WO2005053539A1 - 超音波診断装置 - Google Patents
超音波診断装置 Download PDFInfo
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- WO2005053539A1 WO2005053539A1 PCT/JP2004/017746 JP2004017746W WO2005053539A1 WO 2005053539 A1 WO2005053539 A1 WO 2005053539A1 JP 2004017746 W JP2004017746 W JP 2004017746W WO 2005053539 A1 WO2005053539 A1 WO 2005053539A1
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Classifications
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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
- A61B8/06—Measuring blood flow
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00002—Operational features of endoscopes
- A61B1/00043—Operational features of endoscopes provided with output arrangements
- A61B1/00045—Display arrangement
- A61B1/0005—Display arrangement combining images e.g. side-by-side, superimposed or tiled
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/04—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/13—Tomography
-
- 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
- A61B8/52—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/5215—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves involving processing of medical diagnostic data
- A61B8/5238—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves involving processing of medical diagnostic data for combining image data of patient, e.g. merging several images from different acquisition modes into one image
-
- 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
- A61B8/4405—Device being mounted on a trolley
-
- G—PHYSICS
- G09—EDUCATION; CRYPTOGRAPHY; DISPLAY; ADVERTISING; SEALS
- G09G—ARRANGEMENTS OR CIRCUITS FOR CONTROL OF INDICATING DEVICES USING STATIC MEANS TO PRESENT VARIABLE INFORMATION
- G09G2360/00—Aspects of the architecture of display systems
- G09G2360/06—Use of more than one graphics processor to process data before displaying to one or more screens
-
- G—PHYSICS
- G09—EDUCATION; CRYPTOGRAPHY; DISPLAY; ADVERTISING; SEALS
- G09G—ARRANGEMENTS OR CIRCUITS FOR CONTROL OF INDICATING DEVICES USING STATIC MEANS TO PRESENT VARIABLE INFORMATION
- G09G2380/00—Specific applications
- G09G2380/08—Biomedical applications
-
- G—PHYSICS
- G09—EDUCATION; CRYPTOGRAPHY; DISPLAY; ADVERTISING; SEALS
- G09G—ARRANGEMENTS OR CIRCUITS FOR CONTROL OF INDICATING DEVICES USING STATIC MEANS TO PRESENT VARIABLE INFORMATION
- G09G5/00—Control arrangements or circuits for visual indicators common to cathode-ray tube indicators and other visual indicators
- G09G5/14—Display of multiple viewports
Definitions
- the present invention relates to an ultrasonic diagnostic apparatus, and particularly relates to an endoscopic optical image in a body cavity, an ultrasonic tomographic image, and a blood flow dynamic image (information) generated by an ultrasonic endoscope.
- the present invention relates to an ultrasonic diagnostic apparatus which can be freely combined and displayed on a monitor in response to the demand of the present invention.
- Conventional force Irradiates an ultrasonic pulse into a subject, receives a reflected wave of the ultrasonic pulse reflected from a tissue in the subject, performs predetermined signal processing on the received reflected wave signal, An ultrasonic diagnostic apparatus for obtaining a tissue tomographic image is used in the medical field.
- the ultrasonic diagnostic apparatus uses an ultrasonic pulse projected on a moving part to change the frequency of a reflected wave depending on the moving speed of a moving body.
- the Doppler function of observing the blood flow dynamics in a subject using the transferred Doppler effect is also used.
- a tomographic image of a living tissue in a subject and a blood flow dynamic image are simultaneously displayed on a monitor, so that the observed blood flow dynamics is obtained. It is easy to understand the position of the image (information) in the subject.
- an endoscope that inserts an insertion portion into the subject, obtains an optical image of the subject, and diagnoses the inside of the subject. Diagnosis of the inside of the subject by this endoscope was only surface information inside the inserted subject, and it was not possible to clearly observe the degree of progress of tumors and the like to the deep part. In order to observe such deep information, an ultrasonic endoscope provided with an ultrasonic transducer at the tip of the endoscope has been used.
- Diagnosis of the inside of the subject is performed by the ultrasonic endoscope, wherein an endoscopic optical image of the inside of the subject by an observation optical system provided at the distal end portion of the insertion portion inserted into the subject, and an ultrasonic wave. It is now possible to perform both images with ultrasonic tomographic images of the deep part of living tissue irradiated by the transducer.
- the ultrasound endoscope utilizes the above-mentioned Doppler function to provide It has become possible to observe the blood flow dynamics in the deep part of the specimen in real time.
- the endoscope optical image in the subject which is rich in color change
- a deep ultrasonic tomographic image expressed by black and white gradation and red and blue colors
- Diagnosis is now possible including blood flow dynamic images (information) expressed in colors based on
- a color temperature is set in accordance with a color tone in a body cavity.
- a tomographic image in the depth direction of a portion to be measured is expressed as a black-and-white gradation image, and the direction and speed of blood flow are displayed in a Doppler mode by coloring. .
- an ultrasonic endoscope combines an ultrasonic diagnostic device that generates an ultrasonic tomographic image and an endoscope video processor that generates an endoscopic image.
- the generated ultrasonic tomographic image and the endoscope optical image generated by the endoscope video processor are displayed on respective individual monitors.
- an endoscope image monitor 1, an endoscope video processor 2, and an endoscope light source 3 are mounted on an endoscope system trolley 4,
- An acoustic endoscope X is connected to the endoscope video processor 2 and the endoscope light source 3.
- a monitor 5 for ultrasonic images and an ultrasonic diagnostic apparatus 6 are mounted on a trolley different from the trolley 4 for an endoscope system, and the ultrasonic endoscope X includes: It is also connected to the ultrasonic diagnostic equipment 6.
