WO2009151079A1 - Ultrasound diagnostic device and method for ultrasound contrast imaging by use of same - Google Patents

Ultrasound diagnostic device and method for ultrasound contrast imaging by use of same Download PDF

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Publication number
WO2009151079A1
WO2009151079A1 PCT/JP2009/060625 JP2009060625W WO2009151079A1 WO 2009151079 A1 WO2009151079 A1 WO 2009151079A1 JP 2009060625 W JP2009060625 W JP 2009060625W WO 2009151079 A1 WO2009151079 A1 WO 2009151079A1
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ultrasonic
focus depth
ultrasonic beam
focus
diagnostic apparatus
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PCT/JP2009/060625
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French (fr)
Japanese (ja)
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剛 木村
浩 栗原
達也 林
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株式会社 日立メディコ
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Priority to JP2010516870A priority Critical patent/JPWO2009151079A1/en
Publication of WO2009151079A1 publication Critical patent/WO2009151079A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/13Tomography

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  • the present invention relates to an ultrasonic diagnostic apparatus, and more particularly to an ultrasonic diagnostic apparatus capable of generating an ultrasonic tomographic image based on a reflected echo from an ultrasonic contrast agent administered to a subject and an ultrasonic contrast imaging method thereof. .
  • the ultrasonic diagnostic apparatus irradiates a subject with ultrasonic waves via a probe, receives a reflected echo signal generated from the subject, and generates an ultrasonic tomographic image based on the received reflected echo. .
  • the ultrasound contrast agent is formed with microbubbles.
  • Ultrasound contrast agents include high sound pressure contrast agents for generating tomographic images from reflected echoes generated by destroying contrast agents with relatively high sound pressure ultrasound, and relatively low sound pressure ultrasound. And a medium and low sound pressure contrast medium for generating a tomographic image from a reflection echo derived from a contrast medium without destroying the contrast medium.
  • contrast-enhanced echo using a medium-low sound pressure contrast agent the contrast agent that fills the entire observation site is destroyed by irradiating ultrasonic waves with high sound pressure, and the contrast agent is applied to the target region in the observation site.
  • a mode is used to observe the flow in, that is, recirculation.
  • Patent Document 1 there is no problem to select and destroy a contrast agent existing in the depth region of the observation site in the image and obtain an ultrasound contrast image in the depth region of the observation site. It was just breaking the contrast agent in a short time.
  • the contrast medium moves on the flow of body fluid such as blood, and thus it is necessary to repeatedly perform ultrasonic scanning multiple times. Since the time required for the observation of re-refluxing increases, the diagnostic efficiency may decrease.
  • An object of the present invention is to provide an ultrasonic diagnostic apparatus and an ultrasonic contrast imaging method capable of selecting and destroying a contrast agent administered to a subject and filling a depth region of an observation site.
  • An ultrasonic diagnostic apparatus of the present invention includes a probe that transmits and receives ultrasonic waves to and from a subject, a transmission unit that generates a transmission signal to be supplied to the probe, and a transmission signal that is generated by the transmission unit
  • the ultrasonic beam is controlled by ultrasonic scanning inside the subject to destroy the ultrasound contrast agent administered into the subject.
  • a control unit that changes a focus depth of the ultrasonic beam, an image generation unit that generates an ultrasonic tomographic image based on a reflected echo signal received by the probe in a state where the focus depth of the ultrasonic beam is changed, and the generation And an image display unit for displaying the ultrasonic tomographic image.
  • the ultrasonic contrast imaging method of the ultrasonic diagnostic apparatus of the present invention includes a first step of transmitting / receiving ultrasonic waves to / from a subject using a probe, and a transmission signal supplied to the probe by a transmitter And a control unit that performs a delay process on the transmission signal generated by the transmission unit to control the focus depth of the ultrasonic beam, and ultrasonically scans the inside of the subject.
  • a third step of changing a focus depth of the ultrasound beam when destroying the ultrasound contrast agent administered in the probe, and the probe in a state where the focus depth of the ultrasound beam is changed by an image generation unit And a fourth step of generating an ultrasonic tomographic image based on the reflected echo signal received by the above and a fifth step of displaying the generated ultrasonic tomographic image by an image display unit.
  • the probe transmits and receives ultrasonic waves to and from the subject
  • the transmission unit generates a transmission signal to be supplied to the probe
  • the control unit generates the transmission signal generated by the transmission unit.
  • the ultrasonic beam is controlled by ultrasonic scanning inside the subject to destroy the ultrasound contrast agent administered into the subject.
  • the image generation unit generates an ultrasonic tomographic image based on the reflected echo signal received by the probe in a state where the focus depth of the ultrasonic beam is changed, and the image display unit By displaying the generated ultrasonic tomographic image, it is possible to select and destroy the contrast agent administered to the subject and filling the depth region of the observation site.
  • an ultrasonic diagnostic apparatus and an ultrasonic contrast imaging method capable of selecting and destroying a contrast agent administered to a subject and filling a depth region of an observation site.
  • FIG. 1 is a block diagram showing the overall configuration of an ultrasonic diagnostic apparatus according to an embodiment.
  • 6 is a flowchart showing a first embodiment of an operation in a mode for observing reperfusion using a medium-low sound pressure contrast medium.
  • 12 is a flowchart showing a second embodiment of an operation in a mode for observing reperfusion using a contrast medium for medium and low sound pressures.
  • 12 is a flowchart showing a third embodiment of the operation in the mode for observing reperfusion using the medium and low sound pressure contrast medium.
  • FIG. 1 is a block diagram showing the overall configuration of the ultrasonic diagnostic apparatus of the present embodiment.
  • the ultrasonic diagnostic apparatus 10 includes a probe 1 that transmits and receives ultrasonic waves to and from a subject, a receiving unit 2 that performs reception processing on reflected echo signals from the subject, An image generation unit 3 that generates an ultrasonic tomographic image based on the reflected echo signal that has undergone reception processing, an image display unit 4 that displays the generated ultrasonic tomographic image, and a transmission signal that is supplied to the probe 1
  • the probe 1 has a plurality of transducers that transmit and receive ultrasonic waves to and from the subject, and is driven by ultrasonic pulses supplied from the transmission unit 5, and mechanically or electronically performs beam scanning. To do.
  • the reception unit 2 performs reception processing such as amplification on the reflected echo signal received by the probe 1.
  • the image generation unit 3 adjusts and adds the delay time of each channel so that the reflected echo signals of the multiple channels amplified by the reception unit 2 are in focus, and performs a filtering process such as a bandpass filter to obtain an ultrasonic tomogram Is generated.
  • the image display unit 4 is a monitor such as a CRT or a liquid crystal that displays the ultrasonic tomogram generated by the image generation unit 3 and various information.
  • the transmission unit 5 generates a transmission signal of a plurality of channels based on the control signal from the control unit 6 and supplies it to the probe 1.
  • the control unit 6 controls each block including the transmission unit 5. For example, when irradiating with ultrasonic waves to generate an ultrasonic tomographic image, control of which depth (distance from the probe) the formed ultrasonic beam is focused (transmission focus control) ). Specifically, an ultrasonic wave is generated from a plurality of transducers in the probe to generate an ultrasonic beam, and the waveform of the ultrasonic transmission signal supplied to each transducer and the generation time are controlled. To perform transmission focus control.
  • the operation unit 7 is various input interfaces such as a keyboard, a mouse, and a touch panel for an operator to set various conditions of the ultrasonic diagnostic apparatus.
  • FIG. 2 is a time chart for explaining the concept of the operation of the ultrasonic diagnostic apparatus of the present embodiment.
  • the reperfusion observation mode refers to a state in which the entire observation site (region where the ultrasonic tomographic image is generated) is filled with the contrast agent, and then ultrasonic waves with high sound pressure are used in the contrast agent destruction mode. Is a mode in which the entire contrast medium is destroyed by irradiating and the subsequent contrast medium flows into the target region in the observation site.
  • the ultrasonic transmission operation mode is roughly classified into a landscape agent observation mode for observing the contrast agent and a contrast agent destruction mode for destroying the contrast agent.
  • There are two means for switching between the two modes one manually performed by the operator and one automatically performed by the apparatus at a pre-programmed time.
  • the operator manually starts the contrast medium destruction mode. It shall be done in
  • the control unit 6 has a memory for storing transmission signal conditions, and stores conditions for the contrast medium observation mode and conditions for the contrast medium destruction mode.
  • This transmission signal condition is, for example, the frequency, wave number, amplitude, delay time, etc. of the transmission signal. These conditions are determined by conditions and devices set by the operator from the operation unit 7, conditions optimized by the probe, and the like.
  • the contrast agent observation mode is a condition that results in a relatively low sound pressure that does not destroy the contrast agent
  • the contrast agent destruction mode is a condition that results in a relatively high sound pressure that destroys the contrast agent.
  • the control section 6 controls the transmission section 5 under the contrast medium destruction mode conditions.
  • the transmitter 5 generates a transmission signal as a condition for the contrast agent destruction mode and supplies it to each transducer of the probe 1.
  • the ultrasonic wave is transmitted from the probe 1 to the subject, and the sound pressure is transmitted to the observation site. Destroy the filled contrast agent.
