WO2020051899A1 - Procédé d'affichage de la position d'un vaisseau sanguin et système d'imagerie ultrasonore - Google Patents

Procédé d'affichage de la position d'un vaisseau sanguin et système d'imagerie ultrasonore Download PDF

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Publication number
WO2020051899A1
WO2020051899A1 PCT/CN2018/105806 CN2018105806W WO2020051899A1 WO 2020051899 A1 WO2020051899 A1 WO 2020051899A1 CN 2018105806 W CN2018105806 W CN 2018105806W WO 2020051899 A1 WO2020051899 A1 WO 2020051899A1
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Prior art keywords
scanning
blood vessel
scanning mode
image
ultrasound
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PCT/CN2018/105806
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English (en)
Chinese (zh)
Inventor
李庆鹏
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深圳迈瑞生物医疗电子股份有限公司
深圳迈瑞科技有限公司
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Application filed by 深圳迈瑞生物医疗电子股份有限公司, 深圳迈瑞科技有限公司 filed Critical 深圳迈瑞生物医疗电子股份有限公司
Priority to PCT/CN2018/105806 priority Critical patent/WO2020051899A1/fr
Priority to CN201880097167.0A priority patent/CN112654294B/zh
Publication of WO2020051899A1 publication Critical patent/WO2020051899A1/fr

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

Definitions

  • the present application relates to the field of ultrasound imaging, and in particular, to a method and an ultrasound imaging system for displaying a blood vessel position.
  • Ultrasound imaging is used for visual guidance of puncture intervention due to its real-time advantages.
  • the puncture needle needs to avoid blood vessels after entering the human body, so as not to puncture the blood vessels, causing undesired consequences such as bleeding or drugs entering the blood circulation.
  • doctors usually need to use Color, Power, or Doppler spectrum modes to achieve it.
  • the doctor needs to pause the puncture operation and adjust the ultrasound imaging equipment to affect the efficiency of ultrasound imaging .
  • the present application mainly provides a method for displaying the position of a blood vessel and an ultrasound imaging system.
  • an embodiment provides a method for displaying a blood vessel position, including:
  • the displaying the position of the blood vessel on the fusion image of the first ultrasound image and the second ultrasound image includes at least one of the following methods:
  • the step of scanning the target tissue to determine the position of the blood vessel in the target tissue by using the first scanning mode includes:
  • the blood vessel position is determined according to the blood flow signal.
  • the method before displaying the position of the blood vessel on the image where the first ultrasound image and the second ultrasound image are fused, the method further includes:
  • the target mask image is fused on the fused image of the first ultrasound image and the second ultrasound image.
  • the generating a target mask image according to the blood vessel position includes:
  • An initial mask image is obtained according to the position of a blood vessel corresponding to one frame scan
  • the one initial mask image is determined as the target mask image.
  • the generating a mask image according to the blood vessel position includes:
  • the target mask image by using the N initial mask images in a preset manner, wherein the preset manner includes at least one of a weighted addition manner and a maximum value manner.
  • the second scanning mode is different from the first scanning mode; and / or, the third scanning mode is different from the first scanning mode; and / or, the second scanning mode and The third scan mode is the same.
  • the first scanning mode is a C scanning mode or a D scanning mode
  • the second scanning mode is a B scanning mode
  • a range of scanning the target tissue by the first scanning mode is the same as a range of scanning the target tissue by the second scanning mode.
  • an embodiment provides a method for displaying a blood vessel position, including:
  • the displaying the blood vessel position on the first ultrasound image includes at least one of the following methods:
  • the step of scanning the target tissue to determine the position of the blood vessel in the target tissue by using the first scanning mode includes:
  • the blood vessel position is determined according to the blood flow signal.
  • the method before displaying the position of the blood vessel on the first ultrasound image, the method further includes:
  • the target mask image is fused on the first ultrasound image.
  • the generating a target mask image according to the blood vessel position includes:
  • An initial mask image is obtained according to the position of a blood vessel corresponding to one frame scan
  • the one initial mask image is determined as the target mask image.
  • the generating a mask image according to the blood vessel position includes:
  • the target mask image by using the N initial mask images in a preset manner, where the preset manner includes at least one of a weighted addition manner and a maximum value manner.
  • the number of scanning frames corresponding to the second scanning mode is M, and M is an integer greater than 1.
  • Scanning the target tissue to obtain a first ultrasound image corresponding to the target tissue by using the second scanning mode includes: performing M-frame scanning on the target tissue to obtain the target tissue corresponding to the target tissue through the second scanning mode M first ultrasound images;
  • the displaying the blood vessel position on the first ultrasound image includes: displaying the blood vessel position on the M first ultrasound images, respectively.
  • the display method includes multiple rounds of scanning, and each round of scanning includes the scanning of the target tissue by the first scanning mode and the scanning of the target tissue by the second scanning mode; Displaying the blood vessel position in the target tissue determined in the same scan on the first ultrasound image acquired in the same scan includes: counting the number of scan frames corresponding to the second scan mode to determine whether the setting is reached The number of frames. If the number of frames is not reached, the position of the blood vessel is displayed on the first ultrasound image. If the number of frames is reached, the next scan is performed.
