JP2015029610A - Ultrasonic imaging apparatus and ultrasonic imaging method - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide an ultrasonic probe and an ultrasonic imaging apparatus capable of reducing the burden of an operator by allowing an operator to easily grasp a compression state and a fitting state of a reference deformable body.SOLUTION: An ultrasonic imaging apparatus detects a boundary between a reference deformable body fitted to an ultrasonic probe and an analyte in an ultrasonic image, calculates at least one of a compression proper range and an initial position at the time when the ultrasonic probe presses the analyte on the basis of at least one of thickness and elastic characteristics of the reference deformable body, and sets at least one of a compression line indicating the compression proper range and an initial position line indicating the initial position in a compression direction of the ultrasonic probe in the ultrasonic image.

Description

  The present invention relates to an ultrasonic probe and an ultrasonic imaging apparatus, and more particularly to an ultrasonic imaging apparatus and an ultrasonic imaging method for displaying an elastic image.

  The ultrasonic imaging apparatus transmits ultrasonic waves to the inside of the subject using an ultrasonic probe, receives an ultrasonic reflection echo signal corresponding to the structure of the living tissue from the inside of the subject, and produces a tomographic image such as a B-mode image. An image is constructed and displayed for diagnosis.

  In recent years, a living body generated by compression based on frame data of two ultrasonic reception signals having different measurement times by measuring an ultrasonic reception signal by compressing a subject with an ultrasonic probe by a manual or mechanical method. The displacement of each part is obtained, and an elastic image representing the elasticity of the living tissue is generated based on the displacement data.

  In this case, it is reported that the hardness of the living tissue has nonlinearity, and the hardness of the tissue changes depending on the compression condition when the living tissue is compressed (for example, Krouskop TA, et al, Elastic Moduli of Breast and Prostate Tissues Under Compression, Ultrasound Imaging. 1998; 20; 260-274.). Here, the compression condition includes a time change in pressure applied to the living tissue, a change in compression amount (a compression amount of the living tissue from a state of zero compression), and the like.

  The pressure applied to the subject when an elastic image is taken can be applied via an ultrasonic probe used in contact with the subject. In this case, it is determined whether or not the pressure value applied to the subject is within the set range based on the compression state information, and when the pressure value is out of the set range, a warning to that effect is displayed with sound and image. It is disclosed that it is preferable to output at least one of the above (see, for example, Patent Document 1). The elasticity image is desirably measured by periodically changing the pressure applied to the subject. Therefore, it is disclosed that the compression state information displayed on the display device changes according to the time change of the pressure value applied to the subject (see, for example, Patent Document 1).

JP 2012-135679 A

  However, in the conventional ultrasonic imaging apparatus, when the compression state information is always displayed on the display device in order to grasp the compression state information that changes according to the time change of the pressure value applied to the subject, the operator is elastic. It may be difficult to see the image. For example, since a gauge, a graph, or the like indicating a periodic compression state is displayed on the screen of the display device in addition to the elastic image, it may be difficult for the operator to see the elastic image. Further, since the ultrasonic probe is gradually shifted while the compression is repeated, it is necessary for the operator to always confirm the imaging region with an elastic image. When the elastic image and the compression state information are displayed on the display device, the operator has to pay attention in order to check the compression state and the imaging region, and the burden on the operator increases ( In particular, there is a problem that operation is very difficult for beginners).

  An object of the present invention is to provide an ultrasonic probe and an ultrasonic imaging apparatus that can easily grasp the compression state and the mounting state of a reference deformable body and reduce the burden on the operator.

  An ultrasonic imaging apparatus according to the present invention detects a boundary between a reference deformable body attached to an ultrasonic probe and a subject in an ultrasonic image, and at least one of a thickness and an elastic characteristic of the reference deformable body. And calculating at least one of an appropriate compression range and an initial position when the ultrasonic probe compresses the subject, and a compression line indicating the appropriate compression range and an initial position indicating the initial position. At least one of the lines is set in the compression direction of the ultrasonic probe in the ultrasonic image.

  The present invention provides an ultrasonic probe and an ultrasonic imaging apparatus that can easily grasp the compression state and the mounting state of a reference deformable body and reduce the burden on the operator.

It is a block diagram which shows the ultrasonic imaging device which concerns on this Embodiment. It is a block diagram which shows an example of the line setting part of the ultrasonic imaging device which concerns on this Embodiment. It is a figure which shows the B mode image (ultrasonic image) which concerns on this Embodiment. It is a figure which shows the relationship between the mounting state of a reference deformation body, and a B mode image (ultrasound image). It is a figure which shows the B mode image (ultrasonic image) in which the initial position line and the initial pressure limit line were set. It is a figure which shows that the initial position line showing the initial position of the state to which the predetermined initial pressure was given is set. It is a figure which shows that the ultrasonic jelly was mixed partially in the boundary, and the reference deformation body shifted | deviated from the acoustic radiation | emission surface of an ultrasonic probe. It is a figure which shows that several initial pressure limit lines are set in the position which pinches | interposes an initial position line. It is a figure which shows that an initial position line, a compression line, and an initial pressure limit line are set. It is a figure which shows that the mark showing at least 1 of the position of a pressure, the direction of a pressure, and the magnitude | size of a pressure is set.

  Hereinafter, an ultrasonic imaging apparatus according to an embodiment of the present invention will be described with reference to the drawings. FIG. 1 is a block diagram showing an ultrasonic imaging apparatus according to the present embodiment. The ultrasonic imaging apparatus obtains a tomographic image of a diagnostic region of a subject using ultrasonic waves and displays an elastic image representing the hardness or softness of a living tissue.