  • the ultrasonic diagnostic apparatus is characterized in that the ultrasonic contrast agent is efficiently destroyed for reperfusion observation of the ultrasonic contrast agent.
  • the details will be described below based on specific examples.
  • FIG. 3 is a flowchart showing a first embodiment of an operation in a mode for observing reperfusion using a medium-low sound pressure contrast medium.
  • the operator inputs and sets the focus depth and the number of frames at each focus depth, and the contrast agent is destroyed based on this setting.
  • a screen for setting a plurality of focus depths and the condition of the number of frames at each focus depth is displayed on the image display unit 4 (S1).
  • the operator inputs conditions via the operation unit 7 (S2).
  • Focus depth 120 mm, Number of frames: 7 frames
  • a contrast agent observation mode is set (S4).
  • the contrast agent observation mode as described above, ultrasonic scanning is performed with a relatively low sound pressure that does not destroy the contrast agent, and an ultrasonic tomographic image is generated and displayed.
  • the contrast medium destruction mode is set, and ultrasonic scanning is performed with a relatively high sound pressure that destroys the contrast medium (S6).
  • condition A ultrasonic scanning is performed with an ultrasonic beam adjusted so that the depth of focus is 30 mm until the number of frames becomes three. (S7, 8). In other words, ultrasonic scanning is performed three times.
  • condition B ultrasonic scanning is performed with the ultrasonic beam adjusted so that the depth of focus becomes 70 mm until the number of frames reaches five.
  • condition C ultrasonic scanning is performed until the number of frames becomes seven with the ultrasonic beam adjusted so that the focus depth becomes 120 mm. (S11, 12).
  • the contrast agent destruction mode is terminated (S13), and an ultrasound scan is performed at a relatively low sound pressure that does not destroy the contrast agent again.
  • An ultrasonic tomographic image showing the flow is generated and displayed (S14).
  • the contrast agent administered to the subject and filling the depth region of the observation site it is possible to select and destroy the contrast agent administered to the subject and filling the depth region of the observation site.
  • a contrast agent that is administered to the subject and fills the depth region of the observation site can be selected and destroyed.
  • the ultrasonic contrast agent destruction mode by sequentially changing the focus depth of the ultrasonic beam from shallow to deep, and shifting the focus position where the ultrasonic sound pressure is high and the contrast agent is easily destroyed, The contrast agent can be destroyed more efficiently than when the focus depth is fixed. In other words, when the transmission focus depth is reduced, the sound pressure in the region closer to the probe becomes higher and the contrast agent becomes more fragile, whereas when the transmission focus is deeper, the sound pressure in the region far from the probe is reduced. It becomes higher and the contrast agent becomes more fragile. Accordingly, it is possible to destroy the contrast agent more efficiently than when the contrast agent is destroyed while repeating the ultrasonic scanning with the transmission focus fixed.
  • the transmittance of the ultrasonic wave irradiated to the subject in the region where the contrast agent exists is lower than the region where the contrast agent does not exist because the sound scatters, so the region from the region near the probe to the region far from the probe.
  • an ultrasonic transmission time at each focus depth may be input and set, or an ultrasonic wave optimized by experiment or the like
  • the transmission time may be stored in the memory in advance.
  • the control unit 6 starts counting time, controls the transmission unit 5 under the condition A, and repeats the transmission operation of the condition A until the transmission time of the condition A passes.
  • the control unit 6 controls the transmission unit 5 under the condition B and repeats the transmission operation of the condition B until the transmission time of the condition B passes. Subsequently, the same operation is performed for the condition C, and when the transmission time for the condition C has elapsed, the operation is switched to the operation in the contrast observation mode.
  • the ultrasonic wave By changing the focus depth of the beam, it is possible to destroy the contrast agent more efficiently than in the case of destroying the contrast agent while fixing the transmission focus and repeating ultrasonic scanning.
  • FIG. 4 is a flowchart showing a second embodiment of the operation in the mode for observing reperfusion using the medium and low sound pressure contrast medium.
  • the operator does not input and set the number of frames at each focus depth, but the generated ultrasonic tomographic image is out of a plurality of regions divided in the depth direction according to the plurality of focus depths of the ultrasonic beam.
  • the focus depth of the ultrasonic beam is automatically switched based on the luminance information of the area corresponding to the focus depth at which ultrasonic scanning is performed.
  • a contrast agent observation mode is set (S22).
  • ultrasonic scanning is performed with a relatively low sound pressure that does not destroy the contrast agent, and an ultrasonic tomographic image is generated and displayed.
  • the contrast medium destruction mode is set, and ultrasonic scanning is performed with a relatively high sound pressure that destroys the contrast medium (S24).
  • ultrasonic scanning is performed with an ultrasonic beam adjusted so that the depth of focus is the shallow part of the subject (part close to the probe) (S25), and the contrast agent brightness in the shallow area is also measured. Analysis is performed (S26).
  • the luminance value of the ultrasonic tomogram in the shallow region is compared with a preset threshold value, and ultrasonic scanning is repeated until the luminance value becomes smaller than the threshold value (S27). That is, since the reflected echo signal in the region where the contrast agent exists has a higher luminance than that in the region where the contrast agent does not exist, the contrast agent identifies the degree of destruction by the luminance information.
  • the luminance value to be compared with the threshold value for example, an average value of luminance values of pixels in the region can be used.
  • the focus depth is switched to the intermediate portion and ultrasonic scanning is performed (S28). Then, in the same manner as in the shallow region, the contrast agent luminance analysis in the intermediate region is performed (S29), and the ultrasonic scanning is repeated until the luminance value becomes smaller than the threshold value (S30).
  • the focus depth is switched to the deep part, and ultrasonic scanning is performed (S31). Then, in the same manner as in the shallow region, the contrast agent luminance analysis in the deep region is performed (S32), and the ultrasonic scanning is repeated until the luminance value becomes smaller than the threshold value (S33).
  • the contrast agent destruction mode is terminated (S34), and it is relatively low so as not to destroy the contrast agent again.
  • Ultrasonic scanning with sound pressure is performed, and an ultrasonic tomographic image in which the subsequent contrast agent flows is generated and displayed (S35).
  • the setting of the shallow part, the intermediate part, and the deep part of the focus depth may be input by the operator as in the first embodiment, or a plurality of preset focus depths may be used.
  • the contrast agent administered to the subject it is possible to select and destroy the contrast agent administered to the subject and filling the depth region of the observation site.
  • the focus depth is switched by automatically determining the degree of destruction of the contrast agent, it is not necessary for the operator to set the number of frames at each focus depth, and the usability of the apparatus can be improved.
  • the setting by the operator it may be considered that it takes time to scan more than necessary and the diagnosis efficiency is lowered, and conversely, there is a possibility that the contrast agent cannot be completely destroyed due to too few scans. For example, an appropriate number of scans can be performed using the luminance value.
  • FIG. 5 is a flowchart showing a third embodiment of the operation in the mode for observing reperfusion using the medium / low sound pressure contrast medium.
  • This embodiment does not destroy the contrast agent in the entire region where the ultrasonic tomographic image is generated, but uses the minimum necessary contrast agent based on the region where the operator wants to observe the recirculation of the contrast agent set by the operator. This is an example of destruction.
  • a contrast agent observation mode is set (S42).
  • the contrast agent observation mode as described above, ultrasonic scanning is performed with a relatively low sound pressure that does not destroy the contrast agent, and an ultrasonic tomographic image is generated and displayed.
  • the region (ROI) where the operator wants to observe the recirculation of the contrast medium is set by the operator via the operation unit 7 (S43), and the position of the ROI is recognized by the control unit 6. (S44).
  • the contrast medium destruction mode is set, and ultrasonic scanning is performed with a relatively high sound pressure that destroys the contrast medium (S46).
  • ultrasonic scanning is performed so that the contrast agent in the set ROI region is destroyed.
  • the scanning range is set so that the ultrasonic beam is transmitted into the ROI area based on the both ends of the set ROI area in the scanning direction, and the focus depth is set at, for example, the center of the ROI area.
  • ultrasonic scanning is performed (S47).
  • the luminance analysis in the ROI region of the ultrasonic tomographic image is performed as in the second embodiment (S48), and the ultrasonic scanning is repeatedly performed until the luminance value becomes smaller than the threshold value (S49).
  • the contrast agent destruction mode is terminated (S50), and it is relatively low so as not to destroy the contrast agent again.
  • Ultrasonic scanning with sound pressure is performed, and an ultrasonic tomographic image in which the subsequent contrast agent flows is generated and displayed (S51).
  • the end of the contrast medium destruction mode is determined by comparing the brightness value in the ROI region with a threshold value, but the present invention is not limited to this, and the operator sets the number of scans (the number of scans) in advance. You may keep it.
  • ultrasonic scanning is performed by adjusting the focus depth to the center of the ROI region
  • the focus depth of the ultrasonic beam based on the position of the deepest portion in the depth direction of the ROI region.
  • Ultrasound scanning may be performed by sequentially changing the focus depth from the shallow part to the set deepest part within the set scanning range.
  • the contrast agent can be efficiently destroyed by destroying the contrast agent in the deep ROI region while destroying the agent.
