The present disclosure relates generally to ultrasound imaging and, in particular, to a solid-state intravascular ultrasound (IVUS) imaging system. In various embodiments, the imaging system includes an array of ultrasound transducers comprising a plurality of groupings of transducers, with each grouping of transducers circumferentially distributed about a longitudinal axis and different groupings distributed longitudinally with respect to the axis. Various embodiments include an actuator positioned to generate motion of the array. Various embodiments further include an outer catheter with the array positioned within the outer catheter. Embodiments presented herein are particularly well suited to imaging a human blood vessel.
Intravascular ultrasound (IVUS) imaging is widely used in interventional cardiology as a diagnostic tool for a diseased vessel, such as an artery, within the human body to determine the need for treatment, to guide the intervention, and/or to assess its effectiveness. To perform an IVUS imaging study, an IVUS catheter that incorporates one or more ultrasound transducers is passed into the vessel and guided to the area to be imaged. The transducers emit and receive ultrasonic energy in order to create an image of the vessel of interest. Ultrasonic waves are partially reflected by discontinuities arising from tissue structures (such as the various layers of the vessel wall), red blood cells, and other features of interest. Echoes from the reflected waves are received by one or more transducers and passed along to an IVUS imaging system, which is connected to the IVUS catheter by way of a patient interface module (PIM). The imaging system processes the received ultrasound signals to produce a cross-sectional image of the vessel where the device is placed.
One type of IVUS catheter commonly in use today is a solid-state IVUS catheter. Solid-state IVUS catheters carry an ultrasound scanner assembly that includes an array of ultrasound transducers distributed around the circumference of the device connected to a set of transducer control circuits. The transducer control circuits select individual transducers for transmitting an ultrasound pulse and for receiving the echo signal. By stepping through a sequence of transmitter-receiver pairs, the solid-state IVUS system can assemble a two-dimensional display of the vessel cross-section.
IVUS catheter performance depends on the quality of echo data generated by transducers. Solid-state IVUS catheters generate echo data typically using a single array of transducers distributed circumferentially about a longitudinal axis of a catheter assembly and aligned longitudinally.
While existing IVUS imaging systems have proved useful, there remains a need for improvements in imaging performance of solid-state IVUS catheters, for example, to provide improved accuracy and/or clarity of images. One way to improve imaging performance is increasing available echo data and utilizing increased echo data in image processing to provide higher-quality images. Accordingly, there is a persistent need for improvements to transducer arrays and associated mechanisms to take advantage of improved transducer arrays that could lead to improvements in imaging performance.
Embodiments of the present disclosure provide transducer arrays in solid-state ultrasound imaging systems that provide for improved imaging of vessels. Embodiments additionally provide transducer arrays in movable configurations, actuator mechanisms for moving the arrays, and outer catheters for covering the arrays, all in a solid-state imaging system, that together provide for improved imaging of vessels.
In some embodiments, an intravascular ultrasound (IVUS) device is provided. The device comprises a flexible elongate member; and an ultrasound scanner assembly disposed at a distal portion of the flexible elongate member, wherein the ultrasound scanner assembly includes an ultrasound transducer array, wherein the ultrasound transducer array includes a plurality of rings of transducers.
In some embodiments, an IVUS device is provided. The device comprises a flexible elongate member; and an ultrasound scanner assembly disposed at a distal portion of the flexible elongate member; wherein the ultrasound scanner assembly includes: an actuator mechanism comprising an actuator; a longitudinal ultrasound transducer array; and a control circuit positioned between the actuator and the transducer array, wherein the control circuit and the transducer array are configured to move in response to movement of the actuator.
In some embodiments, a method of ultrasound imaging using an IVUS device is provided, wherein the device comprises an ultrasound scanner assembly including an ultrasound transducer array, and wherein the ultrasound transducer array includes a plurality of rings of transducers. The method comprises: for each of the plurality of rings, performing the following: emitting an ultrasonic waveform by at least one transducer in the corresponding ring; generating echo data by the ultrasound scanner assembly based on a reflected echo of the ultrasonic waveform; and providing the echo data to an IVUS console. The method further comprises processing the echo data generated by each of the plurality of rings for display.
