JP2013090934A - Ultrasonic diagnostic apparatus, ultrasonic image processor, and ultrasonic image processing program - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide an ultrasonic diagnostic apparatus, etc. that directly recognizes the condition of spatiotemporal propagation of a heart mechanical excitation by using motion information of the heart wall analyzed three-dimensionally, provides analyzable information, and mainly supports the diagnosis of ischemic heart disease or the like.SOLUTION: The ultrasonic diagnostic apparatus includes tissue motion information generation means of generating first tissue motion information over a first period using a first volume data group as a plurality of pieces of volume data gathered over the first period with a first time as a reference; propagation information generation means of performing processing for detecting the position of a peak region having a peak in the first tissue motion information at predetermined time for each time, and generating first excitation propagation information showing temporal transition of the peak region detected at each point of time; and display means of displaying the first excitation propagation information.

Description

  The present invention provides information that can be analyzed by directly understanding the state of spatiotemporal changes in the mechanical excitement of the heart using three-dimensionally analyzed heart wall motion information. The present invention relates to an ultrasonic diagnostic apparatus that supports diagnosis of blood diseases and the like.

  Objective and quantitative evaluation of movements and functions related to biological tissues such as the myocardium is very important for diagnosis of the tissues. In image diagnosis using an ultrasonic image processing apparatus, various quantitative evaluation methods have been tried mainly using the heart as an example. For example, during normal myocardial contraction, it is known that the thickness increases in the wall thickness direction (short axis) and the length decreases in the long axis direction. In general, thickening and shortening are said to have different directions of motion and perpendicular to each other. On the other hand, by observing these motions and evaluating myocardial wall motion, for example, heart disease such as myocardial infarction The possibility of diagnosis support is suggested.

  In addition, as a technique for displaying the movement of the intimal surface of the heart or the like, for example, three-dimensional surface rendering display or bullseye display (or Polar-map display) is known. Typical examples include 4-dimensional TSI (Tissue Strain Imaging) and CFM (Contraction Front Mapping). By using these methods, it is possible to quantitatively observe the three-dimensional distribution of heart wall motion information.

  By the way, in recent studies, for example, in the diagnosis of ischemic heart disease, it has been found that it is effective to examine the state of spatiotemporal propagation of mechanical movement (mechanical excitement) as a heart pump. ing.

[Search on March 13, 2007], Internet <http://www.pac.ne.jp/71stJCS/jp/program.asp?session id = OE04 & program id = 11933 & free str = Contraction>

  However, the conventional display method of heart wall motion information cannot directly grasp or quantify the state of spatiotemporal propagation of mechanical excitement. For example, since CFM is intended to grasp the difference between the portions of the contraction peak timing, it cannot directly grasp the state of spatiotemporal propagation of the heart wall motion. For example, in the technique disclosed in Non-Patent Document 1, a distribution image of a site at a contraction peak at a certain time phase is provided. For this reason, it is possible to grasp the difference between the contraction peak timing parts, but it is impossible to directly grasp the spatiotemporal propagation state of the wall motion.

  The present invention has been made in view of the above circumstances, and it is possible to directly grasp and analyze the state of spatiotemporal propagation of the mechanical excitation of the heart using the three-dimensionally analyzed heart wall motion information. An object of the present invention is to provide an ultrasonic diagnostic apparatus, an ultrasonic image processing apparatus, and an ultrasonic image processing program that provide such information and mainly support diagnosis of ischemic diseases and the like.

  In order to achieve the above object, the present invention takes the following measures.

  An ultrasonic diagnostic apparatus or an ultrasonic image processing apparatus according to an embodiment uses a first volume data group that is a plurality of volume data collected over a first period with a first time as a reference, Tissue movement information generating means for generating first tissue movement information over the first period, and processing for detecting a position of a peak portion having a peak in the first tissue movement information at a predetermined time for each time And propagation information generating means for generating first excitation propagation information indicating the temporal transition of the peak portion detected for each time, and display means for displaying the first excitation propagation information. Is.