  As shown in FIG. 1, the ultrasonic imaging apparatus includes an ultrasonic transmission / reception control circuit 1, a transmission circuit 2, an ultrasonic probe 3, a reception circuit 4, a phasing addition circuit 5, and a signal processing unit. 6, monochrome scan converter 7, RF signal frame data selection unit 8, displacement / distortion calculation unit 9, elasticity information calculation unit 10, elasticity data processing unit 11, color scan converter 12, and switching addition unit 13. And an image display 14, a pressure calculation unit 15, a reference deformation body 16, and a line setting unit 150.

  The ultrasonic probe 3 is formed by arranging a large number of transducers in a strip shape, and transmits and receives ultrasonic waves to a subject by performing beam scanning mechanically or electronically. The ultrasonic probe 3 incorporates a transducer that is a source of ultrasonic waves and receives reflected echoes. Each transducer generally converts the input pulse wave or continuous wave transmission signal into an ultrasonic wave and emits it, and converts the reflected echo emitted from the inside of the subject into an electrical signal (reflected echo signal) And has a function of outputting.

  The compression operation for displaying the elastic image is performed by the ultrasound probe 3 compressing the subject and applying a stress distribution in the body cavity of the diagnosis site. A reference deformable body 16 is attached to the ultrasonic transmission / reception surface of the ultrasonic probe 3. By bringing the reference deformable body 16 into contact with the body surface of the subject, the subject is compressed.

  The ultrasonic transmission / reception control circuit 1 controls the timing of transmitting and receiving ultrasonic waves. The transmission circuit 2 generates a transmission pulse for driving the ultrasonic probe 3 to generate an ultrasonic wave, and determines a convergence point of the transmitted ultrasonic wave by a built-in transmission phasing and adding circuit. Set to a certain depth. The receiving circuit 4 amplifies the reflected echo signal received by the ultrasonic probe 3 with a predetermined gain. The number of reflected echo signals corresponding to the number of amplified transducers is input to the phasing addition circuit 5. The phasing addition circuit 5 controls the phase of the reflected echo signal amplified by the receiving circuit 4 to form RF signal frame data.

  The signal processing unit 6 receives the RF signal frame data from the phasing addition circuit 5 and performs various signal processing such as gain correction, log correction, detection, contour enhancement, and filter processing.

  The black-and-white scan converter 7 acquires the RF signal frame data output from the signal processing unit 6 with an ultrasonic cycle, and reads out the RF signal frame data with a television system cycle in order to display the RF signal frame data. A control unit is provided. For example, the monochrome scan converter 7 stores an A / D converter that converts RF signal frame data from the signal processing unit 6 into a digital signal and tomographic image data digitized by the A / D converter in time series. It includes a plurality of frame memories and a controller for controlling these operations.

  The image display 14 displays time-series tomographic image data (that is, a tomographic image) obtained by the monochrome scan converter 7. The image display unit 14 receives a D / A converter that converts image data output from the monochrome scan converter 7 into an analog signal via the switching addition unit 13 and an analog video signal from the D / A converter. As a color television monitor.

  Branching from the output side of the phasing addition circuit 5, an RF signal frame data selection unit 8, a displacement / strain calculation unit 9, and an elasticity information calculation unit 10 are provided. Further, an elastic data processing unit 11 and a color scan converter 12 are provided at the subsequent stage of the elastic information calculation unit 10. A switching addition unit 13 is provided on the output side of the monochrome scan converter 7 and the color scan converter 12.

  The RF signal frame data selection unit 8 sequentially secures the RF signal frame data output from the phasing addition circuit 5 in a frame memory provided in the RF signal frame data selection unit 8 (the currently reserved RF signal frame). The data is referred to as “RF signal frame data N”), and in the past RF signal frame data N−1, N−2, N−3... N−M according to the control command of the ultrasonic imaging apparatus One RF signal frame data is selected from (the selected RF signal frame data is referred to as “RF signal frame data X”), and one set of RF signal frame data N and RF signal frame data is input to the displacement / strain calculator 9. Has the function of outputting X. Although the signal output from the phasing and adding circuit 5 is described as RF signal frame data, the signal output from the phasing and adding circuit 5 is a signal in the form of I and Q signals obtained by complex demodulation of the RF signal. It may be.

  The displacement / distortion calculation unit 9 executes one-dimensional or two-dimensional correlation processing based on a set of RF signal frame data selected by the RF signal frame data selection unit 8, and displaces each measurement point on the tomographic image. Alternatively, a movement vector (direction and magnitude of displacement) is measured, displacement frame data and correlation frame data are generated, and distortion is calculated from the displacement frame data. The distortion calculation can be calculated by, for example, spatially differentiating the displacement. As a method for detecting the movement vector, for example, there are a block matching method and a gradient method as described in Patent Document 1. The block matching method divides the image into blocks of N × N pixels, for example, searches the previous frame for the block closest to the block of interest in the current frame, and refers to these for encoding. Is what you do.

  The elasticity information calculation unit 10 calculates the elastic modulus from the strain information output from the displacement / strain calculation unit 9 and the pressure information output from the pressure calculation unit 15, and obtains elastic modulus numerical data (elastic frame data). It is generated and output to the elastic data processing unit 11 and the color scan converter 12. The calculation of Young's modulus Ym, which is one of the elastic moduli, is obtained by dividing the stress (pressure) at each calculation point by the strain at each calculation point, as shown in the following formula (1). In the following formula (1), the indices i and j represent the coordinates of the frame data.

