CN113855188A - Ultrasonic scanning device, imaging device and puncture needle monitoring method and system - Google Patents

Ultrasonic scanning device, imaging device and puncture needle monitoring method and system Download PDF

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CN113855188A
CN113855188A CN202111224440.1A CN202111224440A CN113855188A CN 113855188 A CN113855188 A CN 113855188A CN 202111224440 A CN202111224440 A CN 202111224440A CN 113855188 A CN113855188 A CN 113855188A
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puncture
puncture needle
scanning
needle
scanning array
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张勇
马克伟
张沈晞
张书伟
龚栋梁
黄明进
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Chison Medical Technologies Co ltd
Wuxi Chison Medical Technologies Co Ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3403Needle locating or guiding means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10Computer-aided planning, simulation or modelling of surgical operations
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3403Needle locating or guiding means
    • A61B2017/3413Needle locating or guiding means guided by ultrasound
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/107Visualisation of planned trajectories or target regions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/108Computer aided selection or customisation of medical implants or cutting guides
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046Tracking techniques
    • A61B2034/2063Acoustic tracking systems, e.g. using ultrasound
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046Tracking techniques
    • A61B2034/2065Tracking using image or pattern recognition

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  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
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  • Heart & Thoracic Surgery (AREA)
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Abstract

The application relates to an ultrasonic scanning device, an imaging device, a puncture needle monitoring method and a system, belonging to the technical field of medical images, wherein the ultrasonic scanning device comprises a first scanning array; the ultrasonic imaging device can obtain a first ultrasonic image of the target tissue position; a second ultrasonic image on one side of the target tissue position and/or a third ultrasonic image on the other side of the target tissue position, namely an auxiliary ultrasonic image, can also be obtained; monitoring the puncture needle according to the first ultrasonic image and the auxiliary ultrasonic image; the problem that whether the puncture needle deviates from the expected puncture position or not can not be determined, so that the puncture result is inaccurate can be solved; since the second ultrasound image includes the position of one side of the target tissue location and the third ultrasound image includes the position of the other side of the target tissue location, it can be determined whether the puncture needle has deviated from the desired puncture position, improving the puncture accuracy.

Description

Ultrasonic scanning device, imaging device and puncture needle monitoring method and system
[ technical field ] A method for producing a semiconductor device
The application relates to an ultrasonic scanning device, an imaging device, a puncture needle monitoring method and a system, and belongs to the technical field of medical images.
[ background of the invention ]
The puncture is a diagnosis and treatment technique that a puncture needle is punctured into a body cavity to extract secretion for assay, gas or contrast agent is injected into the body cavity to perform contrast examination, or medicine is injected into the body cavity. An ultrasound device is often used to monitor whether the needle has reached the desired puncture location during the puncture procedure.
The traditional monitoring method of the puncture needle comprises the following steps: an ultrasonic image is acquired at the expected puncture position through a probe of the ultrasonic equipment, whether a needle image of the puncture needle exists in the ultrasonic image is identified, and whether the puncture needle reaches the expected puncture position is determined.
However, even if there is a needle image in the ultrasound image, the puncture needle may have deviated from the desired puncture position, and in this case, the ultrasound apparatus cannot recognize, resulting in a problem that the puncture result of the puncture needle is inaccurate.
[ summary of the invention ]
The application provides an ultrasonic scanning device, an imaging device, a puncture needle monitoring method and a system, which can solve the problem that whether a puncture needle deviates from an expected puncture position cannot be determined in a traditional puncture needle monitoring method. The application provides the following technical scheme:
in a first aspect, an ultrasound scanning apparatus is provided, which includes:
a first scan array;
a second scanning array and/or a third scanning array;
the first scanning array, the second scanning array and the third scanning array comprise at least one column of structural elements arranged along the first direction, and each column is arranged along the first direction;
in a second direction, the second scanning array and the third scanning array are respectively located on two sides of the first scanning array, and the second direction is perpendicular to the first direction.
Optionally, the first scanning array is configured to detect a target tissue position of a target object in a first beam plane, so as to obtain a first detection signal, so as to form a first ultrasound image;
the second scanning array is used for detecting a first tissue position on one side of the target tissue position in a second beam plane in the second direction to obtain a second detection signal so as to form a second ultrasonic image;
the third scanning array is used for detecting a second tissue position on the other side of the target tissue position in a third beam plane in the second direction to obtain a third detection signal so as to form a third ultrasonic image;
wherein the first beam plane, the second beam plane, and the third beam plane are different beam planes.
Optionally, the target tissue location is determined based on a desired puncture location to which the puncture needle is desired to reach.
Optionally, the number of structural elements in the first scanning array is greater than the number of structural elements in the second scanning array, and the number of structural elements in the first scanning array is greater than the number of structural elements in the third scanning array.
Optionally, the number of the target scanning arrays is N, and the array interval between two adjacent second scanning arrays is a first distance; the minimum array interval between the first scanning array and the second scanning array is a second distance, N is a positive integer, and the target scanning array is the second scanning array or the third scanning array;
the first distance is larger than the distance between two adjacent columns of structural elements in the target scanning array;
the second distance is greater than the distance between two adjacent columns of structural elements in the target scanning array, and the second distance is greater than the distance between two adjacent columns of structural elements in the first scanning array.
Optionally, the second distance is smaller than a first distance threshold, and the first distance threshold is determined based on a positioning accuracy requirement of the puncture needle.
In a second aspect, an ultrasound imaging apparatus is provided, which is characterized by comprising:
a processor;
a memory coupled to the processor; the memory has stored therein a program that is loaded and executed by the processor:
acquiring a detection signal obtained by scanning of ultrasonic scanning equipment, wherein the ultrasonic scanning equipment comprises a first scanning array, and the detection signal comprises a first detection signal; the ultrasonic scanning equipment further comprises a second scanning array and/or a third scanning array, and correspondingly, the detection signal comprises a second detection signal obtained by scanning the second scanning array and/or a third detection signal obtained by scanning the third scanning array;
generating a first ultrasonic image according to the first detection signal;
generating an auxiliary ultrasound image from the second detection signal and/or the third detection signal;
an output device coupled to the processor for outputting the first ultrasound image and the auxiliary ultrasound image.
Optionally, the method further comprises:
determining whether the puncture needle reaches an expected puncture position or not based on the first ultrasonic image and the auxiliary ultrasonic image to obtain a puncture needle monitoring result; the desired puncture location is a location that the puncture needle is expected to reach in the target tissue.
Optionally, the puncture mode of the puncture needle is out-of-plane puncture, the ultrasound scanning device includes a target scanning array, the target scanning array is the second scanning array or the third scanning array, and correspondingly, the auxiliary ultrasound image includes an ultrasound image formed based on a detection signal obtained by scanning the target scanning array;
the determining whether the puncture needle reaches the expected puncture position based on the first ultrasonic image and the auxiliary ultrasonic image to obtain a puncture needle monitoring result includes:
if the puncture needle is not monitored in the first ultrasonic image and the auxiliary ultrasonic image, determining that the puncture needle monitoring result is that the puncture needle does not reach the expected puncture position;
if the puncture needle is monitored in the first ultrasonic image, determining that the monitoring result of the puncture needle is that the puncture needle reaches the expected puncture position;
if the puncture needle is monitored in the auxiliary ultrasonic image, when the puncture needle is monitored in the first ultrasonic image, determining that the monitoring result of the puncture needle is that the puncture needle reaches the expected puncture position.
Optionally, the puncture manner of the puncture needle is out-of-plane puncture, the ultrasound scanning device includes the second scanning array and the third scanning array, and accordingly, the auxiliary ultrasound image includes a second ultrasound image formed based on the second detection signal and a third ultrasound image formed based on the third detection signal;
the determining whether the puncture needle reaches the expected puncture position based on the first ultrasonic image and the auxiliary ultrasonic image to obtain a puncture needle monitoring result includes:
if the puncture needle is monitored by the second ultrasonic image and the puncture needle is not monitored by the first ultrasonic image and the third ultrasonic image, determining that the monitoring result of the puncture needle is that the puncture needle does not reach the expected puncture position;
if the puncture needle is monitored by both the second ultrasonic image and the first ultrasonic image and the puncture needle is not monitored by the third ultrasonic image, determining that the monitoring result of the puncture needle is that the puncture needle reaches the expected puncture position;
if the puncture needle is monitored by the second ultrasonic image, the first ultrasonic image and the third ultrasonic image, determining that the monitoring result of the puncture needle is that the puncture needle has passed over the expected puncture position.