  An ultrasound image processing program according to an embodiment uses the first volume data group, which is a plurality of volume data collected over a first period on the basis of a first time, on a computer. A tissue motion information generation function for generating first tissue motion information over a period of 1 and a process of detecting a position of a peak portion having a peak in the first tissue motion information at a predetermined time for each time Realizing a propagation information generation function for generating first excitement propagation information indicating a temporal transition of the peak portion detected for each time and a display function for displaying the first excitement propagation information It is.

  The ultrasound image processing apparatus according to an embodiment uses the first volume data group, which is a plurality of volume data collected over a first period with a first time as a reference, to perform the first period. A tissue motion information generating means for generating first tissue motion information over a period of time, and processing for detecting a position of a peak portion having a peak in the first tissue motion information at a predetermined time for each time, Propagation information generating means for generating first excitement propagation information indicating the temporal transition of the peak portion detected for, and display means for displaying the first excitement propagation information.

  As described above, according to the present invention, using the heart wall motion information analyzed three-dimensionally, it is possible to provide information that can directly grasp and analyze the state of spatiotemporal propagation of the mechanical excitement of the heart. In addition, an ultrasonic diagnostic apparatus, an ultrasonic image processing apparatus, and an ultrasonic image processing program that support diagnosis of an ischemic disease or the like can be realized.

FIG. 1 is a configuration diagram of an ultrasonic diagnostic apparatus 1 according to the first embodiment. FIG. 2 is a flowchart showing the flow of each process executed in the process according to the excitement propagation information generation function (excitement propagation information generation process). FIG. 3 is a diagram for explaining the wall thickness direction, the major axis direction, and the circumferential direction of the heart. FIG. 4 is a diagram showing a position example of the display form of the mapping image (surface rendering image) and the excitation propagation information on the display unit 23. FIG. 5 is a diagram illustrating an example of a display form of a mapping image (Polar-Mapping image) and excitement propagation information according to the first embodiment. FIG. 6 is a diagram showing a display example when a locus line is drawn by assigning different colors for each time phase. FIG. 7 is a diagram illustrating another example of the display form of the mapping image and the excitation propagation information according to the first embodiment. FIG. 8 is a flowchart showing the flow of each process executed in the excitement propagation information generation process according to the second embodiment. FIG. 9 is a diagram illustrating an example of a display form of a mapping image and excitement propagation information according to the second embodiment. FIG. 10 is a diagram showing another example of the display form of the mapping image and excitement propagation information according to the second embodiment.

  Hereinafter, first and second embodiments of the present invention will be described with reference to the drawings. In the following description, components having substantially the same function and configuration are denoted by the same reference numerals, and redundant description will be given only when necessary.

  In the following embodiments, a case where the technical idea of the present invention is applied to an ultrasonic diagnostic apparatus will be described as an example. However, without being bound by this, the technical idea of the present invention can be applied to an ultrasonic image processing apparatus such as a workstation or a personal computer.

  In addition, for each component according to each embodiment, particularly, a movement vector processing unit 19, a motion information calculation unit 37, and an excitation propagation analysis unit 38 (see FIG. 1) described later, the same processing as that of each component is executed. It can also be realized by installing a software program in a computer such as a workstation, an ultrasonic diagnostic apparatus having a computer function, etc., and developing these on a memory. At this time, a program capable of causing the computer to execute the technique is stored in a recording medium such as a magnetic disk (floppy (registered trademark) disk, hard disk, etc.), an optical disk (CD-ROM, DVD, etc.), or a semiconductor memory. It can also be distributed.

(First embodiment)
FIG. 1 is a configuration diagram of an ultrasonic diagnostic apparatus 1 according to the first embodiment. The ultrasonic diagnostic apparatus 10 includes an ultrasonic probe 11, a transmission unit 13, a reception unit 15, a B-mode processing unit 17, a movement vector processing unit 19, an image generation unit 21, a display unit 23, a control unit (CPU) 31, and tracking. A processing unit 33, a volume data generation unit 35, a motion information calculation unit 37, an excitement propagation analysis unit 38, a storage unit 39, an operation unit 41, and a transmission / reception unit 43 are provided. When the present invention is applied to an ultrasonic image processing apparatus, the inside of the dotted line in FIG.

