This application is based upon and claims the benefit of priority from the prior Japanese Patent Application No. 2002-32770, filed Feb. 8, 2002, the entire contents of which are incorporated herein by reference.
1. Field of the Invention
This invention relates to an ultrasonic diagnostic apparatus, and particularly to a contrast medium imaging technique.
2. Description of the Related Art
Microbubbles contained in a contrast medium used for ultrasonic diagnosis are collapsed by ultrasonic transmission and tend be collapsed when the transmitted sound pressure is higher. To maintain a contrast effect, a certain measure needs to be taken such as imaging a contrast medium while suppressing its collapse by using a low sound pressure (real-time perfusion image or RPI).
The case of extracting a second harmonic component of a transmitted fundamental wave from a received echo in RPI will now be considered. When the sound pressure is high, the second harmonic component contains a nonlinear propagation component generated in the tissue.
When the sound pressure is low as in RPI, the nonlinear propagation component generated from the tissue has very low intensity, which is insufficient for imaging. A tissue image can hardly be observed before inflow of a contrast medium, and only after inflow of the contrast medium, a harmonic component due to the contrast medium begins to appear.
In short, in the ultrasonic test using a contrast medium, when the sound pressure is lowered to maintain the contrast effect, a nonlinear propagation component generated in the tissue has very low intensity and therefore a tissue image hardly appears before inflow of the contrast medium. On the other hand, when the sound pressure is raised to enable appearance of the nonlinear propagation component generated from the tissue before inflow of the contrast medium, the contrast effect momentarily disappears. Particularly, this problem is noticeable at the time of ultra-low sound pressure driving where an MI (mechanical index) value, which is an index showing an output reference obtained by normalizing a maximum peak negative sound pressure in a transmitted beam by the square root of the fundamental frequency, is approximately 0.1.
To solve this problem, it may be conceivable to use a conventional color Doppler processing unit to prepare and display a B mode with a fundamental wave as a tissue (background) image and to display a Doppler image (including phase inversion Doppler) as a contrast image. However, since separate transmissions and receptions are necessary for the tissue and for the contrast, respectively, the frame rate, which is particularly important for imaging a cardiovascular system, is lowered and the real-time property cannot be utilized. Moreover, the transmission for the tissue may cause unwanted collapse of and adverse effects on the contrast medium.
When an image is generated using only a harmonic component with a low MI value, even if contrast-enhancement is performed, the brightness of the image is low and it may be difficult to confirm the enhanced region. If the gain is increased only to increase the brightness, noise appears in the image. Even if the dynamic range is narrowed to brighten a maximum brightness part, only a part having relatively high brightness is emphasized and the contrast-enhancement cannot be correctly evaluated.
It is an object of this invention to realize both imaging of a contrast effect and imaging of a tissue appearance before and after inflow of a contrast medium on condition that low-power transmission and a high frame rate are maintained in an ultrasonic diagnostic apparatus.
It is accordingly an aspect of the present invention to provide an ultrasonic diagnostic apparatus, including a transmitter configured to transmit a first ultrasonic wave and a second ultrasonic wave for each scan line, the first and second ultrasonic waves having a common predetermined fundamental frequency in their frequency bands and at least one different condition other than frequency; a receiver configured to receive first and second echo signals reflected from the object body in response to the first and second ultrasonic waves, respectively, and to generate first and second reception signals based on the first and second echo signals; a harmonic component extracting unit configured to extract a harmonic component of the fundamental frequency from the first and second reception signals; a fundamental component extracting unit configured to extract a fundamental component from at least one of the first and second reception signals; an image processor configured to produce the ultrasonic image based on the harmonic component and the fundamental component; and a display configured to display the ultrasonic image.
