JP6113116B2 - MEDICAL IMAGE PROCESSING DEVICE, ITS OPERATION METHOD, AND ENDOSCOPE SYSTEM - Google Patents

Description

  The present invention relates to a medical image processing apparatus that generates an image in which a color difference between a normal part and a lesion part is emphasized, an operating method thereof, and an endoscope system.

  In the medical field, diagnosis using an endoscope system including a light source device, an endoscope, and a processor device is widely performed. In this endoscope system, an observation target is irradiated based on an image signal obtained by irradiating an observation target with illumination light from the endoscope and imaging the observation target under illumination with the imaging element of the endoscope. Is displayed on the monitor. The doctor detects the presence or absence of a lesioned part while viewing the image displayed on the monitor.

  Here, it is possible to easily detect a lesioned part having a shape and size greatly different from a normal part, such as a lesioned part protruding greatly from the mucosal surface. However, a lesion that has almost the same shape and size as the normal part is detected by using the color difference from the normal part as a clue. In this case, it is extremely difficult to detect when the lesioned part is not so advanced and there is almost no difference in color from the normal part.

  Therefore, in Patent Document 1, a process in which the blood volume (hemoglobin index) is separated from the reference value is further separated from the reference value so that the color difference between the normal part and the lesioned part becomes clear. ing.

Japanese Patent No. 3228627

  Among gastric cancers among lesions, it is known that atrophy occurs in the gastric mucosa and the gastric mucosa changes to a fading tone. For this reason, the atrophic part where atrophy occurs in the mucous membrane is different in color from the normal part where no atrophy occurs. By observing the difference in color from the normal part with an endoscope, it is diagnosed whether or not stomach cancer exists (there is ABC screening recommended by the Japan NPO Japan Gastric Cancer Prediction, Diagnosis and Treatment Research Organization) .

  Here, when the atrophy has advanced to a high degree (for example, when it is included in the C group or the D group by ABC screening), the color difference between the normal part and the atrophic part is clear, so that the atrophic part is easily detected. Is possible. However, when atrophy is in progress (for example, when it is included in group B or group C by ABC screening), the color difference between the atrophic part and the normal part is slight. Is difficult to detect. Therefore, even if the color difference between the atrophic part and the normal part is slight, such as during the process of atrophy, the color difference between the normal part and the atrophic part is emphasized to easily detect the atrophic part. It is requested to do.

  Note that it is conceivable to emphasize the color difference between the atrophic part and the normal part by the method of Patent Document 1. However, since the color of the atrophic part is affected not only by the blood volume but also by factors other than the blood volume, it is difficult to emphasize the color difference between the atrophic part and the normal part by the method of Patent Document 1.

  An object of the present invention is to provide a medical image processing apparatus, an operation method thereof, and an endoscope system that generate an image in which a color difference between an abnormal part such as an atrophic part where the gastric mucosa is atrophy and a normal part is emphasized. And

The medical image processing apparatus of the present invention includes an image signal input processing unit that performs input processing on a first color image signal, a first signal ratio between two color image signals of the first color image signal, a first signal ratio, A signal ratio calculation unit that calculates a second signal ratio between image signals of two different colors, and a first range in which observation objects in the subject are distributed in a feature space formed by the first signal ratio and the second signal ratio. First, processing is performed so that the coordinates of the first to third ranges are moved in order to put the coordinates of any one of the second range and the third range into the reference range defined in the feature space. A second process for processing to move two ranges other than the specific range in order to move the two ranges other than the specific range out of the first and third ranges, 2 of the first to third ranges other than the specific range By changing the angle in the range of the coordinates, and the first movement process unit for performing a second process of two ranges of coordinates is moved away from each other, comprising a first range, the distribution of the normal portion, the second Anomalous portions are distributed in the second range and the third range.

  In the first process, it is preferable to translate the coordinates of the first to third ranges. The reference range is preferably a range that includes the origin of the feature space and does not include two ranges other than the specific range.

  In the feature space, a third process for processing to move the coordinates of the second range to the reference range, and a fourth process for processing to move the third range while maintaining the coordinates of the first range. It is preferable to provide the 2nd movement process part to perform. In the third process, the coordinates of the second range are moved so that the saturation of the second special image obtained from the first and second signal ratios after the third and fourth processes decreases, and in the fourth process, It is preferable to move the coordinates of the third range so that the hue of the second special image changes.

  The first signal ratio and the second signal ratio after the first and second processing are converted into a second color image signal, or the first and second signal ratios after the third and fourth processing are converted into a second color image signal. Brightness that adjusts the pixel value of the second color image signal from the color image signal conversion unit to convert, and the first brightness information obtained from the first color image signal and the second brightness information obtained from the second color image signal It is preferable to have a thickness adjusting unit.

  In the feature space, the difference between the first range and the second range when the image signal of at least one color among the first color image signals is a narrowband signal is the difference between the case where the first color image signals are all wideband signals. The difference between the first range and the third range is greater than the difference between the first range and the second range, or when the image signal of at least one color of the first color image signals is a narrowband signal. It is preferable that the difference between the first range and the third range when one color image signal is a broadband signal is larger.

The first signal ratio is preferably correlated with the blood vessel depth, and the second signal ratio is preferably correlated with the blood volume. The first signal ratio is preferably a B / G ratio, and the second signal ratio is preferably a G / R ratio. It is preferable that atrophic mucosa is distributed in the second range, and deep blood vessels that are seen through with the atrophy are distributed in the third range.

  An endoscope system according to the present invention includes a medical image processing apparatus according to the present invention described above, a first special image obtained from first and second signal ratios after the first and second processing, and third and fourth processing. And a display unit for displaying a second special image obtained from the first and second signal ratios later.

In the operating method of the medical image processing apparatus according to the present invention, the image input processing unit inputs the first color image signal, and the signal ratio calculation unit calculates the difference between the two color image signals of the first color image signal. A step of calculating a first signal ratio, a second signal ratio between two color image signals different from the first signal ratio, and a first movement processing unit are formed with the first signal ratio and the second signal ratio. In order to put the coordinates of any one of the first range, the second range, and the third range in which the observation object in the subject is distributed into a reference range defined in the feature space in the space, the first range In order to separate two ranges other than the specific range from the first process that moves the coordinates of the third range and the first range, the two ranges other than the specific range are separated from each other. a second process of processing as moving, you to feature space Te, by changing the angle of the coordinates of the two ranges other than the specific range of the first to third range, chromatic and performing a second process of two ranges of coordinates is moved away from one another In the first range, normal portions are distributed, and in the second range and third range, abnormal portions are distributed.

  ADVANTAGE OF THE INVENTION According to this invention, the image which emphasized the color difference of abnormal parts, such as an atrophic part where the gastric mucosa contracted, and a normal part is generable.