  The ultrasonic probe 11 generates ultrasonic waves based on a drive signal from the transmission unit 13 and converts a reflected wave from the subject into an electrical signal, a matching layer provided in the piezoelectric vibrator, It has a backing material that prevents the propagation of ultrasonic waves from the piezoelectric vibrator to the rear. When an ultrasonic wave is transmitted from the ultrasonic probe 11 to the subject, various harmonic components are generated along with the propagation of the ultrasonic wave due to nonlinearity of the biological tissue. The fundamental wave and the harmonic component constituting the transmission ultrasonic wave are back-scattered by the boundary of acoustic impedance of the body tissue, minute scattering, and the like, and are received by the ultrasonic probe 11 as a reflected wave (echo).

  The transmission unit 13 has a delay circuit, a pulsar circuit, etc. (not shown). In the pulsar circuit, a rate pulse for forming a transmission ultrasonic wave is repeatedly generated at a predetermined rate frequency fr Hz (period: 1 / fr second). Further, in the delay circuit, a delay time necessary for focusing the ultrasonic wave into a beam shape for each channel and determining the transmission directivity is given to each rate pulse. The transmission unit 13 applies a drive pulse to each transducer so that an ultrasonic beam is formed toward a predetermined scan line at a timing based on the rate pulse.

  The receiving unit 15 has an amplifier circuit, an A / D converter, an adder and the like not shown. The amplifier circuit amplifies the echo signal captured via the probe 11 for each channel. In the A / D converter, a delay time necessary for determining the reception directivity is given to the amplified echo signal, and thereafter, an addition process is performed in the adder. By this addition, an ultrasonic echo signal corresponding to a predetermined scan line is generated.

  The B mode processing unit 17 performs an envelope detection process on the ultrasonic echo signal received from the receiving unit 15, thereby generating a B mode signal corresponding to the amplitude intensity of the ultrasonic echo.

  The movement vector processing unit 19 detects the movement position of the tissue using pattern matching processing between two volume data having different time phases, and obtains the movement amount (or speed) of each tissue based on the movement position. Specifically, for the region of interest in one volume data, the corresponding region in the other volume data with the highest similarity is obtained. By obtaining the distance between the region of interest and the corresponding region, the amount of movement of the tissue can be obtained. Further, the moving speed of the tissue can be obtained by dividing this moving amount by the time difference between the volumes. By performing this processing volume-by-volume at each position on the volume, it is possible to acquire temporal and temporal distribution data relating to displacement (movement vector) of each tissue or tissue displacement. Here, the volume data is defined as a set of received signals having three-dimensional position information (that is, a set of received signals having spatial information).

  The image generation unit 21 generates a B-mode ultrasonic image representing a two-dimensional distribution related to a predetermined slice of the B-mode signal. Further, the image generation unit 21 generates a two-dimensional image or a three-dimensional image to which the motion information is mapped based on the calculated tissue motion information using a technique such as surface rendering or Polar-Mapping.

  Based on the video signal from the image generation unit 21, the display unit 23 displays tissue motion information and the like as an image in a predetermined form as will be described later. Further, the display unit 23 displays a marker for supporting the association of positions between images when displaying a plurality of images.

  The control unit (CPU) 31 has a function as an information processing apparatus (computer) and statically or dynamically controls the operation of the ultrasonic diagnostic apparatus main body. In particular, the control unit 31 implements a tissue exercise information display function to be described later by developing a dedicated program stored in the storage unit 39 in a memory (not shown).

  The motion information calculation unit 37 generates tissue motion information for each time phase based on the spatiotemporal distribution data output from the movement vector processing unit 19. Here, the tissue motion information is physical information that can be acquired regarding displacement, displacement rate, strain, strain rate, moving distance, speed, velocity gradient, and other tissue motions in a predetermined direction of a predetermined tissue such as a heart wall.

  The excitement propagation information analysis unit realizes an excitement propagation information generation function to be described later.

  The storage unit 39 is a device that reads a recording medium such as a magnetic disk (floppy (registered trademark) disk, hard disk, etc.), optical disk (CD-ROM, DVD, etc.), semiconductor memory, etc., and information recorded on these media. . In this storage unit 37, transmission / reception conditions, a predetermined scan sequence, raw data corresponding to each time phase and ultrasonic image data (for example, tissue image data photographed in tissue Doppler mode, B mode, etc.) are generated in advance. Volume data for each time phase, spatio-temporal distribution data related to movement vectors, programs for realizing the excitement propagation generation function described later, diagnosis information (patient ID, doctor's findings, etc.), diagnosis protocol, body mark generation program, etc. Remember.