Ymi, j = pressure (stress) i, j / (strain i, j) (i, j = 1, 2, 3,...) (1)

  Here, the pressure applied to the subject is measured by the pressure calculation unit 15. The pressure calculation unit 15 detects the boundary between the subject (or the diagnostic part of the subject) and the reference deformable body 16 using the RF signal frame data, and uses the coordinates of the boundary in the RF signal frame data as boundary coordinate data. . Then, the pressure calculation unit 15 extracts the RF signal from the reference deformable body 16 in the RF signal frame data using the boundary coordinate data, and calculates the pressure applied to the boundary between the subject and the reference deformable body 16. That is, the pressure calculation unit 15 calculates the pressure applied to the subject based on the displacement of the reference deformable body 16 whose elastic modulus is known. The elasticity data processing unit 11 performs various image processing such as smoothing processing in the coordinate transformation plane, contrast optimization processing, and time axis direction smoothing processing between frames on the calculated elasticity frame data.

  The line setting unit 150 detects the boundary between the subject (or the diagnostic part of the subject) and the reference deformable body 16 using the RF signal frame data, and sets a compression line indicating an appropriate compression range in the ultrasound image. . Further, the line setting unit 150 detects the compression range of the ultrasound probe 3 (or the reference deformation body 16) based on the boundary of the reference deformation body 16, and when the compression range exceeds a predetermined threshold value Output an alarm.

  The subject pressing mechanism 17 pressurizes the subject by moving the ultrasonic probe 3 in the vertical direction by a motor or a wire. The operator may manually move the ultrasonic probe 3 in the vertical direction.

  FIG. 2 is a block diagram illustrating an example of the line setting unit 150 of the ultrasonic imaging apparatus according to the present embodiment. As shown in FIG. 2, the line setting unit 150 detects a boundary of the reference deformable body 16 from the RF signal based on luminance, and the thickness and elastic characteristics (for example, elastic modulus) of the reference deformable body 16. ) Based on at least one of the above and the line calculation unit 152 that calculates the compression line and displays it on the image display 14 and the compression of the ultrasound probe 3 (or the reference deformable body 16) against the subject. And an alarm output unit 154 that outputs an alarm when the boundary of the deformable body 16 exceeds a predetermined threshold value based on the compression line.

  Next, an ultrasonic image according to the present embodiment will be described with reference to the drawings. FIG. 3 is a diagram showing an ultrasound image according to the present embodiment. A reference deformable body 16 is attached to the ultrasound probe 3, a tomographic image is acquired by bringing the reference deformable body 16 into contact with the subject, and an elastic image is acquired by pressing the subject with the reference deformable body 16. The Further, the image display 14 can display a tomographic image and an elastic image in a superimposed manner. Further, the image display 14 can display the pressure distribution calculated by the pressure calculation unit 15 by superimposing it on the tomographic image or the elasticity image. In this case, the ROI may be set in the image, the pressure calculation unit 15 may calculate the pressure in the ROI, and the image display 14 may display the pressure or pressure distribution in the ROI.

  As shown in FIG. 3A, the reference deformable body 16 is attached to the ultrasonic probe 3 and a B-mode image (tomographic image) 19 is displayed on the image display 14. On the screen of the image display 14, the reference deformable body 16 is displayed on the image display 14 together with the B-mode image (ultrasonic image) 19 of the subject. Since the reference deformable body 16 includes a member displayed on the B-mode image (ultrasonic image) 19 with high brightness, a boundary 18 between the reference deformable body 16 and the B-mode image (ultrasonic image) 19 is present on the image display 14. Is displayed.

  The line setting unit 150 sets an upper line 20 and a lower line 21 that indicate an appropriate compression range when the ultrasound probe 3 (or the reference deformable body 16) compresses the subject. The set upper line 20 and lower line 21 are displayed on the image display 14 with the boundary 18 as a reference. By repeating compression and non-compression within the boundary 18 between the upper line 20 and the lower line 21, the pressure value applied to the subject from the reference deformable body 16 is within the set range, and an appropriate compression state is maintained. And an appropriate elastic image can be obtained.

  As described above, the line setting unit 150 detects the boundary 18 between the reference deformable body 16 attached to the ultrasonic probe 3 and the subject in the B-mode image (ultrasonic image) 19, and Based on at least one of the thickness and the elastic characteristic, an appropriate compression range when the ultrasonic probe 3 compresses the subject is calculated, and a compression line (lower line 21) indicating the appropriate compression range is displayed in the B mode. The compression direction of the ultrasonic probe 3 in the image (ultrasonic image) 19 (the depth direction of the boundary 18) is set. In addition, the line setting unit 150 sets a plurality of compression lines (upper line 20 and lower line 21) at positions sandwiching the boundary 18. In FIG. 3A, the upper line 20 and the lower line 21 are set so that the boundary 18 is located at an intermediate position between the upper line 20 and the lower line 21. Note that the pressing direction of the ultrasonic probe 3 is a concept that includes both the direction in which the ultrasonic probe 3 is pressed against the pressing portion and the pulling direction.

  As shown in FIG. 3A, in a non-compressed state of the reference deformation body 16, the boundary detection unit 151 detects the position (initial position) of the boundary 18 of the reference deformation body 16, and the line calculation unit 152 detects the reference deformation body. A compression line (upper line 20 and lower line 21) is calculated based on at least one of the thickness 16 and elastic characteristics (for example, elastic modulus) and displayed on a B-mode image (ultrasound image) 19. For example, the set positions of the compression lines (the upper line 20 and the lower line 21) are determined with respect to the thickness of the reference deformation body 16, and the compression direction (from the initial position at a distance of 50% of the thickness of the reference deformation body 16 ( (Depth direction) may be set.