1 is an external view of an endoscope system according to a first embodiment. It is a block diagram which shows the function of the endoscope system of 1st Embodiment. It is a graph which shows the emission spectrum of purple light V, blue light B, green light G, and red light R. It is a block diagram which shows the function of a 1st special image process part. It is explanatory drawing which shows a 1st process. It is a graph which shows distribution of the 1st-3rd range after the 1st processing. It is explanatory drawing which shows a 2nd process. It is a graph which shows the movement range of angle (theta) in angle change range R1. It is a graph which shows the relationship between angle (theta) and angle Etheta after a 2nd process. It is a graph which shows distribution of the 1st-3rd range after a 2nd process. It is a block diagram which shows the function of a 2nd special image process part. It is explanatory drawing which shows a 3rd process. It is a graph which shows the relationship between the moving radius r and the moving radius Er. It is a graph which shows distribution of the 1st-the 3rd range after the 3rd processing. It is explanatory drawing which shows a 4th process. It is a graph which shows the movement range of angle (theta) in angle change range R3. It is a graph which shows the relationship between angle (theta) and angle E (theta) after a 4th process. It is a graph which shows distribution of the 1st-3rd range after the 4th processing. It is an image figure of the monitor which displays a 1st special image and a 2nd special image simultaneously. It is a flowchart which shows a series of flows of this invention. It is a block diagram which shows the function of the endoscope system of 2nd Embodiment. It is a graph which shows the emission spectrum of white light. It is a graph which shows the emission spectrum of special light. It is a block diagram which shows the function of the endoscope system of 3rd Embodiment. It is a top view which shows a rotation filter. It is a figure which shows the function of the capsule endoscope system of 4th Embodiment. 4 is a graph showing emission spectra of purple light V, blue light B, green light G, and red light R different from those in FIG. 3. It is a block diagram which shows the function of the 1st special image process part in the case of using a two-dimensional LUT. The positions of the second and third ranges on the feature space when the 1B image signal is a narrowband signal, and the second and third ranges on the feature space when the 1B image signal is a wideband signal. It is explanatory drawing which shows the position.

[First Embodiment]
As shown in FIG. 1, the endoscope system 10 according to the first embodiment includes an endoscope 12, a light source device 14, a processor device 16, a monitor 18 (display unit), and a console 19. The endoscope 12 is optically connected to the light source device 14 and electrically connected to the processor device 16. The endoscope 12 includes an insertion portion 12a to be inserted into a subject, an operation portion 12b provided at a proximal end portion of the insertion portion 12a, a bending portion 12c and a distal end portion 12d provided at the distal end side of the insertion portion 12a. have. By operating the angle knob 12e of the operation unit 12b, the bending unit 12c performs a bending operation. With this bending operation, the distal end portion 12d is directed in a desired direction.

  The operation unit 12b is provided with a mode switching SW 13a in addition to the angle knob 12e. The mode switching SW 13a is used for a switching operation among four types of modes: a normal observation mode, a first special observation mode, a second special observation mode, and a simultaneous observation mode. The normal observation mode is a mode for displaying a normal image on the monitor 18. The first special observation mode is a mode in which a first special image is displayed on the monitor 18 and is used for observing a boundary between an atrophic part and a normal part in which gastric mucosa has atrophy due to a lesion such as gastric cancer. The second special observation mode is a mode for displaying the second special image on the monitor 18 and is used for observing the color difference between the atrophy part and the normal part. The simultaneous observation mode is used for simultaneously observing the boundary between the atrophy part and the normal part and observing the color difference between the atrophy part and the normal part. The first special image and the second special image are displayed on the monitor 18. This is a mode for simultaneous display.

  The processor device 16 is electrically connected to the monitor 18 and the console 19. The monitor 18 outputs and displays image information and the like. The console 19 functions as a UI (User Interface) that receives input operations such as function settings. The processor device 16 may be connected to an external recording unit (not shown) for recording image information and the like.

  As shown in FIG. 2, the light source device 14 includes a V-LED (Violet Light Emitting Diode) 20a, a B-LED (Blue Light Emitting Diode) 20b, a G-LED (Green Light Emitting Diode) 20c, and an R-LED (Red). A light emitting diode) 20d, a light source control unit 21 that controls driving of the four color LEDs 20a to 20d, and an optical path coupling unit 23 that couples the optical paths of the four color lights emitted from the four color LEDs 20a to 20d. The light coupled by the optical path coupling unit 23 is irradiated into the subject through the light guide (LG) 41 and the illumination lens 45 inserted into the insertion unit 12a. An LD (Laser Diode) may be used instead of the LED.

  As shown in FIG. 3, the V-LED 20a generates purple light V having a center wavelength of 405 ± 10 nm and a wavelength range of 380 to 420 nm. The B-LED 20b generates blue light B having a center wavelength of 460 ± 10 nm and a wavelength range of 420 to 500 nm. The G-LED 20c generates green light G having a wavelength range of 480 to 600 nm. The R-LED 20d generates red light R having a center wavelength of 620 to 630 nm and a wavelength range of 600 to 650 nm.

  The light source control unit 21 controls the V-LED 20a, the B-LED 20b, the G-LED 20c, and the R-LED 20d in any of the normal observation mode, the first special observation mode, the second special observation mode, and the simultaneous observation mode. All may be lit. In this case, the observation target is irradiated with light in which four colors of light of purple light V, blue light B, green light G, and red light R are mixed. In the normal observation mode, the light source controller 21 controls the LEDs 20a to 20d so that the light quantity ratio among the violet light V, blue light B, green light G, and red light R is Vc: Bc: Gc: Rc. Control. On the other hand, in the first special observation mode, the second special observation mode, and the simultaneous observation mode, the light source control unit 21 sets the light amount ratio among the violet light V, blue light B, green light G, and red light R to Vs: Bs: Gs. : Control each LED 20a-20d so that it may become Rs.

  As shown in FIG. 2, the light guide 41 is built in the endoscope 12 and the universal cord (the cord connecting the endoscope 12, the light source device 14, and the processor device 16). The combined light propagates to the distal end portion 12d of the endoscope 12. A multimode fiber can be used as the light guide 41. As an example, a thin fiber cable having a core diameter of 105 μm, a cladding diameter of 125 μm, and a diameter of φ0.3 to 0.5 mm including a protective layer serving as an outer shell can be used.

  The distal end portion 12d of the endoscope 12 is provided with an illumination optical system 30a and an imaging optical system 30b. The illumination optical system 30 a has an illumination lens 45, and light from the light guide 41 is irradiated to the observation target via the illumination lens 45. The imaging optical system 30 b includes an objective lens 46 and an imaging sensor 48. Reflected light from the observation object enters the image sensor 48 through the objective lens 46. As a result, a reflected image of the observation object is formed on the image sensor 48.

  The imaging sensor 48 is a color imaging sensor that captures a reflection image of a subject and outputs an image signal. The image sensor 48 is preferably a CCD (Charge Coupled Device) image sensor, a CMOS (Complementary Metal-Oxide Semiconductor) image sensor, or the like. The image sensor 48 used in the present invention is a color image sensor for obtaining RGB image signals of three colors of R (red), G (green), and B (blue), that is, an R pixel provided with an R filter. , A so-called RGB imaging sensor including a G pixel provided with a G filter and a B pixel provided with a B filter.

