JP5345782B2 - 血管情報取得装置 - Google Patents
血管情報取得装置 Download PDFInfo
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; determining position of probes within or on the body of the patient
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/50—Clinical applications
- A61B6/504—Clinical applications involving diagnosis of blood vessels, e.g. by angiography
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/12—Devices for detecting or locating foreign bodies
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/44—Constructional features of apparatus for radiation diagnosis
- A61B6/4494—Means for identifying the diagnostic device
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/46—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment with special arrangements for interfacing with the operator or the patient
- A61B6/461—Displaying means of special interest
- A61B6/463—Displaying means of special interest characterised by displaying multiple images or images and diagnostic data on one display
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/48—Diagnostic techniques
- A61B6/486—Diagnostic techniques involving generating temporal series of image data
- A61B6/487—Diagnostic techniques involving generating temporal series of image data involving fluoroscopy
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/52—Devices using data or image processing specially adapted for radiation diagnosis
- A61B6/5211—Devices using data or image processing specially adapted for radiation diagnosis involving processing of medical diagnostic data
- A61B6/5229—Devices using data or image processing specially adapted for radiation diagnosis involving processing of medical diagnostic data combining image data of a patient, e.g. combining a functional image with an anatomical image
- A61B6/5247—Devices using data or image processing specially adapted for radiation diagnosis involving processing of medical diagnostic data combining image data of a patient, e.g. combining a functional image with an anatomical image combining images from an ionising-radiation diagnostic technique and a non-ionising radiation diagnostic technique, e.g. X-ray and ultrasound
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/12—Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/46—Ultrasonic, sonic or infrasonic diagnostic devices with special arrangements for interfacing with the operator or the patient
- A61B8/461—Displaying means of special interest
- A61B8/463—Displaying means of special interest characterised by displaying multiple images or images and diagnostic data on one display
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/54—Control of the diagnostic device
- A61B8/543—Control of the diagnostic device involving acquisition triggered by a physiological signal
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
- A61B5/021—Measuring pressure in heart or blood vessels
- A61B5/0215—Measuring pressure in heart or blood vessels by means inserted into the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/44—Constructional features of apparatus for radiation diagnosis
