Summary of the invention
To solve the above problems, the present invention provides a kind of fetal head direction measuring device, including data processing unit and point
Fetal head positioning feature point unit, reference planes and the reference vector positioning unit not being connected with data processing unit.By to tire
Head positioning feature point, the positioning of the reference planes and reference vector of pelvis, the projection for carrying out direction vector and reference vector calculate,
Determine fetal head direction.This method can be more convenient, is more flexible, more effectively determining fetal head direction.
The present invention also provides a kind of fetal head direction measuring methods and a kind of fetal head direction measuring device simulator.
Measuring device of the invention adopts the following technical scheme that a kind of fetal head direction measuring device, including data processing list
Member and fetal head positioning feature point unit, reference planes and the reference vector positioning unit being connected respectively with data processing unit,
Wherein:
Fetal head positioning feature point unit, for positioning the spatial position of the two or more characteristic points of fetal head;
Reference planes and reference vector positioning unit, for positioning the reference planes and reference vector of pelvis;
Data processing unit, the first direction vector between acquisition two characteristic points of fetal head, then calculate direction vector and exist
The first projection vector in reference planes calculates the second projection vector of reference vector on the reference plane, finally calculates first
Projection vector determines fetal head direction to the angle of the second projection vector.
Further, fetal head positioning feature point unit includes the ultrasonic probe with the first alignment sensor.
Further, reference planes and reference vector positioning unit include the second alignment sensor.
Fetal head direction measuring method of the invention adopts the following technical scheme that, a kind of fetal head direction measuring method, including with
Lower step:
Obtain the direction vector of fetal head fisrt feature point to fetal head second feature point;
Position the reference planes and reference vector of pelvis;
Calculate fetal head fisrt feature point to fetal head second feature point direction vector on the reference plane first project to
Amount;
Calculate the second projection vector of reference vector on the reference plane;
The angle for calculating the first projection vector to the second projection vector determines fetal head direction.
Further, obtain fetal head fisrt feature point to fetal head second feature point direction vector the step of include:
With ultrasonic probe scanning fetal head fisrt feature point and fetal head second feature point with the first alignment sensor;
According to the posture information that the first alignment sensor records, fetal head fisrt feature point, fetal head second feature point are calculated
Three-dimensional coordinate, and then calculate the direction vector of fetal head fisrt feature point to fetal head second feature point.
Further, the method for positioning the reference planes of pelvis is any one in following three kinds of methods:
1. positioning the three-dimensional coordinate of the upper margin of pubic bone of pelvis, lower margin of pubic bone, reference planes are to join by pubis
Close edge and perpendicular to the plane of upper margin of pubic bone and lower margin of pubic bone line;
2. positioning the three-dimensional coordinate of the upper margin of pubic bone of pelvis, left anterior superior spine, right anterior superior spine, reference planes are warp
Cross upper margin of pubic bone, left anterior superior spine, 3 points of right anterior superior spine of plane;
3. positioning the three-dimensional coordinate of the upper margin of pubic bone of pelvis, lower margin of pubic bone, the 5th spinous process of lumbar vertebra, reference planes
For by upper margin of pubic bone, the 5th spinous process of lumbar vertebra and perpendicular to upper margin of pubic bone, lower margin of pubic bone, the 5th spinous process of lumbar vertebra three
Plane where point.
Further, the method for positioning the reference vector of pelvis is any one in following two method:
1. positioning the three-dimensional coordinate of the left anterior superior spine of pelvis, right anterior superior spine, reference vector is left anterior superior spine to the right side
The vector of anterior superior spine;
2. positioning the three-dimensional coordinate of the upper margin of pubic bone of pelvis, the 5th spinous process of lumbar vertebra, reference vector is upper margin of pubic bone
To the vector of the 5th spinous process of lumbar vertebra.
The simulator of fetal head direction measuring device of the present invention adopts the following technical scheme that a kind of fetal head direction measuring device is touched
Quasi- device includes the cuboid container of upper opening, and several artificial lines for being parallel to container bottoms, simulation are equipped in cuboid container
Line both ends are individually fixed in the side opposite of cuboid container, rounded to be uniformly distributed.The side opposite analog references of cuboid container
Plane, simulator vertical direction analog references vector, artificial line simulate fetal head characteristic point in the mark that ultrasound image is presented.