Optionally, the puncture mode of the puncture needle is in-plane puncture, the ultrasound scanning device includes the target scanning array, the target scanning array is the second scanning array and/or the third scanning array, and correspondingly, the auxiliary ultrasound image includes an ultrasound image formed based on a detection signal obtained by scanning the target scanning array;
the determining whether the puncture needle reaches the expected puncture position based on the first ultrasonic image and the auxiliary ultrasonic image to obtain a puncture needle monitoring result includes:
if the puncture needle is not monitored in the first ultrasonic image and the auxiliary ultrasonic image, determining that the puncture needle monitoring result is that the puncture needle does not reach the expected puncture position;
if the puncture needle is monitored by the first ultrasonic image and the puncture needle is not monitored by the auxiliary ultrasonic image, determining that the monitoring result of the puncture needle is that the puncture needle reaches the expected puncture position;
and if the puncture needle is monitored by the first ultrasonic image and the puncture needle is monitored by the auxiliary ultrasonic image, determining that the monitoring result of the puncture needle is that the puncture needle deviates to one side of the target scanning array.
Optionally, the processor is further configured to determine an installation position of the puncture needle on the puncture rack based on the desired puncture position; the puncture rack comprises a plurality of auxiliary puncture structures, each auxiliary puncture structure is used for enabling the puncture needle to perform puncture operation at a fixed erection angle and erection position, and the erection angles corresponding to different auxiliary puncture structures are different and/or the erection positions corresponding to different auxiliary puncture structures are different;
the output device is also used for outputting the installation position.
Optionally, the determining the installation position of the puncture needle on the puncture rack based on the expected puncture position includes:
acquiring the type of the puncture frame;
and determining an auxiliary puncture structure with the erection angle and the erection position matched with the expected puncture position under the model of the puncture frame, wherein the position of the auxiliary puncture structure is the installation position.
Optionally, the processor is further configured to determine, in the installed position, a needle insertion depth of the puncture needle based on the desired puncture position; scales are arranged on the puncture needle;
the output device is also used for outputting the needle insertion depth.
In a third aspect, a puncture needle monitoring method is provided, which is used in the ultrasound imaging apparatus provided in the second aspect, and includes:
acquiring a detection signal obtained by scanning of ultrasonic scanning equipment, wherein the ultrasonic scanning equipment comprises a first scanning array, and the detection signal comprises a first detection signal; the ultrasonic scanning equipment further comprises a second scanning array and/or a third scanning array, and correspondingly, the detection signal comprises a second detection signal obtained by scanning the second scanning array and/or a third detection signal obtained by scanning the third scanning array;
generating a first ultrasonic image according to the first detection signal;
generating an auxiliary ultrasound image from the second detection signal and/or the third detection signal;
outputting the first ultrasound image and the auxiliary ultrasound image through an output device.
In a fourth aspect, a computer-readable storage medium is provided, in which a program is stored, which, when being executed by a processor, is adapted to carry out the puncture needle monitoring method according to the third aspect.
In a fifth aspect, a needle monitoring system is provided, the system comprising: the ultrasonic scanning device comprises an ultrasonic scanning device and an ultrasonic imaging device which is in communication connection with the ultrasonic scanning device;
the ultrasound scanning apparatus comprises the ultrasound scanning apparatus of the first aspect;
the ultrasound imaging apparatus comprises the ultrasound imaging apparatus of the second aspect.
Optionally, the system further comprises a puncture frame, wherein the puncture frame comprises a plurality of auxiliary puncture structures, each auxiliary puncture structure is used for enabling the puncture needle to perform puncture operations at fixed erection angles and erection positions, the erection angles corresponding to different auxiliary puncture structures are different, and/or the erection positions corresponding to different auxiliary puncture structures are different;
optionally, the system further comprises a puncture needle, wherein scales are arranged on the puncture needle and used for indicating the depth of the puncture needle.
The beneficial effects of this application include at least: by arranging the ultrasonic scanning equipment which comprises the first scanning array, not only can the first ultrasonic image of the target tissue position be obtained; the system also comprises a second scanning array and/or a third scanning array, and accordingly a second ultrasonic image on one side of the target tissue position and/or a third ultrasonic image on the other side of the target tissue position, namely an auxiliary ultrasonic image, can be obtained; monitoring the puncture needle through an ultrasonic imaging device according to the first ultrasonic image and the auxiliary ultrasonic image; the problem that when the puncture needle is determined to reach the expected puncture position only through the first ultrasonic image, whether the puncture needle deviates from the expected puncture position cannot be determined, and the puncture result is inaccurate can be solved; the second ultrasonic image and the third ultrasonic image can determine the positions of the puncture needle on two sides of the target tissue position, so that the position of the puncture needle relative to the expected puncture position can be determined, and the puncture accuracy can be improved.
In addition, under the mode of in-plane puncture, whether the puncture needle deviates to one side of the second scanning array or not can be determined through the second ultrasonic image, whether the puncture needle deviates to one side of the third scanning array or not can be determined through the third ultrasonic image, and the monitoring accuracy of the puncture needle during in-plane puncture is improved.
In addition, in the out-of-plane puncture mode, whether the puncture needle reaches the second scanning array or not can be determined through the second ultrasonic image, whether the puncture needle reaches the third scanning array or not can be determined through the third ultrasonic image, and the monitoring accuracy of the puncture needle during out-of-plane puncture is improved.
In addition, the number of the structural elements in the first scanning array is larger than that of the structural elements in the second scanning array and larger than that of the structural elements in the third scanning array, so that the high resolution of the first ultrasonic image can be ensured, and the accuracy of image analysis is improved; meanwhile, the resolution ratios of the second ultrasonic image and the third ultrasonic image can be reduced under the condition that the puncture needle can be monitored, and image processing resources are saved.
In addition, the positioning precision of the puncture needle can be improved by arranging at least two second scanning arrays and/or at least two third scanning arrays.
In addition, the distance between the first scanning array and the second scanning array is determined based on the positioning accuracy requirement, and/or the distance between the first scanning array and the third scanning array is determined based on the positioning accuracy requirement, so that a larger distance can be set when the positioning accuracy requirement is lower, and a smaller distance can be set when the positioning accuracy requirement is higher, so that the ultrasonic scanning equipment can meet different scanning scenes.
In addition, the mounting position of the puncture needle on the puncture frame is determined according to the expected puncture position and is output, so that the position of mounting the puncture needle can be prompted to an operator, and the puncture efficiency is improved.
In addition, the puncture accuracy can be further improved by determining the needle insertion depth of the puncture needle according to the expected puncture position and inserting the needle according to the scale on the puncture needle and the needle insertion depth.
The foregoing description is only an overview of the technical solutions of the present application, and in order to make the technical solutions of the present application more clear and clear, and to implement the technical solutions according to the content of the description, the following detailed description is made with reference to the preferred embodiments of the present application and the accompanying drawings.
[ description of the drawings ]
FIG. 1 is a schematic illustration of in-plane puncture provided by one embodiment of the present application;
FIG. 2 is a schematic illustration of out-of-plane lancing provided by one embodiment of the present application;
FIG. 3 is a schematic block diagram of a needle monitoring system according to one embodiment of the present application;
fig. 4 is a schematic structural diagram of an ultrasound scanning apparatus provided in an embodiment of the present application;
FIG. 5 is a schematic structural diagram of an ultrasound imaging apparatus provided by an embodiment of the present application;
FIG. 6 is a schematic illustration of out-of-plane lancing from A to C provided by one embodiment of the present application;
FIG. 7 is a schematic illustration of out-of-plane lancing from A to C provided by yet another embodiment of the present application;
FIG. 8 is a schematic illustration of out-of-plane lancing from A to C provided by another embodiment of the present application;
FIG. 9 is a schematic illustration of out-of-plane lancing from A to C provided by yet another embodiment of the present application;
FIG. 10 is a schematic illustration of an ultrasound image of an in-plane puncture provided by an embodiment of the present application;
FIG. 11 is a schematic illustration of an ultrasound image of an in-plane puncture provided by yet another embodiment of the present application;
FIG. 12 is a schematic illustration of an in-plane puncture offset from a desired puncture location provided by one embodiment of the present application;
FIG. 13 is a schematic structural view of a lancing frame provided in one embodiment of the present application;
FIG. 14 is a schematic illustration of a determination of a secondary puncture structure provided by one embodiment of the present application;
FIG. 15 is a schematic structural view of a needle in accordance with one embodiment of the present application;
FIG. 16 is a flow chart of a needle monitoring method according to one embodiment of the present application;
fig. 17 is a block diagram of a needle monitoring device in accordance with an embodiment of the present application;
FIG. 18 is a block diagram of an ultrasound device provided by one embodiment of the present application.
[ detailed description ] embodiments
The following detailed description of embodiments of the present application will be made with reference to the accompanying drawings and examples. The following examples are intended to illustrate the present application but are not intended to limit the scope of the present application.