  • the contrast agent administered to the subject it is possible to select and destroy the contrast agent administered to the subject and filling the depth region of the observation site. Also, rather than destroying the contrast agent in all the areas where ultrasonic tomograms are generated, only the contrast agent in the area that you want to observe truly is destroyed, leading to shortened destruction time and diagnostic efficiency. Can be improved.

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Abstract

An ultrasound diagnostic device is provided with a probe that transmits/receives ultrasound wave to/from an examinee body, a transmission unit that generates a transmission signal to be supplied to the probe, a control unit that carries out a delay processing of the transmission signal generated by the transmission unit to control a focus depth of an ultrasound beam and changes the focus depth of the ultrasound beam when scanning the examinee body by the ultrasound to destroy an ultrasound contrast media dosed into the examinee body, an image generation unit that generates an ultrasound tomographic image in accordance with a reflecting echo signal received by the probe in the state where the focus depth of the ultrasound beam is changed, and an image display unit that displays the generated ultrasound tomographic image.

Description

超音波診断装置とその超音波造影撮像方法Ultrasound diagnostic apparatus and ultrasound contrast imaging method
 本発明は、超音波診断装置に係り、特に、被検体に投与された超音波造影剤からの反射エコーに基づいた超音波断層像を生成可能な超音波診断装置とその超音波造影撮像方法に関する。 The present invention relates to an ultrasonic diagnostic apparatus, and more particularly to an ultrasonic diagnostic apparatus capable of generating an ultrasonic tomographic image based on a reflected echo from an ultrasonic contrast agent administered to a subject and an ultrasonic contrast imaging method thereof. .
 超音波診断装置は、探触子を介して被検体に超音波を照射するとともに被検体から発生する反射エコー信号を受信し、受信した反射エコーに基づいて超音波断層像を生成するものである。 The ultrasonic diagnostic apparatus irradiates a subject with ultrasonic waves via a probe, receives a reflected echo signal generated from the subject, and generates an ultrasonic tomographic image based on the received reflected echo. .
 このような超音波診断装置において、例えば特許文献1に記載されているように、超音波造影剤を被検体に投与し、造影剤からの反射エコーに基づいて超音波断層像を生成する造影エコー法が広く利用されている。 In such an ultrasonic diagnostic apparatus, for example, as described in Patent Document 1, a contrast echo that administers an ultrasound contrast agent to a subject and generates an ultrasonic tomogram based on a reflected echo from the contrast agent The law is widely used.
 超音波造影剤は、マイクロバブルで形成される。超音波造影剤には、比較的高い音圧の超音波にて造影剤を破壊することで発生する反射エコーから断層像を生成するための高音圧用造影剤と、比較的低い音圧の超音波にて造影剤を破壊することなく造影剤由来の反射エコーから断層像を生成するための中低音圧用造影剤とがある。 The ultrasound contrast agent is formed with microbubbles. Ultrasound contrast agents include high sound pressure contrast agents for generating tomographic images from reflected echoes generated by destroying contrast agents with relatively high sound pressure ultrasound, and relatively low sound pressure ultrasound. And a medium and low sound pressure contrast medium for generating a tomographic image from a reflection echo derived from a contrast medium without destroying the contrast medium.
 中低音圧用造影剤を用いた造影エコー法において、観察部位全体に充満した造影剤を高い音圧の超音波を照射することにより破壊して、観察部位の中のターゲットとなる領域に造影剤が流れ込む、つまり再還流する様子を観察するモードが利用されている。 In contrast-enhanced echo using a medium-low sound pressure contrast agent, the contrast agent that fills the entire observation site is destroyed by irradiating ultrasonic waves with high sound pressure, and the contrast agent is applied to the target region in the observation site. A mode is used to observe the flow in, that is, recirculation.
特開平11-318890号公報Japanese Patent Laid-Open No. 11-318890
 ところで、上記特許文献1の造影エコー法では、造影剤を破壊するために用いられる超音波を、撮像用の超音波に先行して送信することで、短時間に造影剤を破壊することが記載されている。 By the way, in the contrast echo method of the above-mentioned Patent Document 1, it is described that the contrast agent is destroyed in a short time by transmitting the ultrasonic wave used for destroying the contrast agent in advance of the ultrasound for imaging. Has been.
 しかしながら、上記特許文献1では、画像で観察部位の深度領域に存在する造影剤を選択して破壊し、前記観察部位の深度領域での超音波造影像を得るための問題提起がされておらず、ただ短時間に造影剤を破壊することに過ぎなかった。 However, in Patent Document 1 above, there is no problem to select and destroy a contrast agent existing in the depth region of the observation site in the image and obtain an ultrasound contrast image in the depth region of the observation site. It was just breaking the contrast agent in a short time.
 換言すれば、造影エコーでの造影剤の再還流を観察するモードにおいて、観察部位の深度領域に充満した造影剤を選択して破壊することについて考慮されていないということができる。 In other words, in the mode of observing the reperfusion of the contrast agent using the contrast echo, it can be said that no consideration is given to selecting and destroying the contrast agent filling the depth region of the observation site.
 また、観察部位に充満した造影剤を破壊するには、造影剤が血液などの体液の流れに乗って移動しているので、複数回の超音波走査を繰り返し行うことが必要であり、造影剤の再還流を観察までに要する時間が増加するので診断効率が低下するおそれがある。 In addition, in order to destroy the contrast medium filled in the observation site, the contrast medium moves on the flow of body fluid such as blood, and thus it is necessary to repeatedly perform ultrasonic scanning multiple times. Since the time required for the observation of re-refluxing increases, the diagnostic efficiency may decrease.
 また、観察部位の造影剤を素早く破壊するためには、例えば超音波ビームの音圧を高めることが考えられるが、人体への影響がないように例えば米国FDAガイダンスや薬事基本要件適合性チェックリストなどで規制されているので設定できるサーマル・インデックスやメカニカル・インデックスには限界がある。 In order to destroy the contrast medium at the observation site quickly, for example, it is possible to increase the sound pressure of the ultrasonic beam. However, for example, the US FDA Guidance and the Pharmaceutical Affairs Basic Requirements Compliance Checklist should not be affected. There is a limit to the thermal index and mechanical index that can be set.
 本発明の目的は、被検体に投与され観察部位の深度領域に充満した造影剤を選択して破壊することが可能な超音波診断装置とその超音波造影撮像方法を提供することにある。 An object of the present invention is to provide an ultrasonic diagnostic apparatus and an ultrasonic contrast imaging method capable of selecting and destroying a contrast agent administered to a subject and filling a depth region of an observation site.
 本発明の超音波診断装置は、被検体との間で超音波の送受信を行う探触子と、該探触子に供給する送信信号を生成する送信部と、該送信部で生成する送信信号の遅延処理を行い超音波ビームのフォーカス深度を制御するものであって、前記被検体内を超音波走査して被検体内に投与された超音波造影剤を破壊する際に、前記超音波ビームのフォーカス深度を変化させる制御部と、前記超音波ビームのフォーカス深度を変化した状態で前記探触子により受信された反射エコー信号に基づいて超音波断層像を生成する画像生成部と、前記生成された超音波断層像を表示する画像表示部と、を備えて構成される。 An ultrasonic diagnostic apparatus of the present invention includes a probe that transmits and receives ultrasonic waves to and from a subject, a transmission unit that generates a transmission signal to be supplied to the probe, and a transmission signal that is generated by the transmission unit The ultrasonic beam is controlled by ultrasonic scanning inside the subject to destroy the ultrasound contrast agent administered into the subject. A control unit that changes a focus depth of the ultrasonic beam, an image generation unit that generates an ultrasonic tomographic image based on a reflected echo signal received by the probe in a state where the focus depth of the ultrasonic beam is changed, and the generation And an image display unit for displaying the ultrasonic tomographic image.
 また、本発明の超音波診断装置の超音波造影撮像方法は、探触子により被検体との間で超音波の送受信を行う第1ステップと、送信部により該探触子に供給する送信信号を生成する第2ステップと、制御部により該送信部で生成する送信信号の遅延処理を行い超音波ビームのフォーカス深度を制御するものであって、前記被検体内を超音波走査して被検体内に投与された超音波造影剤を破壊する際に、前記超音波ビームのフォーカス深度を変化させる第3ステップと、画像生成部により前記超音波ビームのフォーカス深度を変化した状態で前記探触子により受信された反射エコー信号に基づいて超音波断層像を生成する第4ステップと、画像表示部により前記生成された超音波断層像を表示する第5ステップと、を含んで構成される。 Further, the ultrasonic contrast imaging method of the ultrasonic diagnostic apparatus of the present invention includes a first step of transmitting / receiving ultrasonic waves to / from a subject using a probe, and a transmission signal supplied to the probe by a transmitter And a control unit that performs a delay process on the transmission signal generated by the transmission unit to control the focus depth of the ultrasonic beam, and ultrasonically scans the inside of the subject. A third step of changing a focus depth of the ultrasound beam when destroying the ultrasound contrast agent administered in the probe, and the probe in a state where the focus depth of the ultrasound beam is changed by an image generation unit And a fourth step of generating an ultrasonic tomographic image based on the reflected echo signal received by the above and a fifth step of displaying the generated ultrasonic tomographic image by an image display unit.
