JP2010075636A - Ultrasonic diagnosis apparatus and ultrasonic image display method - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide an ultrasonic diagnosis apparatus which can three-dimensionally display a Doppler component of a body to be diagnosed. <P>SOLUTION: The ultrasonic diagnosis apparatus includes a transmitting and receiving part for transmitting and receiving an ultrasonic wave relative to the body to be diagnosed, a first image forming part for processing a receiving signal to form three-dimensional image data of a diagnosed part, a sample marker processing part for forming a sample marker for setting an arbitrary sectional position to a three-dimensional image, a second image data forming part for extracting a Doppler signal related to the movement of a moving member in the body to be diagnosed to generate vector information showing a moving direction and speed of the moving member in the sectional position designated by the sample marker, and an image display processing part for processing the three-dimensional image data and the vector information to display a Doppler image including at least a vector image of the moving member on a display part. <P>COPYRIGHT: (C)2010,JPO&INPIT

Description

  The present invention relates to an ultrasonic diagnostic apparatus, and in particular, an ultrasonic diagnostic apparatus and an ultrasonic image display method that enable real-time 3D display of the state of a moving body such as a blood flow using the Doppler effect of ultrasonic waves. There is something about.

  Conventionally, an ultrasonic diagnostic apparatus is used as a medical image diagnostic apparatus. The ultrasound diagnostic device can send and receive ultrasound signals to and from the subject to obtain information in the subject, especially when detecting the movement of a moving body (blood flow, etc.) in the subject Can be observed by Doppler method.

  On the other hand, in an ultrasonic diagnostic apparatus, a blood flow image may be superimposed and displayed on a B-mode image. In this case, the blood flow image is displayed as a color image, the blood flow in the direction away from the ultrasonic probe is displayed in blue hue, and the blood flow in the direction approaching the ultrasonic probe is displayed in red hue. . The blood flow velocity is displayed by a change in luminance.

Patent Document 1 describes an ultrasonic Doppler diagnostic apparatus that enables such color display. However, the blood flow image display method as described above is a two-dimensional display method, and it is necessary to determine the direction and speed of the blood flow based on the color change. It was difficult to judge.
JP-A-6-285065

  In a conventional ultrasonic diagnostic apparatus, a moving body image such as blood flow is displayed two-dimensionally, and the moving direction and speed of the moving body are represented by changes in color and brightness. There was a problem that it was difficult to determine the direction and speed of the above.

  In view of the above circumstances, an object of the present invention is to provide an ultrasonic diagnostic apparatus and an ultrasonic image display method capable of three-dimensionally displaying a Doppler component in a subject.

  The ultrasonic diagnostic apparatus of the present invention according to claim 1 generates a three-dimensional image data of a diagnostic part by processing a transmission / reception unit that transmits / receives ultrasonic waves to / from a subject, and a reception signal obtained by the transmission / reception unit A first image data generating unit, a sample marker processing unit for generating a sample marker for setting an arbitrary cross-sectional position with respect to the three-dimensional image, and processing the received signal to move the moving object in the subject. A second image data generation unit that extracts a Doppler signal related to motion and generates vector information representing a motion direction and speed of a moving body at a cross-sectional position designated by the sample marker; and the first image data generation The 3D image data from the unit and the vector information from the second image data generation unit are processed to display a Doppler image including at least the vector image of the moving body on the display unit And an image display processing unit.

  The ultrasonic image display method of the present invention according to claim 9 transmits / receives ultrasonic waves to / from a subject, processes received signals to generate three-dimensional image data of a diagnostic region, and generates the three-dimensional image data. 3D image is displayed on the display unit, a sample marker is displayed on the 3D image, an arbitrary cross-sectional position of the 3D image is set, the received signal is processed, and the inside of the subject is processed. A Doppler signal related to the movement of the moving body is extracted, and the Doppler signal is processed to generate vector information representing the moving direction and speed of the moving body at the cross-sectional position designated by the sample marker, and the three-dimensional image The data and the vector information are processed, and a three-dimensional vector image representing the movement of the moving body in the cross section designated by the sample marker is displayed on the display unit.