- the ultrasonic endoscope X irradiates the illumination light from the endoscope light source 3 from the distal end of the insertion section, and the inside of the subject illuminated by this illumination light is provided at the distal end of the insertion section.
- System and a solid-state imaging device provided at the focal position of the objective optical system, and subjecting the imaging signal to predetermined signal processing in the endoscope video processor 2,
- the endoscope image is displayed on the endoscope image monitor 1 as an endoscope image.
- the ultrasonic endoscope X receives an ultrasonic wave that is returned by transmitting an ultrasonic wave to the ultrasonic vibrator provided at the distal end of the insertion section by driving control of the ultrasonic diagnostic apparatus 6, and receives the ultrasonic wave.
- the obtained ultrasonic signal is subjected to a predetermined signal processing so that an ultrasonic tomographic image is displayed on the ultrasonic image monitor 5.
- the force described when the ultrasonic endoscope X having the ultrasonic vibrator provided at the distal end portion of the insertion portion is applied uses the forceps channel of the endoscope (not shown).
- an ultrasonic probe having a built-in ultrasonic transducer for inserting and projecting the distal end force of the insertion portion may be used.
- the shape of the ultrasonic transducer is not shown, but may be composed of a plurality of ultrasonic transducers.
- the shape of the ultrasonic transducer may be a fan type, a linear type, a radial type, or the like.
- the operator when the operator inserts the insertion portion of the ultrasonic endoscope into the subject, the operator displays the endoscopic image displayed on the endoscope image monitor 1. Perform the insertion operation while checking the optical image of the endoscope.
- the endoscope optical image displayed on the endoscope image monitor 1 confirms that the distal end of the insertion portion of the ultrasonic endoscope has reached the observation target site, the operator performs the above-described operation.
- the ultrasonic diagnostic device 6 drives the ultrasonic transducer to generate an ultrasonic tomographic image, and moves the line of sight to the ultrasonic sectional image displayed on the ultrasonic image monitor 5, Diagnosis and observation using tomographic images are performed. For this purpose, the surgeon moves his / her gaze to the endoscopic image monitor 1 displaying the endoscopic optical image and the ultrasonic image monitor 5 displaying the ultrasonic cross-sectional image during endoscopic observation. The burden on the prescriber during endoscopic observation.
- the endoscope video processor 2 and the ultra The video output cable of the ultrasound diagnostic device 6 is connected to the same monitor via a switch, and the connection is switched by disconnection so that the endoscope optical image and the ultrasonic tomographic image are displayed on the same monitor, and the operator's The burden of gaze movement is also reduced.
- the image is drawn with the ultrasonic tomographic image. Switching is necessary to confirm on the optical image whether the projected part is the part intended for diagnosis. As a result, in this method, the work of confirming the target diagnosis site requires frequent switching, and thus the diagnosis time becomes longer.
- the endoscope optical image is a vivid color image
- the ultrasonic tomographic image is a black-and-white image expressed in black and white gradations
- the image (information) is a color image that changes at each stage. In order to make a diagnosis under these images, it is necessary for each image to be displayed on a monitor with the optimum image quality.
- each image is displayed on the monitor.
- the image quality is adjusted based on one of the images, so that the image quality of other images may not be optimized.
- the ultrasonic tomographic image and the endoscope optical image are simultaneously displayed as described above, the corresponding image quality adjustment on the monitor determines whether the ultrasonic tomographic image or the endoscope optical image! The priority is given to the adjustment of the image quality, and either the ultrasound image or the endoscope image displayed on the monitor is optimally adjusted, so it is difficult to make a diagnosis depending on the diagnosis. Image, which was a burden on the preacher.
- the present invention has been made in view of such circumstances, and enables an endoscope optical image, an ultrasonic tomographic image, and a blood flow dynamic image to be displayed on the same monitor.
- the operator can select the display position and size of these images, and each image displayed on the monitor can be adjusted and displayed to the optimal image quality, making it possible to diagnose with the optimal display image for the operator
- the ultrasonic diagnostic apparatus transmits an ultrasonic wave into a subject, receives a reflected wave from a living tissue, obtains an ultrasonic tomographic image and a blood flow dynamic image in the subject, and Obtaining an optical image in the subject, the ultrasonic tomographic image in the subject, the blood flow dynamic image, Or in an ultrasonic diagnostic apparatus for displaying the endoscope optical image on a monitor, a first area display means for displaying any of the ultrasonic tomographic image and the endoscope optical image on a display screen of the monitor.
- a second area display means for displaying the endoscope optical image on a part of the display screen of the monitor; a third area display means for displaying the blood flow dynamic image on the monitor display screen;
- the one-area display means, the second-area display means, and the third-area display means include display image recognition means for recognizing image information displayed on the monitor, and each of the area display means designates an image to be displayed on the monitor. And a display image indicating means.
- the ultrasonic diagnostic apparatus of the present invention transmits an ultrasonic wave into a subject, receives a reflected wave from a living tissue, obtains an ultrasonic tomographic image and a blood flow dynamic image in the subject, and An ultrasonic diagnostic apparatus that also obtains an optical image in the subject and displays the ultrasonic tomographic image, the blood flow dynamic image, or the endoscope optical image in the subject on a monitor; First region display means for displaying a difference between the ultrasonic tomographic image or the endoscope optical image on a screen, and a second area display means for displaying the endoscope optical image on a part of a display screen of the monitor.
- Area display means third area display means for superimposing the blood flow dynamic image on the ultrasonic tomographic image displayed on the display screen of the monitor, and the monitor by the first area display means.
- FIG. 1 is a block diagram showing the overall configuration of a conventional ultrasonic diagnostic apparatus.