According to another aspect of the invention, there is provided an ultrasonic diagnostic apparatus including a transmitter configured to transmitting an ultrasonic wave; a receiver configured to receive an echo signal reflected from the object body in response to the ultrasonic wave and to generate a reception signal based on the echo signal; a filter having pass bands such that a fundamental component and a harmonic component in the reception signal are extracted, respectively, wherein a relative intensity of the harmonic signal is larger than the intensity of the fundamental component; an image processor configured to produce the ultrasonic image based on the harmonic component and the fundamental component; and a display configured to display the ultrasonic image.
According to yet another aspect of the invention, there is provided an ultrasonic diagnostic method including the steps of transmitting a first ultrasonic wave and a second ultrasonic wave for each scan line, the first and second ultrasonic waves having a common predetermined fundamental frequency in their frequency bands and different conditions other than frequency; receiving the first and second echo signals reflected from the object body in response to the first and second ultrasonic waves, respectively, and generating first and second reception signals based on the first and second echo signals; extracting a harmonic component of the fundamental frequency from the first and second reception signals; extracting a fundamental component from at least one of the first and second reception signals; producing the ultrasonic image based on the harmonic component and the fundamental component; and displaying the ultrasonic image.
According to yet another aspect of the invention, there is provided an ultrasonic diagnostic method including the steps of transmitting an ultrasonic wave; receiving an echo signal reflected from the object body in response to the ultrasonic wave and generating a reception signal based on the echo signal; filtering the reception signal such that a fundamental component and a harmonic component in the reception signal are extracted, wherein a relative intensity of the harmonic signal is larger than the intensity of the fundamental component; producing the ultrasonic image based on the harmonic component and the fundamental component; and displaying the ultrasonic image.
The accompanying drawings, which are incorporated in and constitute a part of the specification, illustrate presently preferred embodiments of the invention, and together with the general description given above and the detailed description of the preferred embodiments given below, serve to explain the principles of the invention.
Referring now to the drawings, wherein like reference numerals designate the same or corresponding parts throughout the several views, various embodiments of this invention will now be described.
Ultrasonic waves are transmitted to a subject from the probe 11 connected to the apparatus body 12. The ultrasonic waves are reflected back to the probe 11 as an echo and are converted to electric signals by the transducer elements. This echo includes a fundamental component of a band centered at the fundamental wave, and a harmonic component of a band centered at a frequency that is an integral multiple of the fundamental frequency, in this case, twice the fundamental frequency. In the case a contrast medium (microbubbles) has been injected in the subject, nonlinear oscillation of the contrast medium generates a harmonic component. The echo of the contrast medium having the fundamental component centered at the fundamental frequency ω1 and the harmonic component centered at a frequency that is an integral multiple (twice or more) of the fundamental frequency is received by the same probe 11.
This electric signal is sent as a received signal to a harmonic unit 17 via the pulser-preamplifier unit 15, a reception delay circuit 16 and a phase detector unit 19. Through this phase detection (quadrature detection), a carrier component becomes a DC component having a phase. This phase detection processing may be performed in the harmonic unit 17. The reception delay circuit 16 is configured to perform beam forming (phasing addition processing) in reception and controlling the direction and convergence of an ultrasonic beam. The reception delay circuit 16 may include plural circuit sets in order to form plural beams and simultaneously receive the ultrasonic beams in parallel. The received signal is sampled with a sampling frequency suitable for signal processing and then converted to a digital signal, thus forming a beam.
The harmonic unit 17 generates harmonic image data from the harmonic component substantially centered at a frequency that is an integral multiple (in this case, twice) of the fundamental frequency included in the received signal, and also generates fundamental image data from the fundamental component substantially centered at the fundamental frequency included in the same received signal. These two types of image data generated by the harmonic unit 17, that is, the harmonic image data and the fundamental image data, are converted to display data of one frame by a display unit 18 and simultaneously displayed on a monitor 13.
A characteristic feature of this embodiment is that the harmonic component substantially centered at the frequency that is an integral multiple of the fundamental frequency and the fundamental component substantially centered at the fundamental frequency are extracted from the same received signal to generate harmonic image data and the fundamental image data, respectively, and simultaneously display these data.