Some embodiments of the present disclosure utilize a longitudinal transducer array comprising a plurality of circumferential arrays of transducers. Each circumferential array comprises a corresponding plurality of transducers. A circumferential array can comprise 16, 32, or 64 transducers as illustrative but non-limiting examples, and a longitudinal transducer array can comprise two, three, or four circumferential arrays as illustrative but non-limiting examples. Each circumferential array of the longitudinal array can emit ultrasonic signals and the transducer array can be employed to receive echo signals. In some embodiments, an actuator is coupled to the transducer array to provide motion, resulting in, for example, longitudinal oscillation of the transducer array. By coordinating the firing of circumferential arrays with movement of the actuator, the firing position of each circumferential array is controlled. For example, each circumferential array can be fired in substantially the same longitudinal position and software can be employed to perform an average or weighted average of the echo signals to generate an image of blood vessels for display. In some embodiments, an outer catheter is employed to protect blood vessels from movement of the transducer array. In some embodiments, the outer catheter is a continuous outer catheter and in other embodiments the outer catheter has openings that are transparent to ultrasonic signals.
Additional aspects, features, and advantages of the present disclosure will become apparent from the following detailed description.
Illustrative embodiments of the present disclosure will be described with reference to the accompanying drawings, of which:
For the purposes of promoting an understanding of the principles of the present disclosure, reference will now be made to the embodiments illustrated in the drawings, and specific language will be used to describe the same. It is nevertheless understood that no limitation to the scope of the disclosure is intended. Any alterations and further modifications to the described devices, systems, and methods, and any further application of the principles of the present disclosure are fully contemplated and included within the present disclosure as would normally occur to one skilled in the art to which the disclosure relates. For example, while the IVUS system is described in terms of cardiovascular imaging, it is understood that it is not intended to be limited to this application. The system is equally well suited to any application requiring imaging within a confined cavity. In particular, it is fully contemplated that the features, components, and/or steps described with respect to one embodiment may be combined with the features, components, and/or steps described with respect to other embodiments of the present disclosure. For the sake of brevity, however, the numerous iterations of these combinations will not be described separately.
At a high level, the IVUS device 102 emits ultrasonic energy from a scanner assembly 110 at the tip of the device. The ultrasonic energy is reflected by tissue structures surrounding the scanner 110 and the echo signals from the tissue are received and amplified by the scanner 110.
The PIM 104 facilitates communication of signals between the IVUS console 106 and the IVUS device 102 to control the operation of the scanner assembly 110. This includes generating control signals to configure the scanner and trigger the transmitter circuits and transferring echo signals captured by the scanner assembly 110 to the IUVS console 106. With regard to the echo signals, the PIM 104 forwards the received signals and, in some embodiments, performs preliminary signal processing prior to transmitting the signals to the console 106. In examples of such embodiments, the PIM 104 performs amplification, filtering, and/or aggregating of the data. In an embodiment, the PIM 104 also supplies high- and low-voltage DC power to support operation of the circuitry within the scanner 110.
The IVUS console 106 receives the echo data from the scanner 110 by way of the PIM 104 and processes the data to create an image of the tissue surrounding the scanner 110. The console 106 may also display the image on the monitor 108.
In some embodiments, the IVUS device 102 includes some features similar to traditional solid-state IVUS catheters, such as the EagleEye® catheter available from Volcano Corporation and those disclosed in U.S. Pat. No. 7,846,101 hereby incorporated by reference in its entirety. For example, the IVUS device 102 includes the ultrasound scanner assembly 110 at a distal end of the device 102 and a cable 112 extending along the longitudinal body of the device 102. The cable 112 terminates in a connector 114 at a proximal end of the device 102. The connector 114 electrically couples the cable 112 to the PIM 104 and physically couples the IVUS device 102 to the PIM 104.
In some embodiments, an outer catheter 124 circumscribes at least a portion of the IVUS device 102, with at least a portion of the ultrasound scanner assembly 110 located inside the outer catheter 124. In an embodiment, a longitudinal axis of the outer catheter 124 is substantially aligned with a longitudinal axis of the ultrasound scanner assembly 110 and the IVUS device 102. One function of the outer catheter 124 is to protect the vessel 120 from movement of a portion of the scanner assembly 110 as described more fully below.