  The set positions of the compression lines (upper line 20 and lower line 21) are fixed. The set positions of the compression lines (upper line 20 and lower line 21) may be adjusted by input from the operation unit. The line calculation unit 152 also obtains elastic information (for example, elastic modulus) calculated from the strain information output from the displacement / strain calculation unit 9 and the pressure information output from the pressure calculation unit 15. The setting position of the compression line (upper line 20 and lower line 21) may be adjusted based on the elasticity information. For example, the line calculation unit 152 sets the upper line 20 to a shallower position in the compression direction (depth direction) when compressing a hard region based on the elasticity information of the compression region input from the elasticity information calculation unit 10. When compressing a soft part, the upper line 20 may be set at a deeper position in the pressing direction (depth direction). The line calculation unit 152 sets the lower line 21 at a deeper position in the compression direction (depth direction) when compressing a hard region based on the elasticity information of the compression region input from the elasticity information calculation unit 10. When compressing a soft part, the lower line 21 may be set at a shallower position in the pressing direction (depth direction). In addition, when the reference deformable body 16 is softer than the hardness of the compressed portion according to the elastic characteristics (for example, Young's modulus representing hardness) of the reference deformable body 16, the reference deformable body 16 is more strongly pressed against the compressed portion. Otherwise, there may be no displacement in the compression site, so the line calculation unit 152 is based on at least one of the elasticity information of the compression site input from the elasticity information calculation unit 10 and the elastic characteristics of the reference deformable body 16. When compressing a hard part, set the upper line 20 at a shallower position in the compression direction (depth direction), and when pressing a soft part, set the upper line 20 at a deeper position in the compression direction (depth direction). Also good.

  The distance between the upper line 20 and the lower line 21 is adjusted in accordance with the compression site and the hardness of the reference deformable body. That is, the line setting unit 150 adjusts the setting position of the compression line (the upper line 20 and the lower line 21) based on at least one of the elasticity information of the compression site and the elastic characteristics of the reference deformable body 16.

  FIG. 3B is a diagram showing a B-mode image (tomographic image) 19 when the ultrasound probe 3 is inserted into the body cavity. When the ultrasonic probe 3 is inserted into the body cavity, pressure is applied to the reference deformable body 16 and the thickness of the reference deformable body 16 is reduced. In this case, the boundary 18 is closer to the upper line 20 side than the center position of the upper line 20 and the lower line 21 (the initial position of the boundary 18). When capturing an elastic image, it is desirable to periodically change the pressure applied to the subject. When the pressure is periodically changed in the direction of pressing against the subject and in the direction of pulling (when compression and non-compression are repeated), the boundary 18 changes between the upper line 20 and the lower line 21 (appropriate compression range). Further, by applying periodic compression to the subject from the ultrasound probe 3 (or reference deformable body 16), the periodic compression by the ultrasound probe 3 (or reference deformable body 16) is within the set range. Thus, an appropriate compressed state can be maintained, and an appropriate elastic image can be obtained.

  Note that the initial position of the boundary 18 may be adjusted by an input from the operation unit. For example, the position where the ultrasonic probe 3 is inserted into the body cavity and the pressure of 0 kPa is measured may be set as the initial position. Further, as shown in FIG. 3B, the position of the boundary 18 in a state where the ultrasound probe 3 is inserted into the body cavity and pressed against the compression site may be set as the initial position. In this case, the boundary detection unit 151 detects the position (initial position) of the boundary 18 of the reference deformation body 16 in the pressed state of the reference deformation body 16, and the line calculation unit 152 compresses the compression line (on the basis of the initial position of the boundary 18 ( The upper line 20 and the lower line 21) are calculated and displayed on the B-mode image (ultrasound image) 19. That is, the line setting unit 150 detects the position of the boundary 18 as an initial position when the reference deformable body 16 is not compressed or pressed, and sets the compression lines (upper line 20 and lower line 21) based on the initial position. .

  FIG. 3C is a diagram showing a B-mode image (tomographic image) 19 when the ultrasound probe 3 is inserted into the body cavity and strongly pressed against the compression site. Compared to FIG. 3B, the thickness of the reference deformable body 16 is smaller, and the boundary 18 exceeds the upper line 20. In this case, since the operator can visually grasp that the ultrasonic probe 3 is pressed too strongly against the compression site, the boundary 18 is between the upper line 20 and the lower line 21 (appropriate compression). It is possible to visually determine that the pressure needs to be reduced so that it varies with the range. Therefore, the operator can easily grasp the compressed state of the reference deformable body 16 and reduce the burden on the operator.

  The alarm output unit 154 outputs an alarm when the boundary 18 exceeds a predetermined threshold with reference to the compression lines (the upper line 20 and the lower line 21) due to the compression of the ultrasonic probe 3 against the subject. For example, when the boundary 18 exceeds the compression line (upper line 20 and lower line 21) a predetermined number of times or more, the alarm output unit 154 outputs an alarm. Further, when the boundary 18 exceeds the compression line (upper line 20 and lower line 21) for a predetermined distance or more, the alarm output unit 154 outputs an alarm.

  As mentioned above, although embodiment concerning this invention was described, this invention is not limited to these, It can change and deform | transform within the range described in the claim.

  In the above, the line setting unit 150 sets the compression line (upper line 20 and lower line 21) with the initial position of the boundary 18 as a reference, and the compression state of the reference deformable body 16 is easily grasped, but the line setting unit 150 The initial position line may be set in advance based on at least one of the known thickness and elastic characteristic of the reference deformable body 16, and the mounting state of the reference deformable body 16 may be easily grasped.

  FIG. 4 is a diagram illustrating a relationship between the wearing state of the reference deformable body 16 and the ultrasonic image. As shown in FIG. 4A, the reference deformable body 16 is attached to the ultrasonic probe 3. When the reference deformable body 16 is appropriately mounted, an appropriate thickness is ensured in the non-compressed state of the reference deformable body 16 as shown in FIG. On the other hand, since the reference deformable body 16 is made of a material having high elasticity (soft), the operator may unintentionally attach the reference deformable body 16 to the ultrasonic probe 3 in an excessively stretched state. . In this case, as shown in FIG. 4C, the reference deformable body 16 is deformed in a non-compressed state and has already been distorted, and an appropriate thickness cannot be secured. Cannot be properly performed.