  • the display method further includes:
  • the second ultrasound image and the first ultrasound image are fused and displayed.
  • the third scanning mode is different from the first scanning mode.
  • the second scanning mode and the third scanning mode are the same.
  • the second scanning mode is different from the first scanning mode.
  • the first scanning mode is a C scanning mode or a D scanning mode
  • the second scanning mode is a B scanning mode
  • a range of scanning the target tissue by the first scanning mode is the same as a range of scanning the target tissue by the second scanning mode.
  • an ultrasound imaging system including:
  • a transmitting / receiving control circuit for controlling the ultrasound probe to scan a target tissue in a first scanning mode and receiving an echo signal in the first scanning mode, and controlling the ultrasound probe to perform a second scanning mode on the target tissue. Scan and receive an echo signal in a second scan mode, and control the ultrasound probe to perform a third scan mode to scan an intervention in the target tissue and receive an echo signal in a third scan mode; wherein the second The number of scanning frames corresponding to the scanning mode is greater than the number of scanning frames corresponding to the first scanning mode;
  • a processor configured to determine a position of a blood vessel in the target tissue according to an echo signal in the first scan mode, generate a first ultrasound image corresponding to the target tissue according to the echo signal in the second scan mode, and A second ultrasound image corresponding to the intervention is generated according to an echo signal of the third scanning mode.
  • a display unit configured to display the position of the blood vessel on an image where the first ultrasound image and the second ultrasound image are fused.
  • the displaying unit displays the position of the blood vessel on the image where the first ultrasound image and the second ultrasound image are fused, including at least one of the following methods:
  • the pseudo-color manner is used to render the blood vessel position with a preset transparency
  • the determining the position of the blood vessel in the target tissue according to the echo signal of the first scan mode includes: receiving an echo signal returned from the target tissue in the first scan mode; A blood flow signal is generated in the echo signal; the position of the blood vessel is determined according to the blood flow signal.
  • the processor generates a target mask image according to the position of the blood vessel, and fuses the target mask image to the image of the first ultrasound image and the second ultrasound image, so that the display will integrate the The blood vessel position is displayed on an image where the first ultrasound image and the second ultrasound image are fused.
  • the processor generating a target mask image according to the blood vessel position includes: obtaining an initial mask according to a frame scanning corresponding blood vessel position. Image; determining the one initial mask image as the target mask image.
  • the processor generating a target mask image according to the blood vessel position includes: scanning the corresponding N initial mask images are generated at the position of the blood vessel; the N initial mask images are used to generate the target mask image in a preset manner, wherein the preset manner includes a weighted addition manner and a maximum value manner At least one of.
  • the second scanning mode is different from the first scanning mode; and / or, the third scanning mode is different from the first scanning mode; and / or, the second scanning mode and The third scan mode is the same.
  • the first scanning mode is a C scanning mode or a D scanning mode
  • the second scanning mode is a B scanning mode
  • the transmitting / receiving control circuit controls a range in which the ultrasound probe performs a first scan mode to scan a target tissue, and controls a range in which the ultrasound probe performs a second scan mode to scan the target tissue. Both are the same.
  • an ultrasound imaging system including:
  • a transmitting / receiving control circuit configured to control the ultrasound probe to perform a first scanning mode to scan a target tissue and receive an echo signal in the first scanning mode, and control the ultrasound probe to perform a second scanning mode on the target tissue. Performing scanning and receiving echo signals in a second scanning mode, wherein the number of scanning frames corresponding to the second scanning mode is greater than the number of scanning frames corresponding to the first scanning mode;
  • a processor configured to determine a position of a blood vessel in the target tissue according to an echo signal in the first scan mode, and generate a first ultrasound image corresponding to the target tissue according to the echo signal in the second scan mode;
  • a display unit configured to display the position of the blood vessel on the first ultrasound image.
  • the displaying unit displays the blood vessel position on the first ultrasound image, including at least one manner:
  • the determining the position of the blood vessel in the target tissue according to the echo signal of the first scan mode includes: receiving an echo signal returned from the target tissue in the first scan mode; A blood flow signal is generated in the echo signal; the position of the blood vessel is determined according to the blood flow signal.
  • the processor generates a target mask image according to the blood vessel position, and fuses the target mask image on the first ultrasound image, so that a display displays the blood vessel position on the first An ultrasound image.
  • the processor generating a target mask image according to the blood vessel position includes: obtaining an initial mask according to a frame scanning corresponding blood vessel position. Image; determining the one initial mask image as the target mask image.
  • the processor generating a target mask image according to the blood vessel position includes: scanning the corresponding N initial mask images are generated at the position of the blood vessel; the N initial mask images are used to generate the target mask image in a preset manner, wherein the preset manner includes a weighted addition manner and a maximum value manner At least one of.
  • the number of scanning frames corresponding to the second scanning mode is M, and M is an integer greater than 1.