The water of artificial line was covered in injection in cuboid container;Ultrasonic probe is suspended in above cuboid container entrance, and ultrasound is visited
Head surface is immersed in the water;Using water as artificial line in medium scanning water, the mark point of circular distribution is shown in ultrasound image;Super
The round two o'clock being diametrically opposed to one another arbitrarily is marked in acoustic image, is calculated its direction vector, is simulated the direction of two fetal head characteristic points
Vector calculates the first projection vector of direction vector on the reference plane, calculates the second throwing of reference vector on the reference plane
Shadow vector finally calculates the angle of the first projection vector to the second projection vector, determines fetal head direction.
The present invention have the following advantages compared with the existing technology and the utility model has the advantages that
1, the present invention provides fetal head direction measuring device, measuring and calculating fetal head orientation that can be more convenient and flexible, user's operation
It is simpler flexible.
2. the result in the fetal head orientation that fetal head direction provided by the invention measuring method calculates is more accurate.
3, fetal head direction measuring device simulator provided by the invention can simulate fetal head orientation measurement principle, to fetal head
Orientation measurement accuracy is tested, and algorithm reliability is improved.
Embodiment
A kind of fetal head direction measuring device, as shown in Figure 1, include data processing unit and respectively with data processing unit
Connected fetal head positioning feature point unit, reference planes and reference vector positioning unit, in which:
Fetal head positioning feature point unit, for positioning the spatial position of the two or more characteristic points of fetal head, including with the
The ultrasonic probe of one alignment sensor;
Reference planes and reference vector positioning unit, for positioning the reference planes and reference vector of pelvis, including second
Alignment sensor;
Data processing unit, the first direction vector between acquisition two characteristic points of fetal head, then calculate direction vector and exist
The first projection vector in reference planes calculates the second projection vector of reference vector on the reference plane, finally calculates first
Projection vector determines fetal head direction to the angle of the second projection vector.
It should be noted that positioning the two or more characteristic points of fetal head using the ultrasonic probe with the first alignment sensor
Spatial position, i.e. Freehand three-dimensional ultrasound is the research heat in ultrasound image three-dimensional reconstruction field in recent years
One of point, this technology have tended to be mature, and concrete methods of realizing can refer to correlative theses, and which is not described herein again.
A kind of fetal head direction measuring method, comprising the following steps:
A, the direction vector of fetal head fisrt feature point to fetal head second feature point is obtained;
B, the reference planes and reference vector of pelvis are positioned;
C, calculate fetal head fisrt feature point to fetal head second feature point direction vector on the reference plane first project
Vector;
D, the second projection vector of reference vector on the reference plane is calculated;
E, the angle for calculating the first projection vector to the second projection vector, determines fetal head direction.
It should be noted that the vector, coordinate in above-mentioned measuring method in each step are all based on same three-dimensional space
(being called " known three-dimensional space " in the present invention).
Present invention determine that the principle in fetal head orientation is: first by obtaining fetal head fisrt feature point to fetal head second feature point
Direction vector come determine characterization fetal head direction direction vector, then position pelvis reference planes and reference vector, i.e., it is fixed
The direction and fetal head orientation zero-bit of position pelvis.By the direction vector of fetal head fisrt feature point to fetal head second feature point, pelvis
Reference vector is projected to the same reference planes, then the angle of calculating direction vector to reference vector.In the present embodiment,
The angular range for calculating direction vector to reference vector is 0~360 degree, one corresponding every 45 degree of angles since initial angle θ
Fetal head direction: before pillow, after left occipitoanterior (LOA), left occipitotransverse (LOT), left occipitoposterior (LOP), pillow, right occipitoposterior (ROP), right occipitotransverse, right occipitoanterior, angle, fetal head direction pair
It should be related to as shown in the table:
Angle degree |
Fetal head direction |
Angle degree |
Fetal head direction |
(θ~θ+45) %360 |
Before pillow |
(θ+181~θ+225) %360 |
After pillow |
(θ+46~θ+90) %360 |
Left occipitoanterior (LOA) |
(θ+226~θ+270) %360 |
Right occipitoposterior (ROP) |
(θ+91~θ+135) %360 |
Left occipitotransverse (LOT) |
(θ+271~θ+325) %360 |
Right occipitotransverse |
(θ+136~θ+180) %360 |
Left occipitoposterior (LOP) |
(θ+326~θ+360) %360 |
Right occipitoanterior |
It should be noted that the angular range between vector in public's meaning is [0,180], calculation method is with two
The dot product of vector is divided by two vector field homoemorphisms, and then anticosine obtains.And in the present embodiment, direction vector " arrives " reference vector
Angle need to indicate the positional relationship between two vectors with 0~360 degree, need exist for the multiplication cross for using two vectors,
Characterization direction vector " arrives " directionality of the angle of reference vector, with the folder being different between direction vector "AND" reference vector
Range is extended to [0,360] by angle.This is the common sense of plane vector geometric operation, therefore repeats no more herein.% is indicated in table
Complementation.