  As shown in FIG. 4D and FIG. 4E, the line setting unit 150 is based on at least one of the thickness and elastic characteristics of the reference deformable body 16 before being attached to the ultrasonic probe 3. Thus, the initial position when the ultrasound probe 3 presses the subject is calculated, and an initial position line 31 indicating the initial position is set in the B-mode image (ultrasound image) 19. When the reference deformable body 16 is appropriately mounted, the initial position line 31 set by the line setting unit 150 and the position of the boundary 18 of the reference deformable body 16 coincide with each other as shown in 4 (d). On the other hand, when the reference deformable body 16 is not properly attached, as shown in 4 (e), the reference deformable body 16 is deformed in an uncompressed state and has already been distorted. The positions of the initial position line 31 and the boundary 18 of the reference deformable body 16 do not match. In this case, the operator can visually grasp that the reference deformable body 16 is not properly attached to the ultrasonic probe 3, so that the position of the boundary 18 of the reference deformable body 16 matches. In addition, it is possible to visually determine that it is necessary to appropriately attach the reference deformable body 16 to the ultrasonic probe 3. Therefore, the operator can easily grasp the mounting state of the reference deformable body 16 and reduce the burden on the operator.

  The line calculation unit 152 calculates the initial position line 31 based on at least one of the thickness and elastic characteristics of the reference deformable body 16 and displays the initial position line 31 on the image display 14. 18 position is detected, and the alarm output unit 154 outputs an alarm when the boundary 18 exceeds a predetermined threshold with the initial position line 31 as a reference. For example, when the boundary 18 is separated from the initial position line 31 by a predetermined distance or more, the alarm output unit 154 outputs an alarm. In addition, when the reference deformable body 16 is not properly attached, the reference deformable body 16 may be partially deformed. Therefore, the alarm output unit 154 determines the depth direction distance between the boundary 18 and the initial position line 31. An alarm may be output when the depth direction distance exceeds a predetermined threshold. Further, the alarm output unit 154 may integrate the distance in the depth direction between the boundary 18 and the initial position line 31 and output an alarm when the integrated value exceeds a predetermined threshold.

  Also, as shown in FIGS. 4D and 4E, the line setting unit 150 is based on the initial position line 31 based on at least one of the thickness and elastic characteristics of the reference deformable body 16. Limit lines (upper limit line 120 and lower limit line 121) indicating the deformation limit of the reference deformable body 16 may be set. The setting positions of the limit lines (the upper limit line 120 and the lower limit line 121) are determined with respect to the thickness of the reference deformable body 16, and are compressed from the initial position line 31 at a distance of 50% of the thickness of the reference deformable body 16, for example. The direction (depth direction) may be set.

  The line calculation unit 152 calculates a limit line (upper limit line 120 and lower limit line 121) based on at least one of the thickness and elastic characteristics of the reference deformable body 16, displays the limit line on the image display 14, and the boundary detection unit 151. Detects the position of the boundary 18 of the reference deformable body 16, and the alarm output unit 154 outputs an alarm when the boundary 18 exceeds a predetermined threshold value based on the limit lines (the upper limit line 120 and the lower limit line 121). . For example, the alarm output unit 154 outputs an alarm when the boundary 18 is separated from the limit line (the upper limit line 120 and the lower limit line 121) by a predetermined distance or more. In addition, when the reference deformable body 16 is not properly attached, the reference deformable body 16 may be partially deformed. Therefore, the alarm output unit 154 may connect the boundary 18 and the limit line (the upper limit line 120 and the lower limit line 121). The depth direction distance may be calculated, and an alarm may be output when the depth direction distance exceeds a predetermined threshold. The alarm output unit 154 may integrate the depth direction distance between the boundary 18 and the limit line (the upper limit line 120 and the lower limit line 121), and may output an alarm when the integrated value exceeds a predetermined threshold value.

  As shown in FIG. 5, the line setting unit 150 is given to the reference deformable body 16 based on at least one of the thickness and the elastic characteristic of the reference deformable body 16 before being attached to the ultrasonic probe 3. An initial pressure limit line 23 indicating the limit of the initial pressure may be set in the B-mode image (ultrasound image) 19. As shown in FIG. 5A, in the non-compressed state, the position of the initial position line 31 and the boundary 18 of the reference deformable body 16 coincide. As shown in FIG. 5 (b), when the ultrasonic probe 3 is inserted into the body cavity, the reference deformable body 16 is pressurized (initial pressure) even if the operator does not perform the compression operation, and the reference is made. The thickness of the deformable body 16 is reduced. As shown in FIG. 5C, when the initial pressure increases, the thickness of the reference deformable body 16 decreases, and the boundary 18 exceeds the initial pressure limit line 23. In this case, since the operator can visually grasp that the initial pressure is excessively applied to the reference deformable body 16, the boundary 18 is between the initial position line 31 and the initial pressure limit line 23 (appropriate). It can be visually determined that it is necessary to weaken the pressure (for example, move the ultrasonic probe 3 in the pulling direction with respect to the compression site) so as to be in the initial pressure range. Therefore, the operator can easily grasp the compressed state (initial pressure state) and reduce the burden on the operator.

  As shown in FIG. 6, the line setting unit 150 determines whether the predetermined initial pressure is the reference deformation based on at least one of the thickness and elastic characteristics of the reference deformation body 16 before being attached to the ultrasonic probe 3. Even if the initial position of the boundary 18 in the state given to the body 16 is calculated and the initial position line 31 indicating the initial position in a state where a predetermined initial pressure is given is set in the B-mode image (ultrasound image) 19 Good. The line setting unit 150 may set the initial pressure limit line 23 in the B-mode image (ultrasonic image) 19 with reference to the initial position line 31 in a state where a predetermined initial pressure is applied.