 上記構成によれば、探触子が被検体との間で超音波の送受信を行い、送信部が該探触子に供給する送信信号を生成し、制御部が該送信部で生成する送信信号の遅延処理を行い超音波ビームのフォーカス深度を制御するものであって、前記被検体内を超音波走査して被検体内に投与された超音波造影剤を破壊する際に、前記超音波ビームのフォーカス深度を変化させ、画像生成部が前記超音波ビームのフォーカス深度を変化した状態で前記探触子により受信された反射エコー信号に基づいて超音波断層像を生成し、画像表示部が前記生成された超音波断層像を表示することで、被検体に投与され観察部位の深度領域に充満した造影剤を選択して破壊することができる。 According to the above configuration, the probe transmits and receives ultrasonic waves to and from the subject, the transmission unit generates a transmission signal to be supplied to the probe, and the control unit generates the transmission signal generated by the transmission unit. The ultrasonic beam is controlled by ultrasonic scanning inside the subject to destroy the ultrasound contrast agent administered into the subject. And the image generation unit generates an ultrasonic tomographic image based on the reflected echo signal received by the probe in a state where the focus depth of the ultrasonic beam is changed, and the image display unit By displaying the generated ultrasonic tomographic image, it is possible to select and destroy the contrast agent administered to the subject and filling the depth region of the observation site.
 本発明によれば、被検体に投与され観察部位の深度領域に充満した造影剤を選択して破壊することが可能な超音波診断装置とその超音波造影撮像方法を提供するという効果を奏する。 According to the present invention, there is an effect of providing an ultrasonic diagnostic apparatus and an ultrasonic contrast imaging method capable of selecting and destroying a contrast agent administered to a subject and filling a depth region of an observation site.
本実施形態の超音波診断装置の全体構成を示すブロック図。1 is a block diagram showing the overall configuration of an ultrasonic diagnostic apparatus according to an embodiment. 本実施形態の超音波診断装置の動作の概念を説明するためのタイムチャート図。The time chart for demonstrating the concept of operation | movement of the ultrasonic diagnosing device of this embodiment. 中低音圧用造影剤を用いて再還流を観察するモードの動作の第1実施例を示すフローチャート。6 is a flowchart showing a first embodiment of an operation in a mode for observing reperfusion using a medium-low sound pressure contrast medium. 中低音圧用造影剤を用いて再還流を観察するモードの動作の第2実施例を示すフローチャート。12 is a flowchart showing a second embodiment of an operation in a mode for observing reperfusion using a contrast medium for medium and low sound pressures. 中低音圧用造影剤を用いて再還流を観察するモードの動作の第3実施例を示すフローチャート。12 is a flowchart showing a third embodiment of the operation in the mode for observing reperfusion using the medium and low sound pressure contrast medium. 第3実施例におけるROIの設定例を示す図。The figure which shows the example of a setting of ROI in 3rd Example.
 以下、本発明を適用してなる超音波診断装置の実施形態を説明する。なお、以下の説明では、同一機能部品については同一符号を付して重複説明を省略する。 Hereinafter, embodiments of an ultrasonic diagnostic apparatus to which the present invention is applied will be described. In the following description, the same functional parts are denoted by the same reference numerals, and redundant description is omitted.
 図1は本実施形態の超音波診断装置の全体構成を示すブロック図である。図1に示すように超音波診断装置10は、被検体との間で超音波の送受信を行う探触子1と、被検体からの反射エコー信号に対して受信処理を行う受信部2と、受信処理がなされた反射エコー信号に基づいて超音波断層像を生成する画像生成部3と、生成された超音波断層像を表示する画像表示部4と、探触子1に供給する送信信号を生成する送信部5と、送信部5で生成する送信信号の遅延処理を行い超音波ビームのフォーカス深度の制御などを行う制御部6と、操作者が各種設定を行う操作部7などから構成されている。 FIG. 1 is a block diagram showing the overall configuration of the ultrasonic diagnostic apparatus of the present embodiment. As shown in FIG. 1, the ultrasonic diagnostic apparatus 10 includes a probe 1 that transmits and receives ultrasonic waves to and from a subject, a receiving unit 2 that performs reception processing on reflected echo signals from the subject, An image generation unit 3 that generates an ultrasonic tomographic image based on the reflected echo signal that has undergone reception processing, an image display unit 4 that displays the generated ultrasonic tomographic image, and a transmission signal that is supplied to the probe 1 The transmission unit 5 to be generated, the control unit 6 that performs delay processing of the transmission signal generated by the transmission unit 5 and controls the focus depth of the ultrasonic beam, the operation unit 7 that the operator performs various settings, and the like. ing.
 探触子1は、被検体との間で超音波を送受信する複数の振動子を有しており、送信部5から供給される超音波パルスにより駆動され、機械式又は電子的にビーム走査を行うようになっている。 The probe 1 has a plurality of transducers that transmit and receive ultrasonic waves to and from the subject, and is driven by ultrasonic pulses supplied from the transmission unit 5, and mechanically or electronically performs beam scanning. To do.
 受信部2は、探触子1が受信した反射エコー信号に対して増幅などの受信処理を行う。
画像生成部3は、受信部2で増幅された複数チャネルの反射エコー信号の焦点が合うように各チャネルの遅延時間を調節して加算しバンドパスフィルタなどのフィルタ処理を行って超音波断層像を生成するものである。画像表示部4は、画像生成部3にて生成された超音波断層像や各種情報を表示するCRT或いは液晶などのモニタである。
The reception unit 2 performs reception processing such as amplification on the reflected echo signal received by the probe 1.
The image generation unit 3 adjusts and adds the delay time of each channel so that the reflected echo signals of the multiple channels amplified by the reception unit 2 are in focus, and performs a filtering process such as a bandpass filter to obtain an ultrasonic tomogram Is generated. The image display unit 4 is a monitor such as a CRT or a liquid crystal that displays the ultrasonic tomogram generated by the image generation unit 3 and various information.
 送信部5は、制御部6からの制御信号に基づいて複数チャネルの送信信号を生成し探触子1に供給する。制御部6は送信部5をはじめとする各ブロックの制御を行う。例えば、超音波断層像を生成するために超音波を照射する際、形成される超音波ビームがどの深度(探触子からの距離)にフォーカスされるように照射するかの制御(送信フォーカス制御)を行なう。具体的には、探触子内にある複数の振動子から超音波を発生し超音波ビームを生成しており、各振動子に供給する超音波送信信号の波形及び発生する時間を制御することにより送信フォーカス制御を行なう。 The transmission unit 5 generates a transmission signal of a plurality of channels based on the control signal from the control unit 6 and supplies it to the probe 1. The control unit 6 controls each block including the transmission unit 5. For example, when irradiating with ultrasonic waves to generate an ultrasonic tomographic image, control of which depth (distance from the probe) the formed ultrasonic beam is focused (transmission focus control) ). Specifically, an ultrasonic wave is generated from a plurality of transducers in the probe to generate an ultrasonic beam, and the waveform of the ultrasonic transmission signal supplied to each transducer and the generation time are controlled. To perform transmission focus control.
 操作部7は操作者が超音波診断装置の各種条件を設定するためのキーボード、マウス、タッチパネルなどの種々の入力インターフェースである。 The operation unit 7 is various input interfaces such as a keyboard, a mouse, and a touch panel for an operator to set various conditions of the ultrasonic diagnostic apparatus.
 続いて、中低音圧用造影剤を用いて再還流を観察するモードにおける超音波診断装置の超音波送信動作を説明する。図2は、本実施形態の超音波診断装置の動作の概念を説明するためのタイムチャート図である。再還流観察モードとは、図2に示すように、まず観察部位(超音波断層像が生成されている領域)全体に造影剤が充満した状態から、造影剤破壊モードにおいて高い音圧の超音波を照射することにより造影剤全体を破壊し、続いて観察部位の中のターゲットとなる領域に後続の造影剤が流れ込む様子を観察するモードである。 Subsequently, the ultrasonic transmission operation of the ultrasonic diagnostic apparatus in the mode for observing reperfusion using the medium / low sound pressure contrast medium will be described. FIG. 2 is a time chart for explaining the concept of the operation of the ultrasonic diagnostic apparatus of the present embodiment. As shown in FIG. 2, the reperfusion observation mode refers to a state in which the entire observation site (region where the ultrasonic tomographic image is generated) is filled with the contrast agent, and then ultrasonic waves with high sound pressure are used in the contrast agent destruction mode. Is a mode in which the entire contrast medium is destroyed by irradiating and the subsequent contrast medium flows into the target region in the observation site.