  According to the embodiment of the present invention, a Doppler image that matches a real-time 3D image can be displayed. Since the Doppler image includes a 3D-displayed vector image, the direction and speed of the moving body (blood flow, etc.) can be displayed visually so that turbulent flow and backflow in the blood flow can be easily performed. Can be determined.

  Hereinafter, an embodiment of an ultrasonic diagnostic apparatus of the present invention will be described in detail with reference to the drawings.

 FIG. 1 is a block diagram showing a configuration of an ultrasonic diagnostic apparatus according to an embodiment of the present invention.

 In FIG. 1, an ultrasonic diagnostic apparatus 10 includes an ultrasonic probe 11 that transmits / receives ultrasonic waves to / from a subject (not shown), and an ultrasonic scan for the subject by driving the ultrasonic probe 11. And a transmission / reception unit 12 that performs the processing, and an image data generation unit 13 that processes the reception signal obtained by the transmission / reception unit 12 to generate image data such as B-mode image data and Doppler image data. The image data generation unit 13 includes a B-mode image data generation unit 14 and a Doppler image data generation unit 15.

 Outputs of the B-mode image data generation unit 14 and the Doppler image data generation unit 15 are supplied to an image display processing unit 16, and a display unit 17 is provided to display an image generated by the image display processing unit 16. Yes.

 Further, the ultrasonic diagnostic apparatus 10 includes a sample marker processing unit 18, a system control unit 19 that controls the entire apparatus, and an operation unit 20 that inputs various command signals and the like. Reference numeral 21 denotes a bus line connecting the system control unit 19 and each circuit unit.

 The ultrasonic probe 11 two-dimensionally arranges a plurality (N) of ultrasonic vibration elements, transmits ultrasonic pulses to the subject, and converts received ultrasonic waves obtained from the subject into received signals. To do. The ultrasonic probe 11 is configured to correspond to sector scanning, linear scanning, convex scanning, and the like, and can be arbitrarily selected according to a diagnostic part and a diagnostic purpose. A case will be described in which the sector scanning ultrasonic probe 11 in which the acoustic vibration elements are two-dimensionally arranged is used.

 The transmission / reception unit 12 includes a transmission unit 121 that generates an ultrasonic pulse signal and a reception unit 122 that processes an ultrasonic reception signal obtained from the ultrasonic probe 1. The transmission unit 121 generates an ultrasonic pulse signal and outputs the ultrasonic pulse signal to the ultrasonic probe 11, and the reception unit 122 performs phasing addition of the N-channel ultrasonic reception signals from the ultrasonic vibration element and combines them into one. The data is output to the image data generation unit 13.

 The B-mode image data generation unit 14 of the image data generation unit 13 includes an envelope detector 141, a logarithmic converter 142, and a rendering processing unit 143, and the envelope detector 141 is subjected to phasing addition from the reception unit 122. Envelope detection of the received signal. The amplitude of the envelope detection signal is logarithmically converted by a logarithmic converter 142. Note that the envelope detector 141 and the logarithmic converter 142 may be configured by changing the order.

 The rendering processing unit 143 generates three-dimensional image data, includes a data storage unit (not shown), and sequentially stores B-mode image data in the data storage unit. Further, the stored image data is read out, and rendering processing is performed on the basis of information on opacity and tone, thereby generating three-dimensional image data. As the three-dimensional image data in this case, for example, volume rendering image data is generated.

 On the other hand, the Doppler image data generation unit 15 includes an orthogonal detector 151, a frequency converter 152, and a Doppler shift calculation unit 153. The quadrature detector 151 performs quadrature phase detection on the received signal supplied from the receiving unit 122 and extracts a Doppler signal.