- A61B6/4429—Constructional features of apparatus for radiation diagnosis related to the mounting of source units and detector units
- A61B6/4435—Constructional features of apparatus for radiation diagnosis related to the mounting of source units and detector units the source unit and the detector unit being coupled by a rigid structure
- A61B6/4441—Constructional features of apparatus for radiation diagnosis related to the mounting of source units and detector units the source unit and the detector unit being coupled by a rigid structure the rigid structure being a C-arm or U-arm
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/44—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
- A61B8/4483—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device characterised by features of the ultrasound transducer
- A61B8/4494—Constructional features of the ultrasonic, sonic or infrasonic diagnostic device characterised by features of the ultrasound transducer characterised by the arrangement of the transducer elements
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Description
本発明の実施の形態に従えば、画像データ取得装置及び(又は)可撓性の細長い部材(例えばカテーテル、ガイドワイヤ等)に装着された作像プローブ(例えばIVUSトランスデユーサプローブ)に関連する位置情報及び血管画像を同時に提供する単一のディスプレイ上で図を発生させるデータ/画像プロセッサを有する方法及び装置を、例として以下に説明する。
Claims (33)
- 血管の情報の取得及び相互登録の表示のための装置において、
基端及び末端を有する可撓性の細長い部材であって、上記末端が血管の所望の作像位置の近傍に配置される、細長い部材と、
上記可撓性の細長い部材の上記末端の近傍に配置された診断プローブと、
上記診断プローブの近傍に位置する放射線不透過性のマーカーと、
蛍光透視画像装置により得られた血管の放射線画像データを貯蔵するための第1のメモリー部と、
上記診断プローブにより得られた情報から導き出される診断作像データを貯蔵するための第2のメモリー部と、
上記蛍光透視画像装置から得られた情報から導き出される放射線不透過性のマーカーの画像データを貯蔵するための第3のメモリー部と、
上記第1のメモリー部、上記第2のメモリー部、及び上記第3のメモリー部から検索されたデータを組み合わせて複合画像を得るディスプレイプロセッサであって、上記複合画像が、
上記放射線画像データ及び上記放射線不透過性のマーカーの画像データの少なくとも一部が重ね合わされた画像であって、上記蛍光透視画像装置が作動している間の実際の位置及び上記蛍光透視画像装置が作動していない間の推定された位置に基づく上記放射線不透過性のマーカーの位置を提供し、上記放射線不透過性のマーカーの上記推定された位置と上記蛍光透視画像装置の不作動のあとに上記蛍光透視画像装置の作動が再開されたときの上記放射線不透過性のマーカーの上記実際の位置との差に基づいて誤差関数が計算され、上記誤差関数が、上記蛍光透視画像装置の不作動の前の期間のために上記放射線不透過性のマーカーの上記推定された位置を修正するために使用される、上記重ね合わされた画像と、
上記診断作像データに対応する血管画像要素であって、上記重ね合わされた画像及び上記血管画像要素が互いに近接して表示されるようになった、血管画像要素とを含む、上記ディスプレイプロセッサと、
上記重ね合わされた画像上に表示されるカーソルであって、上記複合画像上に現在表示された上記血管画像要素のためのデータを取得している間に上記診断プローブの位置を表示し、上記第3のメモリー部に貯蔵された上記放射線不透過性のマーカーの画像データから導き出された第3のデータの少なくとも一部に基づく位置を有するカーソルとを備えることを特徴とする、表示のための装置。 - 上記放射線不透過性のマーカーの上記推定された位置が、上記診断プローブが血管を通して引っ張られている場合は第1の倍率係数を使用して計算され、上記診断プローブが血管を通して押し込まれている場合は第2の倍率係数を使用して計算されることを特徴とする、請求項1に記載の表示のための装置。
- 上記可撓性の細長い部材がカテーテルであることを特徴とする、請求項1に記載の表示のための装置。
- 上記可撓性の細長い部材がガイドワイヤであることを特徴とする、請求項1に記載の表示のための装置。
- 上記診断プローブが圧力センサを含むことを特徴とする、請求項1に記載の表示のための装置。
- 上記血管画像要素が、横断面の血管超音波(IVUS)画像であることを特徴とする、請求項1に記載の表示のための装置。
- 上記血管画像要素が、上記血管内データを示すグラフであることを特徴とする、請求項1に記載の表示のための装置。
- 上記グラフが、血圧、血流速度、せん断応力、及び血流予備量比のうちの少なくとも1つを示すことを特徴とする、請求項7に記載の表示のための装置。
- 上記診断プローブが超音波装置を備えることを特徴とする、請求項1に記載の表示のための装置。
- 上記超音波装置が面放射の血管超音波トランスデューサ組立体であることを特徴とする、請求項9に記載の表示のための装置。
- 上記面放射の血管超音波トランスデューサ組立体がトランスデューサ素子の列を有することを特徴とする、請求項10に記載の表示のための装置。
- 上記トランスデューサ素子の列が上記可撓性の細長い部材の長手軸線に沿って直線的に配置されることを特徴とする、請求項11に記載の表示のための装置。
- 上記トランスデューサ素子の列が上記可撓性の細長い部材の長手軸線のまわりで湾曲的に配置されることを特徴とする、請求項11に記載の表示のための装置。
- 上記トランスデューサ素子の列が上記可撓性の細長い部材の長手軸線のまわりで円周方向に配置されることを特徴とする、請求項11に記載の表示のための装置。