  The image sensor 48 is a so-called complementary color image sensor that includes complementary filters for C (cyan), M (magenta), Y (yellow), and G (green) instead of an RGB color image sensor. May be. When the complementary color imaging sensor is used, CMYG four-color image signals are output. Therefore, the CMYG four-color image signals need to be converted into RGB image signals by complementary color-primary color conversion. Further, the image sensor 48 may be a monochrome image sensor not provided with a color filter. In this case, the light source control unit 21 needs to turn on the blue light B, the green light G, and the red light R in a time-sharing manner, and add a synchronization process in the processing of the imaging signal.

  The image signal output from the image sensor 48 is transmitted to the CDS / AGC circuit 50. The CDS / AGC circuit 50 performs correlated double sampling (CDS (Correlated Double Sampling)) and automatic gain control (AGC (Auto Gain Control)) on an image signal which is an analog signal. The image signal that has passed through the CDS / AGC circuit 50 is converted into a digital image signal by an A / D converter (A / D (Analog / Digital) converter) 52. The A / D converted digital image signal is input to the processor device 16.

  The processor device 16 includes a receiving unit 53, a DSP 56, a noise removing unit 58, an image processing switching unit 60, a normal image processing unit 62, a special image processing unit 64, and a video signal generation unit 66. . The receiving unit 53 receives a digital RGB image signal from the endoscope 12. The R image signal corresponds to a signal output from the R pixel of the imaging sensor 48, the G image signal corresponds to a signal output from the G pixel of the imaging sensor 48, and the B image signal is output from the B pixel of the imaging sensor 48. Corresponds to the signal to be transmitted.

  The DSP 56 performs various signal processing such as defect correction processing, offset processing, gain correction processing, linear matrix processing, gamma conversion processing, and demosaicing processing on the received image signal. In the defect correction process, the signal of the defective pixel of the image sensor 48 is corrected. In the offset process, the dark current component is removed from the RGB image signal subjected to the defect correction process, and an accurate zero level is set. In the gain correction process, the signal level is adjusted by multiplying the RGB image signal after the offset process by a specific gain. The RGB image signal after the gain correction process is subjected to a linear matrix process for improving color reproducibility. After that, brightness and saturation are adjusted by gamma conversion processing. The RGB image signal after the linear matrix processing is subjected to demosaic processing (also referred to as isotropic processing or synchronization processing), and a signal of a color lacking in each pixel is generated by interpolation. By this demosaic processing, all the pixels have RGB signals.

  The noise removing unit 58 removes noise from the RGB image signal by performing noise removal processing (for example, a moving average method, a median filter method, etc.) on the RGB image signal subjected to gamma correction or the like by the DSP 56. The RGB image signal from which noise has been removed is transmitted to the image processing switching unit 60. The “image signal input processing unit” of the present invention corresponds to a configuration including the receiving unit 53, the DSP 56, and the noise removing unit 58.

  When the normal observation mode is set by the mode switching SW 13a, the image processing switching unit 60 transmits the RGB image signal to the normal image processing unit 62, and the first special observation mode, the second special observation mode, and the simultaneous When the observation mode is set, the RGB image signal is transmitted to the special image processing unit 64.

  The normal image processing unit 62 performs color conversion processing, color enhancement processing, and structure enhancement processing on the RGB image signal. In the color conversion process, a 3 × 3 matrix process, a gradation conversion process, a three-dimensional LUT process, and the like are performed on the digital RGB image signal to convert the digital RGB image signal into a color converted RGB image signal. Next, various color enhancement processes are performed on the RGB image signal that has been subjected to the color conversion process. A structure enhancement process such as spatial frequency enhancement is performed on the RGB image signal that has been subjected to the color enhancement process. The RGB image signal subjected to the structure enhancement processing is input from the normal image processing unit 62 to the video signal generation unit 66 as an RGB image signal of a normal image.

  The special image processing unit 64 operates when the first special observation mode, the second special observation mode, or the simultaneous observation mode is set. The special image processing unit 64 includes a first special image processing unit 64a that generates a first special image, a second special image processing unit 64b that generates a second special image, a first special image, and a second special image. A simultaneous display image processing unit 64c for generating a simultaneous display special image for simultaneous display. However, the first special image processing unit 64a does not generate the second special image. Further, the second special image processing unit 64b does not generate the first special image. Details of the first special image processing unit 64a, the second special image processing unit 64b, and the simultaneous display image processing unit 64c will be described later. The RGB image signals of the first special image, the second special image, and the special image for simultaneous display generated by the special image processing unit 64 are input to the video signal generation unit 66.

  The video signal generation unit 66 converts the RGB image signal input from the normal image processing unit 62 or the special image processing unit 64 into a video signal to be displayed as an image that can be displayed on the monitor 18. Based on the video signal, the monitor 18 displays a normal image, a first special image, or a second special image, or simultaneously displays the first special image and the second special image.

  As shown in FIG. 4, the first special image processing unit 64a includes an inverse gamma conversion unit 70, a log conversion unit 71, a signal ratio calculation unit 72, a parallel movement unit 73, a polar coordinate conversion unit 74, and an angle extension. A compression unit 75, an orthogonal coordinate conversion unit 76, an RGB conversion unit 77, a structure enhancement unit 78, an inverse Log conversion unit 79, and a gamma conversion unit 80 are provided. In addition, the first special image processing unit 64 a includes a brightness adjustment unit 82 between the RGB conversion unit 77 and the structure enhancement unit 78. The “first movement processing unit” of the present invention corresponds to a configuration including the parallel movement unit 73 and the angle expansion / compression unit 75 in the first special image processing unit 64a.

  The inverse gamma conversion unit 70 performs inverse gamma conversion on the input RGB image signal. Since the RGB image signal after the inverse gamma conversion is a linear reflectance RGB signal that is linear with respect to the reflectance from the specimen, a large proportion of the RGB image signal is occupied by signals related to various biological information of the specimen. Become. The reflectance linear R image signal is a first R image signal, the reflectance linear G image signal is a first G image signal, and the reflectance linear B image signal is a first B image signal.

  The Log conversion unit 71 performs Log conversion on each of the first RGB image signals (corresponding to the “first color image signal” of the present invention). As a result, an R image signal (logR) after Log conversion, a G image signal (logG) after Log conversion, and a B image signal (logB) after Log conversion are obtained. The signal ratio calculation unit 72 calculates the B / G ratio by performing a difference process (logG-logB = logG / B = -log (B / G)) based on the G image signal and the B image signal that have been subjected to Log conversion. To do. Here, “B / G ratio” represents a value obtained by omitting “-log” in −log (B / G). Further, the G / R ratio is calculated by performing a difference process (logR-logG = logR / G = -log (G / R)) based on the R image signal and the G image signal that have been subjected to Log conversion. The G / R ratio is the same as the B / G ratio, except that “-log” is omitted from −log (G / R).

  Note that the B / G ratio and the G / R ratio are obtained from pixel values of pixels at the same position in the B image signal, the G image signal, and the R image signal. Further, the B / G ratio and the G / R ratio are obtained for each pixel. Further, since the B / G ratio is correlated with the blood vessel depth (distance from the mucosal surface to the position where the specific blood vessel is located), if the blood vessel depth is different, the B / G ratio also varies accordingly. Further, since the G / R ratio has a correlation with the blood volume (hemoglobin index), if the blood volume varies, the G / R ratio also varies accordingly.