 That is, the quadrature detector 151 includes a π / 2 phase shifter and first and second mixers, and inputs the reception signal supplied from the receiving unit 122 to one input terminal of the first and second mixers. To do. Also, the rectangular wave supplied from the transmission unit 121 is supplied to the other input terminal of the first mixer, and the signal obtained by phase shifting the rectangular wave by 90 degrees with the π / 2 phase shifter is the other input terminal of the second mixer. To be supplied. Then, the first and second mixer outputs are respectively supplied to an LPF (low-pass filter), and a difference component between the output signal frequency of the receiving unit 122 and the fundamental frequency of the rectangular wave is detected.

 Data detected by the quadrature detector 151 is frequency-converted by the frequency converter 152, and a frequency shift is obtained. That is, when an ultrasonic wave is transmitted to a moving body (for example, blood) in a subject, an echo signal obtained from the moving body generates a Doppler frequency depending on the speed of the moving body. The frequency is high when the moving body is flowing in the direction approaching the ultrasonic probe, and is low when the moving body is flowing in the direction away from the ultrasonic probe. Therefore, the Doppler signal is obtained by obtaining this frequency shift. (Moving body information) can be taken out.

 The Doppler shift calculation unit 153 includes, for example, an MTI filter and an autocorrelation calculator, and the Doppler signal detected by the quadrature detector 151 is filtered by the MTI filter, and the blood flow Doppler component resulting from the blood flow in the blood vessel Is extracted. The autocorrelation calculator calculates an autocorrelation value for the blood flow Doppler component extracted by the MTI filter, calculates an average blood flow velocity value, a variance value, and the like based on the autocorrelation processing result. Generate image data.

 In addition, the sample marker processing unit 18 is connected to the Doppler transition calculation unit 153. The sample marker processing unit 18 sets a cross-sectional position marker (hereinafter referred to as a sample marker) for the 3D image generated by the rendering processing unit 143. The sample marker processing unit 18 can arbitrarily set the position of a sample marker (described later) under the control of the system control unit 19 by the operator operating the operation unit 20.

 The Doppler transition calculation unit 153 includes a storage unit 154, holds the data of the Doppler signal frequency-converted in the previous stage in the storage unit 154 for an arbitrary frame, and the frequency for each section of the sample area specified by the sample marker The transition is obtained, and the vector information at that point is calculated from the obtained value. The vector information has transition direction data and transition amount data.

 Based on the 3D image generated by the rendering processing unit 143 and the vector information calculated by the Doppler transition calculation unit 153, the image display processing unit 16 moves a moving body (blood or the like) in the sample region specified by the sample marker. An image (hereinafter referred to as a vector image) representing the direction and speed (amount of displacement) of the image is generated.

 The image display processing unit 16 includes a DSC (Digital Scan Converter), performs scan conversion of the generated image data, and converts the image data into an ultrasonic image that can be displayed on the display unit 17.

  On the other hand, the operation unit 20 is an interactive interface including an input device such as a keyboard, a trackball, and a mouse and a display panel, for example, input of patient information and various command signals, setting of ultrasonic transmission / reception conditions, and various image data. Set the generation conditions. Also sets the position and orientation of the sample marker.

  The sample marker sets an arbitrary cross-sectional position with respect to the displayed 3D image of the diagnostic site, and the cross-section can set a wide area of the 3D image or an arbitrary partial cross-section on the 3D image. it can.

  The sample marker processing unit 18 determines the cross-sectional position of the 3D image based on the sample marker set by the operation unit 20, and an area where the Doppler component is desired to be detected is set. The area is set by dividing the set cross section (plane) into a plurality of sections and specifying the sample area. Each section has an arbitrary size, and is divided by, for example, a square or a rectangle.

  The system control unit 19 includes a CPU and a storage unit (RAM, ROM, etc.), and controls each unit based on an instruction signal from the operation unit 20 and also controls the entire system.

  Next, the operation of the ultrasonic diagnostic apparatus according to one embodiment of the present invention will be described. In the present invention, the ultrasonic image processed by the image display processing unit 16, that is, the 3D image data generated by the B-mode image data processing unit 14, and the vector information generated by the Doppler image data generation unit 15 are displayed and processed. There is a feature in the method.