  • the processor generates the echo signals according to the echo signals scanned by the M frames in the second scanning mode. M first ultrasound images corresponding to the target tissue, so that the display unit displays the blood vessel positions on the M first ultrasound images, respectively.
  • the transmitting / receiving control circuit controls the ultrasound probe to perform multiple rounds of scanning, and each round of scanning includes controlling the ultrasound probe to execute the first scanning mode to scan the target tissue and receive the first scanning mode.
  • the determined blood vessel position is displayed on the first ultrasound image generated according to the echo signal of the second scan mode in the same round, and includes: the transmitting / receiving control circuit counts the number of scan frames corresponding to the second scan mode to determine whether The set number of frames is reached. If the set number of frames is not reached, the display is notified to display the blood vessel position on the first ultrasound image. If the set number of frames is reached, the transmit / receive control circuit controls the ultrasound probe to perform the next scan.
  • An embodiment is characterized in that the transmitting / receiving control circuit further controls the ultrasound probe to perform a third scanning mode to scan an interventional object which penetrates into the target tissue, and to receive an echo in the third scanning mode.
  • the processor generates a second ultrasound image corresponding to the intervention according to the echo signal of the third scanning mode, and fuses the second ultrasound image and the first ultrasound image to be displayed in a display unit display.
  • the third scanning mode is different from the first scanning mode.
  • the second scanning mode and the third scanning mode are the same.
  • the second scanning mode is different from the first scanning mode.
  • the first scanning mode is a C scanning mode or a D scanning mode
  • the second scanning mode is a B scanning mode
  • the transmitting / receiving control circuit controls a range in which the ultrasound probe performs a first scan mode to scan a target tissue, and controls a range in which the ultrasound probe performs a second scan mode to scan the target tissue. Both are the same.
  • an embodiment provides a computer-readable storage medium, characterized in that it includes a program that can be executed by a processor to implement display of a blood vessel position as described in any of the embodiments herein method.
  • a target tissue is scanned by a first scanning mode to determine a blood vessel position within the target tissue; Scanning the target tissue to obtain a first ultrasound image corresponding to the target tissue, wherein the number of scanning frames corresponding to the second scanning mode is greater than the number of scanning frames corresponding to the first scanning mode; Displayed on the first ultrasound image.
  • FIG. 1 is a schematic diagram of an existing ultrasound in Color mode applied to an ultrasound intervention guided or planned scan frame
  • FIG. 2 is a schematic diagram of a scan frame applied to ultrasound intervention guidance or planning according to an embodiment of the present application
  • FIG. 3 is a schematic structural diagram of an ultrasound imaging system according to an embodiment of the present application.
  • FIG. 4 is a schematic diagram of a scanning frame according to an embodiment of the present application.
  • FIG. 5 is a schematic diagram of a scan frame and a corresponding ultrasound image generation relationship in an embodiment of the present application
  • 6 (a) and 6 (b) are two schematic diagrams of generating a target mask image from multiple initial mask images
  • 7 (a) and 7 (b) are two examples of displaying the position of a blood vessel on a first ultrasound image
  • FIG. 8 is a flowchart of a method for displaying a blood vessel position according to an embodiment of the present application.
  • FIG. 9 is a flowchart of scanning a target tissue in a first scanning mode to determine a blood vessel position in the target tissue according to an embodiment of the present application
  • FIG. 10 is a flowchart of a method for displaying a blood vessel position according to another embodiment of the present application.
  • FIG. 11 is a flowchart of image fusion according to an embodiment of the present application.
  • FIG. 12 is a schematic diagram showing a blood vessel position and an interventional object in a super log image according to an embodiment of the present application.
  • FIG. 13 is a flowchart of a method for displaying a blood vessel position according to another embodiment of the present application.
  • FIG. 14 is a flowchart of a method for displaying a blood vessel position according to still another embodiment of the present application.
  • connection and “connection” in this application include direct and indirect connections (connections) unless otherwise specified.
  • the modes such as Color, Power, or Doppler spectrum are originally used to provide information on blood flow
  • the ultrasound imaging system alternately performs one frame of two-dimensional imaging scans and one frame of blood flow imaging scans, and then generates one frame of color based on the echo signals of one frame of two-dimensional imaging scans and one frame of blood imaging scans before and after.
  • Doppler blood flow ultrasound images for example, sequentially perform the first two-dimensional imaging scan, the first frame blood imaging scan, the second frame two-dimensional imaging scan, the second frame blood imaging scan, ..., the n frame two -Dimensional imaging scan, n-th frame blood flow imaging scan, ...; the first two-dimensional imaging scan and the first frame blood flow imaging scan are used to generate a color Doppler blood flow ultrasound image of the first frame, the second frame of the second The two-dimensional imaging scan and the second frame blood flow imaging scan are used to generate the color Doppler blood flow ultrasound image of the second frame, ..., the nth two-dimensional imaging scan and the nth frame blood flow imaging scan are used to generate the nth frame.
  • Frame color Doppler ultrasound images ...