  The translation unit 73 performs a first process for translating a certain range of coordinates based on the B / G ratio and the G / R ratio obtained by the signal ratio calculation unit 72. The polar coordinate conversion unit 74 converts the moving radius r and the angle θ based on the B / G ratio and the G / R ratio that have been translated by the translation unit 73. In the polar coordinate conversion unit 74, the conversion to the radius r and the angle θ is performed for all the pixels. The angle expansion / compression unit 75 performs a second process of expanding / compressing the angle θ based on the first processed radius r and the angle θ converted by the polar coordinate conversion unit 74. Details of these first and second processes will be described later.

  The orthogonal coordinate conversion unit 76 converts the radius r and the angle θ, which have been subjected to the second processing by the angle expansion / compression unit 75, into orthogonal coordinates. As a result, the B / G ratio and the G / R ratio are converted again. The RGB converter 77 (corresponding to the “color image signal converter” of the present invention) passes through the orthogonal coordinate converter 76 using at least one image signal among the RGB image signals output from the inverse gamma converter 70. The B / G ratio and the G / R ratio are converted into a second RGB image signal (corresponding to the “second color image signal” of the present invention). For example, the RGB conversion unit 77 converts the B / G ratio into the second B image signal by performing an operation based on the G image signal and the B / G ratio in the first RGB image signal. The RGB converter 77 converts the G / R ratio into the second R image signal by performing an operation based on the G image signal and the G / R ratio in the first RGB image signal. In addition, the RGB conversion unit 77 outputs the first G image signal as the second G image signal without performing any special conversion.

  The brightness adjustment unit 82 adjusts the pixel value of the second RGB image signal using the first RGB image signal and the second RGB image signal. The brightness adjustment unit 82 adjusts the pixel value of the second RGB image signal for the following reason. There is a possibility that the brightness of the second RGB image signal obtained by the process of expanding / compressing the color region by the parallel moving unit 73 and the angle extending / compressing unit 75 is greatly different from that of the first RGB image signal. Therefore, the brightness adjustment unit 81 adjusts the pixel value of the second RGB image signal so that the brightness-adjusted second RGB image signal has the same brightness as the first RGB image signal.

The brightness adjustment unit 82 obtains first brightness information Yin based on the first RGB image signal, and the second brightness obtains second brightness information Yout based on the second RGB image signal. And an information calculation unit 82b. The first brightness information calculation unit 82a performs the first brightness information Yin according to an arithmetic expression of “kr × pixel value of the first R image signal + kg × pixel value of the first G image signal + kb × pixel value of the first B image signal”. Is calculated. Similarly to the first brightness information calculation unit 82a, the second brightness information calculation unit 82b calculates the second brightness information Yout according to the same arithmetic expression as described above. When the first brightness information Yin and the second brightness information Yout are obtained, the brightness adjustment unit 82 calculates the pixel values of the second RGB image signal by performing calculations based on the following equations (E1) to (E3). adjust.
(E1): R ^* = pixel value of the second R image signal × Yin / Yout
(E2): G ^* = pixel value of the second G image signal × Yin / Yout
(E3): B ^* = pixel value of second B image signal × Yin / Yout
“R ^* ” represents the second R image signal after brightness adjustment, “G ^* ” represents the second G image signal after brightness adjustment, and “B ^* ” represents the second B image signal after brightness adjustment. ing. “Kr”, “kg”, and “kb” are arbitrary constants in the range of “0” to “1”.

  The structure enhancement unit 78 performs structure enhancement processing on the second RGB image signal after the brightness adjustment by the brightness adjustment unit 82. As the structure enhancement processing, frequency filtering or the like is used. The inverse log conversion unit 79 performs inverse log conversion on the RGB image signal that has passed through the structure enhancement unit 78. Thereby, an RGB image signal having a true pixel value is obtained. The gamma conversion unit 80 performs gamma conversion on the RGB image signal that has passed through the inverse log conversion unit 79. Thereby, an RGB image signal having a gradation suitable for an output device such as the monitor 18 is obtained. The RGB image signal that has passed through the gamma conversion unit 80 is sent to the simultaneous display image processing unit 64c or the video signal generation unit 66 as an RGB image signal of the first special image.

  Regarding the contents of the first processing performed in the translation unit 73, as shown in FIG. 5, a feature space that is a two-dimensional color space formed with the B / G ratio on the vertical axis and the G / R ratio on the horizontal axis. Will be described below. In the first process, first, an average value (Xa, Ya) within a second range in which atrophic mucosa atrophy due to atrophic gastritis is distributed in the feature space is calculated. Next, in addition to the second range, all the coordinates of the first range in which the normal mucosa is distributed and the coordinates of the third range in which the deep blood vessels that exist under the atrophic mucosa atrophy due to atrophic gastritis and are seen through with atrophy are distributed Are translated in the minus direction on the vertical axis and in the negative direction on the horizontal axis by the magnitude of the average value (Xa, Ya). As a result, as shown in FIG. 6, the coordinates of the second range (specific range) enter the reference range including the origin on the feature space, and the coordinates of the first and third ranges are also the coordinates of the second range. In a state where the positional relationship is maintained, the direction approaches the reference range. The reference range is a low saturation range that does not include the first range and the third range after the first processing.

  In the second processing performed by the angle expanding / compressing unit 75, as shown in FIG. 7A, in the feature space in which the vertical axis is the B / G ratio and the horizontal axis is the G / R ratio, it is within the angle change range R1. While the angle θ of a certain coordinate P1 is changed, the angle θ is not changed for coordinates outside the angle change range R1. The angle change range R1 is set to include a first range and a third range. In the second process, the radius r of the coordinates in the angle change range R1 is not changed.

  In the angle change range R1, a first center line CL1 is set between the first range and the third range. The first center line CL1 is an angle θc. In the angle change range R1, an angle θ that is equal to or smaller than the angle θc is rotated clockwise, whereas an angle θ that is equal to or larger than the angle θc is counterclockwise. Rotate. For the angle θ of the certain range R1x from the first center line CL1, an expansion process is performed in which the angle change rate is changed at an angle change rate Wx greater than “1”, and the angle θ of the range R1y exceeding the range R1x. It is preferable to perform a compression process in which the angle change rate is changed at an angle change rate Wy smaller than “1”. Further, by the second processing, the coordinates of the angle change range R1 are set within a range of ± 90 degrees from the first center line CL1 (in the feature space, the “positive” horizontal axis is 0 ° and the angle is 0 ° to 360 °. When expressed, it is preferable to move within a range P (see FIG. 7B) of “270 ° + θc” to “θc + 90 °”. When the angle change rate is “1”, the magnitude of the angle θ does not change even if the process of changing the angle θ is performed.

