1. Field of the Invention
The present invention relates to ultrasonic image diagnostic apparatuses that perform three-dimensional ultrasonic scanning on a subject to observe and examine the subjects.
2. Description of the Related Art
Heretofore, there have been used ultrasonic image diagnostic apparatuses that perform diagnoses based on ultrasonic images of living organs by inserting an ultrasonic probe, provided with an ultrasonic search unit in a tip end thereof, into a body cavity, and by transmitting or receiving ultrasonic waves to or from the living organs by using the ultrasonic search unit.
One of the living organs to be diagnosed may be the prostate, and the diagnosis of the prostate requires not only the shape of the prostate, but also the volume thereof, as important diagnostic factors.
Therefore, as described in Japanese Unexamined Patent Application Publication No. 2001-178725, a method is employed that the volume of a spheroid is calculated based on two axes orthogonal to each other assigned in an ultrasonic topographic image.
An ultrasonic image diagnostic apparatus according to an aspect of the present invention can perform three-dimensional ultrasonic scanning on a subject, and display an arbitrary first tomographic image of the subject and a second tomographic image perpendicular to the first tomographic image, by using ultrasonic data in a three-dimensional region obtained according to the ultrasonic scanning. The ultrasonic image diagnostic apparatus includes: measurement line setting means for setting segments to be measured, for two systems applied to the first tomographic image, and for one system applied to the second tomographic image; measurement means for performing volume measurement based on the segments set by the measurement line setting means; and display means for displaying a measurement result and a measurement range obtained by the measurement means.
An embodiment of the present invention will be described below with reference to the attached drawings.
(First Embodiment)
As shown in
The ultrasonic 3D probe 1 is inserted by an operator (doctor or the like) into a body of an examinee, for instance, a luminal organ, such as the stomach, esophagus, or large intestine. Then, the ultrasonic oscillator 15, for instance, provided at the tip end, is driven and rotated by the drive transmitting/receiving unit 1a, for performing radial scanning by rotating the ultrasonic oscillator 15, linear scanning by advancing or retracting the ultrasonic oscillator 15 in the longitudinal direction, or spiral scanning according to the combination of the radial scanning and the linear scanning. Upon the scanning, the ultrasonic 3D probe 1 transmits and receives the ultrasonic waves, acquires the three-dimensional echo of the luminal organ, and transmits the three-dimensional echo as three-dimensional echo signals, which are electric analog signals, to the image processor 2.
The image processor 2 includes a signal processing circuit 6 that performs signal processing such as envelope detection, logarithmic amplification, analog-digital conversion, scan conversion, or the like, for the three-dimensional echo signals transmitted from the ultrasonic 3D probe 1 to be converted into three-dimensional echo data (digital data), and constitutes a part of the measurement line setting means; a memory 7 that stores at least one set of plural sets of three-dimensional echo data converted by the signal processing circuit 6; a large capacity storage unit 8; a control circuit 9 that controls input and output signals of the input unit 4; an image processing circuit 10 that performs image processing such as coordinate conversion based on the three-dimensional echo data stored in the memory 7 and constitutes a part of the measurement line setting means for constructing developments of the cross sections as shown in
Then, steps for measuring the volume of the specific tissue 16 shown in
The operator gives the instruction of the measurement by using the input unit 4 while the shape of the specific tissue 16 is displayed on the monitor 3 in the first and second cross-sections. Accordingly, the image processing circuit 10 constructs an ultrasonic three-dimensional image for specific tissue measurement (hereinafter, referred to as measurement image) shown in
Then, when recognizing the specific tissue 16 in the measurement image, the operator selects “distance measurement” from measurement items and determines it by using the input unit 4.