  • the scanning and calculation of blood flow imaging will occupy a lot of resources. If it is used in the ultrasound guided image used to guide the doctor to perform the puncture intervention operation, the image frame rate will be significantly reduced. Generally, in order to obtain better blood flow signals and richer blood flow information, the emission energy occupied by blood flow imaging will obviously exceed the two-dimensional signal. Subject to regulations such as probe temperature rise, there is an upper limit to the amount of energy that can be emitted per unit time. Blood flow imaging takes up more, and two-dimensional imaging must be reduced.
  • the signal-to-noise ratio of the two-dimensional signal will be lost, and the direct expression is that the quality of the two-dimensional image is reduced, which affects the display of the tissue and the puncture needle.
  • the bleeding information is usually overlaid on the two-dimensional image in the form of false colors, so that the doctor cannot view the two-dimensional image of the current position.
  • the ultrasound imaging system alternately performs one frame of blood flow imaging scan and continuous multi-frame two-dimensional imaging scan, such as M-frame two-dimensional imaging scan, where M is greater than An integer of 1.
  • M is greater than An integer of 1.
  • Each frame of the blood flow imaging scan is used to determine the position of the blood vessel, and an ultrasound image containing the position of the blood vessel is generated in sequence with each frame of the subsequent multi-frame two-dimensional imaging scan. It can be seen that because the time of the blood flow imaging scan is greatly reduced, the resources occupied by the blood flow imaging scan and calculation are also greatly reduced, which significantly increases the image frame rate and improves the quality of the two-dimensional image.
  • the above concept can be modified in various ways.
  • one frame of blood flow imaging scan can be replaced by a continuous multi-frame blood flow imaging scan, as long as the number of frames of this continuous multi-frame blood flow imaging scan is less than continuous
  • the number of multi-frame 2D imaging scans is still higher than the image frame rate and 2D image quality of Color mode ultrasound imaging; for example, because blood flow imaging scans are used to determine the position of blood vessels, blood flow imaging here Scans can be replaced with other scan types that can be used to determine the location of blood vessels; for example, since the two-dimensional imaging scan here is used to generate ultrasound images of the internal tissue structure of a living body, the two-dimensional imaging scan here can also be replaced with another Scan types that can generate ultrasound images of the internal tissue structure of a living body, as well as ultrasound images of other dimensions, such as three-dimensional, four-dimensional ultrasound images.
  • FIG. 3 is a schematic structural diagram of an ultrasound imaging system according to an embodiment.
  • the ultrasound imaging system may include an ultrasound probe 10, a transmission / reception control circuit 20, an echo processing unit 30, a processor 40, and a display unit 50.
  • the ultrasound probe 10 includes a plurality of array elements, which are used to realize the mutual conversion of electric pulse signals and ultrasound waves, thereby realizing the transmission of ultrasound waves to the detected biological tissue 60 (such as biological tissue in a human body or an animal body) and receiving ultrasonic waves reflected by the tissue. wave.
  • the plurality of array elements included in the ultrasound probe 10 may be arranged in a row to form a linear array, or arranged in a two-dimensional matrix to form a surface array, and the plurality of array elements may also constitute a convex array.
  • the array element can transmit ultrasonic waves according to the excitation electric signal, or transform the received ultrasonic waves into electric signals.
  • each array element can be used to transmit ultrasonic waves to biological tissues in the region of interest, and can also be used to receive ultrasonic echoes returned by the tissue.
  • ultrasonic detection it is possible to control which array elements are used to transmit ultrasonic waves, which array elements are used to receive ultrasonic waves, or to control the array elements to be used to transmit ultrasonic waves or receive ultrasonic echoes by transmitting and receiving sequences. All array elements participating in ultrasonic emission can be simultaneously excited by electrical signals, thereby transmitting ultrasonic waves simultaneously; or the array elements participating in ultrasonic emission can also be excited by several electrical signals with a certain time interval, thereby continuously transmitting ultrasonic waves with a certain time interval.
  • the transmitting / receiving control circuit 20 is used to control the ultrasonic probe 10 to transmit an ultrasonic beam to the biological tissue 60 on the one hand, and to control the ultrasonic probe 10 to receive the ultrasonic echo reflected by the ultrasonic beam through the tissue.
  • the transmitting / receiving control circuit 20 is configured to generate a transmitting sequence and a receiving sequence, and output them to an ultrasound probe.
  • the transmission sequence is used to control some or all of the plurality of array elements in the ultrasound probe 10 to transmit ultrasonic waves to the target of interest in the biological tissue 60.
  • the parameters of the transmission sequence include the number of array elements for transmission and ultrasonic transmission parameters (e.g., amplitude, frequency, Number of waves, transmission interval, transmission angle, wave pattern and / or focus position, etc.).
  • the receiving sequence is used to control some or all of the plurality of array elements to receive the echoes after the ultrasound is organized.
  • the parameters of the receiving sequence include the number of array elements for receiving and the receiving parameters of the echo (such as the receiving angle, depth, etc.).
  • the ultrasound parameters in the transmitting sequence and the echo parameters in the receiving sequence are different.
  • the echo processing unit 30 is configured to process an ultrasonic echo signal received by the ultrasound probe 10, for example, perform processing such as filtering, amplification, beam synthesis, and the like on the ultrasonic echo signal to obtain a processed ultrasonic echo signal.