With the harmonic image after inflow of the contrast medium, its enhancement can be visually confirmed properly. Moreover, the low-power transmission adjusted to such a level as to continuously maintain the contrast effect has a problem that the harmonic component from the tissue has very low intensity before inflow of the contrast medium and that the tissue appearance can hardly be visually confirmed, whereas in this embodiment, since the fundamental image is generated using the fundamental component having signal intensity that is approximately several ten times or several hundred times that of the harmonic component and the fundamental image is displayed together with the harmonic image, the tissue appearance can be confirmed using the fundamental image even before inflow of the contrast medium. In addition, since these two types of image data are generated from the same received signal, the frame rate is not lowered. Furthermore, since increase in brightness due to the contrast effect occurs both in the harmonic image and the fundamental image, the visibility of the enhanced part is improved in comparison with the case of imaging with only the harmonic image.
In this embodiment, plural types of techniques to generate harmonic image data and to generate fundamental image data by the harmonic unit 17 are provided together with corresponding transmission/reception techniques. One of these techniques may be employed. Alternatively, all these techniques or an arbitrary combination of these may be provided in the apparatus to enable selective use. The respective techniques will now be described in order.
(Phase Inversion/Filter Method)
In this phase inversion/filter method, a harmonic component is extracted by a phase inversion method, theoretically without including a residual fundamental component, while a fundamental component is extracted by a filter. In the phase inversion method, transmission of ultrasonic waves and reception of echo are carried out twice on each ultrasonic scanning line. In one transmission, ultrasonic waves are transmitted with a positive waveform as shown in
By adding the received signal due to the two positive and negative transmissions at an adder 25 as shown in
(Phase Inversion Method)
In the above-described phase inversion/filter method, the fundamental component is extracted by a filter. However, the fundamental component may also be extracted by the phase inversion method.
Previously, utilizing the characteristic that the harmonic component is constantly generated with positive polarity, the fundamental component is eliminated by adding the received signals of the two positive and negative transmissions at the adder 25, thus extracting the harmonic component. However, since the fundamental component is generated depending on the transmission polarity, the harmonic component may be eliminated by subtracting the received signals of the two positive and negative transmissions at a subtractor 26, thus extracting the fundamental, as shown in
A filter using, as its passband, a band centered or substantially centered at the fundamental frequency or an arbitrary band may be arranged on the subsequent stage of the subtractor 26, thus controlling the band for imaging.
(Pulse Modulation Method)
As is already known, a harmonic component has lower intensity than a fundamental component. Under a transmission condition that MI is 0.1 or less, a slight fundamental component is generated but little harmonic component is generated. A technique to extract a harmonic component using this characteristic is a pulse modulation method.
In the pulse modulation method, transmission and reception are carried out twice on each ultrasonic scanning line. In one transmission, ultrasonic waves are transmitted with a relatively high amptitude (high sound pressure) as shown in
By scaling the received signal of the transmitted pulse with the relatively low amplitude using a transmitted sound pressure ratio of the sound pressure with the high amplitude to the sound pressure with the low amplitude (that is, multiplying the transmitted sound pressure ratio to equalize the reference amplitude) as shown in
Meanwhile, the fundamental component is extracted from the received signal of the transmitted pulse with the relatively high amplitude by the filter. Alternatively, the received signal of the transmitted pulse with the relatively low amplitude after the scaling may be passed through the filter 21.
(Balance Change Method)
On the other hand, in the balance change method, by passing the received signal through a filter 28 for attenuating a band of a fundamental component shown in
In this balance change method, it suffices to transmit and receive ultrasonic waves only once on each ultrasonic scanning line and a high frame rate can be secured.
The balance change method can also be applied to the phase inversion method. Specifically, after the intensity of the fundamental component is made lower than that of the harmonic component through a filter for attenuating the band of the fundamental component of one echo signal and relatively amplifying the band of the harmonic component, addition is performed.