 このように、超音波送信動作モードは、大きく分けて造影剤を観察する造景剤観察モードと造影剤を破壊する造影剤破壊モードとがある。その2つのモードを切り替える手段は、操作者が手動にて行うものやあらかじめプログラムされた時間で装置が自動で行うものなどがあるが、本実施形態では、造影剤破壊モード開始は操作者が手動で行うものとする。 As described above, the ultrasonic transmission operation mode is roughly classified into a landscape agent observation mode for observing the contrast agent and a contrast agent destruction mode for destroying the contrast agent. There are two means for switching between the two modes, one manually performed by the operator and one automatically performed by the apparatus at a pre-programmed time. In this embodiment, the operator manually starts the contrast medium destruction mode. It shall be done in
 制御部6には送信信号条件を格納するメモリがあり、造影剤観察モード用の条件と造影剤破壊モード用の条件とが格納されている。この送信信号条件とは、例えば、送信信号の周波数、波数、振幅、遅延時間などである。これらの条件は、操作者が操作部7から設定した条件や装置、探触子で最適化された条件などで決定される。 The control unit 6 has a memory for storing transmission signal conditions, and stores conditions for the contrast medium observation mode and conditions for the contrast medium destruction mode. This transmission signal condition is, for example, the frequency, wave number, amplitude, delay time, etc. of the transmission signal. These conditions are determined by conditions and devices set by the operator from the operation unit 7, conditions optimized by the probe, and the like.
 通常、造影剤観察モードは造影剤を壊さない程度の比較的低い音圧となる条件であり、造影剤破壊モードは造影剤を破壊する比較的高い音圧となる条件である。操作者が操作部7より造影剤観察モードを選択したとき、制御部6は造影剤観察モード用条件にて送信部5を制御する。送信部5は造影剤観察モード用条件となる送信信号を生成し探触子1の各振動子に供給し、探触子1から超音波が被検体に送信され、造影剤からの反射エコーを受信する。この動作は操作者により操作部7を介して造影剤破壊モードが選択されるまで繰り返される。 Usually, the contrast agent observation mode is a condition that results in a relatively low sound pressure that does not destroy the contrast agent, and the contrast agent destruction mode is a condition that results in a relatively high sound pressure that destroys the contrast agent. When the operator selects the contrast agent observation mode from the operation unit 7, the control unit 6 controls the transmission unit 5 under the contrast agent observation mode conditions. The transmitter 5 generates a transmission signal as a condition for the contrast agent observation mode, supplies it to each transducer of the probe 1, and transmits an ultrasonic wave from the probe 1 to the subject, and reflects a reflected echo from the contrast agent. Receive. This operation is repeated until the contrast agent destruction mode is selected via the operation unit 7 by the operator.
 操作者により操作部7を介して造影剤破壊モードが選択されたら、制御部6は造影剤破壊モード用条件にて送信部5を制御する。送信部5は造影剤破壊モード用条件となる送信信号を生成し探触子1の各振動子に供給し、探触子1から超音波が被検体に送信され、その音圧により観察部位に充満した造影剤を破壊する。 When the contrast medium destruction mode is selected by the operator via the operation section 7, the control section 6 controls the transmission section 5 under the contrast medium destruction mode conditions. The transmitter 5 generates a transmission signal as a condition for the contrast agent destruction mode and supplies it to each transducer of the probe 1.The ultrasonic wave is transmitted from the probe 1 to the subject, and the sound pressure is transmitted to the observation site. Destroy the filled contrast agent.
 本実施形態の超音波診断装置は、超音波造影剤の再還流観察のための超音波造影剤の破壊を効率よく行う点に特徴を有している。以下、その詳細について具体的な実施例に基づいて説明する。 The ultrasonic diagnostic apparatus according to the present embodiment is characterized in that the ultrasonic contrast agent is efficiently destroyed for reperfusion observation of the ultrasonic contrast agent. The details will be described below based on specific examples.
 図3は、中低音圧用造影剤を用いて再還流を観察するモードの動作の第1実施例を示すフローチャートである。本実施例は、操作者がフォーカス深度及び各フォーカス深度におけるフレーム数を入力設定して、この設定に基づいて造影剤破壊を行うものである。 FIG. 3 is a flowchart showing a first embodiment of an operation in a mode for observing reperfusion using a medium-low sound pressure contrast medium. In this embodiment, the operator inputs and sets the focus depth and the number of frames at each focus depth, and the contrast agent is destroyed based on this setting.
 まず、画像表示部4に複数のフォーカス深度と各フォーカス深度におけるフレーム数の条件を設定する画面が表示される(S1)。操作者は、操作部7を介して条件を入力する(S2)。ここでは、(条件A)フォーカス深度:30mm、フレーム数:3フレーム、(条件B)フォーカス深度:70mm、フレーム数:5フレーム、(条件C)フォーカス深度:120mm、フレーム数:7フレームが入力設定されたとする。 First, a screen for setting a plurality of focus depths and the condition of the number of frames at each focus depth is displayed on the image display unit 4 (S1). The operator inputs conditions via the operation unit 7 (S2). Here, (Condition A) Focus depth: 30 mm, Number of frames: 3 frames, (Condition B) Focus depth: 70 mm, Number of frames: 5 frames, (Condition C) Focus depth: 120 mm, Number of frames: 7 frames Suppose that
 続いて、造影エコー開始の操作が行われると(S3)、造影剤観察モードとなる(S4)。造影剤観察モードでは、上述のように、造影剤を壊さない程度の比較的低い音圧で超音波走査が行われて超音波断層像が生成表示される。 Subsequently, when a contrast echo start operation is performed (S3), a contrast agent observation mode is set (S4). In the contrast agent observation mode, as described above, ultrasonic scanning is performed with a relatively low sound pressure that does not destroy the contrast agent, and an ultrasonic tomographic image is generated and displayed.
 続いて、造影破壊モード開始の操作が行われると(S5)、造影剤破壊モードとなり、造影剤を破壊する比較的高い音圧で超音波走査が行われる(S6)。まず、条件Aとして、フォーカス深度が30mmとなるように調整された超音波ビームにより、フレーム数が3になるまで超音波走査が行われる。(S7,8)。言い換えれば、超音波走査が3回行われる。 Subsequently, when an operation for starting the contrast destruction mode is performed (S5), the contrast medium destruction mode is set, and ultrasonic scanning is performed with a relatively high sound pressure that destroys the contrast medium (S6). First, as condition A, ultrasonic scanning is performed with an ultrasonic beam adjusted so that the depth of focus is 30 mm until the number of frames becomes three. (S7, 8). In other words, ultrasonic scanning is performed three times.
 次に、条件Bとして、フォーカス深度が70mmとなるように調整された超音波ビームにより、フレーム数が5になるまで超音波走査が行われる。(S9,10)。続いて、条件Cとして、フォーカス深度が120mmとなるように調整された超音波ビームにより、フレーム数が7になるまで超音波走査が行われる。(S11,12)。 Next, as condition B, ultrasonic scanning is performed with the ultrasonic beam adjusted so that the depth of focus becomes 70 mm until the number of frames reaches five. (S9, 10). Subsequently, as condition C, ultrasonic scanning is performed until the number of frames becomes seven with the ultrasonic beam adjusted so that the focus depth becomes 120 mm. (S11, 12).
 条件Cでの超音波走査が終了したら、造影剤破壊モードを終了して(S13)、再び造影剤を壊さない程度の比較的低い音圧での超音波走査が行われ、後続の造影剤が流れ込む様子の超音波断層像が生成表示される(S14)。 When the ultrasound scan under condition C is completed, the contrast agent destruction mode is terminated (S13), and an ultrasound scan is performed at a relatively low sound pressure that does not destroy the contrast agent again. An ultrasonic tomographic image showing the flow is generated and displayed (S14).
 本実施例によれば、被検体に投与され観察部位の深度領域に充満した造影剤を選択して破壊することができる。
また、被検体に投与され観察部位の深度領域に充満した造影剤を選択して破壊することができる。 
 また、超音波造影剤の破壊モードにおいて、超音波ビームのフォーカス深度を浅部から深部へ順次変化させて、超音波の音圧が高く造影剤を破壊しやすいフォーカス位置を順次ずらせることにより、フォーカス深度を固定させた場合に比べて造影剤を効率よく破壊することができる。つまり、送信フォーカス深度を浅くすると探触子に近い方の領域の音圧がより高くなり造影剤がより壊れやすくなり、一方送信フォーカスを深<すると探触子から遠い方の領域の音圧がより高くなり造影剤がより壊れやすくなる。したがって、送信フォーカスを固定して超音波走査を繰り返しながら造影剤の破壊を行う場合に比べて、造影剤を効率よく破壊することができる。
According to this embodiment, it is possible to select and destroy the contrast agent administered to the subject and filling the depth region of the observation site.
In addition, a contrast agent that is administered to the subject and fills the depth region of the observation site can be selected and destroyed.
Also, in the ultrasonic contrast agent destruction mode, by sequentially changing the focus depth of the ultrasonic beam from shallow to deep, and shifting the focus position where the ultrasonic sound pressure is high and the contrast agent is easily destroyed, The contrast agent can be destroyed more efficiently than when the focus depth is fixed. In other words, when the transmission focus depth is reduced, the sound pressure in the region closer to the probe becomes higher and the contrast agent becomes more fragile, whereas when the transmission focus is deeper, the sound pressure in the region far from the probe is reduced. It becomes higher and the contrast agent becomes more fragile. Accordingly, it is possible to destroy the contrast agent more efficiently than when the contrast agent is destroyed while repeating the ultrasonic scanning with the transmission focus fixed.