First, several terms referred to in the present application will be described.
Puncturing in a plane: the ultrasonic puncture method is characterized in that in the puncture process, the whole puncture needle is positioned in an ultrasonic beam plane of the ultrasonic device, and the ultrasonic image can display the puncture mode of the puncture path of the puncture needle.
Out-of-plane puncturing: the ultrasonic puncture method is characterized in that in the puncture process, the whole or part of the puncture needle is positioned outside an ultrasonic beam plane of the ultrasonic equipment, and the ultrasonic image can display a needle tip cross section image of the puncture needle or a puncture mode of a needle rod cross section.
Referring to fig. 1, for in-plane puncture, if the expected puncture position of the puncture needle is position 11, the conventional puncture needle monitoring method includes: the ultrasound image 12 at the position 11 is acquired by the probe and the puncture is performed in the ultrasound beam plane of the probe, at which time the ultrasound image 12 can display the puncture path of the puncture needle. The needle has reached position 11 in ultrasound image 12. However, in an actual scenario, the needle may have shifted in a direction perpendicular to the plane of the ultrasound beam (the plane indicated by the shaded portion), at which point the needle has not actually reached position 11.
Referring to fig. 2, for out-of-plane puncture, if the expected puncture location of the puncture needle is position 21, the conventional puncture needle monitoring method includes: the ultrasound image 22 of the location 21 is acquired by the probe and the puncture is made out of the plane of the ultrasound beam of the probe, at which time the ultrasound image 22 may display a cross-sectional image of the tip of the puncture needle when the puncture needle reaches the plane of the ultrasound beam, and the ultrasound image 22 may display a cross-sectional image of the needle shaft of the puncture needle when the tip of the puncture needle crosses the plane of the ultrasound beam.
In the puncture needle monitoring process, the puncture needle reaches the expected puncture position as long as a bright spot appears in the ultrasound image 22, but the bright spot cannot be further determined specifically by a cross-sectional image of the needle tip or a cross-sectional image of the needle rod. In the case where the bright spot is a cross-sectional image of the needle shaft, it is indicated that the needle has crossed position 21.
Therefore, the conventional puncture needle monitoring process has a problem that whether the puncture needle is used for in-plane puncture or out-of-plane puncture, whether the puncture needle deviates from the expected puncture position or not cannot be determined.
The desired puncture position is a position where the puncture needle is desired to reach in the target tissue. Such as: when a lesion area of a human body needs to be punctured, the puncture position is expected to be the position of the lesion area. For another example: when an intervention treatment needs to be performed on a blood vessel of a human body, the puncture position is expected to be the position of the blood vessel. In practical implementation, the desired puncturing position may be other positions of the target tissue, and the actual position of the desired puncturing position is not limited in this embodiment.
Based on the technical problems, the application provides an ultrasound scanning device, an ultrasound imaging device, a puncture needle monitoring method, a storage medium and a puncture needle monitoring system, and a plurality of scanning arrays are arranged on the ultrasound scanning device, so that the ultrasound imaging device can monitor whether a puncture needle exists at an expected puncture position or not and can also monitor whether a puncture needle exists at least one side of the expected puncture position or not, and therefore the position of the puncture needle relative to the expected puncture position can be determined, and the puncture accuracy is improved.
The following describes a needle monitoring system provided by the present application.
Fig. 3 is a schematic structural diagram of a needle monitoring system according to an embodiment of the present application, the system including at least: an ultrasound scanning device 310 and an ultrasound imaging device 320.
The ultrasound scanning apparatus 310 includes a transmit mode and a receive mode. In the transmit mode, the ultrasound scanning device 310 is capable of converting electrical energy into mechanical energy, the resulting mechanical waves propagating toward the medium and forming a beam plane inside the medium. In the receive mode, the ultrasound scanning device 310 receives the reflected mechanical waveform and is converted to an electrical signal by the ultrasound scanning device 310.
The ultrasound scanning device 310 may also be referred to as an ultrasound probe or a scanning probe, and the name of the ultrasound scanning device 310 is not limited in this embodiment.
In this embodiment, referring to fig. 4, the ultrasound scanning apparatus 310 includes: the first scanning array 311 further includes a second scanning array 312 and/or a third scanning array 313. That is, the ultrasound scanning apparatus 310 includes a first scanning array 311 and a second scanning array 312; alternatively, the ultrasound scanning apparatus 310 comprises a first scanning array 311 and a third scanning array 313; alternatively, the ultrasound scanning apparatus 310 includes a first scanning array 311, a second scanning array 312, and a third scanning array 313.
Each of the first scanning array 311, the second scanning array 312, and the third scanning array 313 includes at least one column of structural elements, and each element in each column of structural elements is arranged along the first direction.
The structural element may be a piezoelectric element, and in practical implementation, the piezoelectric element may also be another element capable of generating a mechanical wave.
In the second direction, the second scanning array and the third scanning array are respectively positioned at two sides of the first scanning array.
Wherein the second direction is perpendicular to the first direction.
The first scanning array 311 is configured to detect a target tissue position of the target object in the first beam plane, and obtain a first detection signal to form a first ultrasound image.
The target object can be a living body such as a human or an animal, and the target tissue position is an arbitrary position on the target object. Optionally, the target tissue location is determined based on a desired puncture location to which the puncture needle is desired to reach. In particular, the target tissue location is a tissue location that includes a desired puncture location. In other words, the first scanning array scans the desired puncture location as the puncture needle is monitored.
The second scanning array 312 is configured to detect the first tissue location on one side of the target tissue location in the second beam plane in the second direction, and obtain a second detection signal to form a second ultrasound image.
Since the second scanning array 312 is located at one side of the first scanning array 311 in the second direction, in the case where the first scanning array 311 scans the target tissue position, the second scanning array 312 may scan a position at one side of the target tissue position in the second direction.
And the third scanning array 313 is used for detecting a second tissue position on the other side of the target tissue position in a third beam plane in the second direction to obtain a third detection signal so as to form a third ultrasonic image.
Since the third scanning array 313 is located at the other side of the first scanning array 311 in the second direction, in the case where the first scanning array 311 scans the target tissue position, the third scanning array 313 can scan a position at the other side of the target tissue position in the second direction.
Wherein the first beam plane, the second beam plane, and the third beam plane are different beam planes. Optionally, at least two of the first beam plane, the second beam plane, and the third beam plane intersect or do not intersect, and the embodiment does not limit the implementation manner of the first beam plane, the second beam plane, and the third beam plane.
Alternatively, in the case where the first scanning array 311 is used to scan the desired puncture location, the imaging accuracy is generally high because the ultrasound image of the desired puncture location is also generally required for medical diagnosis by medical personnel; the ultrasound images obtained by the second scanning array 312 and the third scanning array 313 are only used for determining the position of the puncture needle relative to the expected puncture position, and therefore, the high precision is not required. Based on this, the number of structural elements in the first scanning array 311 is greater than the number of structural elements in the second scanning array 312, and the number of structural elements in the first scanning array 311 is greater than the number of structural elements in the third scanning array 313.
Optionally, the number of the target scanning arrays is N, and the target scanning array is a second scanning array or a third scanning array. N is a positive integer. In other words, the number of the second scanning arrays is one or at least two, and the number of the third scanning arrays is one or at least two. The corresponding beam planes of different target scanning arrays are different. Different beam planes are intersected or not intersected, and the implementation mode of the beam plane formed by scanning arrays of different targets is not limited in the embodiment.
The number of N is set based on the positioning precision requirement of the puncture needle. Specifically, the positioning accuracy requirement and the number of N are in a positive correlation relationship, that is, the higher the positioning accuracy requirement is, the larger the value of N is; the lower the positioning accuracy requirement, the smaller the value of N.
The array interval between two adjacent target scanning arrays is a first distance; the first distance is larger than the distance between two adjacent columns of structural elements in the target scanning array. Therefore, interference between two adjacent target scanning arrays can be avoided.
Optionally, the first distance is less than a third distance threshold, and the third distance threshold is determined based on positioning accuracy requirements of the puncture rack. Specifically, the value of the third distance threshold is in a negative correlation with the positioning accuracy requirement; that is, the higher the positioning accuracy requirement, the smaller the value of the third distance threshold; the lower the positioning accuracy requirement, the larger the value of the third distance threshold.
The minimum array spacing between the first scanned array and the target scanned array is a second distance. In other words, the array spacing between the first scanned array and the closest target scanned array to the first scanned array is a second distance.
The second distance is greater than the distance between two adjacent columns of structural elements in the target scanning array, and the second distance is greater than the distance between two adjacent columns of structural elements in the first scanning array. Therefore, interference between two adjacent target scanning arrays can be avoided, and interference between the first scanning array and the target scanning array which is far away from the first scanning array can be avoided.