- FIGS. 2 to 5 relate to a first embodiment of the present invention
- FIG. 1 is a block diagram showing a configuration of the first embodiment of the ultrasonic diagnostic apparatus.
- FIG. 3 is a block diagram showing a configuration of an image generating unit in the ultrasonic diagnostic apparatus shown in FIG. 2.
- FIG. 4 is an explanatory diagram for explaining a display example of an image displayed on a monitor.
- (A) and (B) show examples in which only the first display area is displayed, and (C) shows an example in which the first display area is displayed.
- An example in which the second display area is displayed (D) is an example in which the first display area and the third display area are displayed, and (E) is an example in which the first display area, the second display area, and the third display area are displayed.
- FIG. 7 is an explanatory diagram showing an example of a case where all are displayed.
- FIG. 5 is a flowchart illustrating an operation of an image generation unit.
- FIG. 6 is a block diagram illustrating the ultrasonic diagnostic apparatus.
- FIG. 7 is a block diagram showing an image synthesizing unit.
- FIG. 8 is an explanatory diagram for explaining a CIE color temperature.
- Figure 9 shows the scale mapping of a color flow image.
- FIG. 10 to FIG. 13 relate to a third embodiment of the present invention
- FIG. 10 is a block diagram showing an ultrasonic diagnostic apparatus.
- FIG. 11 is an explanatory diagram showing a correspondence between a memory map and a screen according to the third embodiment.
- FIG. 12 is a flowchart illustrating a control method.
- FIG. 2 to 5 relate to the first embodiment of the ultrasonic diagnostic apparatus of the present invention
- FIG. 2 is a block diagram showing the configuration of the ultrasonic diagnostic apparatus
- FIG. 3 is a block diagram showing the configuration of the image generating unit in FIG.
- FIG. 4 is an explanatory diagram for explaining a display example of an image displayed on a monitor
- FIG. 5 is a flowchart for explaining the operation of the image generating unit.
- the ultrasonic diagnostic apparatus includes an ultrasonic probe 10, a switching circuit (indicated as MUX in the figure, hereinafter referred to as MUX) 7, a transmitting unit 8, a receiving unit 9, an ultrasonic signal processing unit 11, an external image interface unit (hereinafter, referred to as MUX). External image IZF unit.) 12, an image generation unit 13, a monitor 15, a control unit 16, and an operation unit 14.
- MUX switching circuit
- the ultrasonic probe 10 is provided in an ultrasonic endoscope in which an ultrasonic transducer for transmitting and receiving ultrasonic waves together with an objective optical system is built in at the distal end portion of the endoscope insertion section, or an endoscope insertion section.
- an ultrasonic probe having an ultrasonic vibrator that transmits and receives ultrasonic waves at the distal end thereof is inserted into the body cavity, and is inserted into the body cavity to transmit ultrasonic waves from the body cavity to the living thread and tissue. It is to transmit and observe the tomography and blood flow dynamics of living tissue by reflected ultrasound.
- the MUX 7 switches the ultrasonic probe 10 to supply the ultrasonic transmitting drive signal from the transmitting unit 8 and the reflected ultrasonic signal from the ultrasonic probe 10 to the receiving unit 9.
- the transmission unit 8 generates and supplies an ultrasonic transmission drive signal to the ultrasonic probe 10 via the MUX 7.
- the receiving unit 9 receives the reflected ultrasonic signal from the ultrasonic probe 10 via the MUX 7, and amplifies the reflected ultrasonic signal into a signal having a predetermined value.
- the ultrasonic signal processing unit 11 performs predetermined signal processing on the reflected ultrasonic signal amplified by the receiving unit 9 to generate ultrasonic tomographic image data and blood flow dynamic information data.
- the external image IZF unit 12 uses an image signal generated by a solid-state image sensor incorporated in the objective optical system at the end of the endoscope insertion unit (not shown), using an image signal as shown in FIG. This is an interface for taking in endoscope optical image data generated by performing predetermined signal processing in an endoscope video processor.
- the image generation unit 13 generates an image to be displayed on the monitor 15 based on image data from the ultrasonic signal processing unit 11 and the external image IZF unit 12.
- the monitor 15 displays the image generated by the image generator 13.
- the control unit 16 controls the driving of the MUX 7, the transmitting unit 8, the receiving unit 9, the ultrasonic signal processing unit 11, and the image generating unit 13.
- the operation unit 14 instructs the control unit 16 to set an image to be processed in the ultrasonic signal processing unit 11, to select an image to be displayed on the monitor 15 in the image generation unit 13, and to select an image quality.
- the operator inputs adjustment instructions, etc.
- the MUX 7, the transmission unit 8, the reception unit 9, the ultrasonic signal processing unit 11, the image generation unit 13 is drive-controlled.
- the transmitting unit 8 is a B mode for obtaining an ultrasonic tomographic image for ultrasonic diagnosis input by an operator from the operation unit 14 or a blood flow mode for obtaining blood flow dynamics using the Doppler effect of ultrasonic waves.
- An ultrasonic transmission signal corresponding to the mode is generated and supplied to the ultrasonic probe 10 via the MUX 7.
- the ultrasonic probe 10 transmits an ultrasonic wave based on the ultrasonic transmission signal.
- the reflected ultrasound reflected by the living tissue is received by the ultrasound probe 10, converted into a reflected ultrasound signal, and output to the receiving unit 9 via the MUX 7. That is, under the control of the control unit 16, the MUX 7 supplies the ultrasonic transmission signal supplied from the transmission unit 8 to the ultrasonic probe 10, and receives the reflected ultrasonic wave generated by the ultrasonic probe 10. Switching of the supply of the signal to the receiving unit 9 is performed.