  The operation unit 41 is connected to the apparatus main body, and includes various instructions from the operator, a region of interest (ROI) setting instruction, various image quality condition setting instructions, arbitrary tissue motion information and an arbitrary heart rate in the excitation propagation generation function described later. A mouse, a trackball, a mode changeover switch, a keyboard, etc. are provided for selecting a phase.

  The transmission / reception unit 43 is a device that transmits / receives information to / from other devices via a network. Data such as ultrasound images and analysis results obtained by the ultrasound diagnostic apparatus 1 can be transferred by the transmission / reception unit 43 to other apparatuses via a network.

(Excitement propagation information generation function)
Next, the excitement propagation information generation function provided in the ultrasonic diagnostic apparatus 1 will be described. This function generates information (excitement propagation information) that can directly grasp the state of spatiotemporal propagation of mechanical excitement of the heart, using heart wall motion information analyzed in three dimensions. It is to provide.

  FIG. 2 is a flowchart showing the flow of each process executed in the process according to the excitement propagation information generation function (excitement propagation information generation process). Hereinafter, each process will be described.

[Collecting time-series volume data: Step S1]
First, time series volume data (hereinafter referred to as a “time series volume data group”) over a period of at least one heartbeat regarding a desired observation site of the heart or the entire heart of a certain patient, which is a reference. Items with different collection times are collected (step S1).

  That is, volume data of a time series (at least for one heartbeat) is collected from a desired apex observation site of a patient using a two-dimensional array probe from the apex approach with reference to a certain time ti. Here, the reference time ti is time information for identifying the data collection time.

[Generation of Tissue Movement Information: Step S2]
Next, each tissue motion information is generated (step S2). That is, the movement vector processing unit 19 is based on an instruction from the user or the like in the volume data in a predetermined time phase among the volume data corresponding to each time phase of one heartbeat or more constituting the collected time-series volume data group. Then, the myocardial region is extracted, and the extracted local myocardial region is temporally tracked by three-dimensional pattern matching processing to calculate spatio-temporal movement vector information (step S2a). The motion information calculation unit 37 calculates heart wall motion information three-dimensionally using the calculated spatio-temporal movement vector information, and a tissue motion information group composed of three-dimensional motion information of one or more heartbeats. Is generated (step S2b).

  In the present embodiment, it is assumed that a tissue motion information group related to radial-strain is generated in step S <b> 2 for specific explanation. However, this is exemplary and is not bound by this example. Examples of heart wall motion information to be generated include motion information related to changes in the wall thickness direction (Radial-strain and Radial-strain rate) and motion information related to changes in the long axis direction (Longitudinal-strain and Longitudinal-strain rate). ), Information on movement in the circumferential direction (Circumferential-strain and Circuit-strain rate), information on the center of gravity in the short axis plane (Rotation and Rotation rate), and the difference in rotation between different short axis planes Some movement information (Twist and Twist rate), movement information (Torsion and Torsion rate) that standardizes the Twist information by the distance between short axis planes, movement information (Displacement and Velocity) related to the movement distance, and the like can be mentioned. The wall thickness direction, the major axis direction, and the circumferential direction are illustrated in FIG. Which of the above-described heart wall motion information is generated is determined by an initial setting or a selection operation from the operation unit 41.

[Step S3: Generation of Exercise Information Mapping Image]
Next, a time-series mapping image in which exercise information is mapped is generated using the tissue exercise information group (step S3). For example, the image generation unit 21 color-codes the generated radial-strain related to the change in the wall thickness direction using the tissue motion information group and maps it to the corresponding part of the myocardium, thereby rendering the surface rendering image each time. Create for each phase. Note that the method for mapping tissue motion information is not limited to the surface rendering process. For example, any display may be used as long as the display has a list property such as Polar-map.