Optionally, the second distance is less than a first distance threshold, the first distance threshold being determined based on positioning accuracy requirements of the puncture rack. Specifically, the value of the first distance threshold value and the positioning accuracy requirement are in a negative correlation relationship; that is, the higher the positioning accuracy requirement, the smaller the value of the first distance threshold; the lower the positioning accuracy requirement, the larger the value of the first distance threshold.
Optionally, the first distance and the second distance are the same or different, and illustratively, the first distance and the second distance are less than or equal to 3 millimeters (mm), and in actual implementation, values of the first distance and the second distance may also be other values, and the value of the first distance and the value of the second distance are not limited in this embodiment.
Optionally, the second scanning array is removably mounted on the ultrasound scanning apparatus 310 and the array distance of the second scanning array relative to the first scanning array is adjustable. And/or the third scanning array is detachably mounted on the ultrasonic scanning device 310, and the array distance of the third scanning array relative to the first scanning array is adjustable.
Such as: the second scanning array is installed on the ultrasonic scanning device 310 in a pluggable manner, the ultrasonic scanning device 310 has installation interfaces with various array pitches, and the installation interface used by the second scanning array is determined based on the positioning precision requirement.
For another example: the third scanning array is installed on the ultrasonic scanning device 310 in a pluggable manner, the ultrasonic scanning device 310 has installation interfaces with various array pitches, and the installation interface used by the third scanning array is determined based on the positioning precision requirement.
It should be added that the ultrasound scanning apparatus 310 may also include other structures that need to be used in the ultrasound scanning process, such as: transducers, connectors, and support structures, etc., and the present embodiment does not list the structures in the ultrasound scanning apparatus 310.
The ultrasound scanning device 310 is communicatively coupled to the ultrasound imaging device 320. Specifically, the ultrasound scanning device 310 and the ultrasound imaging device 320 may be communicatively connected on a wired or wireless basis. In practical implementation, the ultrasound scanning apparatus 310 and the ultrasound imaging apparatus 320 may be implemented in the same ultrasound apparatus, or may be used as apparatuses independent of each other, and the implementation manner of the ultrasound scanning apparatus 310 and the ultrasound imaging apparatus 320 is not limited in this embodiment.
The ultrasound imaging device 320 is configured to acquire the detection signals obtained by the ultrasound scanning device 310 and generate an ultrasound image based on the detection signals.
In this embodiment, referring to fig. 5, the ultrasound imaging apparatus 320 includes a processor 321, a memory 322 connected to the processor 321, and an output device 323 connected to the processor 321.
The memory 322 stores therein a program that is loaded and executed by the processor 321: acquiring a detection signal obtained by scanning of ultrasonic scanning equipment, wherein the ultrasonic scanning equipment comprises a first scanning array, and the detection signal comprises a first detection signal; the ultrasonic scanning equipment further comprises a second scanning array and/or a third scanning array, and correspondingly, the detection signals comprise second detection signals obtained by scanning the second scanning array and/or third detection signals obtained by scanning the third scanning array; generating a first ultrasonic image according to the first detection signal; an auxiliary ultrasound image is generated from the second detection signal and/or the third detection signal.
An output device 323 for outputting the first ultrasound image and the auxiliary ultrasound image. In this embodiment, the position of the puncture needle relative to the desired puncture position can be determined by the auxiliary ultrasound image, so that whether the puncture needle deviates from the desired puncture position or not can be identified.
In one example, after the output device 323 outputs the first ultrasound image and the auxiliary ultrasound image, the medical personnel manually determines the position of the puncture needle relative to the desired puncture location.
In another example, the processor 321 is further configured to determine whether the needle has reached the desired puncture location based on the first ultrasound image and the auxiliary ultrasound image, resulting in a needle monitoring result. In this example, the processor automatically monitors whether the puncture needle reaches the expected puncture position, so that the monitoring efficiency of the puncture needle can be improved.
The manner in which it is determined whether the needle has reached the desired puncture location based on the first and auxiliary ultrasound images is described below.
In one example, the puncture mode of the puncture needle is out-of-plane puncture, the ultrasound scanning device comprises a target scanning array, the target scanning array is a second scanning array or a third scanning array, and correspondingly, the auxiliary ultrasound image comprises an ultrasound image formed on the basis of detection signals obtained by scanning the target scanning array.
Determining whether the puncture needle reaches the expected puncture position or not based on the first ultrasonic image and the auxiliary ultrasonic image to obtain a puncture needle monitoring result, wherein the method comprises the following steps: if the puncture needle is not monitored in the first ultrasonic image and the auxiliary ultrasonic image, determining that the monitoring result of the puncture needle is that the puncture needle does not reach the expected puncture position; if the puncture needle is monitored in the first ultrasonic image, determining the monitoring result of the puncture needle as the fact that the puncture needle reaches the expected puncture position; if the puncture needle is monitored in the auxiliary ultrasonic image, when the puncture needle is monitored in the first ultrasonic image, the monitoring result of the puncture needle is determined to be that the puncture needle reaches the expected puncture position.
In other words, in the case where the puncture needle is not detected in both the first ultrasound image and the auxiliary ultrasound image, it is indicated that the puncture needle does not reach either the side of the desired puncture position or the desired puncture position. At the moment, the puncture needle monitoring result is determined to be that the puncture needle does not reach the expected puncture position. In practical implementation, the monitoring result of the puncture needle can be determined as the position corresponding to the scanning array of the puncture needle which does not reach the target.
When the puncture needle is monitored in the first ultrasonic image, namely, the puncture needle is not detected by the auxiliary ultrasonic image while the puncture needle is detected by the first ultrasonic image, the puncture needle enters from the first scanning array to the target scanning array, and then reaches the first scanning array and then reaches the target scanning array. At this time, the puncture needle monitoring result is determined as the arrival of the puncture needle at the desired puncture position. In practical implementation, the monitoring result of the puncture needle can be determined as the position corresponding to the scanning array of the puncture needle which does not reach the target.
When the puncture needle is monitored in the auxiliary ultrasound image, namely, the first ultrasound image does not detect the puncture needle when the auxiliary ultrasound image detects the puncture needle, at this time, the puncture needle enters from the target scanning array to the first scanning array, and reaches the target scanning array first and then reaches the first scanning array. At this time, the monitoring result of the puncture needle can be determined as the position corresponding to the arrival of the puncture needle at the target scanning array, and then when the puncture needle is monitored in the first ultrasonic image, the monitoring result of the puncture needle is determined as the arrival of the puncture needle at the expected puncture position.
Such as: taking the target scanned array as the second scanned array as an example, referring to fig. 6, a is a second beam plane formed by the second scanned array, and B is a first beam plane formed by the first scanned array. Wherein the first beam plane includes the desired puncture location. The puncture needle punctures in the direction from a to B as a puncture direction of the out-of-plane puncture, but does not reach a. At this time, neither the second ultrasound image 61 scanned by the second scanning array nor the first ultrasound image 62 scanned by the first scanning array includes a needle image. At the moment, the puncture needle monitoring result is determined to be that the puncture needle does not reach the expected puncture position. That is, the puncture needle does not reach the first beam plane indicated by B.
Thereafter, the puncture needle continues to be inserted into the target tissue, and referring to fig. 7, the direction in which the puncture needle performs puncture in an out-of-plane puncture is a puncture from a to B, and has already reached a. At this time, the second ultrasound image 71 scanned by the second scanning array includes a needle image, i.e., a cross-sectional image of the needle tip or a cross-sectional image of the needle bar (indicated by a bright spot in 71), and the first ultrasound image 72 scanned by the first scanning array does not include a needle image. At this time, it is determined that the puncture needle monitoring result is that the puncture needle has not reached the desired puncture position but has approached the desired puncture position. That is, the puncture needle has reached the second beam plane indicated by a but has not reached the first beam plane indicated by B.
Thereafter, the puncture needle continues to be inserted into the target tissue, and referring to fig. 8, the direction in which the puncture needle performs puncture in an out-of-plane puncture is a puncture from a to B, and has already reached B. At this time, the second ultrasound image 81 scanned by the second scanning array includes a needle image, i.e., a cross-sectional image of the needle bar (indicated by a bright spot in 81), and the first ultrasound image 82 scanned by the first scanning array also includes a needle image, i.e., a cross-sectional image of the needle tip or a cross-sectional image of the needle bar (indicated by a bright spot in 82). At this time, it is determined that the puncture needle has reached the desired puncture position as a result of the puncture needle monitoring. I.e. the needle has reached the first beam plane indicated by B.