- 上記超音波装置がドップラートランスデューサを有することを特徴とする、請求項9に記載の表示のための装置。
- 上記可撓性の細長い部材がガイドワイヤであり、上記診断プローブが圧力センサを備えることを特徴とする、請求項1に記載の表示のための装置。
- 上記放射線不透過性のマーカーが円筒状のマーカーバンドを有することを特徴とする、請求項1に記載の表示のための装置。
- 上記放射線不透過性のマーカーが少なくとも1つの部分的に完全な円筒状のマーカーバンドを備えることを特徴とする、請求項1に記載の表示のための装置。
- 上記放射線不透過性のマーカーが2つの半円筒状のマーカーバンドを備えることを特徴とする、請求項18に記載の表示のための装置。
- 上記2つの半円筒状のマーカーバンドが上記可撓性の細長い部材の長手軸線に沿って互いに関して傾斜していることを特徴とする、請求項19に記載の表示のための装置。
- 上記ディスプレイプロセッサが、互いに関する上記2つの半円筒状のマーカーバンドの相対寸法及び位置に少なくとも基づき血管内の上記診断プローブの相対的な方位を決定するための方位決定機能を更に備えることを特徴とする、請求項20に記載の表示のための装置。
- 上記第3のデータがユーザーの特定する地点から導き出されることを特徴とする、請求項1に記載の表示のための装置。
- 上記第3のデータが視界内で上記放射線不透過性のマーカーの位置を決定する自動化プロセスにより導き出されることを特徴とする、請求項1に記載の表示のための装置。
- 上記自動化プロセスが上記位置を決定するために画像パターン認識を利用することを特徴とする、請求項23に記載の表示のための装置。
- 上記第3のデータがユーザーの手動入力と自動化計算との組み合わせにより導き出されることを特徴とする、請求項1に記載の表示のための装置。
- 上記自動化計算が上記診断プローブの予想される経路の決定を含むことを特徴とする、請求項25に記載の表示のための装置。
- 上記ディスプレイプロセッサが、ユーザーが少なくとも上記血管画像要素を含む画像の貯蔵されたセット内の関係ある特定の画像を指定できるようにするブックマーク機能を更に備えることを特徴とする、請求項1に記載の表示のための装置。
- 上記画質が高められた放射線画像が上記診断プローブの計算された経路を含むことを特徴とする、請求項1に記載の表示のための装置。
- 上記ディスプレイプロセッサが、ユーザーがユーザーインターフェイス制御を介して上記画質が高められた放射線画像上の関連する地点に上記カーソルを再位置決めできるようにする、当該カーソルに関連するスライダ機能を更に備えることを特徴とする、請求項1に記載の表示のための装置。
- 上記推定された位置が少なくとも部分的に、上記診断プローブの計算された経路に基づいており、上記計算された経路が、上記放射線不透過性のマーカーの上記推定された位置と上記放射線不透過性のマーカーの上記実際の位置との差に基づいて計算された上記誤差関数に基づいて更新されることを特徴とする、請求項1に記載の表示のための装置。
- 上記血管画像要素が、横断面の血管超音波(IVUS)画像であることを特徴とする、請求項1に記載の表示のための装置。
- 上記血管画像要素が、上記血管内データを示すグラフであることを特徴とする、請求項1に記載の表示のための装置。
- 上記グラフが、血圧、血流速度、せん断応力、及び血流予備量比のうちの少なくとも1つを示すことを特徴とする、請求項32に記載の表示のための装置
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US64289305P | 2005-01-11 | 2005-01-11 | |
US60/642,893 | 2005-01-11 | ||
US69401405P | 2005-06-24 | 2005-06-24 | |
US60/694,014 | 2005-06-24 | ||
PCT/US2006/000942 WO2006076409A2 (en) | 2005-01-11 | 2006-01-11 | Vascular image co-registration |
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JP2013015279A Division JP5886219B2 (ja) | 2005-01-11 | 2013-01-30 | 血管情報取得装置 |
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JP2013015279A Expired - Fee Related JP5886219B2 (ja) | 2005-01-11 | 2013-01-30 | 血管情報取得装置 |
JP2014223907A Expired - Fee Related JP6134695B2 (ja) | 2005-01-11 | 2014-11-04 | 画質が高められた血管の画像を提供するためのシステム、及びその制御方法 |
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JP2014223907A Expired - Fee Related JP6134695B2 (ja) | 2005-01-11 | 2014-11-04 | 画質が高められた血管の画像を提供するためのシステム、及びその制御方法 |
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EP (2) | EP2712553A3 (ja) |
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JP2013116332A (ja) | 2013-06-13 |
EP1835855B1 (en) | 2017-04-05 |
EP1835855A2 (en) | 2007-09-26 |
JP5886219B2 (ja) | 2016-03-16 |
USRE45534E1 (en) | 2015-06-02 |
JP6134695B2 (ja) | 2017-05-24 |
JP2015062680A (ja) | 2015-04-09 |
EP2712553A3 (en) | 2014-09-17 |
JP2008526387A (ja) | 2008-07-24 |
WO2006076409A2 (en) | 2006-07-20 |
EP2712553A2 (en) | 2014-04-02 |
USRE46562E1 (en) | 2017-10-03 |
US7930014B2 (en) | 2011-04-19 |
WO2006076409A3 (en) | 2007-11-22 |
EP1835855A4 (en) | 2010-12-01 |
US20060241465A1 (en) | 2006-10-26 |
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