally, reference numeral 120-1 indicates an inner contour trace line, and reference numeral 122-1 indicates an outer contour trace line.

  Tracking is performed for each contour point for each subsequent frame data after the frame data shown in FIG. FIG. 11 shows a tomographic image 132 representing frame data corresponding to a time phase after a predetermined time from the end diastole. As shown in FIG. 11, as a result of tracking for each of the inner and outer contour points, a plurality of outer contour points P1′-P6 ′ are set for the frame data shown in FIG. Inner contour points Q1'-Q6 'are set. Incidentally, reference numeral 118-2 represents a reference point defined in the frame data. In this case, the reference point 118-2 is set based on the plurality of outer contour points P1′-P6 ′, but a broken line is provided between each inner contour point Q1′-Q6 ′ and the reference point 118-2. Tied. As a modification, the reference point 118-2 may be set based on a plurality of inner contour points Q1'-Q6 'at this stage.

  If the display as described above is performed for each frame data after the frame data shown in FIG. 10, it is possible to observe as if each contour point is moving. Then, for example, as shown in FIG. 12, for example, a composite image 134 is formed by combining a graphic image (see FIG. 10) in the end diastole phase (see FIG. 10) and a graphic image (see FIG. 11) in a predetermined time phase thereafter If it is displayed as an image, it is possible to quantitatively evaluate what kind of motion each contour point has performed within a predetermined heartbeat period. For example, it is possible to evaluate the local tilt or torsional motion of each myocardial region.

  The analysis method shown in FIGS. 10 to 12 is an example, and various image analysis methods can be used as long as objective reference points are used. In any case, it is possible to search for each contour point on the outer contour by using a tracking technique between the frames, focusing on the outer contour whose form is not significantly affected by the heart disease. Therefore, there is an advantage that an appropriate reference point can be set, and as a result, a highly reliable cardiac function measurement result can be provided.

1 is a block diagram showing a preferred embodiment of an ultrasonic diagnostic apparatus according to the present invention. It is a figure which shows the tomographic image of a left ventricle. It is a figure for demonstrating the setting of a some outer contour point. It is a figure for demonstrating the setting of the reference point based on a some outer contour point. It is a figure for demonstrating the tracking process for every outer outline point between frames. It is a figure which shows the tomographic image showing the left ventricle of the end systole. It is a figure which shows the 1st example of the calculation method of an evaluation value. It is a figure which shows the 2nd example of the calculation method of an evaluation value. It is a figure which shows the 3rd example of the calculation method of an evaluation value. It is a figure which shows a 1st graphic image. It is a figure which shows a 2nd graphic image. It is a figure which shows the synthesized image which synthesize | combined two graphic images.

Explanation of symbols

  DESCRIPTION OF SYMBOLS 10 Probe, 12 Transmission / reception part, 20 Luminance image processing part, 22 Display processing part, 28 Doppler image processing part, 30 Cine memory, 34 Analysis part, 36 Tracking part, 38 Trace part, 40 Reference point calculating part, 41 Control part, 44 ECG, P1-P8 outer contour point, 102 left ventricle, 104 right ventricle, 106 septum, 118 reference point.

Claims (14)

Transmitting and receiving means for transmitting and receiving ultrasonic waves to and from the moving tissue;
Reference point setting for setting a measurement reference point inside the moving tissue based on a plurality of outer contour points set on the outer contour of the moving tissue in the frame data obtained by transmitting and receiving the ultrasonic wave Means,
Measuring means for performing measurement on the frame data using a reference point set inside the moving tissue;
An ultrasonic diagnostic apparatus comprising: The apparatus of claim 1.
Initial setting means for setting a plurality of outer contour points on the outer contour of the moving tissue in initial frame data;
A tracking unit that has a function of tracking each outer contour point between frames, and sets a plurality of outer contour points on the outer contour of the moving tissue in each subsequent frame data after the initial frame data;
An ultrasonic diagnostic apparatus comprising: The apparatus of claim 2.
The ultrasonic diagnostic apparatus, wherein the initial setting means sets the plurality of outer contour points according to input of coordinates by a user. The apparatus of claim 2.
The ultrasonic diagnostic apparatus according to claim 1, wherein the tracking unit performs a pattern matching process for each outer contour point between frames. The apparatus of claim 1.
The reference point setting means includes
Means for forming an outer contour trace line along the outer contour of the moving tissue based on the plurality of outer contour points;
Means for calculating the reference point as the center of gravity of the region surrounded by the outer contour trace line;
An ultrasonic diagnostic apparatus comprising: The apparatus of claim 1.
The reference point setting means includes means for calculating the reference point as a center point inside the plurality of outer contour points by geometric calculation using the plurality of outer contour points. Diagnostic device. The apparatus of claim 1.
The measuring means includes
Means for setting a plurality of reference regions for the athletic tissue;
Means for calculating an evaluation value for each of the plurality of reference regions;
An ultrasonic diagnostic apparatus comprising: The apparatus of claim 7.
Each reference region is a two-dimensional region;
The ultrasonic diagnostic apparatus according to claim 1, wherein the evaluation value calculated for each reference region is a value related to an area of each two-dimensional region. The apparatus of claim 7.
Each reference region is a one-dimensional region;
The ultrasonic diagnostic apparatus according to claim 1, wherein the evaluation value calculated for each reference region is a value related to a length or inclination of each one-dimensional region. The apparatus of claim 7.
The plurality of reference regions are based on at least one of an outer contour trace line formed along an outer contour of the moving tissue and an inner contour trace line formed along an inner contour of the moving tissue. An ultrasonic diagnostic apparatus characterized by being set. The apparatus of claim 7.
The plurality of reference regions are based on at least one of a plurality of outer contour points set on the outer contour of the moving tissue and a plurality of inner contour points set on the inner contour of the moving tissue. An ultrasonic diagnostic apparatus characterized by being set. The apparatus of claim 1.
The ultrasonic diagnostic apparatus, wherein the moving tissue is a left ventricle. In an ultrasonic image processing method for processing frame data obtained by transmitting and receiving ultrasonic waves to the left ventricle,
Setting a plurality of outer membrane points on the outer membrane of the left ventricle in the frame data;
Setting a reference point for measurement inside the left ventricle in the frame data based on the plurality of outer membrane points;
Performing measurement of the left ventricle using the frame data;
An ultrasonic image processing method comprising: 14. The method of claim 13, wherein
Including a step of setting a plurality of intima points on the intima of the left ventricle in the frame data, and measurement of the left ventricle is performed based on the plurality of outer membrane points and the plurality of intima points An ultrasonic image processing method.

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