The present invention projects direction vector, reference vector to the reason in the same reference planes: due to giving a birth
Cheng Zhong, fetal head decline along birth canal, and birth canal is not straight line, it is therefore desirable to by characterize fetal head direction direction vector and
It indicates that the reference vector of pelvis characteristic point projects to the same reference planes, could will be pressed from both sides under unified correspondence standard in this way
Angle number corresponds to corresponding fetal head direction.Publication date relative to South China Science & Engineering University is on July 21st, 2017, Publication No.
A kind of Chinese invention patent " fetal head bearing measuring method based on electromagnetic location and ultrasonic imaging " of CN106963378A provides
Method, the fetal head direction measuring method of the present embodiment, will indicate fetal head characteristic point direction vector and indicate pelvis feature
The reference vector of point projects to the same reference planes, then calculates angle between the two, the tire that the present invention calculates again
The result in head orientation is more accurate.
Further, the step of direction vector of the fetal head fisrt feature point to fetal head second feature point is obtained in step A is wrapped
It includes:
A1, fetal head fisrt feature point and fetal head second feature point are scanned with the ultrasonic probe with the first alignment sensor;
A2, its posture information in known three-dimensional space recorded according to the first alignment sensor, calculate fetal head first
The three-dimensional coordinate of characteristic point, fetal head second feature point in known three-dimensional space, and then fetal head fisrt feature point is calculated to fetal head
The direction vector of second feature point.
The present embodiment fetal head fisrt feature point and fetal head second feature point refer to the fetal head solution that can be shown in ultrasound image
Structure is cutd open, such as: occipitalia, forehead, bridge of the nose bone, neck bone, eye socket etc. select two of them that can characterize the feature in fetal head direction
Point, line direction represent direction of the fetal head in birth canal.Specific practice is: using the ultrasound for having the first alignment sensor
These characteristic points of scanning probe calculate these spies according to the posture information in known three-dimensional space that alignment sensor records
The three-dimensional coordinate for levying point, then calculates the direction vector of preset two fetal head characteristic points.It should be noted that different fetal heads are special
The direction vector for levying point, represents the different direction of fetal head, i.e. direction vector is different from the initial value θ of reference vector, with specific reference to
Depending on direction vector and the angle of reference vector and actual fetal head orientation title.For example, when direction vector and reference vector
When angle initial value θ=30 degree, fetal head direction initial bit before pillow, then before 30~75 degree of angle is pillows, and so on.
Further, the method that the reference planes of pelvis are positioned in step B is any one in following three kinds of methods:
1. positioning the three-dimensional coordinate of the upper margin of pubic bone, lower margin of pubic bone of pelvis in known three-dimensional space, reference
Plane is by upper margin of pubic bone and perpendicular to the plane of upper margin of pubic bone and lower margin of pubic bone line;
2. positioning the three-dimensional of the upper margin of pubic bone, left anterior superior spine, right anterior superior spine of pelvis in known three-dimensional space
Coordinate, reference planes are by upper margin of pubic bone, left anterior superior spine, 3 points of right anterior superior spine of plane;
3. positioning three of the upper margin of pubic bone, lower margin of pubic bone, the 5th spinous process of lumbar vertebra of pelvis in known three-dimensional space
Coordinate is tieed up, reference planes are by upper margin of pubic bone, the 5th spinous process of lumbar vertebra and perpendicular under upper margin of pubic bone, pubic symphysis
Plane where edge, 3 points of the 5th spinous process of lumbar vertebra.
The method of the reference planes of three kinds of positioning pelvis provided in this embodiment are as follows:
Method one: as shown in Fig. 2, upper margin of pubic bone S1, the lower margin of pubic bone S2 of positioning pelvis are in known three-dimensional space
Between in three-dimensional coordinate, reference planes α be by upper margin of pubic bone S1 and perpendicular to upper margin of pubic bone S1 and pubic symphysis
The plane of lower edge S2 line.