In yet another example, the puncture mode of the puncture needle is out-of-plane puncture, the ultrasound scanning apparatus includes a second scanning array and a third scanning array, and accordingly, the auxiliary ultrasound image includes a second ultrasound image formed based on the second detection signal and a third ultrasound image formed based on the third detection signal. Determining whether the puncture needle reaches the expected puncture position or not based on the first ultrasonic image and the auxiliary ultrasonic image to obtain a puncture needle monitoring result, wherein the method comprises the following steps: if the puncture needle is monitored by the second ultrasonic image and the puncture needle is not monitored by the first ultrasonic image and the third ultrasonic image, determining that the monitoring result of the puncture needle is that the puncture needle does not reach the expected puncture position; if the puncture needle is monitored by both the second ultrasonic image and the first ultrasonic image and the puncture needle is not monitored by the third ultrasonic image, determining that the monitoring result of the puncture needle is that the puncture needle reaches the expected puncture position; and if the puncture needle is monitored by the second ultrasonic image, the first ultrasonic image and the third ultrasonic image, determining that the monitoring result of the puncture needle is that the puncture needle passes over the expected puncture position.
Such as: based on the puncture needle state and puncture direction shown in fig. 6, 7, and 8, C is a third beam plane formed by the third scan array. The puncture needle punctures in the direction from a to B and then to C as a puncture direction of the out-of-plane puncture. At this time, none of the third ultrasound images 63, 73, 83 scanned by the third scanning array includes a needle image. At the moment, the puncture needle monitoring result is determined to be the third beam plane indicated by the fact that the puncture needle does not reach the C, and the puncture needle monitoring result is determined to be that the puncture needle reaches the expected puncture position. In practice, it may also be determined that the needle monitoring result is that the needle has not crossed the desired puncture location.
After the puncture needle state shown in fig. 8, the puncture needle continues to be inserted into the target tissue, and referring to fig. 9, the puncture needle performs puncture in the direction from a to B to C in the out-of-plane puncture, and has already reached C. At this point, the first scannable array scans to a first ultrasound image 91 that includes a needle image, i.e., a cross-sectional image of the needle shaft (shown as a bright spot in 91). The third scan array scans the third ultrasound image 92 and also includes a needle image, i.e., a cross-sectional image of the needle tip or a cross-sectional image of the needle shaft (shown as a bright spot in 92), and the second scan array scans the second ultrasound image 93 and also includes a needle image, i.e., a cross-sectional image of the needle shaft (shown as a bright spot in 93). At this point, the needle monitoring result is determined as the needle having crossed the desired puncture location. That is, the needle has reached the third beam plane indicated by C.
In another example, the puncture mode of the puncture needle is in-plane puncture, the ultrasound scanning device includes a target scanning array, the target scanning array is a second scanning array and/or a third scanning array, and accordingly, the auxiliary ultrasound image includes an ultrasound image formed based on a detection signal obtained by scanning the target scanning array. Determining whether the puncture needle reaches the expected puncture position or not based on the first ultrasonic image and the auxiliary ultrasonic image to obtain a puncture needle monitoring result, wherein the method comprises the following steps: if the puncture needle is not monitored in the first ultrasonic image and the auxiliary ultrasonic image, determining that the monitoring result of the puncture needle is that the puncture needle does not reach the expected puncture position; if the puncture needle is monitored by the first ultrasonic image and the puncture needle is not monitored by the auxiliary ultrasonic image, determining the monitoring result of the puncture needle as the fact that the puncture needle reaches the expected puncture position; and if the first ultrasonic image monitors the puncture needle and the auxiliary ultrasonic image monitors the puncture needle, determining the monitoring result of the puncture needle as the puncture needle deviates to one side of the target scanning array.
Optionally, if the puncture needle is monitored by the auxiliary ultrasound image and the puncture needle is not monitored by the first ultrasound image, it is determined that the puncture needle monitoring result is that the puncture needle does not reach the expected puncture position.
Such as: taking the example of the target scanning array comprising a second scanning array and a third scanning array, the first beam plane comprises the desired puncture location. Referring to fig. 10, when the puncture needle performs puncture by means of in-plane puncture, the first ultrasound image 101 includes a needle image (entire puncture needle image), the second ultrasound image 102 does not include a needle image of the puncture needle, and the third ultrasound image 103 does not include a needle image of the puncture needle, and it is determined that the puncture needle reaches a desired puncture position, and it is also determined that the puncture needle is not deviated to the direction of the second scanning array and the direction of the third scanning array.
For another example: taking the example of the target scanning array comprising a second scanning array and a third scanning array, the first beam plane comprises the desired puncture location. Referring to fig. 11, when the puncture needle performs puncture by in-plane puncture, the first ultrasound image 111 includes a needle image (entire puncture needle image), the second ultrasound image 113 does not include a needle image, and the third ultrasound image 112 includes a needle image of the puncture needle (a needle point of the puncture needle or a cross-sectional image of a needle bar), and it is determined that the puncture needle deviates from the desired puncture position in a direction toward the third scanning array. Such as: the ultrasound image shown in fig. 11 is obtained by shifting the desired puncture position in the direction of the third scan array in the manner shown in fig. 12.
Optionally, the processor determines the manner in which the needle image is included in the ultrasound image, including: respectively carrying out binarization processing on the first ultrasonic image and the auxiliary ultrasonic image; it is determined whether the first ultrasonic image and the auxiliary ultrasonic image include a needle image of the puncture needle based on the binarized ultrasonic image.
In the binarized ultrasound image, the pixel values of the needle image are different from those of the tissue image. Therefore, whether the ultrasonic image comprises the needle image or not can be determined only according to the pixel value of each position in the ultrasonic image after binarization, and complex calculation is not needed, such as: neural network calculations, etc., may improve the efficiency of determining whether an ultrasound image includes a needle image.
Wherein, carry out binarization processing to first ultrasonic image and supplementary ultrasonic image respectively, include: for each pixel point in an ultrasonic image (a first ultrasonic image or an auxiliary ultrasonic image), determining whether the pixel value of the pixel point is greater than a pixel threshold value; if the pixel value is greater than or equal to the pixel threshold, setting the pixel value to 255; if the pixel value is less than the pixel threshold, the pixel value is set to 0.
Specifically, the binarization processing of the first ultrasound image and the auxiliary ultrasound image can be represented by the following formula:
Figure BDA0003312304090000171
wherein, VoFor updated pixel values, ViIs the pixel value of the ith pixel point in the ultrasonic image, i is a positive integer, VtIs a preset pixel threshold. The pixel threshold may be set based on empirical values, or it may be when the ultrasound image does not include a needle imageThe minimum pixel value, in this embodiment, does not limit the value of the pixel threshold.
Optionally, the output device 323 comprises a display for displaying the first ultrasound image and the auxiliary ultrasound image; and displaying the monitoring result of the puncture needle through a preset icon; the preset icons corresponding to different puncture needle monitoring results are different, or the icon display modes corresponding to different puncture needle monitoring results are different.
Such as: the preset icon is a direction icon indicating a second direction, and is displayed in green under the condition that the puncture needle does not reach the expected puncture position according to the puncture needle monitoring result; when the puncture needle monitoring result is that the puncture needle crosses the expected puncture position, the preset icon is displayed in orange; when the puncture needle monitoring result is that the puncture needle deviates to the second scanning array, the preset icon is displayed by the icon pointing to the second scanning array; and under the condition that the monitoring result of the puncture needle is that the puncture needle deviates to the third scanning array, displaying the preset icon by the icon pointing to the third scanning array. The display manner is only exemplary, and in actual implementation, the display manner and the implementation manner of the preset icon may be other manners, and the preset icon and the icon display manner are not limited in this embodiment.
Optionally, the output device 323 further comprises an audio player. The audio player is used for outputting audio prompts according to the puncture needle monitoring results, and the audio prompts output by different puncture needle monitoring results are different.
Such as: when the puncture needle monitoring result is that the puncture needle does not reach the expected puncture position, the audio prompt is a buzzer sound with a first frequency; when the puncture needle monitoring result is that the puncture needle reaches the expected puncture position, the audio prompt is a buzzer sound of a second frequency; and when the puncture needle monitoring result is that the puncture needle passes the expected puncture position, the audio prompt is a buzzer sound of a third frequency. The first frequency is lower than the second frequency and lower than the third frequency. When the puncture needle monitoring result is that the puncture needle deviates from the second scanning array, the audio prompt is a continuous buzzing sound with a first volume; and when the puncture needle monitoring result is that the puncture needle deviates to the third scanning array, the audio prompt is a continuous buzzing sound with a second volume, and the first volume is different from the second volume. The audio prompting method is only exemplary, and in actual implementation, the audio prompting method may be other methods, and the audio prompting method is not limited in this embodiment.