  2 and 3 are diagrams showing display examples of ultrasonic images. FIG. 2 shows a 3D image of a tubular body such as a blood vessel, and FIG. 3 schematically shows a 3D image of the heart. 2 and 3, the left image is a real-time 3D image, and the right image is a Doppler image. In this case, the 3D image and the Doppler image are displayed side by side, but only the Doppler image may be selected and enlarged as necessary.

  The display example of the blood vessel image in FIG. 2 will be described. Reference numeral 31 denotes a 3D image generated by the B-mode image data processing unit 14, and reference numeral 32 denotes a sample marker for designating an arbitrary cross-sectional position. The sample marker 32 can be moved to an arbitrary position by the operation of the operation unit 20 as indicated by a solid line or a dotted line, and its direction can be arbitrarily set, and an arbitrary cross-sectional position is set for the 3D image. can do.

  In FIG. 2A, the sample marker 32 is set to be orthogonal to the vessel axis of the blood vessel, and the cross-sectional position 33 of the blood vessel is determined by the plane of the sample marker 32. In FIG. A Doppler image 34 at the position is displayed.

  The size of the plane of the sample marker 31 can be arbitrarily set based on the operation of the operation unit 20 or a preset value. Further, in order to set the sample area, the plane is divided into a plurality of sections, and the size of each section can be arbitrarily set based on the operation of the operation unit 20 or a preset value.

  The Doppler image 34 of the blood vessel cross-sectional portion includes a cross-sectional image 35 of the blood vessel and a vector image 36 representing the direction of blood flow and the blood flow velocity of the blood (moving body) flowing through the cross-sectional portion. That is, in the vector image 36, the direction and angle of the blood flow are represented by arrows, and the blood flow velocity is represented by the length of the arrows. A sample marker 32 is also displayed.

  Therefore, an operator such as a doctor can determine the direction, angle, and velocity (flow velocity, flow rate) of the blood flow at an arbitrary cross-sectional position at a glance by observing the vector image 36.

  3 shows a state in which the plane of the sample marker 32 is set in a horizontal direction and the 3D image 31 of the heart is set to be cut in the horizontal direction. Also in this case, the position of the sample marker 32 can be set to an arbitrary position as shown by a solid line or a dotted line.

  FIG. 3B shows a Doppler image 34 of the cross section 33. In FIG. 3B as well, a cross-sectional image 35 and a vector image 36 are displayed. In this case, since the direction of the blood flow (moving body) is reversed between the left image and the right image, the direction of the arrow of the vector image 36 is different between the left image and the right image.

  FIG. 4 is an explanatory diagram showing the Doppler image 34 of FIG. 2 in an enlarged manner.

  The Doppler image 34 displays a planar image (referred to as a Doppler display plane 32) of the sample marker 32 set on the 3D image 31, and the Doppler display plane 32 is divided into a plurality of sample areas 321. It consists of Each sample region 321 is partitioned into squares and rectangles, for example.

  The Doppler image 34 includes a cross-sectional image 35 and a vector image 36, and the vector image 36 is displayed as an arrow having a predetermined angle and size with respect to the plane at the center of the section of each sample region 321. The angle of the arrow is an angle calculated from the angle formed by the Doppler-processed vector data and the Doppler display plane 32, and indicates the direction of blood flow. The size (length) of the arrow indicates the blood flow velocity.

  In FIG. 4, the arrow of the vector image 36 faces from the back side to the near side. However, when going from the back side to the Doppler display plane 32, the arrow is directed from the near side to the far side, and the display Doppler display is displayed. If the display plane 32 is displayed in a translucent or transparent manner, the direction of blood flow can be determined from the near side.

  FIG. 5 is an explanatory diagram illustrating another display form of the Doppler image 34 in an enlarged manner.