  • the echo processing unit 30 may output the processed ultrasonic echo signal to the processor 40, and may also store the data of the ultrasonic echo signal in a memory first, and perform the processing based on the ultrasonic echo data. During the calculation, the processor 40 reads the data of the ultrasonic echo signal from the memory.
  • the echo processing unit 30 may be omitted when it is not necessary to perform processing such as filtering, amplifying, and beam combining the ultrasonic echo signals.
  • the processor 40 is configured to obtain an ultrasonic echo signal, and obtain a required parameter or image by using a related algorithm.
  • the display unit 50 may be used for displaying information, such as displaying parameters and images calculated by the processor 40.
  • the ultrasound imaging system itself may not integrate a display unit, but may be connected to a computer device (for example, a computer) and display information through the display unit (for example, a display screen) of the computer device.
  • the above is a basic structure of an ultrasound imaging system.
  • the transmitting / receiving control circuit 20 is configured to control the ultrasound probe 10 to perform a first scanning mode to scan a target tissue and receive an echo signal in the first scanning mode, and to control the ultrasound probe 10 to perform a second scanning mode.
  • the target tissue performs scanning and receives echo signals in a second scanning mode, where the number of scanning frames corresponding to the second scanning mode is greater than the number of scanning frames corresponding to the first scanning mode.
  • the number of scanning frames corresponding to the first scanning mode may be one frame or multiple frames.
  • the first scanning mode and the second scanning mode are different.
  • the first scanning mode is used to detect the position of a blood vessel in the target tissue.
  • the first scanning mode may be a C scanning mode or a D scanning mode
  • the D scanning mode may be a PW scanning mode or a CW scanning mode.
  • the first scanning mode may use a conventional focusing method, a plane wave method, or the like.
  • the second scanning mode is used to detect the internal tissue structure of the target tissue.
  • the second scanning mode may be a B-scan mode.
  • the scanning ranges of the first scanning mode and the second scanning mode can be the same, so that the position of the blood vessels in the visible range of the doctor on the ultrasound image can be determined sufficiently, and no omission will occur.
  • the processor 40 determines the position of the blood vessel in the target tissue according to the echo signal in the first scanning mode, and generates a first ultrasound image corresponding to the target tissue according to the echo signal in the second scanning mode.
  • the display unit 50 displays the position of the blood vessel on the first ultrasound image.
  • the ultrasound imaging system of an embodiment may include one or more rounds of scanning.
  • the transmitting / receiving control circuit 20 controls the ultrasound probe 10 to perform the multiple rounds of scanning.
  • the transmitting / receiving control circuit Both control the ultrasound probe 10 to execute the first scanning mode to scan the target tissue and receive the echo signal of the first scanning mode, and execute the second scanning mode to scan the target tissue and receive the echo signal of the second scanning mode.
  • the processor 40 fuses the blood vessel position determined according to the echo signal of the first scan mode in the same round to the first ultrasound image generated according to the echo signal of the second scan mode in the same round, and passes the display unit 50 To show.
  • the transmitting / receiving control circuit 20 counts the number of scanning frames corresponding to the second scanning mode to determine whether the set number of frames is reached. If the set number of frames is not reached, the display unit 50 is notified to The blood vessel position is displayed on the first ultrasound image. If the set number of frames is reached, the transmission / reception control circuit 20 controls the ultrasound probe 10 to perform the next scan.
  • the ultrasound imaging system alternately performs scanning in a first scanning mode of N frames and scanning in a second mode of M frames, where N and M are both positive integers and M is greater than N.
  • each scan of the ultrasound imaging system includes a scan in a first scan mode of N frames and a scan in a second scan mode of M frames.
  • the position of a blood vessel is determined by scanning in the first scanning mode of N frames, and the scanning of the second scanning mode in M frames is used to sequentially generate and display the first
  • An ultrasound image displays the position of the blood vessel determined by the scanning in the first scanning mode of the N frames on the first ultrasound image when the first ultrasound image in each of the M frames is displayed.
  • the above-mentioned set frame number can be set to M + 1, then the transmission / reception control circuit 20 counts the number of scan frames corresponding to the second scan mode to determine whether the set frame number M + 1 is reached, and if the set frame number is not reached If the number is M + 1, the display unit 50 is notified to display the position of the blood vessel on the first ultrasound image. If the set frame number M + 1 is reached, that is, if the next frame is to be scanned in the second scanning mode, the number of frames will be The M + 1 frame will be reached, then the transmit / receive control circuit 20 controls the ultrasound probe 10 to perform the next scan instead of the second scan mode scan of the M + 1 frame.
  • the position of a blood vessel is determined by a first scan mode with a relatively small number of scanning frames, and a first ultrasound image of the internal tissue structure of the target tissue is generated by a second scan mode with a relatively large number of scanned frames, which can effectively Improve the frame rate and quality of the final ultrasound image displayed.
  • the processor 40 determines the position of the blood vessel in the target tissue according to the echo signal in the first scanning mode.