It should be added that the ultrasound imaging device 320 may further include other structures required in the ultrasound imaging process, such as a communication interface for receiving the detection signal, and the like, and the present embodiment does not list the structures included in the ultrasound imaging device 320.
Optionally, referring to fig. 13, to improve stability of the needle penetration process, the needle monitoring system further includes a needle carriage 330. During the lancing process, the lancing frame 330 is mounted on the ultrasound scanning apparatus 310 in the manner shown with reference to FIG. 3.
The puncture frame 330 includes a plurality of auxiliary puncture structures 331, each of which is configured to allow a puncture needle to perform a puncture operation at a fixed mounting angle and mounting position, wherein the mounting angles of the different auxiliary puncture structures are different and/or the mounting positions of the different auxiliary puncture structures are different.
At the moment, the processor is also used for determining the installation position of the puncture needle on the puncture frame based on the expected puncture position; and the output device is also used for outputting the mounting position.
The mounting position may be represented by a number of the auxiliary puncture structure on the puncture rack, or may be represented by a rank number of the auxiliary puncture structure on the puncture rack.
Alternatively, the desired puncture position may be a position at which the ultrasound imaging apparatus displays the first ultrasound image and receives a selection operation for an image position on the first ultrasound image, the selection operation indicating; alternatively, the desired puncture location may be obtained by the ultrasound imaging apparatus using an image recognition algorithm to perform image recognition on the first ultrasound image. The image recognition algorithm may be a target recognition algorithm based on a neural network, the neural network is obtained based on the sample ultrasound image and the puncture position label training corresponding to the sample ultrasound image, and the embodiment does not limit the acquisition mode of the expected puncture position.
Illustratively, the desired puncture location is represented by pixel coordinates on the first ultrasound image.
In one example, the memory stores puncture rack models of respective puncture racks, an erection angle and an erection position of the puncture rack for each puncture rack model. At this time, the method for determining the mounting position of the puncture needle on the puncture rack based on the expected puncture position comprises the following steps: acquiring the type of a puncture frame of the puncture frame; and under the condition of determining the type of the puncture frame, erecting an auxiliary puncture structure with the angle and the erecting position matched with the expected puncture position, wherein the position of the auxiliary puncture structure is the installation position.
Referring to fig. 14, if the distance between the puncture rack 330 and the scanning plane of the ultrasound scanning apparatus is known as H and the desired puncture position is 141, the distance d from the mounting position of an auxiliary puncture structure to the first beam plane is known for the type of the puncture rack, and the depth H of the first beam plane that can be reached by the auxiliary puncture structure can be calculated from the mounting angle of the auxiliary puncture structure. If the depth h is consistent with the puncture depth indicated by the expected puncture position, determining that the auxiliary puncture structure is matched with the expected puncture position; if the depth h does not correspond to the puncture depth indicated by the desired puncture location, it is determined that the auxiliary puncture structure does not match the desired puncture location.
In other examples, determining the mounting location of the needle on the puncture carriage based on the desired puncture location includes: for each puncture frame model, determining whether an auxiliary puncture structure with an erection angle and an erection position matched with an expected puncture position is included under the puncture frame model, wherein the position of the auxiliary puncture structure matched with the expected puncture position is an installation position; outputting a puncture rack model with an auxiliary puncture structure matching the desired puncture location.
In practical implementation, the mounting position of the puncture needle on the puncture rack can be determined in other ways, and this embodiment is not listed here.
Optionally, in order to further improve the needle insertion accuracy, in this embodiment, the puncture needle monitoring system further includes a puncture needle 340, and referring to fig. 15, the puncture needle is provided with a scale 341, and the scale is used for indicating the needle insertion depth. Accordingly, the processor is further configured to determine, in the installed position of the puncture needle 340, the needle insertion depth of the puncture needle based on the desired puncture position; the output device is also used for outputting the needle insertion depth.
Referring to fig. 14, determining the needle insertion depth of the puncture needle based on the desired puncture location includes: calculating the sum of the depth H of the expected puncture position and the installation height H of the puncture rack 330; based on the pythagorean theorem, the needle insertion depth is calculated using the height and the distance d from the setup position to the first beam plane.
It should be noted that, in actual implementation, puncturing may be performed without using a puncturing rack, and the puncturing method is not limited in this embodiment.
Optionally, in the case that the ultrasound scanning apparatus includes both the second scanning array and the third scanning array, the ultrasound imaging apparatus 320 is further configured to control the operation state of the first scanning array, the second scanning array and the third scanning array in the ultrasound scanning apparatus 310.
In one example, for the out-of-plane puncture mode, if the puncture direction is from the second scanning array to the first scanning array, in the case that the puncture needle monitoring result indicates that the puncture needle does not reach the desired puncture position, the ultrasound imaging apparatus 320 controls the first scanning array and the second scanning array to be kept open, and closes the third scanning array; in the event that the needle monitoring results indicate that the needle has reached the desired puncture location, the ultrasound imaging device 320 controls the first and third scanning arrays to remain on, and closes the second scanning array.
If the puncture direction is from the third scanning array to the first scanning array, the ultrasonic imaging device 320 controls the first scanning array and the third scanning array to be kept open and the second scanning array to be closed under the condition that the monitoring result of the puncture needle indicates that the puncture needle does not reach the expected puncture position; in the event that the needle monitoring results indicate that the needle has reached the desired puncture location, the ultrasound imaging device 320 controls the first and second scanning arrays to remain open and the third scanning array to be closed.
In other embodiments, the ultrasound imaging device 320 may also keep the first scan array, the second scan array, and the third scan array simultaneously on at all times during the out-of-plane puncture.
In another example, for the in-plane puncture mode, the ultrasound imaging device 320 keeps the first scan array, the second scan array, and the third scan array on simultaneously throughout the in-plane puncture process.
In summary, the puncture needle monitoring system provided in this embodiment is provided with the ultrasound scanning device, and the ultrasound scanning device includes the first scanning array, so that not only can the first ultrasound image of the target tissue position be obtained; the system also comprises a second scanning array and/or a third scanning array, and accordingly a second ultrasonic image on one side of the target tissue position and/or a third ultrasonic image on the other side of the target tissue position, namely an auxiliary ultrasonic image, can be obtained; monitoring the puncture needle through an ultrasonic imaging device according to the first ultrasonic image and the auxiliary ultrasonic image; the problem that when the fact that whether the puncture needle reaches the expected puncture position is determined only through the first ultrasonic image, whether the puncture needle deviates from the expected puncture position cannot be determined, and the puncture result is inaccurate can be solved; because the second ultrasonic image comprises the position of one side of the target tissue position, whether the puncture needle is positioned at one side of the target tissue position or not can be determined, and the third ultrasonic image comprises the position of the other side of the target tissue position or not, whether the puncture needle is positioned at the other side of the target tissue position or not can be determined, namely, the position of the puncture needle relative to the target tissue position can be determined.
In addition, under the mode of in-plane puncture, whether the puncture needle deviates from the second scanning array or not can be determined through the second ultrasonic image, whether the puncture needle deviates from the third scanning array or not can be determined through the third ultrasonic image, and the monitoring accuracy of the puncture needle during in-plane puncture is improved.
In addition, under the out-of-plane puncture mode, whether the puncture needle is close to the expected puncture position and/or whether the puncture needle crosses the puncture position can be determined through the auxiliary ultrasonic image, and the monitoring accuracy of the puncture needle during out-of-plane puncture is improved.
In addition, the number of the structural elements in the first scanning array is larger than that of the structural elements in the second scanning array and larger than that of the structural elements in the third scanning array, so that the high resolution of the first ultrasonic image can be ensured, and the accuracy of image analysis is improved; meanwhile, the resolution ratios of the second ultrasonic image and the third ultrasonic image can be reduced under the condition that the puncture needle can be monitored, and image processing resources are saved.
In addition, the positioning precision of the puncture needle can be improved by arranging at least two second scanning arrays and/or at least two third scanning arrays.
In addition, the distance between the first scanning array and the second scanning array is determined based on the positioning accuracy requirement, and/or the distance between the first scanning array and the third scanning array is determined based on the positioning accuracy requirement, so that a larger distance can be set when the positioning accuracy requirement is lower, and a smaller distance can be set when the positioning accuracy requirement is higher, so that the ultrasonic scanning equipment can meet different scanning scenes.
In addition, whether the ultrasonic image includes the needle image is determined by performing binarization processing on the ultrasonic image, and whether the ultrasonic image includes the needle image can be determined only according to the pixel values of each position in the binarized ultrasonic image without performing complicated calculation, such as: neural network calculations, etc., may improve the efficiency of determining whether an ultrasound image includes a needle image.