  By performing the above second process, as shown in FIG. 8, the angle θ that is equal to or smaller than the angle θc within the angle change range R1 is changed to the angle Eθ that is smaller than the angle θ, while the angle θc The above angle θ is changed to an angle Eθ that is larger than the angle θ. The angle change rate is represented by the slope of the “straight line L1” indicating the tangent of the line CV1 relating the angle θ and the angle Eθ, whereas the slope of the straight line L1 is larger than “1” within the range R1x. In the range R1y, the slope of the straight line L1 is smaller than “1”. On the other hand, the angle θ outside the angle change range R1 is converted into an angle Eθ that does not change in magnitude from the angle θr (identity conversion). Further, outside the angle change range R1, the slope of the straight line L1 is “1”.

  As a result, as shown in FIG. 9, while the coordinates of the second range are maintained in the reference range, most of the coordinates of the first range move to the second quadrant of the feature space, while the coordinates of the third range Move to the fourth quadrant of the feature space. Therefore, the coordinates of the first range and the third range exist in different quadrants on the feature space. In the first special image obtained after the second processing, the boundary between the atrophic mucosa and the atrophic part including a deep blood vessel that is being seen through atrophy under the atrophic mucosa and the normal part where the normal mucosa is present is clarified. Is displayed.

  As shown in FIG. 10, the second special image processing unit 64b has substantially the same configuration as the first special image processing unit 64a. However, in the second special image processing unit 64b, a radial expansion / compression unit 81 is provided instead of the translation unit 73. Further, the processing performed by the angle expansion / compression unit 75 is different from the second processing performed by the first special image processing unit 64a. The “second processing unit” of the present invention corresponds to a configuration including the radial expansion / compression unit 81 and the angle expansion / compression unit 75 in the second special image processing unit 64b.

  The radial expansion / compression unit 81 performs a third process of changing the radial r based on the radial r and the angle θ converted by the polar coordinate converter 74. The contents of the third process will be described below using a feature space that is a two-dimensional color space formed from the vertical axis B / G ratio and the horizontal axis G / R ratio as shown in FIG. In the third process, in the feature space, the radius r of the coordinate P2 within the radius change range R2 is changed, and the radius of the coordinate outside the radius change range R2 is not changed. In the radius vector changing range R2, the radius vector r is in the range of “rA” to “rB”, and the angle θ is in the range of “θA” to “θB” (rA <rB, θA <θB). . This radius change range R2 is a region including the second range in which the atrophic mucosa atrophy due to atrophic gastritis is distributed, and exists under the first range in which the normal mucosa is distributed and the atrophic mucosa atrophy due to atrophic gastritis. The third range in which the deep blood vessels seen through with atrophy are distributed is not included.

  In the third process, no change is made to the angle θ of the coordinate of the radius change range R2. Further, in the third process, when the radius r is within the range of “rp” to “rB”, an extension process is performed in which the radius r is changed at a radius change rate Vx having a radius change rate larger than “1”. When the radius r is within the range of “rA” to “rp”, it is preferable to perform a compression process for changing the radius r with a radius change rate Vy having a radius change rate smaller than “1”. When the radius vector change rate is “1”, the radius r does not change even if the radius vector r is changed.

  By performing the above third processing, as shown in FIG. 12, the moving radius r in the moving radius change range R2 is changed to a moving radius Er smaller than the moving radius r. The radial change rate is represented by the slope of a “straight line L2” indicating the tangent line of the line CV2 that relates the radial diameter r and the radial diameter Er, and within the range from “rp” to “rB” While the slope is larger than “1”, the slope of the straight line L2 is smaller than “1” within the range of “rA” to “rp”. On the other hand, the moving radius r outside the moving radius change range R2 is converted into a moving radius Er that is not different from the moving radius r (identity conversion). Further, outside the moving radius change range R2, the slope of the straight line L2 is “1”. As a result, as shown in FIG. 13, the coordinates of the first range and the third range are maintained as they are, and only the coordinates of the second range are moved to the reference range including the origin. Note that the saturation of the special image decreases due to the movement of the coordinates of the second range.

  In the angle expansion / compression unit 75 of the second special image processing unit 64b, by changing the angle θ based on the radius r and the angle θ after the third processing, the coordinates of the first range are maintained, A fourth process for moving the coordinates of the third range is performed. In the fourth process, as shown in FIG. 14A, the angle θ of the coordinate P3 in the angle change range R3 is changed in the feature space formed with the B / G ratio on the vertical axis and the G / R ratio on the horizontal axis. On the other hand, the angle θ is not changed for coordinates outside the angle change range R3. The angle change range R3 is set so as to include the third range and not include the first range. In the fourth process, no change is made to the moving radius r of the coordinates of the angle change range R3.

  In the angle change range R3, a second center line CL2 having an angle θd is set between the first range and the third range. The second center line CL2 is an angle θd, and the angle θ that is equal to or smaller than the angle θd in the angle change range R3 is rotated in the clockwise direction. In addition, with respect to the angle θ of the certain range R3x from the second center line CL2, an expansion process is performed in which the angle change rate is changed at an angle change rate Wx larger than “1”, and the angle θ of the range R3y exceeding the range R3x. It is preferable to perform a compression process in which the angle change rate is changed at an angle change rate Wy smaller than “1”. Further, by the fourth process, the coordinates of the angle change range R3 are changed to a range of −90 degrees from the second center line CL2 (in the feature space, the “positive” horizontal axis is 0 °, and the angle is 0 ° to 360 °. When expressed, it is preferable to move within a range Q (see FIG. 14B) from “270 ° + θc” to “θc”. When the angle change rate is “1”, the magnitude of the angle θ does not change even if the process of changing the angle θ is performed.

  By performing the above fourth processing, as shown in FIG. 15, the angle θ is changed to an angle Eθ that is smaller than the angle θ within the angle change range R3. The angle change rate is represented by the slope of “straight line L3” indicating the tangent of line CV3 relating angle θ and angle Eθ, and the slope of straight line L3 is larger than “1” within range R3x. On the other hand, in the range R3y, the slope of the straight line L3 is smaller than “1”. On the other hand, the angle θ outside the angle change range R3 is converted into an angle Eθ that does not change in magnitude from the angle θr (identity conversion). Further, outside the angle change range R3, the slope of the straight line L3 is “1”.

  As a result, as shown in FIG. 16, the coordinates of the third range are maintained in the reference range, while maintaining the coordinates of the first range without changing the coordinates of the third range. Move to quadrant 4. As the coordinates of the third range move from the first quadrant to the fourth quadrant, the hue changes in the feature space. From the above, the coordinates of the first range, the second range, and the third range are completely separated.

  The second special image obtained after the fourth processing is displayed while maintaining the color of the normal part, while the atrophic mucosa of the atrophic part where atrophic gastritis has occurred is displayed in a fading tone. The deep blood vessels that are seeing through atrophy are also displayed in the color at the time of atrophy. Therefore, since the second special image is displayed in the original color when atrophic gastritis occurs, the difference in color between the normal part and the atrophic part is clear.