 特に、造影剤の存在する領域における被検体に照射した超音波の透過率は、音が散乱するため造影剤の存在しない領域に比べて落ちるため、探触子の近い領域から遠い領域へ向かって順に造影剤を破壊していく、すなわち造影剤の破壊速度に応じて送信フォーカス深度を浅い方から深い方へ時間的に変化させていくことにより、観察部位全体に充満した造影剤を効率的に破壊することができる。 In particular, the transmittance of the ultrasonic wave irradiated to the subject in the region where the contrast agent exists is lower than the region where the contrast agent does not exist because the sound scatters, so the region from the region near the probe to the region far from the probe By destroying the contrast agent in order, that is, by changing the transmission focus depth in time from the shallower to the deeper according to the destruction rate of the contrast agent, the contrast agent that fills the entire observation site can be efficiently Can be destroyed.
 本実施例では、各フォーカス深度におけるフレーム数を入力する例を挙げたが、その他、例えば、各フォーカス深度における超音波送信時間を入力設定してもよいし、実験等により最適化された超音波送信時間をあらかじめメモリに格納しておいてもよい。この場合、造影剤破壊モードが開始されると、制御部6は時間をカウントし始め、条件Aにて送信部5を制御するとともに条件Aの送信時間が経つまで条件Aの送信動作を繰り返す。条件Aの送信時間を経ったら、制御部6は条件Bにて送信部5を制御するとともに条件Bの送信時間が経つまで条件Bの送信動作を繰り返す。続いて条件Cを同様の動作を行い、条件Cの送信時間が経ったら造影観察モードの動作へ切り替える。 In the present embodiment, an example in which the number of frames at each focus depth is input has been described. However, for example, an ultrasonic transmission time at each focus depth may be input and set, or an ultrasonic wave optimized by experiment or the like The transmission time may be stored in the memory in advance. In this case, when the contrast agent destruction mode is started, the control unit 6 starts counting time, controls the transmission unit 5 under the condition A, and repeats the transmission operation of the condition A until the transmission time of the condition A passes. When the transmission time of the condition A has passed, the control unit 6 controls the transmission unit 5 under the condition B and repeats the transmission operation of the condition B until the transmission time of the condition B passes. Subsequently, the same operation is performed for the condition C, and when the transmission time for the condition C has elapsed, the operation is switched to the operation in the contrast observation mode.
 また、超音波ビームのフォーカス深度を浅部から深部へ順次変化させる場合に限らず、被検体内を超音波走査して被検体内に投与された超音波造影剤を破壊する際に、超音波ビームのフォーカス深度を変化させることにより、送信フォーカスを固定して超音波走査を繰り返しながら造影剤の破壊を行う場合に比べて、造影剤を効率よく破壊することができる。 Further, not only when the focus depth of the ultrasonic beam is changed sequentially from the shallow part to the deep part, but when the ultrasonic contrast agent administered into the subject is destroyed by ultrasonic scanning inside the subject, the ultrasonic wave By changing the focus depth of the beam, it is possible to destroy the contrast agent more efficiently than in the case of destroying the contrast agent while fixing the transmission focus and repeating ultrasonic scanning.
 図4は、中低音圧用造影剤を用いて再還流を観察するモードの動作の第2実施例を示すフローチャートである。本実施例は、操作者が各フォーカス深度におけるフレーム数を入力設定するのではなく、生成された超音波断層像を超音波ビームの複数のフォーカス深度に応じて深度方向に区切った複数領域のうち超音波走査を行っているフォーカス深度に対応する領域の輝度情報に基づいて超音波ビームのフォーカス深度を自動で切替えるものである。 FIG. 4 is a flowchart showing a second embodiment of the operation in the mode for observing reperfusion using the medium and low sound pressure contrast medium. In this embodiment, the operator does not input and set the number of frames at each focus depth, but the generated ultrasonic tomographic image is out of a plurality of regions divided in the depth direction according to the plurality of focus depths of the ultrasonic beam. The focus depth of the ultrasonic beam is automatically switched based on the luminance information of the area corresponding to the focus depth at which ultrasonic scanning is performed.
 図4に示すように、まず造影エコー開始の操作が行われると(S21)、造影剤観察モードとなる(S22)。造影剤観察モードでは、上述のように、造影剤を壊さない程度の比較的低い音圧で超音波走査が行われて超音波断層像が生成表示される。 As shown in FIG. 4, when a contrast echo start operation is first performed (S21), a contrast agent observation mode is set (S22). In the contrast agent observation mode, as described above, ultrasonic scanning is performed with a relatively low sound pressure that does not destroy the contrast agent, and an ultrasonic tomographic image is generated and displayed.
 続いて、造影破壊モード開始の操作が行われると(S23)、造影剤破壊モードとなり、造影剤を破壊する比較的高い音圧で超音波走査が行われる(S24)。まず、フォーカス深度が被検体の浅部(探触子に近い部位)となるように調整された超音波ビームにより、超音波走査が行われる(S25)とともに、その浅部領域における造影剤の輝度解析が行われる(S26)。 Subsequently, when an operation for starting the contrast destruction mode is performed (S23), the contrast medium destruction mode is set, and ultrasonic scanning is performed with a relatively high sound pressure that destroys the contrast medium (S24). First, ultrasonic scanning is performed with an ultrasonic beam adjusted so that the depth of focus is the shallow part of the subject (part close to the probe) (S25), and the contrast agent brightness in the shallow area is also measured. Analysis is performed (S26).
 具体的には、浅部領域における超音波断層像の輝度値とあらかじめ設定されている閾値とを比較し、輝度値が閾値よりも小さくなるまで超音波走査を繰り返す(S27)。すなわち、造影剤が存在する領域における反射エコー信号は、造影剤が存在しない領域のそれよりも輝度が高くなるので、造影剤が破壊度を輝度情報によって識別するものである。閾値と比較する輝度値としては、例えばその領域における各画素の輝度値の平均値などを用いることができる。 Specifically, the luminance value of the ultrasonic tomogram in the shallow region is compared with a preset threshold value, and ultrasonic scanning is repeated until the luminance value becomes smaller than the threshold value (S27). That is, since the reflected echo signal in the region where the contrast agent exists has a higher luminance than that in the region where the contrast agent does not exist, the contrast agent identifies the degree of destruction by the luminance information. As the luminance value to be compared with the threshold value, for example, an average value of luminance values of pixels in the region can be used.
 S27で輝度値が閾値よりも小さくなり、浅部領域における造影剤の大部分が破壊されたと判断されたら、続いてフォーカス深度を中間部に切替えて超音波走査が行われる(S28)。そして、浅部領域の場合と同様にして、中間部領域における造影剤の輝度解析が行われ(S29)、輝度値が閾値より小さくなるまで(S30)超音波走査が繰り返される。 If it is determined in S27 that the luminance value is smaller than the threshold value and most of the contrast agent in the shallow region has been destroyed, the focus depth is switched to the intermediate portion and ultrasonic scanning is performed (S28). Then, in the same manner as in the shallow region, the contrast agent luminance analysis in the intermediate region is performed (S29), and the ultrasonic scanning is repeated until the luminance value becomes smaller than the threshold value (S30).
 S30で輝度値が閾値よりも小さくなり、中間部領域における造影剤の大部分が破壊されたと判断されたら、続いてフォーカス深度を深部に切替えて超音波走査が行われる(S31)。そして、浅部領域の場合と同様にして、深部領域における造影剤の輝度解析が行われ(S32)、輝度値が閾値より小さくなるまで(S33)超音波走査が繰り返される。 If it is determined in S30 that the luminance value is smaller than the threshold value and most of the contrast agent in the intermediate region has been destroyed, the focus depth is switched to the deep part, and ultrasonic scanning is performed (S31). Then, in the same manner as in the shallow region, the contrast agent luminance analysis in the deep region is performed (S32), and the ultrasonic scanning is repeated until the luminance value becomes smaller than the threshold value (S33).
 S33で輝度値が閾値よりも小さくなり、深部領域における造影剤の大部分が破壊されたと判断されたら、造影剤破壊モードを終了して(S34)、再び造影剤を壊さない程度の比較的低い音圧での超音波走査が行われ、後続の造影剤が流れ込む様子の超音波断層像が生成表示される(S35)。フォーカス深度の浅部、中間部、深部の設定は実施例1と同様に操作者が入力設定してもよいし、あらかじめ設定された複数のフォーカス深度を用いてもよい。 If it is determined in S33 that the luminance value is smaller than the threshold value and most of the contrast agent in the deep region has been destroyed, the contrast agent destruction mode is terminated (S34), and it is relatively low so as not to destroy the contrast agent again. Ultrasonic scanning with sound pressure is performed, and an ultrasonic tomographic image in which the subsequent contrast agent flows is generated and displayed (S35). The setting of the shallow part, the intermediate part, and the deep part of the focus depth may be input by the operator as in the first embodiment, or a plurality of preset focus depths may be used.
 本実施例によれば、被検体に投与され観察部位の深度領域に充満した造影剤を選択して破壊することができる。 
 また、造影剤の破壊度を自動判定してフォーカス深度を切替えるので、操作者による各フォーカス深度におけるフレーム数の設定の必要がなく装置の使い勝手を向上させることができる。また、操作者による設定では必要以上の走査を行って時間がかかり診断効率が低下することや、逆に走査が少なすぎて造影剤を破壊しきれないおそれが考えられるが、本実施例によれば輝度値を用いて適切な回数の走査を行うことが可能となる。
According to this embodiment, it is possible to select and destroy the contrast agent administered to the subject and filling the depth region of the observation site.