  When the initial position line 31 indicating the initial position in a state where the predetermined initial pressure is applied is set, as shown in FIG. 6A, the initial pressure is not applied in the non-compressed state. The sixteen boundaries 18 are located deeper in the compression direction (depth direction) than the initial position line 31. As shown in FIG. 6B, when the ultrasonic probe 3 is inserted into the body cavity and an initial pressure is applied to the reference deformable body 16, pressure (initial pressure) is applied to the reference deformable body 16, and the reference deformation is performed. The thickness of the body 16 is reduced. In this case, when the boundary 18 of the reference deformable body 16 coincides with the initial position line 31, a predetermined initial pressure is applied to the reference deformable body 16. When the boundary 18 of the reference deformable body 16 coincides with the initial position line 31, the operator can visually grasp that a predetermined initial pressure is applied to the reference deformable body 16. Therefore, the operator can easily grasp the compressed state (initial pressure state) and reduce the burden on the operator. As shown in FIG. 6C, when the initial pressure increases, the thickness of the reference deformable body 16 decreases, and the boundary 18 exceeds the initial pressure limit line 23. In this case, since the operator can visually grasp that the initial pressure is excessively applied to the reference deformable body 16, the operator reduces the pressure so that the boundary 18 matches the initial position line 31 ( For example, it is possible to visually determine that it is necessary to move the ultrasonic probe 3 in the pulling direction with respect to the compression site. Therefore, the operator can easily grasp the compressed state (initial pressure state) and reduce the burden on the operator.

  When the reference deformable body 16 is attached to the ultrasonic probe 3, an ultrasonic jelly may be applied to the boundary 24 between the reference deformable body 16 and the ultrasonic probe 3. As shown in FIG. 7A, when the ultrasonic jelly 25 is not evenly applied to the boundary 24 and partially mixed in the boundary 24, the reference deformable body 16 is deformed and distortion 26 is generated. When the distortion 26 occurs, an appropriate thickness cannot be ensured, so that the pressure based on the displacement of the reference deformable body 16 cannot be appropriately calculated. Further, as shown in FIG. 7B, when the ultrasonic probe 3 is inserted into the body cavity, the body cavity pressure varies depending on the individual, so that the reference deformation is made on the acoustic radiation surface of the ultrasonic probe 3. The body 16 may be displaced. When the reference deformable body 16 deviates from the acoustic radiation surface of the ultrasonic probe 3, it becomes impossible to accurately measure the strain ratio and the pressure applied to the compression site.

  In the case shown in FIG. 7, the operator has mixed the ultrasonic jelly 25 partially into the boundary 24, has deformed the reference deformable body 16, and has generated distortion 26, or from the acoustic radiation surface of the ultrasonic probe 3. It can be visually grasped that the reference deformable body 16 is displaced. Therefore, the operator can easily grasp the mounting state of the reference deformable body 16 (the ultrasonic jelly application state and the reference deformable body displacement state), and can reduce the burden on the operator.

  The line calculation unit 152 calculates the initial position line 31 based on at least one of the thickness and elastic characteristics of the reference deformable body 16 and displays the initial position line 31 on the image display 14. 18 position is detected, and the alarm output unit 154 outputs an alarm when the boundary 18 exceeds a predetermined threshold with the initial position line 31 as a reference. For example, when the difference between the minimum value and the maximum value in the depth direction distance between the boundary 18 and the initial position line 31 exceeds a predetermined threshold value, the alarm output unit 154 outputs an alarm. Further, the alarm output unit 154 calculates the depth direction distance between the boundary 18 and the initial position line 31, and outputs an alarm when a statistical value (dispersion, deviation, etc.) of the depth direction distance exceeds a predetermined threshold. Also good. Further, the alarm output unit 154 may integrate the distance in the depth direction between the boundary 18 and the initial position line 31 and output an alarm when the integrated value exceeds a predetermined threshold.

  As illustrated in FIG. 8, the line setting unit 150 includes a plurality of initial pressure limit lines (an upper limit line 28 and a lower limit line 29) at a position sandwiching the initial position line 31 in a state where a predetermined initial pressure is applied to the reference deformable body 16. ) May be set to the B-mode image (ultrasonic image) 19.

  When the initial position line 31 indicating the initial position in a state where the predetermined initial pressure is applied is set, as shown in FIG. 8A, the initial pressure is not applied in the non-compressed state. The 16 boundaries 18 are located deeper in the compression direction (depth direction) than the initial position line 31 and are located between the initial position line 31 and the lower limit line 29 (appropriate initial position range). As shown in FIG. 8B, when the ultrasonic probe 3 is inserted into the body cavity and the initial pressure is applied to the reference deformable body 16, pressure (initial pressure) is applied to the reference deformable body 16, and the reference deformation is performed. The thickness of the body 16 is reduced. In this case, when the boundary 18 of the reference deformable body 16 coincides with the initial position line 31, a predetermined initial pressure is applied to the reference deformable body 16. When the boundary 18 of the reference deformable body 16 coincides with the initial position line 31, the operator can visually grasp that a predetermined initial pressure is applied to the reference deformable body 16. Therefore, the operator can easily grasp the compressed state (initial pressure state) and reduce the burden on the operator. As shown in FIG. 8C, when the initial pressure increases, the thickness of the reference deformable body 16 decreases, and the boundary 18 exceeds the upper limit line 28. In this case, since the operator can visually grasp that the initial pressure is excessively applied to the reference deformable body 16, the operator reduces the pressure so that the boundary 18 matches the initial position line 31 ( For example, it is possible to visually determine that it is necessary to move the ultrasonic probe 3 in the pulling direction with respect to the compression site. Therefore, the operator can easily grasp the compressed state (initial pressure state) and reduce the burden on the operator.