As described above, in the techniques other than the balance change method, the fundamental image data and the harmonic image data are separately generated. Therefore, various variations can be provided for image display. As typical display modes, eight types of display modes, that is, first to eighth display modes will be described hereinafter. An operator can arbitrarily select one of these eight types of first to eighth display modes.
The image processing unit 32 generates display data corresponding to a display mode designated by the operator, from these three types of image data FG, HC and HC. Scan conversion of the display data is performed by a frame memory 36 on the output stage. The resulting display data is passed through a digital analog converter (DAC) 37 and outputted to the monitor 13. A number of display modes will now be described in order.
(First Display Mode)
In the first display mode, as shown in
Before inflow of a contrast medium, the tissue appearance can be visually confirmed on the fundamental image. After inflow of the contrast medium, the state of the inflow can be visually confirmed satisfactorily on the harmonic image.
By adding the gray-scale fundamental image data FG and harmonic image data HG, it is possible to reinforce the increase in brightness due to the contrast effect more effectively than in the case of displaying the gray-scale harmonic image data HG alone, as shown in
(Second Display Mode)
In the second display mode, as shown in
By thus partly synthesizing the gray-scale fundamental image data FG and the color harmonic image data HC, it is possible to visually confirm the state of spatial spread of distribution of the harmonic component (contrast medium) satisfactorily on the color image. Moreover, even before or after inflow of the contrast medium, the tissue appearance can be visually confirmed on the basis of the fundamental component in the region where the harmonic component is not generated. Since the harmonic component and the fundamental component have different colors, these components can be easily identified.
(Third Display Mode)
In the third display mode, as shown in
By thus simultaneously displaying the gray-scale fundamental image data FG and harmonic image data HG side by side, it is possible to observe both the distribution of the contrast medium (harmonic component) and the tissue appearance (fundamental component). Therefore, before inflow of the contrast medium, the tissue appearance can be confirmed mainly based on the fundamental image. After inflow of the contrast medium, the contrast effect can be confirmed using both the fundamental image and the harmonic image.
(Fourth Display Mode)
In the fourth display mode, as shown in
By thus simultaneously displaying the gray-scale fundamental image data FG and the color harmonic image data HC side by side, it is possible to observe both the distribution of the contrast medium (harmonic component) and the tissue appearance (fundamental component). Therefore, before inflow of the contrast medium, the tissue appearance can be confirmed mainly on the fundamental image. After inflow of the contrast medium, the contrast effect can be confirmed using both the fundamental image and the harmonic image.
(Fifth Display Mode)
In the fifth display mode, as shown in
By thus simultaneously displaying the synthetic image data C1 and the gray-scale fundamental image data FG side by side, it is possible to improve the visibility of the tissue appearance in addition to the effect of the first display mode.
(Sixth Display Mode)
In the sixth display mode, as shown in
By thus simultaneously displaying the synthetic image data C2 and the gray-scale fundamental image data FG side by side, it is possible to improve the visibility of the tissue appearance in addition to the effect of the second display mode.
(Seventh Display Mode)
In the seventh display mode, as shown in
By thus simultaneously displaying the synthetic image data C1 and the color harmonic image data HC side by side, it is possible to improve the visibility of spatial distribution of the harmonic component, that is, spread of distribution of the contrast medium, in addition to the effect of the first display mode.
(Eighth Display Mode)
In the eighth display mode, as shown in
By thus simultaneously displaying the synthetic image data C2 and the color harmonic image data HC side by side, it is possible to improve the visibility of spatial distribution of the harmonic component, that is, spread of distribution of the contrast medium, in addition to the effect of the second display mode.
This invention is not limited to the above-described embodiment and various modifications can be effected at embodiment stages without departing from the scope of the invention. Moreover, the embodiment includes various stages, and various inventions can be extracted by suitable combinations of the plural constituent elements disclosed herein. For example, of all the constituent elements disclosed in the embodiment, some constituent elements may be deleted.
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2002-032770 | Feb 2002 | JP | national |
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