  • the implementations may include receiving an echo returned from the target tissue in the first scanning mode.
  • a signal, and a blood flow signal is generated from the echo signal, and the blood vessel position is determined according to the blood flow signal.
  • the blood flow signal can be generated from the echo signal using the current algorithm or the algorithm that will appear in the future.
  • the echo signal can be beam-synthesized, orthogonally demodulated, Filtering, autocorrelation calculation, velocity energy estimation, and post-processing to generate blood flow signals; where there is a blood flow signal, it can be determined that there is a blood vessel at that position; for example, if the first scan mode is the PW scan mode, you can Calculate the PW signal strength of each location based on the received echo signals, and determine whether there is a blood vessel based on the PW signal strength of each location. For example, a preset threshold is set. A location with a PW signal strength greater than a preset threshold is determined as There is a blood vessel at this position, and a position where the PW signal strength is less than a preset threshold determines that there is no blood vessel at the position.
  • the processor 40 After the processor 40 determines the position of the blood vessel, it can generate a target mask image according to the position of the blood vessel, and fuse the target mask image on the first ultrasound image.
  • the display can display the position of the blood vessel by displaying the fused image.
  • First ultrasound image For example, if there is a blood vessel, set the pixel value at that position in the mask image to a non-zero value, such as 1, otherwise, if there is no blood vessel position, set the pixel value at that position in the mask image to zero, and traverse For the entire frame image, the generated mask image is the aforementioned target mask image. Since the number of frames in the first scanning mode can be one frame or multiple frames, the following describes how to specifically generate a target mask image according to these two situations.
  • the processor 40 generating the target mask image according to the blood vessel position may include: obtaining an initial mask image according to the blood vessel position corresponding to this frame scanning, This initial mask image is determined as the target mask image.
  • the processor 40 generating the target mask image according to the position of the blood vessel may include: scanning according to the N frames N initial mask images are generated at corresponding blood vessel positions; the N initial mask images are used to generate the target mask image in a preset manner, where the preset manner includes a weighted addition method and a maximum value At least one of the ways. Please refer to FIG. 6. It may be possible to take two frames as an example. Two initial mask images are generated at the corresponding blood vessel positions in the two scans of the first scan mode. Please refer to FIG. 6 (a).
  • the pixel values of the target mask image are generated by the addition method: 0 * 0.5 + 0 * 0.5 is 0, 0 * 0.5 + 0 * 0.5 is 0, and 1 * 0.5 + 0 * 0.5 is 0.5, 1 * 0.5 + 1 * 0.5 is 1, please refer to FIG. 6 (b).
  • the pixel values of the target mask image are: 0 and 0. , 0 and 0 are taken as 0, 1 and 0 are taken as 1, 1 and 1 are taken as 1, where the target mask image pixel value is 0, it means that there is no blood vessel at this position, and the target mask image pixel value is not 0 , It means there is blood vessel in this position.
  • the following further describes how to specifically display the position of the blood vessel on the first ultrasound image.
  • the processor 40 may drive the display unit 50 to display the position of the blood vessel on the first ultrasound image. There are a number of specific ways, two of which are described below.
  • the position of the blood vessel is displayed on the first ultrasound image in a pseudo-color manner.
  • the pseudo-color manner may be to render the blood vessel position through a preset transparency, and the color value corresponding to the transparency is not limited.
  • FIG. 7 (a) which uses a translucent false color to indicate the position of a blood vessel for a doctor to check.
  • the position of a blood vessel is displayed on the first ultrasound image in a manner of border drawing, and the manner of border drawing is used to draw a boundary of a blood vessel by at least one of a solid line and a dotted line.
  • the boundary of a blood vessel is drawn with a dashed line to indicate the position of the blood vessel so that it can be viewed by a doctor.
  • the embodiment of the present application further provides a computer-readable storage medium.
  • the computer-readable storage medium stores a plurality of program instructions. After the plurality of program instructions are called and executed by the processor 40, the blood vessel in each embodiment of the application can be executed. Part or all of the steps in the position display method or any combination of the steps.
  • the computer-readable storage medium may be a memory, which may be a non-volatile storage medium such as a flash memory card, a solid-state memory, a hard disk, and the like.
  • the processor 40 in the aforementioned ultrasound imaging system may be implemented by software, hardware, firmware, or a combination thereof, and may use a circuit, a single or multiple application-specific integrated circuits (ASIC), a single or Multiple general-purpose integrated circuits, a single or multiple microprocessors, a single or multiple programmable logic devices, or a combination of the foregoing circuits or devices, or other suitable circuits or devices, so that the processor 40 can perform the foregoing implementations Corresponding steps of the method of displaying the blood vessel position in the example.
  • ASIC application-specific integrated circuits
  • the present application also proposes a method for displaying the position of a blood vessel, which can be used for ultrasound intervention guidance for a doctor to view the position of a blood vessel when entering an interventional operation such as puncture; please refer to FIG. 8, a method for displaying the position of a blood vessel can be It includes steps 110 to 150, which are described in detail below.