  As shown in FIG. 8D, when the ultrasonic jelly 25 is not evenly applied to the boundary 24 and partially mixed in the boundary 24, the reference deformable body 16 is deformed and distortion 26 is generated. When the distortion 26 occurs, an appropriate thickness cannot be ensured, so that the pressure based on the displacement of the reference deformable body 16 cannot be appropriately calculated. In this case, the operator partially mixes the ultrasonic jelly 25 into the boundary 24, deforms the reference deformable body 16, generates distortion 26, and the reference deformable body from the acoustic radiation surface of the ultrasonic probe 3. It is possible to visually grasp that 16 has shifted. Therefore, the operator can easily grasp the mounting state of the reference deformable body 16 (the ultrasonic jelly application state and the reference deformable body displacement state), and can reduce the burden on the operator.

  The line calculation unit 152 calculates the initial position line 31 based on at least one of the thickness and the elastic property of the reference deformable body 16 and displays the initial position line 31 on the image display 14, and the boundary detection unit 151 detects the boundary of the reference deformable body 16. 18 position is detected, and the alarm output unit 154 outputs an alarm when the boundary 18 exceeds a predetermined threshold value based on at least one of the plurality of initial pressure limit lines (the upper limit line 28 and the lower limit line 29). To do. For example, when the depth direction distance between the boundary 18 and the upper limit line 28 (or the lower limit line 29) exceeds a predetermined threshold, the alarm output unit 154 outputs an alarm. Further, the alarm output unit 154 calculates the depth direction distance between the boundary 18 and the upper limit line 28 (or the lower limit line 29), and the statistical value (dispersion, deviation, etc.) of the depth direction distance exceeds a predetermined threshold value. An alarm may be output. Further, the alarm output unit 154 may integrate the distance in the depth direction between the boundary 18 and the upper limit line 28 (or the lower limit line 29), and output an alarm when the integrated value exceeds a predetermined threshold.

  As illustrated in FIG. 9, the line setting unit 150 includes a compression line, an initial position line, a limit line, and an initial pressure limit line in at least one of the depth direction (compression direction) from the initial position line 31 (or the boundary 18). A plurality of lines may be set. In FIG. 9, an initial position line 31 is set, an initial pressure limit line (upper limit line 28) is set above the initial position line 31 (upper line 20 side), and a lower side of the initial position line 31 (lower line 21 side). ) Is set to the initial pressure limit line (lower limit line 29). When the ultrasonic probe 3 (or the reference deformable body 16) compresses the subject, the initial pressure is controlled within the appropriate initial position range of the initial pressure limit line (the upper limit line 28 and the lower limit line 29), and the compression line. It is controlled within an appropriate compression range (upper line 20 and lower line 21).

  As shown in FIG. 10, the line setting unit 150 is configured to generate a reference value in the reference deformation body 16 based on at least one of the thickness, the elastic characteristic, and the boundary shape of the reference deformation body 16 in the B-mode image (ultrasonic image) 19. At least one of a position for applying a predetermined pressure, a pressure direction, and a pressure magnitude is calculated, and a mark indicating at least one of the pressure position, the pressure direction, and the pressure magnitude is displayed as a B-mode image (super (Sound image) 19 may be set. As shown in FIG. 10A, when the ultrasound probe 3 (or the reference deformable body 16) compresses the subject, the reference deformable body 16 is partially deformed depending on the hardness or size of the compressed portion. The position of pressure applied from the reference deformable body 16 to the compression site, the direction of pressure, and the magnitude of pressure may not be constant. In this case, the line setting unit 150 determines a predetermined value in the reference deformable body 16 based on at least one of the thickness, the elastic characteristics, and the boundary shape of the boundary 18 in the B-mode image (ultrasound image) 19. The position where the pressure (for example, the maximum pressure) is applied, the direction of the pressure, and the magnitude of the pressure are calculated, the point 35 indicating the position of the pressure, the arrow 36 indicating the direction of the pressure, and the arrow 36 indicating the magnitude of the pressure Is set in the B-mode image (ultrasonic image) 19.

  Further, as shown in FIG. 10B, ROIs (regions of interest) 37 and 38 are set in the reference deformable body 16 and the compression site, and the pressure calculation unit 15 calculates the pressure in the ROIs 37 and 38 to display an image. The instrument 14 may display the pressure or pressure distribution within the ROI. In this case, the operator can visually grasp whether or not a predetermined pressure (for example, the maximum pressure) is applied to the ROIs 37 and 38 by the arrow 36 indicating the direction of the pressure. When the arrow 36 indicating the direction of pressure does not pass through the ROIs 37 and 38, the ultrasonic probe 3 (or the reference deformable body 16) so that the arrow 36 indicating the direction of pressure passes through the ROIs 37 and 38. It is possible to visually determine that it is necessary to move or change the compression direction. Therefore, the operator can easily grasp the compressed state of the reference deformable body 16 and reduce the burden on the operator.

  The compression lines 20 and 21, the initial position line 31, the limit lines 120 and 121, and the initial pressure limit lines 23, 28, and 29 may be displayed on the image display 14 from the start of imaging of the ultrasonic imaging apparatus, It may be displayed / hidden by switching display / non-display on the operation unit. Further, the line setting unit 150 detects the movement of the boundary 18, recognizes the compression operation of the ultrasonic probe 3 (or the reference deformable body 16) when the movement of the boundary 18 satisfies a predetermined condition, and performs compression. When the movement is recognized, at least one of the compression lines 20 and 21, the initial position line 31, the limit lines 120 and 121, and the initial pressure limit lines 23, 28, and 29 is set in the B-mode image (ultrasound image) 19. May be. For example, the line setting unit 150 detects the vibration motion (frequency, frequency, amplitude, etc.) of the detected boundary 18 and recognizes the compression operation when the constant vibration motion is repeated within a predetermined time. The lines 20 and 21 may be displayed on the image display 14.