[Search for Local Peak Value: Step S4a]
Next, using the generated time-series (that is, for each time phase) surface rendering image, a search for a local peak value in each time phase is executed (step S4a). In other words, the excitement propagation analysis unit 38 searches for a region where the motion information has the maximum value in the entire surface rendering image in the initial time phase t0 selected by a predetermined method. The excitement propagation analysis unit 38 sets a predetermined local region on the basis of the position corresponding to the part searched in the time phase t0 on the surface rendering image in the next time phase t1, and the motion in the local region A part (not necessarily one) having the maximum value (local peak value) of information is searched. Further, the excitement propagation analysis unit 38 sets a predetermined local region based on the position corresponding to the part searched in the time phase t1 on the surface rendering image in the time phase t2 next to the time phase t1. A part having a local peak value in the region is searched. Thereafter, the same local peak value search is executed for all time-series surface rendering images.

  The excitement propagation information generation function is not particularly limited by the shape and size of the local region. However, it is preferable to change according to, for example, the cardiac cycle or medical condition of the subject. Further, for example, the shape and size of the local region in the above time phase may be adaptively changed according to the moving speed of the local region set in the initial time phase. The moving speed of the local region can be calculated based on the moving amount between time phases and the frame time interval.

[Generation of Excitement Propagation Information: Step S5]
Next, excitation propagation information is generated using the searched local peak value for each time phase (step S5). That is, the excitement propagation analysis unit 38 generates a trajectory line indicating the temporal variation of the part having the local peak value as excitement propagation information based on the searched local peak value for each phase.

[Excitation propagation information and mapping image display: Step S6]
Next, the control unit 31 controls the display unit 23 so that the excitement propagation information is displayed together with the mapping image.

  FIG. 4 is a diagram showing a position example of the display form of the mapping image (surface rendering image) and the excitation propagation information on the display unit 23. FIG. 5 is a diagram showing an example of the position of the display form of the mapping image (Polar-Mapping image) and the excitation propagation information on the display unit 23. In each figure, the state of excitement propagation is superimposed and displayed on the current mapping image as a trajectory line, and is updated successively over time. Therefore, the observer can directly and visually grasp the propagation state of the mechanical excitement of the heart by observing the excitation propagation information and the mapping image displayed in a moving image.

  The mapping image and the excitation propagation information can be displayed as a still image related to a desired time phase as necessary.

  Further, in the display of the excitation propagation information and the mapping image, as shown in FIGS. 4 and 5, support information (ie, Sept / Ant /) for orienting an anatomical segment related to the myocardial region of the mapping image. Lat / Post / Inf text information) can be assigned to the corresponding heart wall position and displayed as a marker.

  For the correspondence between the image for orientation and the anatomical segment, for example, a cross section (eg, apical four-chamber image or apical two-chamber image) defined in advance at the time of data collection is assigned as the display format, and the display format This can be realized by adjusting the probe position by the user. By performing such marker display, it becomes possible to observe information indicating the state of spatiotemporal propagation of the mechanical excitement of the heart while grasping where the heart is looking anatomically. .

(Application 1)
In this excitement propagation information generation function, it is also possible to calculate the speed of the local peak position for each time phase together with the trajectory and display it in the excitement propagation information. The velocity of the local peak position can be calculated based on the moving direction and moving amount in each time phase and the time between frames. The local peak position velocity may be displayed as a graph, or may be expressed as the length of the vector with the trajectory line corresponding to each time phase as a vector.

(Application example 2)
In this excitement propagation information generation function, it is also possible to draw and display a locus line by assigning a different color for each time phase so as to correspond to the cardiac time phase. At this time, for example, as shown in FIG. 6, it is preferable to simultaneously display a color bar indicating which color corresponds to which time phase. When displaying a color bar in this way, it is preferable to add a display that contrasts the electrocardiogram (ECG) waveform with coloring as shown in FIG.

  Note that the method of displaying the trajectory for each time phase is not limited to this example. For example, any display form capable of determining the time phase, such as adding character information indicating the time phase for each segment of the trajectory, may be used.