In an embodiment, the IVUS device 102 further includes a guide wire exit port 116. Accordingly, in some instances the IVUS device 102 is a rapid-exchange catheter. The guide wire exit port 116 allows a guide wire 118 to be inserted towards the distal end of the device 102 in order to direct the device 102 through a vessel 120. Vessel 120 represents fluid filled or surrounded structures including arteries and veins, both natural and man-made, within a living body that may be imaged and can include for example, but without limitation, structures such as: organs including the liver, heart, kidneys, gall bladder, pancreas, lungs; ducts; intestines; nervous system structures including the brain, dural sac, spinal cord and peripheral nerves; the urinary tract; as well as valves within the blood or other systems of the body. In addition to imaging natural structures, the images may also include imaging man-made structures such as, but without limitation, heart valves, stents, shunts, filters and other devices positioned within the body.
In an embodiment, the IVUS device 102 also includes an inflatable balloon portion 122 near the distal tip. The balloon portion 122 is open to a lumen that travels along the length of the IVUS catheter and ends in an inflation port (not shown). The balloon 122 may be selectively inflated and deflated via the inflation port. The IVUS device 102 has a diameter of between about 2.9 French (F) and about 5 F. Thus, in one example, the balloon and imaging array may be used for the placement of treating structures, such as stents or drug eluting coatings, in the vessels being imaged. In still a further form, the imaging array described herein can be utilized to place and retrieve intravascular filters.
The IVUS device 102 is designed to provide high-resolution imaging from within narrow passageways. To advance the performance of IVUS imaging devices compared to the current state of the art, embodiments of the present disclosure can incorporate advanced transducer technologies, such as PMUT, CMUT, single crystal or other devices that offer wide bandwidth (>100%). The broad bandwidth is important for producing a short ultrasound pulse to achieve optimum resolution in the radial direction. The improved resolution provided by PMUT and other advanced ultrasound transducer technologies facilitates better diagnostic accuracy, enhances the ability to discern different tissue types, and enhances the ability to accurately ascertain the borders of the vessel lumen. Embodiments of the present disclosure have enhanced ability to generate, collect, and/or process ultrasonic echo data allowing for improved cardiovascular imaging.
In an embodiment, the ultrasound transducers 202 of the transducer array 200 include PZT transducers, such as bulk PZT transducers, capacitive micromachined ultrasound transducers (cMUTs), single crystal piezoelectric materials, other suitable ultrasound transmitters and receivers, and/or combinations thereof. In an alternative embodiment, the ultrasound transducers 202 of the transducer array 200 include PMUTs fabricated on a microelectromechanical system (MEMS) substrate using a polymer piezoelectric material, for example as disclosed in U.S. Pat. No. 6,641,540, which is hereby incorporated by reference in its entirety.
The control circuit 502 is electrically connected to each of the transducers 202. In an embodiment, the control circuit 502 is configured to drive each of the transducers 202 to generate ultrasound signals. The control circuit 502 also receives echo data from a number of transducers 202 and retransmits it on a cable (not shown). In some embodiments, the control circuit 502 receives unamplified or partially amplified echo data and performs amplification for driving the echo data along conductors of a cable. In some embodiments, the control circuit may comprise a master controller and slave controllers as described in U.S. patent application Ser. No. 14/137,269, published as U.S. Patent Application Publication No. 2014/0187960 on Jul. 3, 2014,” which is hereby incorporated by reference in its entirety.
The control circuit 502 causes the transducers 202 to emit signals in any pattern. For example, the control circuit 502 can cause each transducer 202 in a ring to fire or emit sequentially stepping through the transducers 202 in any order, such as starting with one transducer 202 and stepping through adjacent transducers 202 until all transducers 202 have fired. Then the control circuit 502 can cause the next ring of transducers 202 to fire in a similar manner. The pattern can be repeated until all transducers 202 have fired. Likewise, the control circuit 502 can receive echoes from any number of transducers 502 in response to any echo signal in any pattern.