  A Doppler display plane 32 is displayed in the Doppler image 34, and the Doppler display plane 32 is configured by a plurality of sample areas 321. The Doppler image 34 includes a cross-sectional image 35 and a vector image 36, and the vector image 36 is displayed as a block extending in a predetermined direction with respect to the plane at the center of each section of the sample region 321. The direction in which the block extends indicates the direction of blood flow, and the size (length) of the block indicates the speed of blood flow. Therefore, the vector image 36 is displayed in a bar graph shape.

  Also in FIG. 5, when the block of the vector image 36 goes to the back side with respect to the Doppler display plane 32, the blood flow can be obtained from the near side if the display Doppler display plane 32 is displayed semi-transparently or transparently. Can be determined. Further, a group of blocks may be colored and displayed.

  In the above description, the size of the vector image 36 is displayed by the length of the arrow or the length of the block, but may be displayed by changing the thickness of the arrow or the block.

  FIG. 6A shows another display form of the Doppler image 34, which is an example in which the arrow of the vector image 36 is displayed with the thickness changed according to the speed of the moving body (blood flow). Moreover, you may make it change both the length and thickness of an arrow according to the speed of a moving body.

  Further, FIG. 6B shows another display form of the Doppler image 34. This example shows an example in which a Doppler image is rotated and displayed. That is, in the display of FIG. 6A, when it is difficult to see the vector image 361 located on the far side (arrow X) (indicated by a dotted line to distinguish it from others), the image of FIG. By rotating the screen, it is easy to see the part to be watched.

  For such rotation display, for example, a button for instructing rotation is provided on the operation unit 20, and when the rotation instruction is issued from the operation unit 20, the system control unit 19 controls the image display processing unit 16 to perform Doppler. An image obtained by rotating the image 34 by a predetermined angle may be generated.

  In the above description, when the Doppler image 34 is displayed, the Doppler display plane 32 and the sample area 321 are displayed. However, the Doppler display plane 32 and the sample area 321 may be omitted. good. 2 and 3, the 3D image 31 and the Doppler image 34 are displayed side by side, but only the Doppler image 34 may be selectively displayed on the display unit 17.

  As described above, according to the embodiment of the present invention, a Doppler image that matches a real-time 3D image can be displayed, and the Doppler image includes a 3D-displayed vector image. The direction and speed can be displayed so that they can be visually intuitively viewed. Therefore, it is possible to easily discriminate turbulent flow, reverse flow and the like in the bloodstream. Moreover, it can diagnose in real time, can improve diagnostic efficiency and diagnostic accuracy.

  Various modifications can be made without departing from the scope of the claims of the present invention.

1 is a block diagram showing a configuration of an ultrasonic diagnostic apparatus according to an embodiment of the present invention. Explanatory drawing which shows an example of the display image in the ultrasonic diagnosing device concerning the embodiment. Explanatory drawing which shows the other example of the display image in the ultrasonic diagnosing device which concerns on the embodiment. Explanatory drawing which shows the example of a display of the Doppler image in the ultrasound diagnosing device which concerns on the embodiment. Explanatory drawing which shows the other example of a display of the Doppler image in the ultrasonic diagnosing device which concerns on the embodiment. Explanatory drawing which shows the other example of a display of the Doppler image in the ultrasonic diagnosing device which concerns on the embodiment.

Explanation of symbols

DESCRIPTION OF SYMBOLS 10 ... Ultrasound diagnostic apparatus 11 ... Ultrasonic probe 12 ... Transmission / reception part 13 ... Image data generation part 14 ... B mode image data generation part 141 ... Envelope detector 142 ... Logarithmic converter 143 ... Rendering processing part 15 ... Doppler image data Generation unit 151 ... orthogonal detector 152 ... frequency converter 153 ... Doppler shift calculation unit 16 ... image display processing unit 17 ... display unit 18 ... sample marker processing unit 19 ... system control unit 20 ... operation unit

Claims (13)