- the reflected ultrasonic signal supplied to the receiving unit 9 is amplified to a predetermined signal size and output to the ultrasonic signal processing unit 11.
- the ultrasonic signal processing unit 11 is configured to transmit an ultrasonic wave transmitted from the ultrasonic probe 10 based on the ultrasonic transmission signal from the transmission unit 8 to generate an ultrasonic tomographic image. Generate sonic tomographic image data and blood flow dynamic information data.
- the ultrasonic tomographic image data and the blood flow dynamic information data generated by the ultrasonic signal processing unit 11 are transferred to the image generating unit 13.
- the image generation unit 13 uses the endoscope optical image data from the external image IZF unit 12, the ultrasonic tomographic image data from the ultrasonic signal processing unit 11, and the blood flow dynamic information data to A display image signal of an image to be displayed on the monitor 15 is generated under the control of the control unit 16 in accordance with the display mode on the monitor 15 input by the operator from 14.
- the ultrasonic signal processing unit 11 includes the B-mode processing unit 17 that generates the ultrasonic tomographic image data, and the CFM processing unit 18 that generates the blood flow image data.
- the image generating unit 13 includes an endoscope image memory 19, an ultrasonic tomographic image memory 20, a Doppler image memory 21, a switching unit 22, a first area display memory 23, a second area display memory 24, and a third area.
- a display memory 25, a color correction unit 26, an image synthesis unit 27, and an image quality adjustment interlocking unit 46 are provided.
- the endoscope image memory 16 of the image generation unit 13 stores and stores the endoscope optical image data supplied from the external image IZF unit 12.
- the ultrasonic tomographic image memory 20 stores the ultrasonic tomographic data generated by the B-mode processing unit 17 of the ultrasonic signal processing unit 11.
- the Doppler image memory 21 stores and stores the blood flow dynamic information data generated by the CFM processing unit 18 of the ultrasonic signal processing unit 11.
- the switching unit 22 includes terminals a and d connected to the output of the endoscope image memory 19, terminals b and c connected to the output of the ultrasonic tomographic image memory 20, and a terminal for the Doppler image.
- the terminal e connected to the output of the memory 21, the terminal a and the terminal b are connected to the first area display memory 23, a contact piece x for switching, and the terminal c and the terminal d are connected to the second area display memory 24.
- the contact piece for switching is composed of a contact piece z for connecting / disconnecting the terminal e to / from the third area display memory 25.
- the first-first and third-region display memories 23 store image data from the endoscope image memory 19, the ultrasonic tomographic image memory 20, and the Doppler image memory 21 selected by the switching unit 22. It is intended to be temporarily stored.
- the first area display memory 23 stores image data of a first display area described later displayed on the monitor 15, and the second area display memory 24 stores second image data displayed on the monitor 15.
- the image data of the display area is stored, and the image data of the third display area, which will be described later and displayed on the monitor 15, is stored in the third area display memory 25.
- the color correction section 26 performs a color correction process on each of the image data stored in the first to third area display memories 23 to 25.
- the specific color correction processing of the color correction unit 26 will be described in detail.
- an endoscopic optical image shows that a lumen wall in a body cavity is mainly flesh-colored and white, redness is increased in a protruding portion, whitish in a portion with mucous membrane, and cautery.
- the parts are composed of various colors, such as black. Among them, the hue and saturation are adjusted in the direction of green so that the red in the raised part is emphasized.
- a deep structure is displayed in black and white gradation.
- the portion and the wall containing a lot of blood are displayed in white, and the lumen such as a blood vessel is blackened.
- the gradation change of each color is made constant and the luminance change is changed linearly so that various structures can be expressed by such gradation expression.
- gamma curve correction according to the input signal level is also performed here.
- the direction of the blood flow is distinguished between red and blue.
- the presence or absence of blood flow is represented by orange gradation.
- the color is corrected so that the change in the color tone of red, blue and orange does not mix with other colors.
- the gamma curve is corrected.
- color correction section 26 has been described so that the first-third area display memories 23-25 correct the image quality of all the image data, only the image data of the image to be displayed on the monitor 15 is described. Color correction may be performed, or color correction processing may be performed for each individual image data in the first to third area display memories 23-25.
- the image synthesizing unit 27 converts each of the image data subjected to the color correction processing in the color correction unit 26 into an analog image signal, and synthesizes each analog image signal. A display image signal to be displayed is generated.
- the image generation unit 13 is drive-controlled by the control unit 16, at least the driving of the switching unit 22, the color correction unit 26, and the image synthesis unit 27 Drive control is performed by the control unit 16. Further, the image data storage / storage detecting means for detecting that the respective image data is stored in the endoscope image memory 19, the ultrasonic tomographic image memory 20, and the Doppler image memory 21 is shown.
- the image data storage / storage detection information from the image data storage / storage detection means may be provided so that the storage of the image data can be recognized.
- FIG. 4 shows a list of proposed images that can be displayed by the switching combination of the switching unit 22 shown in FIG.
- FIGS. 4A and 4B are examples in which only the first display area is displayed.
- FIG. 4 (A) shows an ultrasound diagnostic image
- FIG. 4 (B) shows an endoscope image on the entire monitor. This is displayed by the image data stored in the.
- FIG. 4C shows an example in which the first display area and the second display area are displayed.
- FIG. 4D shows an example in which the first display area and the third display area are displayed.
- an ultrasonic tomographic image is displayed in the first display area and a CFM image is displayed in the third display area
- the image data stored in the first display area memory 23 in FIG. 3 is displayed on the entire monitor.
- the image data stored in the third display area memory 25 is displayed in a limited area on the first display area.
- FIG. 4E shows an example in which the first display area, the second display area, and the third display area are all displayed.