Method two: as shown in figure 3, upper margin of pubic bone S1, left anterior superior spine T1, the right anterior superior spine T2 of positioning pelvis exist
Three-dimensional coordinate in known three-dimensional space, reference planes β are by before upper margin of pubic bone S1, left anterior superior spine T1, right ilium
The plane that 3 points of spine T2;
Method three: as shown in figure 4, upper margin of pubic bone S1, lower margin of pubic bone S2, the 5th spinous process of lumbar vertebra of positioning pelvis
Three-dimensional coordinate of the L5 in known three-dimensional space, reference planes δ are by upper margin of pubic bone S1, the 5th spinous process of lumbar vertebra L5 and to hang down
Directly in the plane where upper margin of pubic bone, lower margin of pubic bone, 3 points of the 5th spinous process of lumbar vertebra.Reference planes δ is to pass through pubis
The plane of joint upper limb S1, lower margin of pubic bone S2,3 points of the 5th spinous process of lumbar vertebra L5.
In the present embodiment, the upper margin of pubic bone S1, lower margin of pubic bone S2, the 5th spinous process of lumbar vertebra L5, left ilium of pelvis are positioned
Alignment sensor can be used to directly acquire for the three-dimensional coordinate of Ant sup T1, right anterior superior spine T2 in known three-dimensional space, can also
To use the ultrasonic probe for having alignment sensor to calculate in ultrasound image by label.
Further, the method that the reference vector of pelvis is positioned in step B is any one in following two method:
1. positioning the three-dimensional coordinate of the left anterior superior spine, right anterior superior spine of pelvis in known three-dimensional space, reference vector
For left anterior superior spine to the vector of right anterior superior spine;
2. position the three-dimensional coordinate in known three-dimensional space of upper margin of pubic bone, the 5th spinous process of lumbar vertebra of pelvis, with reference to
Amount is vector of the upper margin of pubic bone to the 5th spinous process of lumbar vertebra.
The method of the reference planes of two kinds of positioning pelvis provided in this embodiment are as follows:
Method one: as shown in figure 5, left anterior superior spine T1, the right anterior superior spine T2 of positioning pelvis are in known three-dimensional space
Three-dimensional coordinate, reference vector be left anterior superior spine T1 to right anterior superior spine T2 vector.
Method two: as shown in fig. 6, upper margin of pubic bone S1, the 5th spinous process of lumbar vertebra L5 of positioning pelvis are in known three-dimensional space
In three-dimensional coordinate, reference vector be upper margin of pubic bone S1 to the 5th spinous process of lumbar vertebra L5 vector.
In the present embodiment, before positioning the upper margin of pubic bone S1 of pelvis, the 5th spinous process of lumbar vertebra L5, left anterior superior spine T1, right ilium
Alignment sensor can be used to directly acquire for three-dimensional coordinate of the upper spine T2 in known three-dimensional space, and also can be used and passes with positioning
The ultrasonic probe of sensor is calculated in ultrasound image by label.
The present invention also provides a kind of simulator for analog detection fetal head direction measuring device, the length including upper opening
Cube container, cuboid container is interior to be equipped with several artificial lines for being parallel to container bottoms, and artificial line both ends are individually fixed in rectangular
The side opposite of body container, it is rounded to be uniformly distributed.The side opposite analog references plane of cuboid container, simulator vertical direction mould
Quasi- reference vector, artificial line simulate fetal head characteristic point in the mark that ultrasound image is presented.
As shown in Fig. 7~8, the simulator provided in this embodiment for analog detection fetal head direction measuring device is top
The cuboid container of opening, cuboid container is interior to be equipped with several artificial line L for being parallel to container bottoms, the both ends artificial line L difference
It is fixed on the side opposite U of cuboid container, it is rounded to be uniformly distributed;The side opposite U analog references plane of cuboid container, simulation
Device vertical direction T analog references vector, artificial line L simulate fetal head characteristic point in the mark that ultrasound image is presented.In use, by sufficient
It measures in water injection cuboid container, water must cover artificial line;It holds ultrasonic probe to be suspended in above cuboid container entrance, ultrasound is visited
Head surface must be immersed in the water.Using water as medium, artificial line L in water is scanned, shows the mark of circular distribution in ultrasound image at this time
Note point.The round two o'clock being diametrically opposed to one another arbitrarily is marked in ultrasound image, is calculated its direction vector, is simulated two fetal head features
The direction vector of point, with the side opposite U analog references plane of cuboid container, simulator vertical direction T analog references vector.Meter
The first projection vector of direction vector on the reference plane is calculated, the second projection vector of reference vector on the reference plane is calculated,
The angle for finally calculating the first projection vector to the second projection vector determines fetal head direction.
The above embodiment is a preferred embodiment of the present invention, but embodiments of the present invention are not by above-described embodiment
Limitation, other any changes, modifications, substitutions, combinations, simplifications made without departing from the spirit and principles of the present invention,
It should be equivalent substitute mode, be included within the scope of the present invention.