In addition, the mounting position of the puncture needle on the puncture frame is determined according to the expected puncture position and is output, so that the position of mounting the puncture needle can be prompted to an operator, and the puncture efficiency is improved.
In addition, the puncture accuracy can be further improved by determining the needle insertion depth of the puncture needle according to the expected puncture position and inserting the needle according to the scale on the puncture needle and the needle insertion depth.
Alternatively, the ultrasound scanning device 310 may be used alone as an embodiment of the ultrasound scanning device, the ultrasound imaging device 320 may be used alone as an embodiment of the ultrasound imaging device, the puncture rack 330 may be used alone as an embodiment of the puncture rack, and the puncture needle 340 may be used alone as an embodiment of the puncture needle.
Fig. 16 is a flowchart of a method for monitoring a puncture needle according to an embodiment of the present application, which is described as an example of the method used in the ultrasound imaging apparatus 320 in fig. 3, and which includes at least the following steps:
step 1601, acquiring a detection signal obtained by scanning of an ultrasonic scanning device, wherein the ultrasonic scanning device comprises a first scanning array, and the detection signal comprises a first detection signal; the ultrasonic scanning equipment further comprises a second scanning array and/or a third scanning array, and correspondingly, the detection signals comprise second detection signals obtained by scanning the second scanning array and/or third detection signals obtained by scanning the third scanning array;
step 1602, generating a first ultrasound image according to the first detection signal;
step 1603, generating an auxiliary ultrasound image according to the second detection signal and/or the third detection signal;
alternatively, step 1602 may be performed after step 1603; alternatively, it may be performed before step 1603; alternatively, the steps may be executed simultaneously with the step 1603, and the execution sequence between the steps 1602 and 1603 is not limited in this embodiment.
Step 1604, outputting the first ultrasound image and the auxiliary ultrasound image through an output device.
The related description of this embodiment is described in detail in the above system embodiment, and the description of this embodiment is omitted here.
In summary, in the present embodiment, the puncture needle is monitored according to the first ultrasound image and the auxiliary ultrasound image; the problem that when the fact that whether the puncture needle reaches the expected puncture position is determined only through the first ultrasonic image, whether the puncture needle deviates from the expected puncture position cannot be determined, and the puncture result is inaccurate can be solved; because the second ultrasonic image comprises the position of one side of the target tissue position, whether the puncture needle is positioned at one side of the target tissue position or not can be determined, and the third ultrasonic image comprises the position of the other side of the target tissue position or not, whether the puncture needle is positioned at the other side of the target tissue position or not can be determined, namely, the position of the puncture needle relative to the target tissue position can be determined.
Fig. 17 is a block diagram of a needle monitoring device according to an embodiment of the present application. The present embodiment is described by taking as an example that the apparatus is used in the ultrasonic imaging device 320 in fig. 3, and the apparatus at least includes the following modules: a signal acquisition module 1710, an image generation module 1720, and a result output module 1740.
A signal obtaining module 1710, configured to obtain a detection signal obtained by scanning with an ultrasound scanning apparatus, where the ultrasound scanning apparatus includes a first scanning array, and the detection signal includes a first detection signal; the ultrasonic scanning equipment further comprises a second scanning array and/or a third scanning array, and correspondingly, the detection signal comprises a second detection signal obtained by scanning the second scanning array and/or a third detection signal obtained by scanning the third scanning array;
an image generation module 1720 for generating a first ultrasound image from the first detection signal;
the image generation module 1720, configured to generate an auxiliary ultrasound image according to the second detection signal and/or the third detection signal;
a result output module 1740 configured to output the first ultrasound image and the auxiliary ultrasound image through an output device.
For further details, reference is made to the above-described method and system embodiments.
It should be noted that: in the above embodiment, the above functional modules are divided into different functional modules for example, in practical applications, the functions may be distributed as needed, that is, the internal structure of the puncture needle monitoring device is divided into different functional modules to complete all or part of the above described functions. In addition, the embodiments of the puncture needle monitoring device and the puncture needle monitoring method provided by the embodiments belong to the same concept, and specific implementation processes are described in the embodiments of the methods for details, which are not described herein again.
Referring to fig. 18, fig. 18 is a schematic structural diagram of an ultrasound apparatus according to an alternative embodiment of the present invention, where the ultrasound apparatus may be an ultrasound imaging apparatus in the above-mentioned embodiment. As shown in fig. 18, the ultrasonic apparatus may include: an ultrasound probe, at least one processor 181, e.g., a CPU (Central Processing Unit), at least one communication interface 183, memory 184, at least one communication bus 182. Wherein a communication bus 182 is used to enable the connection communication between these components. The communication interface 183 may include a Display screen (Display) and a Keyboard (Keyboard), and the optional communication interface 183 may further include a standard wired interface and a standard wireless interface. The Memory 184 may be a high-speed RAM (Random Access Memory) or a non-volatile Memory (non-volatile Memory), such as at least one disk Memory. The memory 184 may alternatively be at least one memory device located remotely from the processor 181. Wherein the processor 181 may be in connection with the apparatus described in fig. 7, an application program is stored in the memory 184, and the processor 181 invokes the program code stored in the memory 184 for performing any of the method steps described above.
An ultrasonic probe: the piezoelectric element is composed of a piezoelectric element, a connector and a supporting structure. The ultrasound probe converts electrical energy into mechanical energy in a transmit mode, and the resulting mechanical waves propagate toward a medium. In the receive mode, the reflected mechanical waveform is received and converted to an electrical signal by the ultrasound probe.
The communication bus 182 may be a Peripheral Component Interconnect (PCI) bus or an Extended Industry Standard Architecture (EISA) bus. The communication bus 182 may be divided into an address bus, a data bus, a control bus, and the like. For ease of illustration, only one thick line is shown in FIG. 18, but this does not mean only one bus or one type of bus.
The memory 184 may include a volatile memory (RAM), such as a random-access memory (RAM); the memory may also include a non-volatile memory (english: non-volatile memory), such as a flash memory (english: flash memory), a hard disk (english: hard disk drive, abbreviated: HDD) or a solid-state drive (english: SSD); the memory 184 may also comprise a combination of memories of the kind described above.
The processor 181 may be a Central Processing Unit (CPU), a Network Processor (NP), or a combination of a CPU and an NP.
The processor 181 may further include a hardware chip. The hardware chip may be an application-specific integrated circuit (ASIC), a Programmable Logic Device (PLD), or a combination thereof. The PLD may be a Complex Programmable Logic Device (CPLD), a field-programmable gate array (FPGA), a General Array Logic (GAL), or any combination thereof.
Optionally, the memory 184 is also operative to store program instructions. The processor 181 may invoke program instructions to implement the needle monitoring method as shown in the embodiment of fig. 1 of the present application.
Optionally, the ultrasound apparatus may further include the following components:
a waveform generator: for generating a data signal such that the pulse generator generates a transmit pulse in dependence on the data signal.
Transmit beam combiner: the electronic focusing and the control of the acoustic beam of the multi-array element ultrasonic probe are realized. And delays the transmitted signal appropriately for each array element so that the transmitter signals arrive at the target at the same time and produce the highest acoustic intensity at the target, i.e. the strongest echo signal is acquired.
A pulse generator: for generating the transmit pulse.
T/R switch: and the transmitting and receiving switch is used for controlling the ultrasonic probe to be in a transmitting mode or a receiving mode currently.
TGC gain: the gain of the amplifier is controlled to increase with the increase of the detection depth so as to compensate the attenuation of the ultrasonic signal with the propagation distance.
An analog-to-digital converter: for converting an analog signal to a digital signal.
A receiving beam synthesizer: similar to the transmitting beam synthesizer, is used for realizing electronic focusing and controlling the sound beam of the multi-array element ultrasonic probe. And the highest sensitivity is achieved by applying appropriate delays to the received echoes to achieve linear superposition of the echo signals from the multiple array elements.
Matching a filter: a filter matched to the transmit code effects compression of the code.
Transverse filter: for performing range sidelobe suppression on the received signal.
Band-pass filter: for selecting and filtering a desired frequency band from the received signal.
An amplitude detector: for detecting the amplitude of the received signal.
Scan conversion/display: for performing data transformation to make the display of the ultrasound image.
Of course, in practice, the ultrasound device may include more or less components, and the present embodiment is not limited thereto.
Optionally, the present application further provides a computer-readable storage medium, in which a program is stored, and the program is loaded and executed by a processor to implement the puncture needle monitoring method according to the above-mentioned method embodiment.
Optionally, the present application further provides a computer product, which includes a computer-readable storage medium, in which a program is stored, and the program is loaded and executed by a processor to implement the puncture needle monitoring method of the above-mentioned method embodiment.