A transmission / reception unit that transmits / receives ultrasonic waves to / from the subject;
A first image data generation unit that processes a reception signal obtained by the transmission / reception unit to generate three-dimensional image data of a diagnostic site;
A sample marker processing unit for generating a sample marker for setting an arbitrary cross-sectional position with respect to the three-dimensional image;
The received signal is processed to extract a Doppler signal related to the movement of the moving body in the subject, and vector information representing the moving direction and speed of the moving body at the cross-sectional position designated by the sample marker is generated. Two image data generation units;
The 3D image data from the first image data generation unit and the vector information from the second image data generation unit are processed to display a Doppler image including at least the vector image of the moving body on the display unit. An image display processing unit for
An ultrasonic diagnostic apparatus comprising:   The vector image includes a three-dimensional arrow image in which a moving direction and an angle of the moving body are represented by an arrow, and a speed of the moving body is represented by a length or a thickness of the arrow. The ultrasonic diagnostic apparatus according to 1.   2. The vector image is a three-dimensional bar graph image represented by a block extending in a moving direction of the moving body, and representing the speed of the moving body by the length or thickness of the block. The ultrasonic diagnostic apparatus as described.   2. The ultrasonic diagnostic apparatus according to claim 1, wherein the Doppler image includes a planar image indicating a cross-sectional position by the sample marker and the vector image superimposed on the planar image. The sample marker processing unit generates a sample marker having a plurality of sample areas, can arbitrarily set the size of the plurality of sections and the size of the entire area of the sample marker,
2. The ultrasonic diagnostic apparatus according to claim 1, wherein the second image data generation unit generates the vector information for each of the plurality of sample regions in a cross section designated by the sample marker.   2. The ultrasonic diagnosis according to claim 1, wherein the sample marker processing unit generates the sample marker that can be moved by an operation of an operator, and allows the operator to specify a cross-sectional position of the three-dimensional image. apparatus. The second image data generation unit is a quadrature detector that obtains a Doppler signal by quadrature detection of a reception signal obtained by the transmission / reception unit;
A frequency converter for frequency converting the output of the quadrature detector;
2. The ultrasonic diagnosis according to claim 1, further comprising: a Doppler shift calculation unit that calculates a frequency shift of an output signal of the frequency converter and generates vector information having shift direction data and shift amount data. apparatus.   2. The image display processing unit displays a three-dimensional image of a diagnostic region of the subject on the display unit, and displays the Doppler image at a position adjacent to the three-dimensional image. Ultrasound diagnostic equipment. Send and receive ultrasound to and from the subject, process the received signal to generate 3D image data of the diagnostic site,
Displaying a three-dimensional image based on the three-dimensional image data on a display unit;
Display a sample marker for the three-dimensional image and set an arbitrary cross-sectional position of the three-dimensional image;
The received signal is processed to extract a Doppler signal related to the movement of the moving body in the subject, and the Doppler signal is processed to process the moving direction and speed of the moving body at the cross-sectional position designated by the sample marker. Generate vector information that represents
An ultrasonic wave characterized in that the three-dimensional image data and the vector information are processed, and a three-dimensional vector image representing the movement of the moving body in the cross-section designated by the sample marker is displayed on the display unit. Image display method.   The vector image displayed on the display unit represents a moving direction and an angle of the moving body with an arrow, and represents a speed of the moving body with a length or a thickness of the arrow. Ultrasonic image display method.   The said vector image displayed on the said display part is represented by the block extended in the moving direction of the said mobile body, The speed of the said mobile body is represented by the length or thickness of the said block. Ultrasound image display method.   The ultrasonic image display method according to claim 9, wherein a planar image indicating a cross-sectional position by the sample marker is displayed on the display unit, and the vector image is superimposed and displayed on the planar image. The sample marker has a sample area divided into a plurality of sections, the size of the plurality of sections and the size of all sample areas can be arbitrarily set,
The ultrasonic image display method according to claim 9, wherein the vector information is generated for each of the plurality of sample regions in a cross section designated by the sample marker.

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