  The simultaneous display image processing unit 64c generates a simultaneous display special image based on the first special image and the second special image generated by the first special image processing unit 64a and the second special image processing unit 64b. As shown in FIG. 17, the monitor 18 displays the first special image on one side and the second special image on the other side based on the special image for simultaneous display. The first special image is an image that makes it easy to grasp the position of the atrophic part because the boundary between the normal part and the atrophic part is very clear, but the normal part is not the color of the original stomach mucous membrane Since it is displayed in a pseudo color, the image is uncomfortable for the doctor. On the other hand, compared with the first special image, the boundary between the normal part and the atrophic part is somewhat clear and the color of the normal part is displayed in the original stomach color. The image has no sense of incongruity. By displaying these two first special images and second special images at the same time, the boundary between the normal part and the atrophy part can be detected while grasping the color of the normal part.

  Next, a series of flows of the present invention will be described along the flowchart of FIG. First, the normal observation mode is set, and the insertion portion 12a of the endoscope 12 is inserted into the sample. When the distal end portion 12d of the insertion portion 12a reaches the stomach, the mode switching SW 13a is operated to switch from the normal observation mode to the first and second special observation modes. When diagnosing atrophic gastritis while observing both the first special image and the second special image, the mode is switched to the simultaneous observation mode.

  Based on the RGB image signals obtained after switching to the first and second special observation modes, the signal ratio calculation unit 72 calculates the B / G ratio and the G / R ratio. Next, when the first special observation mode is set, in the feature space formed by the B / G ratio and the G / R ratio, the coordinates of the first range in which the normal mucous membrane is distributed and the atrophic gastritis The coordinates of the second range are the coordinates of the second range where the atrophied mucosa is distributed, and the coordinates of the third range where the deep blood vessels present under the atrophy mucosa atrophic due to atrophic gastritis are distributed. A first process for translating the coordinates of the first to third ranges so as to fall within the reference range is performed.

  Next, in both the first and second special observation modes, the B / G ratio and the G / R ratio are converted into a radius r and an angle θ by polar coordinate conversion. When the first special observation mode is set, the coordinates of the first range and the coordinates of the third range are moved away from each other based on the radius r and the angle θ after the first processing after the polar coordinate conversion. The second process is performed. The radius r and the angle θ after the second processing are converted into orthogonal coordinates by orthogonal coordinate conversion. A first special image is generated based on the B / G ratio and the G / R ratio after the orthogonal coordinate transformation. This first special image is displayed on the monitor 18.

  On the other hand, when the second special observation mode is set, the second range is maintained while maintaining the coordinates of the first range and the coordinates of the third range based on the radius r and the angle θ converted to polar coordinates. A third process for moving to the reference range is performed. Based on the radius r and the angle θ after the third process, a fourth process is performed for moving the coordinates of the third range while maintaining the coordinates of the first range. The moving radius r and the angle θ after the fourth processing are converted into orthogonal coordinates by orthogonal coordinate conversion. A second special image is generated based on the B / G ratio and the G / R ratio after the orthogonal coordinate conversion. This second special image is displayed on the monitor 18.

  Note that the simultaneous observation mode is not limited to the simultaneous display of the first special image and the second special image, and may be the simultaneous display of the first special image and the normal image, for example. The second special image and the normal image may be displayed simultaneously. In that case, a display image is generated by each of the normal image processing unit 62 and the special image processing unit 64, and is displayed on the monitor 18 through the video signal generation unit 66.

  In the simultaneous observation mode, the first special image and the third special image that does not perform any of the first to fourth processes may be displayed simultaneously. This third special image is generated by a third special image processing unit (not shown) provided in the special image processing unit 64. Unlike the first special image processing unit 64a, the third special image processing unit includes a translation unit 73, a polar coordinate conversion unit 74, an angle expansion / compression unit 75, an orthogonal coordinate conversion unit 76, and an RGB conversion unit 77. I do not have. The rest is the same as the first special image processing unit 64a. When generating the third special image, it is preferable to emit light of each color by setting the light intensity of the purple light V higher than that of the blue light B, the green light G, and the red light R. The third special image obtained under such light emission conditions is an image that is displayed with the superficial blood vessels being emphasized in a state where the entire image is kept bright.

[Second Embodiment]
In the second embodiment, the observation target is illuminated using a laser light source and a phosphor instead of the four-color LEDs 20a to 20d shown in the first embodiment. The rest is the same as in the first embodiment.

  As shown in FIG. 19, in the endoscope system 100 of the second embodiment, in the light source device 14, a blue laser light source that emits blue laser light having a center wavelength of 445 ± 10 nm instead of the four color LEDs 20 a to 20 d (see FIG. 19). 19, a blue-violet laser light source (indicated as “405LD” in FIG. 19) 106 that emits blue-violet laser light having a center wavelength of 405 ± 10 nm is provided. Light emission from the semiconductor light emitting elements of these light sources 104 and 106 is individually controlled by the light source control unit 108, and the light quantity ratio between the emitted light of the blue laser light source 104 and the emitted light of the blue-violet laser light source 106 is freely changeable. It has become.

  The light source control unit 108 drives the blue laser light source 104 in the normal observation mode. On the other hand, in the first or second special observation mode or the simultaneous observation mode, both the blue laser light source 104 and the blue-violet laser light source 106 are driven, and the emission intensity of the blue laser light is changed to the blue-violet laser. It is controlled so as to be larger than the light emission intensity. The laser light emitted from each of the light sources 104 and 106 enters the light guide (LG) 41 through optical members (all not shown) such as a condenser lens, an optical fiber, and a multiplexer.

  Note that the full width at half maximum of the blue laser beam or the blue-violet laser beam is preferably about ± 10 nm. As the blue laser light source 104 and the blue-violet laser light source 106, a broad area type InGaN laser diode can be used, and an InGaNAs laser diode or a GaNAs laser diode can also be used. In addition, a light-emitting body such as a light-emitting diode may be used as the light source.

  In addition to the illumination lens 45, the illumination optical system 30a is provided with a phosphor 110 on which blue laser light or blue-violet laser light from the light guide 41 is incident. When the phosphor 110 is irradiated with the blue laser light, the phosphor 110 emits fluorescence. Some of the blue laser light passes through the phosphor 110 as it is. The blue-violet laser light is transmitted without exciting the phosphor 110. The light emitted from the phosphor 110 is irradiated into the specimen through the illumination lens 45.

  Here, in the normal observation mode, since the blue laser light is mainly incident on the phosphor 110, the blue laser light and the fluorescence excited and emitted from the phosphor 110 are combined by the blue laser light as shown in FIG. White light is irradiated to the observation target. On the other hand, in the first or second special observation mode or the simultaneous observation mode, since both the blue-violet laser beam and the blue laser beam are incident on the phosphor 110, blue-violet laser beam, blue color as shown in FIG. The specimen is irradiated with special light obtained by combining fluorescence excited and emitted from the phosphor 110 by the laser light and the blue laser light.

The phosphor 110 absorbs a part of the blue laser light and emits a plurality of types of phosphors that emit green to yellow light (for example, YAG phosphors or phosphors such as BAM (BaMgAl ₁₀ O ₁₇ )). It is preferable to use what is comprised including. If a semiconductor light emitting element is used as an excitation light source for the phosphor 110 as in this configuration example, high intensity white light can be obtained with high luminous efficiency, and the intensity of white light can be easily adjusted, and the color of white light can be easily adjusted. Changes in temperature and chromaticity can be kept small.