  • Step 110 Scan the target tissue in a first scan mode to determine a blood vessel position in the target tissue.
  • step 110 scans the target tissue through the first scanning mode to determine the position of the blood vessel in the target tissue, which may include steps 111 to 113.
  • Step 111 Receive an echo signal returned from the target tissue.
  • Step 112 Generate a blood flow signal from the echo signals.
  • Step 113 Determine the blood vessel position according to the blood flow signal.
  • Step 130 Scan the target tissue in a second scanning mode to obtain a first ultrasound image corresponding to the target tissue.
  • the number of scanning frames corresponding to the second scanning mode in step 130 is greater than the number of scanning frames corresponding to the first scanning mode in step 110.
  • the first scanning mode and the second scanning mode are different.
  • the first scanning mode is used to detect the position of a blood vessel in the target tissue.
  • the first scanning mode may be a C scanning mode or a D scanning mode
  • the D scanning mode may be a PW scanning mode or a CW scanning mode.
  • the first scanning mode may use a conventional focusing method, a plane wave method, or the like.
  • the second scanning mode is used to detect the internal tissue structure of the target tissue.
  • the second scanning mode may be a B-scan mode.
  • the scanning ranges of the first scanning mode and the second scanning mode can be the same, so that the position of the blood vessels in the visible range of the doctor on the ultrasound image can be determined sufficiently, and no omission will occur.
  • Step 150 Display the blood vessel position on the first ultrasound image.
  • step 150 displaying the blood vessel position on the first ultrasound image includes at least one of the following methods:
  • Manner 1 Display the blood vessel position on the first ultrasound image in a pseudo-color manner, where the pseudo-color manner is used to render the blood vessel position with a preset transparency;
  • the position of the blood vessel is displayed on the first ultrasound image in a manner of boundary drawing, and the manner of boundary drawing is used to draw a boundary of the blood vessel by at least one of a solid line and a dotted line.
  • the display method in an embodiment may further include an image fusion step 140; referring to FIG. 11, the image fusion step 140 may include steps 141 and 142.
  • Step 141 Generate a target mask image according to the determined blood vessel position.
  • the number of frames in the first scanning mode may be one frame or multiple frames. The following describes how to specifically generate a target mask image according to these two situations. For example, when the number of scanning frames corresponding to the first scanning mode is 1, generating a target mask image according to the position of the blood vessel may include: obtaining an initial mask image according to the position of the blood vessel corresponding to this frame scanning, and using the initial mask The image is determined as the target mask image.
  • generating the target mask image according to the position of the blood vessel may include: generating N according to the position of the blood vessel corresponding to the N frames.
  • Step 142 Fusion the target mask image on the first ultrasound image.
  • step 150 can display the position of the blood vessel on the first ultrasound image by displaying the fused image.
  • the display method of an embodiment may include multiple rounds of scanning, and each round of scanning includes the step 110, that is, scanning the target tissue in the first scanning mode, and the step 130, that is, scanning the target in the second scanning mode.
  • the tissue is scanned; the position of the blood vessel in the target tissue determined in the same scan is displayed on the first ultrasound image acquired in the same scan.
  • the switching of each round of scanning can be implemented by counting the number of scanning frames corresponding to the second scanning mode to determine whether the set number of frames has been reached, and if the set number of frames has not been reached, displaying the position of the blood vessel at the first On the ultrasound image, if the set number of frames is reached, the next scan is performed.
  • the above-mentioned set frame number may be set to M + 1.
  • the number of scan frames corresponding to the second scan mode is counted to determine whether the set frame number M + 1 is reached. If the set frame number is not reached, If the number is M + 1, the position of the blood vessel determined according to the current scan will be displayed on the first ultrasound image generated according to the current scan. If the set number of frames is M + 1, the next frame will be subjected to the second In the scan mode, the number of frames will reach the M + 1 frame, and then the next scan is performed instead of the second scan mode of the M + 1 frame.
  • this embodiment adds a display of an interventional object such as a puncture needle.
  • the transmitting / receiving control circuit of an embodiment further controls the ultrasound probe 10 to execute the third scanning mode to scan the interventional object penetrated into the target tissue, and to receive the echo signal in the third scanning mode;
  • the echo signals in the three-scan mode generate a second ultrasound image corresponding to the intervention, and fuse the second ultrasound image and the first ultrasound image for display in the display unit 50.
  • the display unit 50 can display the blood vessel position and the intervention in the ultrasound image.
  • the third scanning mode is different from the first scanning mode, and the third scanning mode may be the same as the second scanning mode.
  • the transmitting / receiving control circuit 20 controls the ultrasound probe 10 to perform a first scanning mode to scan the target tissue and receives an echo signal in the first scanning mode, and controls the ultrasound probe 10 to perform a second scanning mode to the The target tissue performs scanning and receives an echo signal in a second scanning mode, and controls the ultrasound probe 10 to perform a third scanning mode to scan an intervention in the target tissue and receive an echo signal in a third scanning mode;
  • the number of scanning frames corresponding to the second scanning mode is greater than the number of scanning frames corresponding to the first scanning mode.