(Application example 3)
In step S1, a plurality of time-series volume data with different reference times (for example, two reference times, ti and tj, respectively) are collected and used to generate excitement propagation information generation processing according to steps S2 to S4. The excitement propagation information obtained as a result may be displayed simultaneously (or displayed alternately) as shown in FIG. 7, for example. In this application example, for example, when one time series volume data group is before treatment and the other time series volume data group is after treatment, or different time phases in stress echo (for example, before stress and after stress) This is especially beneficial when observing the situation at regular intervals, such as when comparing

  In the example shown in FIG. 7, the case where both pieces of exercise information are radial-strain is illustrated. However, regardless of this, different types of exercise information may be displayed for Phase (i) and Phase (j).

(Application 4)
In step S2, a plurality of different pieces of motion information (for example, radial-strain and longitudinal-strain) are generated from one time-series volume data group, and excitement propagation information generation processing according to steps S3 and S4 is executed using each of them. The mapping images on which the respective excitation propagation information obtained as a result are superimposed may be displayed simultaneously (or alternately displayed).

  According to such a configuration, it is possible to quickly and easily visually recognize a plurality of different heart wall motion information and excitement propagation information, and it is possible to grasp the complex state three-dimensionally.

(effect)
According to the configuration described above, the following effects can be obtained.

  According to this ultrasonic diagnostic apparatus, the peak value of the motion information in the local region is searched for each time phase by using the three-dimensional mapping image for each time phase to which the motion information is mapped. A trajectory line or the like representing a temporal variation of a peak part is created and displayed, for example, superimposed on a mapping image. The observer can directly grasp the state of spatiotemporal propagation of the mechanical excitation of the heart by observing the trajectory line on the displayed mapping image.

  Moreover, in this ultrasonic diagnostic apparatus, the movement speed for every time phase of the part corresponding to the local peak can be calculated as necessary, and can be displayed by including it in the excitation propagation information. Therefore, the observer can quantitatively grasp the state of spatiotemporal propagation of the mechanical excitement of the heart by observing the moving speed for each time phase included in the excitement propagation information.

(Second Embodiment)
Next, a second embodiment of the present invention will be described.

  The ultrasonic diagnostic apparatus according to the first embodiment traces a region having a local peak value in space and time, and uses the result to grasp the state of spatiotemporal propagation of the mechanical excitation of the heart. there were.

On the other hand, the ultrasonic diagnostic apparatus according to the present embodiment is not limited to the local peak value, and a part having a value equal to or higher than a certain reference value (threshold value) is extracted as a specific region, and the result is used to excite. Propagation information is generated.

  Note that the application example described in the first embodiment can also be applied to the ultrasonic diagnostic apparatus according to the present embodiment.

  FIG. 8 is a flowchart showing the flow of each process executed in the excitement propagation information generation process according to this embodiment. Hereinafter, each process will be described.

[Steps S1, S2, S3]
This is substantially the same as the first embodiment.

[Extraction of Singular Region: Step S4b]
Next, extraction of a singular region in each time phase is executed using the generated time-series (that is, for each time phase) surface rendering image (step S4b). That is, the excitement propagation analysis unit 38 extracts a region (singular region) where the motion information is equal to or greater than a predetermined threshold in the entire surface rendering image at the initial time phase t0 selected by a predetermined method. The excitement propagation analysis unit 38 similarly extracts a singular region where the motion information is equal to or greater than a predetermined threshold on the surface rendering image at the next time phase t1. Thereafter, similar singular region extraction is executed for all time-series surface rendering images.

  An example of how to set the threshold value used in the extraction process of the specific region is a spatial peak value at each time phase × α (0 ≦ α <1.0), for example, α = about 0.9. Can be set. Of course, the value of α can be arbitrarily set. For example, it is possible to extract a portion near the peak point by increasing α and by limiting a portion of a peak region having a spread by decreasing α. it can.

[Generation of Excitement Propagation Information: Step S5]
Next, the excitement propagation analysis unit 38 generates the temporal variation of the extracted singular region for each time phase as excitement propagation information (step S5).

[Excitation propagation information and mapping image display: Step S6]
Next, the control unit 31 controls the display unit 23 so as to display the excitement propagation information superimposed on the mapping image.

  FIG. 6 is a view showing an example of the display form of the mapping image and the excitation propagation information according to the present embodiment. FIG. 7 is a diagram showing an example of the display form of the mapping image and the excitation propagation information when the value of α is smaller than that of FIG. In each figure, a singular region having motion information of a predetermined value or more is displayed on the current mapping image and is updated successively over time. Therefore, the observer can directly and visually grasp the propagation state of the mechanical excitement of the heart by observing the excitation propagation information and the mapping image displayed in a moving image.