Upon the determination, the CPU 12 displays a caliper 51 to be superimposed at the center of the first cross-section image in the measurement image as shown in
When the caliper 51 is moved to an end of the specific tissue 16 by using the input unit 4 (see
Then, when the operator newly selects “distance measurement” of a second system by using the input unit 4, a caliper 53, the shape of which is different from that of the caliper of the first system, appears at the center of the first cross-section image. The caliper 53 is moved by the operator to the vicinity of an end, at which a line passing through the midpoint of the segment x and perpendicular to the segment x intersects with the border of the specific tissue 16 (
Then, when the operator newly selects “distance measurement” of a third system by using the input unit 4, a caliper 55, the shape of which is different from that of the calipers of the first system and the second system, appears at the center of the first cross-section image. The caliper 55 is moved by the operator operating an input circuit 4 to the vicinity of an end, which intersects with the border of the specific tissue 16 in the second cross-section image (
Next, calculation of the above-described volume measurement will be described below with reference to
(1) In the first cross-section (radial cross-section) with the two systems being input, a system corresponding to a long distance is assumed as a major axis (in this case, assumed as measurement segment b), and another system is assumed as a temporary minor axis. Then, a line d perpendicular to the major axis is considered (see
(2) The temporary minor axis is projected to the line d perpendicular to the major axis, and the length of the minor axis is determined (see
(3) A minor axis e, which is a perpendicular bisector of the major axis and is determined according to (2), is determined. Then a spheroid f, which is circumscribed to the determined major axis b and minor axis e, is determined (see
(4) A segment g is considered. The segment g has a length corresponding to the minor axis e centered at O′ on a radial slice line in the linear cross-section, O′ being a height position of an intersection point O at which the major axis b and minor axis e of the spheroid f intersect with each other (see
(5) If the segment g intersects with the measurement segment c [or if the region g′ (its width in the height direction being equivalent to the minor axis, the height of the center O′ being equivalent to that of the center O, the center in the lateral direction being coincide with that of the linear slice line, and the width being equivalent to the minor axis) includes an end point of the measurement segment c and the measurement segment c intersects with a segment g″ on the linear slice line], these segments g and c become the subject of the spheroid measurement (see
(6) The measurement segment c and a third axis h are considered, the third axis h perpendicularly bisecting the measurement segment c while being perpendicularly bisected by the measurement segment c, and having a length equivalent to that of the minor axis. Then, a spheroid i having the measurement segment c and the third axis h as the axes thereof is considered (see
(7) The calculation is performed by applying the length of each axis into the following equation for calculating a volume estimation V:
V=(4π/3)×(a′/2)×(b′/2)×(c′/2)
where a′ is the length of the major axis, b′ is the length of the minor axis, and c′ is the length of the measurement segment c, and the result of the calculation is displayed.
(8) The spheroid f and the spheroid i are displayed on the screen as ellipsoid displaying.
Note that when displaying the ellipsoid, all the following conditions (a) and (b) must be further satisfied.
(a) In a case where two systems are applied to the radial cross-section, and one system is applied to the linear cross-section:
(b) In a case where two systems are applied to the linear cross-section, and one system is applied to the radial cross-section:
According to the above-described embodiment, advantages 1) through 4) can be attained.
1) Since a measurement range may be specified in the three-dimensional image, the measurement can be performed easily and accurately.
2) Since the volume measurement may be performed in a similar way to the distance measurement, operationality is not complicated.
3) The volume measurement can be performed while the distance measurement is performed.
4) The measurement range is visually recognizable since the volume measurement range is displayed.
It should be noted that the present invention is not limited to the above-described embodiment, and may be modified, improved, and the like, within the scope of the present invention.
Number | Date | Country | Kind |
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2004-153953 | May 2004 | JP | national |
This application is a continuation application of PCT/JP 2005/009342 filed on May 23, 2005 and claims benefit of Japanese Application No. 2004-153953 filed in Japan on May 24, 2004, the entire contents of which are incorporated herein by this reference.
Number | Name | Date | Kind |
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20010016686 | Okada et al. | Aug 2001 | A1 |
20030236462 | Salgo et al. | Dec 2003 | A1 |
Number | Date | Country |
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06-203158 | Jul 1994 | JP |
07-334702 | Dec 1995 | JP |
2000-296129 | Oct 2000 | JP |
2001-178725 | Jul 2001 | JP |
2003-265475 | Sep 2003 | JP |
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Number | Date | Country | |
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20070167796 A1 | Jul 2007 | US |
Number | Date | Country | |
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Parent | PCT/JP2005/009342 | May 2005 | US |
Child | 11602533 | US |