- the monitor 15 has a first display area 28 for displaying an image on the entire display surface, a second display area 29 for displaying a reduced image on a part of the display surface, and a display on the display surface. It has a third display area 30 that is displayed so as to be superimposed on the first display area.
- the image data of the image to be displayed on the first display area 28 of the monitor 15 is stored in the first area display memory 23, and the image data of the image to be displayed on the second display area 29 is Image data of an image stored in the two-region display memory 24 and displayed in the third display region 30 is stored in the third-region display memory 25.
- the ultrasonic tomographic image data stored in the ultrasonic tomographic image memory 20 is output to the first area display memory 23. Is temporarily stored.
- the ultrasonic tomographic image data stored in the first area display memory 23 is subjected to color correction processing in a color correction section 26, and is converted into an analog image signal in the image synthesis section 27. It is output to the monitor 15 and displays an ultrasonic tomographic image in the first display area 28 of the monitor 15 as shown in FIG.
- the endoscope optical image data stored and stored in the endoscope image memory 19 is output to the first area display memory 23. Is temporarily stored.
- the endoscope optical image data stored in the first area display memory 23 is subjected to color correction processing in a color correction section 26, and is converted into an analog image signal in the image synthesis section 27. 4B, the endoscope optical image is displayed in the first display area 28 of the monitor 15 as shown in FIG.
- the ultrasonic wave stored in the ultrasonic tomographic image memory 20 is stored.
- End tomographic image data The endoscope optical image data output from the child b via the contact piece x to the first area display memory 23, temporarily stored, and stored and stored in the endoscope image memory 19 is connected to the terminal d through the terminal d.
- the data is output to the second area display memory 24 via the piece y and is temporarily stored.
- the color correction section 26 performs color correction processing on the ultrasonic tomographic image data stored in the first area display memory 23 and the endoscope optical image data stored in the second area display memory 24.
- the image is converted into an analog image signal by the image synthesizing unit 27, a synthesized image signal including a first display area 28 and a second display area 29 is generated and output to the monitor 15, and is shown in FIG.
- the endoscope tomographic image is displayed on the first display area 28 of the monitor 15, and the endoscopic optical image is displayed on the second display area 29.
- the endoscope optical image data and the ultrasonic tomographic image data are replaced, and the motor 15 displays the endoscope optical image in the first display area 28 in a relationship opposite to the display state shown in FIG.
- an ultrasonic tomographic image can be displayed in the second display area 29.
- the ultrasonic wave stored in the ultrasonic tomographic image memory 20 is stored.
- the tomographic image data is output from the terminal b via the contact piece X to the first area display memory 23 and temporarily stored therein, and the blood flow dynamic information data stored and stored in the Dobler image memory 21 is supplied to the terminal.
- the data is output from e to the third area display memory 25 via the contact piece z, and is temporarily stored.
- the ultrasonic tomographic image data stored in the first area display memory 23 and the blood flow dynamic information data stored in the third area display memory 25 are subjected to color correction processing in a color correction unit 26.
- the image is converted into an analog image signal by the image synthesizing unit 27, and a synthesized image signal including a first display area 28 and a third display area 30 is generated and output to the monitor 15, as shown in FIG.
- a synthesized image signal including a first display area 28 and a third display area 30 is generated and output to the monitor 15, as shown in FIG.
- the endoscope tomographic image is displayed in the first display area 28 of the monitor 15 and the blood flow dynamic information is displayed in the third display area 30.
- the ultrasonic tomographic image memory The ultrasonic tomographic image data stored and stored in 20 is output from the terminal b via the contact piece X to the first area display memory 23, temporarily stored, and stored and stored in the endoscope image memory 19. ! Ru endoscope optical image The image data is output from the terminal c to the second area display memory 24 via the contact piece y and is temporarily stored therein, and is stored and stored in the Doppler image memory 21. It is output from e to the third area display memory 25 via the contact piece z, and is temporarily stored.
- the ultrasonic tomographic image data stored in the first area display memory 23, the endoscope optical image data stored in the second area display memory 24, and the third area display memory 25 are stored.
- the obtained blood flow dynamic information data is subjected to a color correction process in a color correction unit 26, converted into an analog image signal in the image synthesis unit 27, and converted into a first display region 28, a second display region 29, and
- a composite image signal composed of the third display area 30 is generated and output to the monitor 15, and as shown in FIG. 4E, the endoscope tomographic image and the second display area are displayed in the first display area 28 of the monitor 15.
- An endoscope optical image is displayed in an area 29, and blood flow dynamic information is displayed in a third display area 30.
- the drive control operation of the image generation unit 11 by the control unit 16 in the switching operation of the image displayed on the monitor 15 will be described with reference to FIG.
- the description of this operation is as follows.
- the first display area 28 of the monitor 15 displays an ultrasonic tomographic image and an endoscope optical image
- the second display area 29 displays an endoscope optical image.
- An example in which blood flow state information is displayed in the display area 30 will be described.
- control unit 15 When the control unit 15 starts driving the image generation unit 11 (step S1), the control unit 16 receives an instruction to input the force of the operation unit 14 in step S2. It is determined whether the image displayed in the first display area 28 is an endoscope optical image or an ultrasonic cross-sectional image.
- step S2 if it is determined that an endoscope optical image has been input, the control unit 16 connects the contact piece X of the switching unit 22 to the terminal a in step S4. Then, the endoscope optical image data of the endoscope image memory 19 is output to and stored in the first area display memory 23, and the color correction unit 26 is drive-controlled to provide the first area.
- the endoscope optical image data stored in the display memory 23 is subjected to color correction processing such as image luminance and hue correction corresponding to the endoscope optical image.