The technical features of the embodiments described above may be arbitrarily combined, and for the sake of brevity, all possible combinations of the technical features in the embodiments described above are not described, but should be considered as being within the scope of the present specification as long as there is no contradiction between the combinations of the technical features.
The above-mentioned embodiments only express several embodiments of the present application, and the description thereof is more specific and detailed, but not construed as limiting the scope of the invention. It should be noted that, for a person skilled in the art, several variations and modifications can be made without departing from the concept of the present application, which falls within the scope of protection of the present application. Therefore, the protection scope of the present patent shall be subject to the appended claims.

Claims (14)

1. An ultrasound scanning apparatus, characterized in that it comprises:
a first scan array;
a second scanning array and/or a third scanning array;
the first scanning array, the second scanning array and the third scanning array comprise at least one row of structural elements, and all the elements in each row of structural elements are arranged along a first direction;
in a second direction, the second scanning array and the third scanning array are respectively located on two sides of the first scanning array, and the second direction is perpendicular to the first direction.
2. The ultrasound scanning apparatus of claim 1, wherein the number of structural elements in the first scanning array is greater than the number of structural elements in the second scanning array and the number of structural elements in the first scanning array is greater than the number of structural elements in the third scanning array.
3. The ultrasonic scanning device according to claim 1, wherein the number of the target scanning arrays is N, and the array interval between two adjacent target scanning arrays is a first distance; the minimum array interval between the first scanning array and the target scanning array is a second distance, N is a positive integer, and the target scanning array is the second scanning array or the third scanning array;
the first distance is larger than the distance between two adjacent columns of structural elements in the target scanning array;
the second distance is greater than the distance between two adjacent columns of structural elements in the target scanning array, and the second distance is greater than the distance between two adjacent columns of structural elements in the first scanning array.
4. The ultrasound scanning apparatus of claim 3, wherein the second distance is less than a first distance threshold, the first distance threshold being determined based on a positioning accuracy requirement of the puncture needle.
5. An ultrasound imaging apparatus, characterized in that the ultrasound imaging apparatus comprises:
a processor;
a memory coupled to the processor; the memory has stored therein a program that is loaded and executed by the processor:
acquiring a detection signal obtained by scanning of ultrasonic scanning equipment, wherein the ultrasonic scanning equipment comprises a first scanning array, and the detection signal comprises a first detection signal; the ultrasonic scanning equipment further comprises a second scanning array and/or a third scanning array, and correspondingly, the detection signal comprises a second detection signal obtained by scanning the second scanning array and/or a third detection signal obtained by scanning the third scanning array;
generating a first ultrasonic image according to the first detection signal;
generating an auxiliary ultrasound image from the second detection signal and/or the third detection signal;
an output device coupled to the processor for outputting the first ultrasound image and the auxiliary ultrasound image.
6. The ultrasound imaging device of claim 5, wherein the processor is further configured to:
determining whether the puncture needle reaches an expected puncture position or not based on the first ultrasonic image and the auxiliary ultrasonic image to obtain a puncture needle monitoring result; the desired puncture location is a location that the puncture needle is expected to reach in the target tissue.
7. The ultrasonic imaging device according to claim 6, wherein the puncture mode of the puncture needle is out-of-plane puncture, the ultrasonic scanning device comprises a target scanning array, the target scanning array is the second scanning array or the third scanning array, and accordingly, the auxiliary ultrasonic image comprises an ultrasonic image formed based on a detection signal scanned by the target scanning array;
the determining whether the puncture needle reaches the expected puncture position based on the first ultrasonic image and the auxiliary ultrasonic image to obtain a puncture needle monitoring result includes:
if the puncture needle is not monitored in the first ultrasonic image and the auxiliary ultrasonic image, determining that the puncture needle monitoring result is that the puncture needle does not reach the expected puncture position;
if the puncture needle is monitored in the first ultrasonic image, determining that the monitoring result of the puncture needle is that the puncture needle reaches the expected puncture position;
if the puncture needle is monitored in the auxiliary ultrasonic image, when the puncture needle is monitored in the first ultrasonic image, determining that the monitoring result of the puncture needle is that the puncture needle reaches the expected puncture position.
8. The ultrasound imaging device according to claim 6, wherein the puncture manner of the puncture needle is out-of-plane puncture, the ultrasound scanning device comprises the second scanning array and the third scanning array, and accordingly, the auxiliary ultrasound image comprises a second ultrasound image formed based on the second detection signal and a third ultrasound image formed based on the third detection signal;
the determining whether the puncture needle reaches the expected puncture position based on the first ultrasonic image and the auxiliary ultrasonic image to obtain a puncture needle monitoring result includes:
if the puncture needle is monitored by the second ultrasonic image and the puncture needle is not monitored by the first ultrasonic image and the third ultrasonic image, determining that the monitoring result of the puncture needle is that the puncture needle does not reach the expected puncture position;
if the puncture needle is monitored by both the second ultrasonic image and the first ultrasonic image and the puncture needle is not monitored by the third ultrasonic image, determining that the monitoring result of the puncture needle is that the puncture needle reaches the expected puncture position;
if the puncture needle is monitored by the second ultrasonic image, the first ultrasonic image and the third ultrasonic image, determining that the monitoring result of the puncture needle is that the puncture needle has passed over the expected puncture position.
9. The ultrasonic imaging device according to claim 6, wherein the puncture mode of the puncture needle is in-plane puncture, the ultrasonic scanning device comprises the target scanning array, the target scanning array is the second scanning array and/or the third scanning array, and accordingly, the auxiliary ultrasonic image comprises an ultrasonic image formed based on a detection signal scanned by the target scanning array;
the determining whether the puncture needle reaches the expected puncture position based on the first ultrasonic image and the auxiliary ultrasonic image to obtain a puncture needle monitoring result includes:
if the puncture needle is not monitored in the first ultrasonic image and the auxiliary ultrasonic image, determining that the puncture needle monitoring result is that the puncture needle does not reach the expected puncture position;
if the puncture needle is monitored by the first ultrasonic image and the puncture needle is not monitored by the auxiliary ultrasonic image, determining that the monitoring result of the puncture needle is that the puncture needle reaches the expected puncture position;
and if the puncture needle is monitored by the first ultrasonic image and the puncture needle is monitored by the auxiliary ultrasonic image, determining that the monitoring result of the puncture needle is that the puncture needle deviates to one side of the target scanning array.
10. The ultrasound imaging apparatus of claim 5,
the processor is further used for determining the installation position of the puncture needle on the puncture frame based on the expected puncture position; the puncture rack comprises a plurality of auxiliary puncture structures, each auxiliary puncture structure is used for enabling the puncture needle to perform puncture operation at a fixed erection angle and erection position, and the erection angles corresponding to different auxiliary puncture structures are different and/or the erection positions corresponding to different auxiliary puncture structures are different;
the output device is also used for outputting the installation position.
11. The ultrasound imaging device of claim 10, wherein said determining a mounting location of said needle in a puncture carriage based on said desired puncture location comprises:
acquiring the type of the puncture frame;
and determining an auxiliary puncture structure with the erection angle and the erection position matched with the expected puncture position under the model of the puncture frame, wherein the position of the auxiliary puncture structure is the installation position.
12. The ultrasound imaging apparatus of claim 10,
the processor is further used for determining the needle inserting depth of the puncture needle based on the expected puncture position in the installation position; scales are arranged on the puncture needle;
the output device is also used for outputting the needle insertion depth.
13. A puncture needle monitoring method for use in the ultrasound imaging apparatus of any one of claims 5 to 12, the method comprising:
acquiring a detection signal obtained by scanning of ultrasonic scanning equipment, wherein the ultrasonic scanning equipment comprises a first scanning array, and the detection signal comprises a first detection signal; the ultrasonic scanning equipment further comprises a second scanning array and/or a third scanning array, and correspondingly, the detection signal comprises a second detection signal obtained by scanning the second scanning array and/or a third detection signal obtained by scanning the third scanning array;
generating a first ultrasonic image according to the first detection signal;
generating an auxiliary ultrasound image from the second detection signal and/or the third detection signal;
outputting the first ultrasound image and the auxiliary ultrasound image through an output device.
14. A needle monitoring system, the system comprising: the ultrasonic scanning device comprises an ultrasonic scanning device and an ultrasonic imaging device which is in communication connection with the ultrasonic scanning device;
the ultrasound scanning apparatus comprises the ultrasound scanning apparatus of any one of claims 1 to 4;
the ultrasound imaging apparatus comprising the ultrasound imaging apparatus of any of claims 5 to 12.
CN202111224440.1A 2021-10-20 2021-10-20 Ultrasonic scanning device, imaging device and puncture needle monitoring method and system Pending CN113855188A (en)

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