[Third Embodiment]
In the third embodiment, the observation target is illuminated using a broadband light source such as a xenon lamp and a rotary filter instead of the four-color LEDs 20a to 20d shown in the first embodiment. Further, instead of the color image sensor 48, the observation target is imaged by a monochrome image sensor. The rest is the same as in the first embodiment.

  As shown in FIG. 22, in the endoscope system 200 of the third embodiment, the light source device 14 is provided with a broadband light source 202, a rotary filter 204, and a filter switching unit 205 instead of the four-color LEDs 20 a to 20 d. Yes. The imaging optical system 30b is provided with a monochrome imaging sensor 206 that is not provided with a color filter, instead of the color imaging sensor 48.

  The broadband light source 202 is a xenon lamp, a white LED, or the like, and emits white light having a wavelength range from blue to red. The rotary filter 204 includes a normal observation mode filter 208 provided inside and a special observation mode filter 209 provided outside (see FIG. 23). The filter switching unit 205 moves the rotary filter 204 in the radial direction, and when the normal switching mode is set by the mode switching SW 13a, the normal observation mode filter 208 of the rotary filter 204 is inserted into the white light path. When the first or second special observation mode is set, the special observation mode filter 209 of the rotation filter 204 is inserted into the optical path of white light.

  As shown in FIG. 23, the normal observation mode filter 208 includes, in the circumferential direction, a B filter 208a that transmits blue light of white light, a G filter 208b that transmits green light of white light, and white light. Among them, an R filter 208c that transmits red light is provided. Therefore, in the normal observation mode, the rotation filter 204 is rotated, so that blue light, green light, and red light are alternately irradiated on the observation target.

  The special observation mode filter 209 includes, along the circumferential direction, a Bn filter 209a that transmits blue narrow-band light having a specific wavelength among white light, a G filter 209b that transmits green light among white light, and white light. Among them, an R filter 209c that transmits red light is provided. Accordingly, in the special observation mode, the rotation filter 204 is rotated, so that the observation target is alternately irradiated with the blue narrow band light, the green light, and the red light.

  In the endoscope system 200, in the normal observation mode, the inside of the specimen is imaged by the monochrome imaging sensor 206 every time the blue light, the green light, and the red light are irradiated on the observation target. Thereby, the RGB first color image signal is obtained. Based on the RGB image signals, a normal image is generated by the same method as in the first embodiment.

  On the other hand, in the first or second special observation mode or the simultaneous observation mode, the inside of the specimen is imaged by the monochrome imaging sensor 206 every time the blue narrow band light, the green light, and the red light are irradiated on the observation target. Thereby, a Bn image signal, a G image signal, and an R image signal are obtained. The first or second special image is generated based on the Bn image signal, the G image signal, and the R image signal. In order to generate the first or second special image, a Bn image signal is used instead of the B image signal. Other than that, the first or second special image is generated by the same method as in the first embodiment.

[Fourth Embodiment]
In the fourth embodiment, instead of the insertion-type endoscope 12 and the light source device 14, a swallowable capsule endoscope is used to generate an RGB image signal necessary for generating a normal image, a first or second special image. To get.

  As shown in FIG. 24, a capsule endoscope system 300 according to the fourth embodiment includes a capsule endoscope 302, a transmission / reception antenna 304, a capsule receiving device 306, a processor device 16, and a monitor 18. . The capsule endoscope 302 includes an LED 302a, an image sensor 302b, an image processing unit 302c, and a transmission antenna 302d. The processor device 16 is the same as that in the first embodiment. However, in the fourth embodiment, a mode switching SW 308 for switching to the normal observation mode, the first special observation mode, and the second special observation mode is newly provided. Yes.

  The LEDs 302 a emit white light, and a plurality of LEDs 302 a are provided in the capsule endoscope 302. Here, as the LED 302a, it is preferable to use a white LED or the like that includes a blue light source and a phosphor that emits fluorescence by converting the wavelength of light from the blue light source. An LD (Laser Diode) may be used instead of the LED. White light emitted from the LED 302a is illuminated on the observation target.

  The imaging sensor 302b is a color imaging sensor, images an observation target illuminated with white light, and outputs RGB image signals. Here, as the imaging sensor 302b, a CCD (Charge Coupled Device) imaging sensor or a CMOS (Complementary Metal-Oxide Semiconductor) imaging sensor is preferably used. The RGB image signal output from the imaging sensor 302b is processed by the image processing unit 302c so as to be a signal that can be transmitted by the transmission antenna 302d. The RGB image signal that has passed through the image processing unit 302c is wirelessly transmitted from the transmission antenna 302d to the transmission / reception antenna 304.

  The transmission / reception antenna 304 is attached to the body of the subject and receives the RGB image signal from the transmission antenna 302d. The transmission / reception antenna 304 transmits the received RGB image signal to the capsule receiver 306 wirelessly. The capsule receiving device 306 is connected to the receiving unit 53 of the processor device 16 and transmits the RGB image signal from the transmitting / receiving antenna 304 to the receiving unit 53.

  In the above embodiment, four colors of light having an emission spectrum as shown in FIG. 3 are used, but the emission spectrum is not limited to this. For example, as shown in FIG. 25, the green light G and the red light R have the same spectrum as in FIG. 3, while the violet light Vs has a center wavelength of 410 to 420 nm. The light may have a wavelength range slightly longer. The blue light Bs may be light having a central wavelength of 445 to 460 nm and a wavelength range slightly shorter than the blue light B in FIG.

  In the above embodiment, the first special image processing unit 64a performs the first process based on the B / G ratio and the G / R ratio, and the first processed B / G ratio and G / R ratio are polar coordinates. The conversion is converted to a radial radius r and an angle θ, and the second process is performed based on the converted radial radius r and the angle θ. Thereafter, the B / G ratio and the G / R ratio are restored again. As shown in FIG. 26, the first and second processes or the third and fourth processes are directly performed from the B / G ratio and the G / R ratio using the two-dimensional LUT400 without performing polar coordinate conversion or the like. The B / G ratio and the G / R ratio may be converted.

  The two-dimensional LUT 400 is obtained by performing the B / G ratio, the G / R ratio, and the first and second processes (or the third and fourth processes) based on the B / G ratio and the G / R ratio. The first and second processed (or third and fourth processed) B / G ratio and G / R ratio are stored in association with each other. Note that the second special image processing unit 64b may perform the same processing as described above using a two-dimensional LUT. Further, the first RGB image signal output from the inverse gamma conversion unit 70 is input to the two-dimensional LUT 400. Alternatively, as in the above embodiment, the first RGB image signal may be input to the RGB conversion unit 77.

  In the above-described embodiment, the angle θ is changed in the second process so that the first range and the third range are separated from each other. However, in other methods, the first range and the third range are mutually separated. You may make it leave. For example, the radius r may be changed so that the first range and the third range are separated from each other, and both the radius r and the angle θ are changed so that the first range and the third range are changed. They may be separated from each other. In the fourth process, the coordinates of the first range may be moved while maintaining the coordinates of the third range.