As described in U.S. Patent Application Publication No. 2014/0187960 referred to above, in an embodiment, a flex circuit (not shown) provides structural support and physically connects the transducer control circuit 502 and the transducers 202. The flex circuit may contain a film layer of a flexible polyimide material such as KAPTON™ (trademark of DuPont). Other suitable materials include polyester films, polyimide films, polyethylene napthalate films, or polyetherimide films, other flexible printed circuit substrates as well as products such as Upilex® (registered trademark of Ube Industries) and TEFLON® (registered trademark of E.I. du Pont). The film layer is configured to be wrapped around a ferrule to form a cylindrical toroid in some instances. Therefore, the thickness of the film layer is generally related to the degree of curvature in the final assembled scanner 110.
The scanner assembly 110 includes an actuator mechanism 504 to move the scanner assembly longitudinally along the longitudinal axis. The actuator mechanism 504 comprises at least one anchor and at least one actuator. At least one anchor is secured to the device 102, and at least one actuator is mechanically coupled to the control circuit 502. In various embodiments, the control circuit 502 and the transducer array 200 move as a unit when driven by at least one actuator.
There are at least two modes of operation for which a transducer ring listens for echoes. In a first mode, the firing ring is also the listening ring. In this mode, a ring cannot move substantially in a time period equal to two times the maximum imaging distance divided by the speed of flight. In a second mode, a ring different than the firing ring is the listening ring. In the second mode, the array should move enough in a maximum round-trip echo time that another ring is in place for receiving. These constraints dictate the desired speed of longitudinal movement of a transducer array.
In contrast to the transducer array 200 and the control circuit 502, the transition portion 602 is free of rigid structures. Instead, the cross-sectional shape is defined by the adjacent regions 200 and 502. Thus, the shape of the transition portion 602 transitions between that of the transducer array 200 and the control circuit 502. The transition portion 602 may be used to reduce sharp angles that can stress the flex circuit and/or the conductive traces. Because of the more circular cross-section of the associated control circuit 502 of the present disclosure, embodiments utilizing, for example, 8, 9, 16, or more transducer control circuits support a shorter transition region 602. In other words, because both transducer control circuits and ultrasound transducers 202 produce flat areas within a flex circuit, substituting physically narrower devices reduces the noncircular regions of the flex circuit caused by each individual device.
The first anchor 612 is connected to the movable element 702 by a shape memory alloy (SMA) actuator 620 which moves movable element 702 when activated as described in more detail below. The SMA actuator 620 can be fabricated from any known material with shape memory characteristics. In an alternative embodiment the actuator mechanisms 504 can be fabricated without from a single tubing using any material with shape memory characteristics, incorporating the first anchor 612, second anchor 614, moveable element 702, SMA actuator 620 and deformable component 622. As known by those of skill in the art, SMAs can be fabricated to take on a predetermined shape when activated. Activation of an SMA actuator consists of heating the SMA such that it adopts its trained shape. Typically, this is accomplished by applying an electric current across the SMA element. Deactivation of an SMA actuator includes turning off current to SMA, such that it returns to its pliable state as it cools. Activation of the SMA to its trained shape results in a force which can be utilized as an actuator. As one of skill in the art will recognize, the disclosed SMA actuator 20 can take numerous shapes and configurations in addition to the helical shape shown in
There are other potential locations for an actuator mechanism other than adjacent to the movable element 702. For example, an actuator mechanism can be placed at a proximal end of an elongate member so that the actuator mechanism is outside a human body. In various embodiments, the actuator mechanism is mechanically coupled to a scanner assembly via a structure, such as a catheter.
The motion of the transducer array 200 may be continuous in moving between the positions illustrated in
The embodiments in
In various embodiments, a control circuit 502 is electrically coupled to the transducer array 200 to control firing of the transducers 202 and collection of echo data via the transducers 202. Furthermore, an actuator mechanism 504, as illustrated in various figures herein, effects motion of the transducer array 200 to move the actuator array 200 in the manner illustrated in
In an embodiment, a ring of transducers 202 is fired when the ring substantially aligns with the windows 1102. The markers 1104 will show in at least one ultrasound echo. The ultrasound markers 1104 can be used by a position control system analyzing the return echoes to align transducers 202 with windows 1102. In an alternative form, the markers present in the return data can be used in signal processing to determine the position that a ring of transducers 202 fired from in order to correct for any misalignments or offsets of transducer firings.