- step S5 the control section 16 controls the driving of the image synthesizing section 27 to convert the endoscope optical image data, which has been subjected to the color correction processing in step S4, into an analog image signal.
- step S4 display the endoscope optical image in the first display area 28 of the monitor 15 and return to step S2.
- the control unit 16 connects the contact piece X of the switching unit 22 to the terminal b in step S3, and The ultrasonic tomographic image data of the ultrasonic tomographic image memory 20 is output to and stored in the first area display memory 23, and the color correction unit 16 is drive-controlled and stored in the first area display memory 23.
- step S6 the control unit 16 drives and controls the image synthesizing unit 27 to convert the ultrasonic tomographic image data corrected in step S3 into an analog image signal.
- an ultrasonic tomographic image is displayed on the first display area 28 of the monitor 15.
- step S7 the control unit 16 determines whether an input instruction to display an image on the second display area 29 of the monitor 15 has been issued from the operation unit 14 or not. If it is determined in step S7 that the input instruction is not to display an image in the second display area 29, step S9 and subsequent steps are executed.
- step S7 when it is determined that the input instruction is to input an image to be displayed in the second display area 29, the control unit 16 connects the contact piece y of the switching unit 22 to the terminal d in step S8, and The endoscope optical image data of the mirror image memory 19 is output to and stored in the second area display memory 24, and is stored in the second area display memory 24 by driving and controlling the color correction unit 26.
- the endoscope image data is subjected to a color correction process corresponding to the endoscope optical image, and the image synthesizing unit 27 is drive-controlled to be converted into an analog image signal, as shown in FIG. 4 (C).
- the endoscope optical image is displayed on the second display area 29 of the monitor 15.
- step S9 the control unit 16 determines whether or not an input instruction to display an image on the third display area 30 of the monitor 15 has been issued from the operation unit 14. If it is determined in step S9 that the input instruction is not to display an image in the third display area 30, the process returns to step S2. In step S9, if it is determined that the input instruction is to display an image in the third display area 30, the control unit 16 connects the contact piece z of the switching unit 22 to the terminal e in step S10, and The blood flow kinetic information data of the memory 21 for output is output to and stored in the memory 25 for displaying the third area, and the color correction unit 26 is drive-controlled.
- the blood flow dynamic information data stored in the third area display memory 25 is subjected to color correction processing corresponding to the blood flow dynamic information, and further, the image synthesizing unit 27 is drive-controlled to obtain an analog image signal.
- the endoscope optical image is displayed in the third display area 30 of the monitor 15 as shown in FIG.
- the processing in steps S3 to S10 causes the monitor 15 to display the ultrasonic tomographic image in the first display area 28, the endoscope optical image in the second display area 29, and the third Hemodynamic information can be displayed simultaneously in the display area, and the brightness, hue, gradation, etc. of those images are corrected and displayed in an optimal state.
- the second area display memory 24 has a built-in compression unit (not shown) for reducing and displaying the endoscope optical image. Further, when the image data is smaller than the image display area, the third area display memory 25 may additionally have a correction unit for increasing the number of data.
- the color correction section 26 may additionally have a memory for storing color correction parameter data for storing correction data in accordance with the type of each image data.
- the color correction parameter data is processed by the color correction unit 26 in synchronization with the input of image display switching input from the operation unit 14 to the image generation unit 13 via the control unit 16. Is read out at an appropriate timing and applied.
- the left and right It may be moved up and down by the instruction of the operation unit 14.
- the second display area, the third display area May be individually moved to the left, right, up and down without being fixed to the position shown in the figure by the instruction of the operation unit 14. If the second display area and the third display area overlap, it may be possible to automatically move to a position where the second display area and the third display area do not overlap under the control of the image synthesizing section 27 by setting the operation section 14 !.
- the color correction parameter data is synchronized with the input of the image display switching command from the operation unit 14 of FIG. 2 to the image generation unit 13 of FIG. 2 via the control unit 16 of FIG. 3 can be switched at appropriate timing so that it can be applied to the image data You may make it do.
- an image quality adjustment interlocking unit 46 is provided so that the color correction unit 26 switches the correction data corresponding to the switched image, and the color correction parameters are linked with the image switching. It may be replaced.
- FIG. 6 to 9 relate to the second embodiment of the ultrasonic diagnostic apparatus of the present invention
- FIG. 6 is a block diagram illustrating the ultrasonic diagnostic apparatus
- FIG. 7 is a block diagram illustrating an image synthesizing unit
- FIG. 8 is a CIE color image.
- FIG. 9 is an explanatory diagram for explaining temperature
- FIG. 9 is a scale mapping of a color flow image.
- the MUX (switching circuit) 7, the transmission unit 8, the reception unit 9, the ultrasonic probe 10, the ultrasonic signal processing unit 11, the operation unit 14, the monitor 15, and the control unit 16 are the same as those in the first embodiment shown in FIG. Is the same. What is added and changed from the configuration of the first embodiment is the image synthesizing unit and the color correction data memory.In the second embodiment, the image synthesizing unit with external input 51 and the color correction data memory 52 are changed and added. Have been.
- an ultrasonic wave is transmitted and received from the ultrasonic probe 10 via the control unit 16 using the transmission unit 8 and the reception unit 9 in accordance with an instruction from the operation unit 14,
- the operation is the same as that of the first embodiment up to the point where the obtained ultrasonic echo data is used to generate ultrasonic tomographic image data and blood flow dynamic data in the ultrasonic signal processing unit 11.
- the ultrasonic tomographic image data and the blood flow dynamic data output from the ultrasonic signal processing unit 11 are digital video data conforming to the ITU REC656 standard and the like.
- the ultrasonic tomographic image data and the blood flow dynamic data obtained from the ultrasonic signal processing unit 11 are taken into the image synthesizing unit 51 with external input.