(effect)
According to the configuration described above, the following effects can be obtained.

  According to this ultrasonic diagnostic apparatus, using a three-dimensional mapping image for each time phase to which motion information is mapped, a part having a value equal to or greater than a reference value for predetermined motion information is extracted as a specific region for each time phase. Then, based on the result, excitement propagation information expressed as a temporal variation of the specific region is created and displayed, for example, superimposed on the mapping image. The observer can directly grasp the state of spatiotemporal propagation of the mechanical excitement of the heart by observing a specific region on the displayed mapping image.

  Moreover, in this ultrasonic diagnostic apparatus, the moving speed for every time phase of a specific area | region can be calculated as needed, and this can be displayed including excitement propagation information. Therefore, the observer can quantitatively grasp the state of spatiotemporal propagation of the mechanical excitement of the heart by observing the moving speed for each time phase included in the excitement propagation information.

  Note that the present invention is not limited to the above-described embodiment as it is, and can be embodied by modifying the constituent elements without departing from the scope of the invention in the implementation stage. Specific examples of modifications are as follows.

  In addition, various inventions can be formed by appropriately combining a plurality of components disclosed in the embodiment. For example, some components may be deleted from all the components shown in the embodiment. Furthermore, constituent elements over different embodiments may be appropriately combined.

  As described above, according to the present invention, using the heart wall motion information analyzed three-dimensionally, it is possible to provide information that can directly grasp and analyze the state of spatiotemporal propagation of the mechanical excitement of the heart. In addition, an ultrasonic diagnostic apparatus, an ultrasonic image processing apparatus, and an ultrasonic image processing program that support diagnosis of an ischemic disease or the like can be realized.

DESCRIPTION OF SYMBOLS 1 ... Ultrasonic diagnostic apparatus, 11 ... Ultrasonic probe, 13 ... Transmission unit, 15 ... Reception unit, 17 ... B mode processing unit, 19 ... Movement vector processing unit, 21 ... Image generation unit, 23 ... Display unit, 31 ... Control unit (CPU), 37 ... motion information calculation unit, 39 ... storage unit, 41 ... operation unit, 43 ... transmission / reception unit

Claims (23)