  In the above embodiment, the B / G ratio and the G / R ratio are obtained from the first RGB image signal, and the feature space is formed by the obtained B / G ratio and G / R ratio. However, in the case of a narrowband signal obtained from narrowband light having a narrow wavelength band (for example, light having a half-value width of 20 nm), the wavelength band exceeds a wideband light (for example, having a half-value width of 20 nm). The difference between the first range and the second range on the feature space and the difference between the first range and the third range are larger than in the case of a broadband signal obtained from light. Here, the narrow band light includes the “purple light V” and “blue light B” of the first embodiment, and includes the “blue laser light” or “blue violet laser light” of the second embodiment, The “blue narrowband light” of the third embodiment is included, and the “blue light source light” of the fourth embodiment is included.

  In FIG. 27, “Xn” indicates the second range when the first B image signal is a narrowband signal, and “Xb” indicates the second range when the first B image signal is a wideband signal. . Comparing “Xn” and “Xb”, “Xn” is located below “Xb” in the feature space. “Yn” indicates a third range when the first B image signal is a narrowband signal, and “Yb” indicates a third range when the first B image signal is a wideband signal. Comparing “Yn” and “Yb”, “Yn” is located below “Yb” in the feature space.

  As shown in FIG. 27, the difference D12n between the average value AXn of “Xn” and the average value AR1 of the first range is larger than the difference D12b between the average value AXb of “Xb” and the average value AR1 of the first range. The difference D13n between the average value AYn of “Yn” and the average value AR1 of the first range is larger than the difference D13b between the average value AXb of “Yb” and the first range AR1. As described above, if the 1B image signal is a narrow-band signal, the difference between the first range and the second and third ranges is already large before performing the process of expanding / compressing them. . By performing the expansion / compression process on the first to third ranges in such a state, the difference between the normal part and the atrophy part can be displayed more clearly.

  By making the first G image signal a narrow band signal, the difference between the first range and the second range and the difference between the first range and the third range can be obtained as described above. It can be made larger than in the case of. Furthermore, as described above, the first B image signal or the first G image signal is not limited to the narrowband signal, but the image signal of at least one color of the first RGB image signals is changed to the narrowband signal, The difference between the first range and the second range and the difference between the first range and the third range can be made larger than when the first RGB image signals are all wideband signals. As described above, the narrowband signal includes a signal obtained from the spectral estimation process described in Japanese Patent Laid-Open No. 2003-93336 in addition to the signal obtained from the narrowband light.

  The present invention is applicable to various medical image processing apparatuses in addition to the processor apparatus incorporated in the endoscope system as in the first to third embodiments and the capsule endoscope system as in the fourth embodiment. It is possible to apply.

10, 100, 200 Endoscope system 16 Processor device (medical image processing device)
72 Signal Ratio Calculation Unit 64a First Special Image Processing Unit 64b Second Special Image Processing Unit 73 Parallel Movement Unit 75 Angle Expansion / Compression Unit 77 RGB Conversion Unit (Color Image Signal Conversion Unit)
81 Radial expansion / compression unit 82 Brightness adjustment unit

Claims (12)

An image signal input processing unit for performing input processing on the first color image signal;
A signal ratio calculator that calculates a first signal ratio between two color image signals of the first color image signal and a second signal ratio between two color image signals different from the first signal ratio;
In a feature space formed by the first signal ratio and the second signal ratio, a specific range of any one of a first range, a second range, and a third range in which observation objects in the subject are distributed A first process for moving the coordinates of the first to third ranges to move the coordinates into a reference range defined in the feature space; and the first to third ranges other than the specific range A second process for moving two ranges other than the specific range to move the two ranges apart from each other in the feature space, wherein the specific range is selected from the first to third ranges. A first movement processing unit that performs a second process of changing the angles of the coordinates of the two ranges other than the range and moving the coordinates of the two ranges away from each other ;
Equipped with a,
The medical image processing apparatus in which a normal part is distributed in the first range, and an abnormal part is distributed in the second range and the third range .   The medical image processing apparatus according to claim 1, wherein in the first process, the coordinates of the first to third ranges are translated. The reference range, said comprises the origin of the feature space, and medical image processing apparatus of a is claim 1 or 2, wherein a range not including the first range and the third range. In the feature space, a third process is performed to move the coordinates of the second range to the reference range, and a process is performed to move the third range while maintaining the coordinates of the first range. fourth processing a medical image processing apparatus of claims 1 to 3 any one of claims comprising a second movement process unit for performing. In the third process, the coordinates of the second range are moved so that the saturation of the second special image obtained from the first and second signal ratios after the third and fourth processes decreases, The medical image processing apparatus according to claim 4 , wherein in the fourth process, the coordinates of the third range are moved so that the hue of the second special image changes. The first signal ratio and the second signal ratio after the first and second processing are converted into a second color image signal, or the first and second signal ratios after the third and fourth processing are converted into a second color image. A color image signal conversion unit for converting into a signal;
A brightness adjustment unit that adjusts a pixel value of the second color image signal from the first brightness information obtained from the first color image signal and the second brightness information obtained from the second color image signal. The medical image processing apparatus according to claim 4 or 5 . In the feature space, when the image signal of at least one color among the first color image signals is a narrow band signal, the difference between the first range and the second range is that all the first color image signals are in a wide band. A difference between the first range and the second range when the signal is a signal, or the first range when an image signal of at least one color of the first color image signals is a narrowband signal; The medical use according to any one of claims 1 to 6 , wherein a difference from the third range is larger than a difference between the first range and the third range when the first color image signals are all wideband signals. Image processing device. The medical image processing apparatus according to any one of claims 1 to 7, wherein the first signal ratio has a correlation with a blood vessel depth, and the second signal ratio has a correlation with a blood volume. The medical image processing apparatus according to claim 8, wherein the first signal ratio is a B / G ratio and the second signal ratio is a G / R ratio. 10. The medical image processing apparatus according to claim 1, wherein atrophy mucosa is distributed in the second range, and deep blood vessels that are seen through with the atrophy are distributed in the third range. A medical image processing apparatus according to claim 4 ;
A first special image obtained from the first and second signal ratios after the first and second processing and a second special image obtained from the first and second signal ratios after the third and fourth processing are displayed. A display unit;
An endoscope system comprising: An image input processor that performs input processing on the first color image signal;
A signal ratio calculating unit calculating a first signal ratio between two color image signals of the first color image signal and a second signal ratio between two color image signals different from the first signal ratio; ,
In the feature space formed by the first signal ratio and the second signal ratio, the first movement processing unit is any one of the first range, the second range, and the third range in which observation objects in the subject are distributed. A first process for moving the coordinates of the first to third ranges to move the coordinates of the one specific range into a reference range defined in the feature space; and the first to third ranges. A second process for moving two ranges other than the specific range to move the two ranges other than the specific range apart from each other in the feature space. by changing the angle of the coordinates of the two ranges other than the specific range of the third range, chromatic and performing a second process of the two ranges of coordinates is moved away from each other,
The operation method of the medical image processing apparatus in which the normal range is distributed in the first range, and the abnormal range is distributed in the second range and the third range .

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