- the image combining unit with external input 51 fetches an endoscope image signal from the external image input terminal 53.
- the endoscope image signal, the ultrasonic tomographic image, and the blood flow dynamic data captured by the image synthesizing unit with external input 51 are combined with the motor shown in FIGS. 4 (A) to 4 (E). Display at 15.
- the image combining unit with external input 51 shown in FIG. 7 includes an external video input terminal 53, an external video signal conversion unit 31, an image processor 32, and a video data conversion unit 33.
- Endoscope video is input from external video input terminal 53 having terminals for multiple types of video signals Then, the external video signal conversion unit 31 captures the video signal in a plurality of types of video signal formats, and the external video signal conversion unit 31 converts the video signal into digital data according to the ITU REC601 / 656 standard and outputs the digital data. The converted external video data is input to the image processor 33.
- the ultrasonic tomographic image data and the blood flow state data output from the ultrasonic signal processing unit 11 shown in FIG. 6 are input to the image processor 32 as they are.
- the image processor 32 can obtain output image data as shown in FIGS. 4 (A) to 4 (E) from external video data as an endoscope image, ultrasonic tomographic image data, and blood flow dynamic data. The following processing is performed.
- the image processor 32 has a function of correcting the effect of the color temperature of the monitor. This processing will be described. It is generally known that when the color temperature of the monitor is low, the displayed image is reddish.
- FIG. 8 shows a chromaticity diagram of a general CIE. According to Fig. 8, when the color temperature is set low, it is considered that the color shifts to the red direction, and the color of the image data to be displayed is shifted to the color assumed when displayed on the monitor. That is, it is only necessary to set a bright color.
- Fig. 9 shows an example of the color scale during Doppler.
- the color temperature of the monitor is set low, when the fast current is positive as shown in Fig. 9 (A), the setting of red and orange is changed to orange and yellow as shown in Fig. 9 (B).
- the result displayed on the monitor is as shown in Fig. 9 (A), and even if the endoscopic images are combined, the blood flow dynamics can be displayed in the color intended by the operator.
- the image processor 32 includes the adjustment functions such as the hue and saturation described in the first embodiment, and the function of setting which image is to be displayed in the display area illustrated in FIG. The description is omitted here.
- Various parameters used in the image adjustment function described above are shown in FIG. 6 and stored in the color correction data memory 52.
- the image output data obtained by the image processor 32 is input to the video data conversion unit 33, and a plurality of types of video signal formats are provided. (For example, a composite signal, a YZC signal, and an RGB signal), output from the external input image synthesizing unit 51, and display the image on the display unit 15.
- Example 3 10 to 13 relate to the third embodiment of the present invention
- FIG. 10 is a block diagram showing an ultrasonic diagnostic apparatus
- FIG. 11 is an explanatory diagram showing correspondence between a memory map and a screen in the third embodiment
- the ultrasonic diagnostic apparatus of this embodiment includes an external image IZF unit 34, an ultrasonic signal processing unit 35, and an image generation unit 36.
- the external image IZF unit 34 has a data converter 37 and a data sending unit 38.
- the ultrasonic signal processing unit 35 has a B-mode processing unit 39, a CFM processing unit 40, and an ultrasonic data transmission unit 41.
- the image generating unit 36 includes a data receiving unit 42, a CPU 43, a memory 44, and an image output unit 45.
- means for controlling transmission / reception for Doppler and transmission / reception for B mode from the transmission and reception of the ultrasonic signal to the ultrasonic probe force until detection of the received ultrasonic signal are omitted. are doing.
- the endoscope image signal is input to the external image IZF unit 34, and is converted into video data by the data converter 27 .
- the converted video data is input from the data transmission unit 38 to the data reception unit 42 of the image generation unit 36, and is stored in the memory 44 via the internal bus.
- the ultrasonic data obtained by transmitting and receiving the ultrasonic wave and detecting the received ultrasonic signal is input to the ultrasonic signal processing unit 35, and the ultrasonic tomographic image data is transmitted to the B-mode processing unit 39.
- the Doppler data is transferred to the CFM processing unit, the B-mode processing unit 39 outputs ultrasonic tomographic image data, the CFM processing unit outputs hemodynamic data, and is transferred to the ultrasonic data transmission unit 41. .
- the ultrasonic image data and the blood flow dynamic data are received from the ultrasonic data transmitting unit 41 to the data transmitting unit 42 of the image generating unit 36, and are stored in the memory 44 via the internal bus.
- the state of the data stored in the memory 44 is shown in FIG.
- the data area is divided corresponding to the display area shown in FIG.
- the data for the first display area For example, when displayed in the first display area, it is stored in the data for the first display area at address 10000000. If the next frame data arrives before the image data stored at address 10000000 has been read, it is stored at address 20000000 and a flag intended for this is set, so that the program for image processing can be executed. Will have to respond when reading the data of the next frame.
- the switching of the image in each display area is performed according to the stored data. This can be achieved by switching the data, and the hardware shown in the first embodiment eliminates the need for a memory switching unit. From this, the CPU knows which image is to be displayed in which area and the CPU performs color correction processing, so the CPU also knows the switching of correction processing in conjunction with image display.
- the third embodiment is an embodiment obtained by improving the first embodiment.
- the data stored in the memory 44 performs various image processings under the control of the CPU 43 and is output from the image processing unit 45 as a video signal.
- FIG. 12 is a flowchart illustrating the control method according to the present embodiment.
- initial settings are made in S12, it is determined whether or not an endoscope image has been input in S13, and if it has been input, an ultrasonic transmission / reception processing step S23 and an endoscope image
- the process proceeds to step S32 for converting a video signal of an image into video data, and to an ultrasonic image alone, proceeds to an ultrasonic transmission / reception step S14.