A tissue that generates first tissue motion information over the first period by using a first volume data group that is a plurality of volume data collected over a first period with a first time as a reference. Exercise information generating means;
A first excitement propagation indicating a time-dependent transition of the peak portion detected for each time, in which processing for detecting the position of a peak portion having a peak in the first tissue motion information at a predetermined time is performed for each time. Propagation information generating means for generating information;
Display means for displaying the first excitation propagation information;
An ultrasonic diagnostic apparatus comprising: The propagation information generating means
The ultrasonic diagnostic apparatus according to claim 1, wherein the position of the peak portion at the predetermined time is detected by comparing the magnitudes of the first tissue motion information at the predetermined time.   The propagation information generation means determines a portion having the maximum first tissue motion information in each region in the local region as the first tissue motion information at the predetermined time as a peak region at the predetermined time. The ultrasonic diagnostic apparatus according to claim 1, wherein the position is detected as a position.   The propagation information generation means detects the position of the peak part by determining a region to search for the peak part of the current phase based on the position of the peak part in a different time phase, and detects the time of the peak part. The ultrasonic diagnostic apparatus according to claim 1, wherein a trajectory of a typical fluctuation is obtained.   The propagation information generation means obtains a trajectory of temporal fluctuation of the peak part by adopting a peak part of a neighboring region with respect to the peak part having a different time phase from the plurality of local peak parts. The ultrasonic diagnostic apparatus according to claim 1 or 2, characterized in that: The first volume data group is ultrasonic volume data obtained by ultrasonically scanning heart tissue,
Image generating means for generating a first time-series tissue motion information image with respect to the first period;
The propagation information generation means generates the first excitement propagation information using the first time-series tissue motion information image,
The display means displays the first excitement propagation information together with the first time-series tissue motion information image;
The ultrasonic diagnostic apparatus according to any one of claims 1 to 5, wherein:   The image generation means performs the mapping using any one of a reconstruction process including rendering, or a reconstruction process using a polar coordinate format in which the apex is a pole and the center is a periphery. 9. The ultrasonic diagnostic apparatus according to 9.   The image generation means generates a time-series tissue motion information image with respect to the first period by mapping the first tissue motion information to a surface rendering image of a myocardium. 7. The ultrasonic diagnostic apparatus according to 7. The propagation information generating means
Generating the first excitation propagation information including information indicating the position of the searched portion having a local peak in association with a time phase;
The ultrasonic diagnostic apparatus according to claim 4, wherein:   The information indicating the position of the part having the local peak in association with the time phase is information indicating the temporal change of the part having the local peak as a trajectory for each time phase. The ultrasonic diagnostic apparatus according to claim 9.   The ultrasonic diagnostic apparatus according to claim 10, wherein the display unit displays the locus by assigning a different color for each time phase. The propagation information generating means
Extracting at least one region having a value equal to or greater than a predetermined threshold with respect to the first tissue motion information as a specific region;
Generating the first excitation propagation information including information indicating the singular region in association with a time phase;
The ultrasonic diagnostic apparatus according to claim 5, wherein: The exercise information generating means uses the second volume data group, which is a plurality of volume data collected over a second period based on a second time different from the first time, and Generating second tissue motion information over a second period,
The propagation information generation means generates second excitation propagation information indicating a state of spatiotemporal propagation of mechanical excitation of the heart tissue using the second tissue motion information,
The display means displays the second excitation propagation information simultaneously or alternately with the first excitation propagation information;
The ultrasonic diagnostic apparatus according to claim 4, further comprising:   The ultrasonic diagnostic apparatus according to claim 13, wherein the first tissue motion information and the second tissue motion information are the same type of motion information.   The ultrasonic diagnostic apparatus according to claim 13, wherein the first tissue motion information and the second tissue motion information are different types of motion information. The exercise information generation means generates second tissue exercise information over the first period using the first volume data group,
The propagation information generation means generates second excitation propagation information indicating a state of spatiotemporal propagation of mechanical excitation of the heart tissue using the second tissue motion information,
The display means displays the second excitation propagation information simultaneously or alternately with the first excitation propagation information;
The ultrasonic diagnostic apparatus according to claim 1, further comprising:   The display means displays support information for grasping the association of the orientations of anatomical segments with respect to the tissue together with the first excitement propagation information. The ultrasonic diagnostic apparatus according to one item.   2. The tissue motion information is any one of a local strain, rotation, twist, displacement of the tissue, or a strain rate, a rotation rate, a twist rate, and a speed, which are temporal change rates thereof. The ultrasonic diagnostic apparatus as described in any one of thru | or 17.   19. The motion information generating means generates tissue motion information separated into components of a heart wall thickness direction, a long axis tangential direction, and a circumferential direction. The ultrasonic diagnostic apparatus according to item.   The ultrasonic diagnostic apparatus according to claim 1, wherein the display unit displays the first excitation propagation information together with the first time-series tissue motion image.   The motion information generating means calculates motion vector information of a local region of tissue by pattern matching processing, and generates motion information of the tissue by processing including tracking using the motion vector information. The ultrasonic diagnostic apparatus according to any one of 1 to 10. On the computer,
A tissue that generates first tissue motion information over the first period by using a first volume data group that is a plurality of volume data collected over a first period with a first time as a reference. Exercise information generation function,
First excitement indicating a time-dependent transition of the peak portion detected for each time, by executing processing for detecting the position of a peak portion having a peak in the first tissue motion information at a predetermined time for each time. A propagation information generation function for generating propagation information;
A display function for displaying the first excitation propagation information;
An ultrasonic image processing program characterized by realizing the above. A tissue that generates first tissue motion information over the first period by using a first volume data group that is a plurality of volume data collected over a first period with a first time as a reference. Exercise information generating means;
A first excitement propagation indicating a time-dependent transition of the peak portion detected for each time, in which processing for detecting the position of a peak portion having a peak in the first tissue motion information at a predetermined time is performed for each time. Propagation information generating means for generating information;
Display means for displaying the first excitation propagation information;
An ultrasonic image processing apparatus comprising:

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