In addition, since the focus depth is switched by automatically determining the degree of destruction of the contrast agent, it is not necessary for the operator to set the number of frames at each focus depth, and the usability of the apparatus can be improved. In addition, in the setting by the operator, it may be considered that it takes time to scan more than necessary and the diagnosis efficiency is lowered, and conversely, there is a possibility that the contrast agent cannot be completely destroyed due to too few scans. For example, an appropriate number of scans can be performed using the luminance value.
 図5は、中低音圧用造影剤を用いて再還流を観察するモードの動作の第3実施例を示すフローチャートである。 
 本実施例は、超音波断層像が生成される領域全体の造影剤を破壊するのではなく、操作者により設定された造影剤の再還流を観察したい領域に基づいて必要最低限の造影剤を破壊する実施例である。
FIG. 5 is a flowchart showing a third embodiment of the operation in the mode for observing reperfusion using the medium / low sound pressure contrast medium.
This embodiment does not destroy the contrast agent in the entire region where the ultrasonic tomographic image is generated, but uses the minimum necessary contrast agent based on the region where the operator wants to observe the recirculation of the contrast agent set by the operator. This is an example of destruction.
 図5に示すように、まず造影エコー開始の操作が行われると(S41)、造影剤観察モードとなる(S42)。造影剤観察モードでは、上述のように、造影剤を壊さない程度の比較的低い音圧で超音波走査が行われて超音波断層像が生成表示される。 As shown in FIG. 5, when a contrast echo start operation is first performed (S41), a contrast agent observation mode is set (S42). In the contrast agent observation mode, as described above, ultrasonic scanning is performed with a relatively low sound pressure that does not destroy the contrast agent, and an ultrasonic tomographic image is generated and displayed.
 続いて、図6に示すように、操作者により操作部7を介して造影剤の再還流を観察したい領域(ROI)の設定が行われ(S43)、ROIの位置が制御部6により認識される(S44)。 Subsequently, as shown in FIG. 6, the region (ROI) where the operator wants to observe the recirculation of the contrast medium is set by the operator via the operation unit 7 (S43), and the position of the ROI is recognized by the control unit 6. (S44).
 次に、造影破壊モード開始の操作が行われると(S45)、造影剤破壊モードとなり、造影剤を破壊する比較的高い音圧で超音波走査が行われる(S46)。ここでは、設定されたROI領域内の造影剤が破壊されるように超音波走査が行われる。 Next, when an operation for starting the contrast destruction mode is performed (S45), the contrast medium destruction mode is set, and ultrasonic scanning is performed with a relatively high sound pressure that destroys the contrast medium (S46). Here, ultrasonic scanning is performed so that the contrast agent in the set ROI region is destroyed.
 具体的には、設定されたROI領域の走査方向の両端位置に基づいてROI領域内に超音波ビームが送波されるように走査範囲が設定されるとともに、ROI領域の例えば中心にフォーカス深度を合わせて超音波走査が行われる(S47)。そして、実施例2と同様に超音波断層像のROI領域内の輝度解析が行われ(S48)、輝度値が閾値より小さくなるまで超音波走査が繰り返し行われる(S49)。 Specifically, the scanning range is set so that the ultrasonic beam is transmitted into the ROI area based on the both ends of the set ROI area in the scanning direction, and the focus depth is set at, for example, the center of the ROI area. In addition, ultrasonic scanning is performed (S47). Then, the luminance analysis in the ROI region of the ultrasonic tomographic image is performed as in the second embodiment (S48), and the ultrasonic scanning is repeatedly performed until the luminance value becomes smaller than the threshold value (S49).
 S49で輝度値が閾値よりも小さくなり、ROI領域における造影剤の大部分が破壊されたと判断されたら、造影剤破壊モードを終了して(S50)、再び造影剤を壊さない程度の比較的低い音圧での超音波走査が行われ、後続の造影剤が流れ込む様子の超音波断層像が生成表示される(S51)。 When it is determined in S49 that the luminance value is smaller than the threshold value and most of the contrast agent in the ROI region has been destroyed, the contrast agent destruction mode is terminated (S50), and it is relatively low so as not to destroy the contrast agent again. Ultrasonic scanning with sound pressure is performed, and an ultrasonic tomographic image in which the subsequent contrast agent flows is generated and displayed (S51).
 本実施例では、ROI領域内の輝度値と閾値を比較することにより造影剤破壊モードの終了を判定する例を挙げたが、これに限らず、走査回数(スキャン回数)を操作者があらかじめ設定しておいてもよい。 In this embodiment, an example is given in which the end of the contrast medium destruction mode is determined by comparing the brightness value in the ROI region with a threshold value, but the present invention is not limited to this, and the operator sets the number of scans (the number of scans) in advance. You may keep it.
 また、本実施例では、ROI領域の中心にフォーカス深度を合わせて超音波走査を行う例を挙げたが、その他、例えばROI領域の深度方向の最深部の位置に基づいて超音波ビームのフォーカス深度の最深部を設定して、超音波走査は、設定された走査範囲内において、フォーカス深度を浅部から設定された最深部まで順次変化させながら行ってもよい。 Further, in this embodiment, an example in which ultrasonic scanning is performed by adjusting the focus depth to the center of the ROI region has been described, but in addition, for example, the focus depth of the ultrasonic beam based on the position of the deepest portion in the depth direction of the ROI region. Ultrasound scanning may be performed by sequentially changing the focus depth from the shallow part to the set deepest part within the set scanning range.
 すなわち、ROI領域が超音波診断像の比較的深部に設定された場合、直接ROI領域内にフォーカスを合わせて超音波走査を行っても破壊に時間がかかる場合があるので、浅部から順に造影剤を破壊しながら深部のROI領域内の造影剤を破壊することにより効率よく造影剤を破壊し得る。 In other words, if the ROI area is set relatively deep in the ultrasound diagnostic image, it may take time to destroy even if the ultrasound scan is performed with the focus directly on the ROI area. The contrast agent can be efficiently destroyed by destroying the contrast agent in the deep ROI region while destroying the agent.
 本実施例によれば、被検体に投与され観察部位の深度領域に充満した造影剤を選択して破壊することができる。 
 また、超音波断層像が生成されている領域全ての造影剤を破壊するのではなく、必要最低限の真に観察したい領域における造影剤のみを破壊するので、破壊時間の短縮につながり診断効率を向上させることができる。
According to this embodiment, it is possible to select and destroy the contrast agent administered to the subject and filling the depth region of the observation site.
Also, rather than destroying the contrast agent in all the areas where ultrasonic tomograms are generated, only the contrast agent in the area that you want to observe truly is destroyed, leading to shortened destruction time and diagnostic efficiency. Can be improved.
 また、添付図面を参照して、本発明に係る超音波診断装置等の好適ないくつかの実施例について説明したが、本発明はかかる例に限定されない。当業者であれば、本願で開示した技術的思想の範疇内において、各種の変更例又は修正例に想到し得ることは明らかであり、それらについても当然に本発明の技術的範囲に属するものと了解される。 Also, with reference to the attached drawings, several preferred embodiments such as an ultrasonic diagnostic apparatus according to the present invention have been described, but the present invention is not limited to such examples. It will be apparent to those skilled in the art that various changes or modifications can be conceived within the scope of the technical idea disclosed in the present application, and these naturally belong to the technical scope of the present invention. Understood.
 1 探触子、2 受信部、3 画像生成部、4 画像表示部、5 送信部、6 制御部、7 操作部、10 超音波診断装置 1 probe, 2 receiving unit, 3 image generating unit, 4 image display unit, 5 transmitting unit, 6 control unit, 7 operation unit, 10 ultrasonic diagnostic device

Claims (13)

  1.  被検体との間で超音波の送受信を行う探触子と、
     該探触子に供給する送信信号を生成する送信部と、
     該送信部で生成する送信信号の遅延処理を行い超音波ビームのフォーカス深度を制御するものであって、前記被検体内を超音波走査して被検体内に投与された超音波造影剤を破壊する際に、前記超音波ビームのフォーカス深度を変化させる制御部と、
     前記超音波ビームのフォーカス深度を変化した状態で前記探触子により受信された反射エコー信号に基づいて超音波断層像を生成する画像生成部と、
     前記生成された超音波断層像を表示する画像表示部と、を備えたことを特徴とする超音波診断装置。
    A probe that transmits and receives ultrasound to and from the subject;
    A transmission unit for generating a transmission signal to be supplied to the probe;
    Controlling the depth of focus of an ultrasonic beam by delaying a transmission signal generated by the transmitter, and ultrasonically scanning the subject to destroy the ultrasound contrast agent administered into the subject A control unit that changes a focus depth of the ultrasonic beam,
    An image generation unit that generates an ultrasonic tomographic image based on a reflected echo signal received by the probe in a state in which the focus depth of the ultrasonic beam is changed;
    An ultrasonic diagnostic apparatus comprising: an image display unit that displays the generated ultrasonic tomographic image.