  • the processor 40 determines the position of the blood vessel in the target tissue according to the echo signal in the first scanning mode, generates a first ultrasound image corresponding to the target tissue according to the echo signal in the second scanning mode, and according to the first The echo signals in the three-scan mode generate a second ultrasound image corresponding to the intervention.
  • the display unit 50 displays the position of the blood vessel on an image where the first ultrasound image and the second ultrasound image are fused.
  • the display unit 50 displays the position of the blood vessel on the fusion image of the first ultrasound image and the second ultrasound image, including at least one of the following ways:
  • Method 1 Display the blood vessel position in a pseudo-color manner on the fusion image of the first ultrasound image and the second ultrasound image.
  • the pseudo-color manner is used to render the blood vessel position with a preset transparency;
  • the position of the blood vessel is displayed on the fused image of the first ultrasound image and the second ultrasound image in a manner of boundary drawing.
  • the above-mentioned manner of boundary drawing is used to describe the boundary of the blood vessel by at least one of a solid line and a dotted line.
  • a display method according to an embodiment further includes steps 160 and 170.
  • Step 160 Scan the intervening object penetrated into the target tissue in a third scanning mode to obtain a second ultrasound image corresponding to the intervening object.
  • Step 170 Fusion display the second ultrasound image and the first ultrasound image.
  • This embodiment also introduces a display intervention, so that when a doctor performs ultrasound intervention guidance, the viewed ultrasound image displays the position of the blood vessel as well as the intervention, which can help the doctor better design the intervention path and avoid puncturing opinions Blood vessels.
  • the display method of an embodiment may include steps 210 to 270, which will be described in detail below.
  • Step 210 Scan the target tissue in a first scan mode to determine a position of a blood vessel in the target tissue.
  • Step 230 Scan the target tissue in a second scanning mode to obtain a first ultrasound image corresponding to the target tissue.
  • the number of scanning frames corresponding to the second scanning mode in step 230 is greater than the number of scanning frames corresponding to the first scanning mode in step 210.
  • Step 250 Scan the intervening object penetrated into the target tissue in a third scanning mode to obtain a second ultrasound image corresponding to the intervening object.
  • Step 270 Display the blood vessel position on an image where the first ultrasound image and the second ultrasound image are fused.
  • the effect achieved is the same as or similar to the effect achieved by combining steps 150 and 170.
  • the doctor can obtain and refresh the blood vessel position on the ultrasound image in real time without having to operate the instrument halfway. User ease and productivity.
  • These computer program instructions can be loaded on a general-purpose computer, special-purpose computer, or other programmable data processing device to form a machine, so that these instructions executed on the computer or other programmable data processing device can generate a device that implements a specified function.
  • These computer program instructions can also be stored in a computer-readable memory, which can instruct a computer or other programmable data processing device to operate in a specific manner, so that the instructions stored in the computer-readable memory can form one piece Articles of manufacture, including implements that implement specified functions.
  • Computer program instructions can also be loaded onto a computer or other programmable data processing device, thereby performing a series of operating steps on the computer or other programmable device to produce a computer-implemented process, which makes the computer or other programmable device execute Instructions can provide steps for implementing specified functions.
  • the term “including” and any other variations thereof are non-exclusive inclusions, such that a process, method, article, or device that includes a list of elements includes not only those elements, but also those that are not explicitly listed or are not part of the process , Method, system, article, or other element of equipment.
  • the term “coupled” and any other variations thereof as used herein refers to a physical connection, an electrical connection, a magnetic connection, an optical connection, a communication connection, a functional connection, and / or any other connection.

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Abstract

Procédé d'affichage de la position d'un vaisseau sanguin et système d'imagerie ultrasonore. Le procédé consiste à : balayer un tissu cible dans un premier mode de balayage pour déterminer la position d'un vaisseau sanguin dans le tissu cible; balayer le tissu cible dans un second mode de balayage pour acquérir une première image ultrasonore correspondant au tissu cible, le nombre de trames de balayage correspondant au second mode de balayage étant supérieur au nombre de trames de balayage correspondant au premier mode de balayage; et afficher la position du vaisseau sanguin sur la première image ultrasonore. Lorsque la position d'un vaisseau sanguin est en cours de détermination, il n'est pas nécessaire de régler un dispositif d'imagerie ultrasonore, et la position du vaisseau sanguin est directement déterminée dans le cadre d'un processus d'imagerie ultrasonore, ce qui permet d'améliorer efficacement la rapidité de détermination de la position d'un vaisseau sanguin et d'améliorer ainsi efficacement l'efficacité de l'imagerie ultrasonore.
PCT/CN2018/105806 2018-09-14 2018-09-14 Procédé d'affichage de la position d'un vaisseau sanguin et système d'imagerie ultrasonore WO2020051899A1 (fr)

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CN201880097167.0A CN112654294B (zh) 2018-09-14 2018-09-14 一种血管位置的显示方法和超声成像系统

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CN1792334A (zh) * 2005-10-31 2006-06-28 西安交通大学 基于包膜微泡的灌注成像与超声控制释放的系统和方法
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