- an ultrasonic transmission / reception process is performed in S 14, and the power of the ultrasonic tomographic image, the ultrasonic tomographic image, and the blood flow are displayed on the monitor in S 15. It is determined whether or not the image is combined with the image. If only the ultrasonic tomographic image is used, only the mode processing is performed at 317. Performs B mode processing and CFM processing. The processing results are sent from the ultrasonic data sending unit to the image generating unit in S18, the data receiving unit receives the data in S19, and the data is sent from the data receiving unit to the memory in S20 as shown in FIG. 11 in S18.
- the data is transferred to the memory block corresponding to the display area, and the color correction processing of the data stored in the memory is performed by the CPU in S21.
- the color correction parameters to be used are stored in the memory in advance as shown in FIG.
- the data calculated in S22 is transferred to the image processing unit, and the image is output.
- step S32 the video signal of the endoscopic image is converted into video data
- step S33 the converted video data is transmitted from the data transmission unit to the image output unit of the image generation unit
- step S34 the data is transmitted from the data reception unit to the memory. The data is transferred to the memory block data corresponding to the display area shown in FIG.
- the color correction of various image data is performed by the CPU 40, and the processing allocation of the above-described flow may be made flexible depending on the processing capability of the CPU 40.
- the ultrasonic diagnostic apparatus performs color matching between an ultrasonic image and another image
- the synthesized image may be a CT image or a 3D navigation image.
- the ultrasonic diagnostic apparatus enables an operator to diagnose and observe an observation site from each image displayed on the screen of one monitor 15, The efficiency of diagnostic observation of the observation site by the ultrasonic endoscope is improved.
- the ultrasonic diagnostic apparatus can display the endoscope optical image, the ultrasonic tomographic image, and the blood flow dynamic information on the same monitor with the optimum image quality, and can display the image displayed on the monitor. Since the selection, combination, display position, size and the like can be freely set, the operation burden on the operator during ultrasonic diagnosis can be reduced, and the efficiency of ultrasonic diagnosis can be improved.
- an endoscopic optical image, an ultrasonic tomographic image, and a blood flow dynamic image are required for the operator at the time of examination on the same monitor. Since the required combinations can be displayed, the movement of the line of sight during the examination can be reduced, and the burden on the examination can be reduced, which is useful for observation and diagnosis inside the body cavity.
- the ultrasonic diagnostic apparatus of the present invention when switching between an ultrasonic tomographic image and an endoscope optical image, image quality adjustment (adjustment of image brightness and saturation) suitable for each image. Therefore, since the maximum gradation expression can be realized in each image quality display mode, diagnosis can be performed with high accuracy at the time of examination, which is useful for observation diagnosis in a body cavity.
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Abstract
Description
Claims
Priority Applications (3)
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EP04819811.3A EP1690497B1 (en) | 2003-12-02 | 2004-11-30 | Ultrasonographic device |
JP2005515922A JPWO2005053539A1 (ja) | 2003-12-02 | 2004-11-30 | 超音波診断装置 |
US11/445,840 US20070167754A1 (en) | 2003-12-02 | 2006-06-02 | Ultrasonic diagnostic apparatus |
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JP2003403698 | 2003-12-02 | ||
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US11/445,840 Continuation US20070167754A1 (en) | 2003-12-02 | 2006-06-02 | Ultrasonic diagnostic apparatus |
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WO (1) | WO2005053539A1 (ja) |
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- 2004-11-30 WO PCT/JP2004/017746 patent/WO2005053539A1/ja not_active Application Discontinuation
- 2004-11-30 JP JP2005515922A patent/JPWO2005053539A1/ja active Pending
- 2004-11-30 EP EP04819811.3A patent/EP1690497B1/en not_active Expired - Fee Related
-
2006
- 2006-06-02 US US11/445,840 patent/US20070167754A1/en not_active Abandoned
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JPH07194596A (ja) * | 1993-12-29 | 1995-08-01 | Olympus Optical Co Ltd | 超音波診断装置 |
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Cited By (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2008148956A (ja) * | 2006-12-19 | 2008-07-03 | Ge Medical Systems Global Technology Co Llc | 医用画像診断装置 |
JP2010005279A (ja) * | 2008-06-30 | 2010-01-14 | Fujinon Corp | 超音波内視鏡装置 |
JP2012213544A (ja) * | 2011-04-01 | 2012-11-08 | Hitachi Medical Corp | 医用画像表示装置 |
CN103202709A (zh) * | 2012-01-16 | 2013-07-17 | 株式会社东芝 | 超声波诊断装置、医用图像处理装置及医用图像并列显示方法 |
US10335118B2 (en) | 2012-01-16 | 2019-07-02 | Canon Medical Systems Corporation | Ultrasonic diagnostic apparatus, medical image processing apparatus, and medical image parallel display method |
JP2021013690A (ja) * | 2019-07-16 | 2021-02-12 | 富士フイルム株式会社 | 表示制御装置、超音波内視鏡装置、表示制御方法、表示制御プログラム、及び表示制御システム |
JP7191787B2 (ja) | 2019-07-16 | 2022-12-19 | 富士フイルム株式会社 | 表示制御装置、超音波内視鏡装置、表示制御方法、表示制御プログラム、及び表示制御システム |
Also Published As
Publication number | Publication date |
---|---|
EP1690497A4 (en) | 2010-10-06 |
EP1690497A1 (en) | 2006-08-16 |
EP1690497B1 (en) | 2017-02-22 |
US20070167754A1 (en) | 2007-07-19 |
JPWO2005053539A1 (ja) | 2007-12-06 |
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