Ultrasound markers can be used with any type of outer catheter. For example, ultrasound markers can also be used with continuous outer catheters, such as those illustrated in the regions 900 and 1000. The markers used with continuous outer catheters can be used as described above with respect to
The method 1400 provides for a variety of combinations of longitudinal transducer arrays and firing positions. In some embodiments, each ring fires in substantially the same position. For example,
Various embodiments may add, omit, rearrange, or modify the actions of method 1400. For example, in some embodiments involving a transducer array with a plurality of rings, the transducer array is stationary. In embodiments with a stationary transducer array, block 1406 can be omitted. Data is collected from each ring, but the rings fire without changing positions of various rings.
In block 1414, data from all of the rings is combined to generate an image. By combining echo data from different rings imaging performance can be improved as compared to using data from only one ring. For example, if each ring fires in substantially the same longitudinal position, data collected from each ring can be averaged during processing to reduce effects of noise from any one transducer. The IVUS console 106 aggregates and can assemble the received echo data to create an image of vascular structure for display on the monitor 108.
As another example, data collected from each ring can be combined using a weighted average to emphasize data from one ring over another. Such an arrangement may be beneficial if each ring is tuned to or designed to fire at a different ultrasonic frequency (e.g., using rings of varying thicknesses). The depth of field of an ultrasonic signal varies with frequency, with depth of field decreasing as frequency increases. When an ultrasonic signal is transmitted echoes are received from features at various distances. Distances to objects can be measured based on the time a signal is emitted from a transducer until an echo is received, and this time can be referred to as the round-trip time. Echo's generated by rings tuned to different frequencies can be weighted differently depending on the desired resolution and depth of field. In various embodiments, image processing weights return data such that longer round-trip echoes are given more weight in the image from lower frequencies while shorter round-trip echoes are given more weight for higher frequencies to achieve the benefits of the different ultrasonic frequencies. For each ultrasound signal, the weighting can vary as a function of round-trip travel time. For example, for signals with relatively high ultrasound frequency, the weighting of echo data decreases versus round-trip travel time. In an embodiment, a longitudinal transducer array comprises four rings, with a first ring tuned or designed to 10 MHz, a second ring tuned or designed to 20 MHz, a third ring tuned or designed to 40 MHz, and a fourth ring tuned or designed to 60 MHz.
In another example embodiment, suppose a transducer array is employed that comprises a plurality of rings with at least one ring tuned to a different frequency than another one of the rings. Instead of collecting data from all of the rings, only one ring can be selected to fire. The firing ring can be selected on the basis of the desired depth of field.
Current transducer arrays are limited in the number of transducers used due to space constraints associated with lumen and/or catheter dimensions and manufacturing processes used to generate individual elements. By placing circumferential arrays in offset longitudinal configurations and oscillating the arrays forward and backward, a larger number of elements can be utilized without compromising the transducer outer diameter. Software can be utilized to generate an image using all of elements for a fixed location along the length array, utilizing a time based algorithm. Alternatively, a same number of transducer elements can be employed as a conventional array but in a reduced device profile, which can lead to improved manufacturability.
Persons skilled in the art will recognize that the apparatus, systems, and methods described above can be modified in various ways. Accordingly, persons of ordinary skill in the art will appreciate that the embodiments encompassed by the present disclosure are not limited to the particular exemplary embodiments described above. In that regard, although illustrative embodiments have been shown and described, a wide range of modification, change, and substitution is contemplated in the foregoing disclosure. It is understood that such variations may be made to the foregoing without departing from the scope of the present disclosure. Accordingly, it is appropriate that the appended claims be construed broadly and in a manner consistent with the present disclosure.
The present application claims priority to and the benefit of the U.S. Provisional Patent Application No. 61/984,977, filed Apr. 28, 2014, which is hereby incorporated by reference in its entirety.
Number | Date | Country | |
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61984977 | Apr 2014 | US |