  In addition to the B-mode image, the compression lines 20 and 21, the initial position line 31, the limit lines 120 and 121, the initial pressure limit lines 23, 28, and 29 are set in an ultrasonic image such as an elastic image. May be.

  Further, the luminance of the reference deformable body 16 is only required to be able to determine the boundary 18 of the reference deformable body 16 based on the luminance difference from the luminance of the diagnostic region of the subject, and may be higher or lower than the luminance of the diagnostic region of the subject. Good. In order to select the luminance of the reference deformable body 16 according to the diagnosis site of the subject, the material of the reference deformable body 16 may be appropriately selected.

  The present invention suppresses displacement of the reference deformable body from the ultrasonic transmission / reception surface of the ultrasonic probe, can reduce pain to the patient, and is inserted into the body cavity. It is useful as a child and an ultrasonic imaging apparatus.

DESCRIPTION OF SYMBOLS 1 Ultrasonic transmission / reception control circuit 2 Transmission circuit 3 Ultrasonic probe 4 Reception circuit 5 Phased addition circuit 6 Signal processing part 7 Black-and-white scan converter 8 RF signal frame data selection part 9 Displacement / distortion calculation part 10 Elastic information calculation part 11 Elastic data processing unit 12 Color scan converter 13 Switching addition unit 14 Image display 15 Pressure calculation unit 16 Reference deformable body 150 Line setting unit 151 Boundary detection unit 152 Line calculation unit 154 Alarm output unit

Claims (13)

  A boundary between a reference deformable body and a subject attached to the ultrasonic probe is detected in an ultrasonic image, and the ultrasonic probe is based on at least one of a thickness and an elastic characteristic of the reference deformable body. Calculates at least one of an appropriate compression range and an initial position when compressing the subject, and at least one of a compression line indicating the appropriate compression range and an initial position line indicating the initial position in the ultrasonic image is calculated. An ultrasonic imaging apparatus, comprising: a line setting unit configured to set a compression direction of the ultrasonic probe.   The ultrasonic image imaging apparatus according to claim 1, wherein the line setting unit sets a plurality of the compression lines at positions sandwiching the boundary. The line setting unit
A boundary detection unit that detects the boundary from an RF signal based on luminance;
A line calculating unit that calculates at least one of the compression line and the initial position line based on at least one of a thickness and an elastic property of the reference deformable body and displays the line on an image display;
The ultrasonic wave according to claim 1, further comprising: an alarm output unit that outputs an alarm when the boundary exceeds a predetermined threshold value based on at least one of the compression line and the initial position line. Imaging device.   2. The ultrasonic imaging according to claim 1, wherein the line setting unit adjusts a setting position of the compression line based on at least one of elasticity information of a compression site and an elastic characteristic of the reference deformable body. apparatus.   The line setting unit detects the position of the boundary as the initial position in a non-compressed state or a pressed state of the reference deformable body, and sets the compression line based on the initial position. The ultrasonic imaging apparatus described in 2.   The line setting unit calculates the initial position based on at least one of a thickness and an elastic characteristic of the reference deformation body before being attached to the ultrasonic probe, and an initial position line indicating the initial position The ultrasound image capturing apparatus according to claim 1, wherein the ultrasound image is set in the ultrasound image.   The line setting unit sets a limit line indicating a deformation limit of the reference deformation body based on at least one of a thickness and an elastic characteristic of the reference deformation body based on the initial position line. The ultrasonic imaging apparatus according to claim 6. The line setting unit
A boundary detection unit that detects the boundary from an RF signal based on luminance;
A line calculating unit that calculates the limit line based on at least one of the thickness and elastic characteristics of the reference deformable body and displays the limit line on an image display;
The ultrasonic image capturing apparatus according to claim 7, further comprising: an alarm output unit that outputs an alarm when the boundary exceeds a predetermined threshold with the limit line as a reference.   The line setting unit includes an initial value indicating a limit of an initial pressure applied to the reference deformable body based on at least one of a thickness and an elastic characteristic of the reference deformable body before being attached to the ultrasonic probe. The ultrasonic imaging apparatus according to claim 1, wherein a pressure limit line is set in the ultrasonic image.   The line setting unit is configured to apply a predetermined initial pressure to the reference deformation body based on at least one of a thickness and an elastic characteristic of the reference deformation body before being attached to the ultrasonic probe. Calculating the initial position of the boundary in a state, setting an initial position line indicating the initial position in the ultrasound image, and setting the initial pressure limit line in the ultrasound image based on the initial position line. The ultrasonic imaging apparatus according to claim 9.   The line setting unit is configured to apply a predetermined pressure to the reference deformation body based on at least one of a thickness, an elastic characteristic, and a boundary shape of the reference deformation body in the ultrasonic image, a pressure direction, and a pressure. The ultrasonic image according to claim 1, wherein at least one of the sizes is calculated, and a mark indicating at least one of the position, the direction, and the size is set in the ultrasonic image. Imaging device.   The line setting unit detects the movement of the boundary, recognizes the compression operation of the ultrasonic probe when the movement of the boundary satisfies a predetermined condition, and recognizes the compression operation when the compression operation is recognized. The ultrasonic image imaging apparatus according to claim 1, wherein at least one of a line and the initial position line is set in the ultrasonic image.   A boundary between a reference deformable body and a subject attached to the ultrasonic probe is detected in an ultrasonic image, and the ultrasonic probe is based on at least one of a thickness and an elastic characteristic of the reference deformable body. Calculates at least one of an appropriate compression range and an initial position when compressing the subject, and at least one of a compression line indicating the appropriate compression range and an initial position line indicating the initial position in the ultrasonic image is calculated. An ultrasonic image capturing method, wherein the ultrasonic probe is set in a pressing direction of the ultrasonic probe.

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