  2.  前記制御部は、前記超音波ビームのフォーカス深度を浅部から深部へ順次変化させる請求項1の超音波診断装置。 The ultrasonic diagnostic apparatus according to claim 1, wherein the control unit sequentially changes a focus depth of the ultrasonic beam from a shallow part to a deep part.
  3.  前記超音波ビームの走査回数を設定する走査回数設定部を備え、
     前記制御部は、設定された走査回数の超音波走査が終了したら前記超音波ビームのフォーカス深度を切替える請求項1の超音波診断装置。
    A scan number setting unit for setting the number of scans of the ultrasonic beam;
    2. The ultrasonic diagnostic apparatus according to claim 1, wherein the control unit switches a focus depth of the ultrasonic beam when ultrasonic scanning for the set number of scans is completed.
  4.  前記走査回数設定部は、前記超音波ビームの複数のフォーカス深度のそれぞれにおける走査回数を設定し、
     前記制御部は、各フォーカス深度において設定された走査回数の超音波走査が終了したら前記超音波ビームのフォーカス深度を切替える請求項3の超音波診断装置。
    The scan number setting unit sets the number of scans at each of a plurality of focus depths of the ultrasonic beam,
    4. The ultrasonic diagnostic apparatus according to claim 3, wherein the control unit switches the focus depth of the ultrasonic beam when ultrasonic scanning for the number of scans set at each focus depth is completed.
  5.  前記制御部は、前記生成された超音波断層像を超音波ビームの複数のフォーカス深度に応じて深度方向に区切った複数領域のうち超音波走査を行っているフォーカス深度に対応する領域の輝度情報に基づいて前記超音波ビームのフォーカス深度を切替える請求項1の超音波診断装置。 The control unit includes luminance information of a region corresponding to a focus depth in which ultrasonic scanning is performed among a plurality of regions obtained by dividing the generated ultrasonic tomogram in a depth direction according to a plurality of focus depths of an ultrasonic beam. 2. The ultrasonic diagnostic apparatus according to claim 1, wherein a focus depth of the ultrasonic beam is switched based on the frequency.
  6.  前記超音波造影剤の再還流を観察する領域を設定する領域設定部を備え、
     前記制御部は、設定された観察領域に基づいて超音波ビームの走査範囲を設定するとともに超音波ビームのフォーカス深度の最深部を設定し、設定された走査範囲において前記超音波ビームのフォーカス深度を浅部から前記最深部へ順次変化させる請求項1の超音波診断装置。
    An area setting unit for setting an area for observing reperfusion of the ultrasonic contrast agent;
    The control unit sets the scanning range of the ultrasonic beam based on the set observation area and sets the deepest part of the focus depth of the ultrasonic beam, and sets the focus depth of the ultrasonic beam in the set scanning range. 2. The ultrasonic diagnostic apparatus according to claim 1, wherein the ultrasonic diagnostic apparatus sequentially changes from a shallow part to the deepest part.
  7.  探触子により被検体との間で超音波の送受信を行う第1ステップと、
     送信部により該探触子に供給する送信信号を生成する第2ステップと、
     制御部により該送信部で生成する送信信号の遅延処理を行い超音波ビームのフォーカス深度を制御するものであって、前記被検体内を超音波走査して被検体内に投与された超音波造影剤を破壊する際に、前記超音波ビームのフォーカス深度を変化させる第3ステップと、
     画像生成部により前記超音波ビームのフォーカス深度を変化した状態で前記探触子により受信された反射エコー信号に基づいて超音波断層像を生成する第4ステップと、
     画像表示部により前記生成された超音波断層像を表示する第5ステップと、を含むことを特徴とする超音波診断装置の超音波造影撮像方法。
    A first step of transmitting and receiving ultrasonic waves to and from the subject using a probe;
    A second step of generating a transmission signal to be supplied to the probe by the transmission unit;
    A control unit that delays a transmission signal generated by the transmission unit and controls the focus depth of the ultrasonic beam, and is ultrasonically scanned in the subject and administered into the subject. A third step of changing the focus depth of the ultrasonic beam when destroying the agent;
    A fourth step of generating an ultrasonic tomographic image based on a reflected echo signal received by the probe in a state in which the focus depth of the ultrasonic beam is changed by an image generation unit;
    A fifth step of displaying the generated ultrasonic tomographic image by an image display unit; and an ultrasonic contrast imaging method for an ultrasonic diagnostic apparatus.
  8.  前記第3ステップは、前記制御部により前記超音波ビームのフォーカス深度を浅部から深部へ順次変化させる請求項7の超音波診断装置の超音波造影撮像方法。 The ultrasonic contrast imaging method of the ultrasonic diagnostic apparatus according to claim 7, wherein the third step sequentially changes the focus depth of the ultrasonic beam from a shallow part to a deep part by the control unit.
  9.  走査回数設定部により前記超音波ビームの走査回数を設定する第6ステップを含み、
     前記第3ステップは、前記制御部により設定された走査回数の超音波走査が終了したら前記超音波ビームのフォーカス深度を切替える請求項7の超音波診断装置の超音波造影撮像方法。
    Including a sixth step of setting the number of scans of the ultrasonic beam by a scan number setting unit;
    The ultrasonic contrast imaging method of the ultrasonic diagnostic apparatus according to claim 7, wherein the third step switches the focus depth of the ultrasonic beam when the ultrasonic scanning of the number of scans set by the control unit is completed.
  10.  前記第6ステップは、前記走査回数設定部により前記超音波ビームの複数のフォーカス深度のそれぞれにおける走査回数を設定し、
     前記第3ステップは、前記制御部により各フォーカス深度において設定された走査回数の超音波走査が終了したら前記超音波ビームのフォーカス深度を切替える請求項9の超音波診断装置の超音波造影撮像方法。
    The sixth step sets the number of scans at each of a plurality of focus depths of the ultrasonic beam by the scan number setting unit,
    10. The ultrasonic contrast imaging method for an ultrasonic diagnostic apparatus according to claim 9, wherein the third step switches the focus depth of the ultrasonic beam when the ultrasonic scanning of the number of scans set at each focus depth by the control unit is completed.
  11.  前記第3ステップは、前記制御部により前記生成された超音波断層像を超音波ビームの複数のフォーカス深度に応じて深度方向に区切った複数領域のうち超音波走査を行っているフォーカス深度に対応する領域の輝度情報に基づいて前記超音波ビームのフォーカス深度を切替える請求項7の超音波診断装置の超音波造影撮像方法。 The third step corresponds to a focus depth in which ultrasonic scanning is performed among a plurality of regions obtained by dividing the generated ultrasonic tomographic image by the control unit in a depth direction according to a plurality of focus depths of an ultrasonic beam. 8. The ultrasonic contrast imaging method of the ultrasonic diagnostic apparatus according to claim 7, wherein the focus depth of the ultrasonic beam is switched based on luminance information of a region to be performed.
  12.  領域設定部により前記超音波造影剤の再還流を観察する領域を設定する第7ステップを含み、
     前記第3ステップは、前記制御部により設定された観察領域に基づいて超音波ビームの走査範囲を設定するとともに超音波ビームのフォーカス深度の最深部を設定し、設定された走査範囲において前記超音波ビームのフォーカス深度を浅部から前記最深部へ順次変化させる請求項7の超音波診断装置の超音波造影撮像方法。
    Including a seventh step of setting a region for observing reperfusion of the ultrasound contrast agent by a region setting unit,
    The third step sets the scanning range of the ultrasonic beam based on the observation region set by the control unit and sets the deepest part of the focus depth of the ultrasonic beam, and the ultrasonic wave is set in the set scanning range. 8. The ultrasonic contrast imaging method for an ultrasonic diagnostic apparatus according to claim 7, wherein the focus depth of the beam is sequentially changed from a shallow part to the deepest part.
  13.  被検体との間で超音波の送受信を行う探触子と、
     該探触子に供給する送信信号を生成する送信部と、
     該送信部で生成する送信信号の遅延処理を行い超音波ビームのフォーカス深度を制御する制御部と、
     前記超音波ビームのフォーカス深度に基づき前記探触子により受信された反射エコー信号に基づいて超音波断層像を生成する画像生成部と、
     前記生成された超音波断層像を表示する画像表示部と、を備えた超音波診断装置であって、
     前記制御部は、前記被検体内を超音波走査して被検体内に投与された超音波造影剤を破壊する際に、前記超音波ビームのフォーカス深度を変化させることを特徴とする超音波診断装置。
    A probe that transmits and receives ultrasound to and from the subject;
    A transmitter for generating a transmission signal to be supplied to the probe;
    A control unit that performs delay processing of the transmission signal generated by the transmission unit and controls the focus depth of the ultrasonic beam;
    An image generating unit that generates an ultrasonic tomographic image based on a reflected echo signal received by the probe based on a focus depth of the ultrasonic beam;
    An image display unit that displays the generated ultrasonic tomogram, and an ultrasonic diagnostic apparatus comprising:
    The control unit changes the focus depth of the ultrasonic beam when the ultrasonic contrast agent administered into the subject is destroyed by ultrasonic scanning in the subject. apparatus.
PCT/JP2009/060625 2008-06-12 2009-06-10 Ultrasound diagnostic device and method for ultrasound contrast imaging by use of same WO2009151079A1 (en)

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