JP5961623B2 - 三次元超音波撮像を用いて外科器具の挿入を案内する方法 - Google Patents
三次元超音波撮像を用いて外科器具の挿入を案内する方法 Download PDFInfo
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- JP5961623B2 JP5961623B2 JP2013539377A JP2013539377A JP5961623B2 JP 5961623 B2 JP5961623 B2 JP 5961623B2 JP 2013539377 A JP2013539377 A JP 2013539377A JP 2013539377 A JP2013539377 A JP 2013539377A JP 5961623 B2 JP5961623 B2 JP 5961623B2
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/46—Ultrasonic, sonic or infrasonic diagnostic devices with special arrangements for interfacing with the operator or the patient
- A61B8/461—Displaying means of special interest
- A61B8/463—Displaying means of special interest characterised by displaying multiple images or images and diagnostic data on one display
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/08—Detecting organic movements or changes, e.g. tumours, cysts, swellings
- A61B8/0833—Detecting organic movements or changes, e.g. tumours, cysts, swellings involving detecting or locating foreign bodies or organic structures
- A61B8/0841—Detecting organic movements or changes, e.g. tumours, cysts, swellings involving detecting or locating foreign bodies or organic structures for locating instruments
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/48—Diagnostic techniques
- A61B8/483—Diagnostic techniques involving the acquisition of a 3D volume of data
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/52—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/5215—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves involving processing of medical diagnostic data
- A61B8/523—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves involving processing of medical diagnostic data for generating planar views from image data in a user selectable plane not corresponding to the acquisition plane
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/37—Surgical systems with images on a monitor during operation
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- G—PHYSICS
- G01—MEASURING; TESTING
- G01S—RADIO DIRECTION-FINDING; RADIO NAVIGATION; DETERMINING DISTANCE OR VELOCITY BY USE OF RADIO WAVES; LOCATING OR PRESENCE-DETECTING BY USE OF THE REFLECTION OR RERADIATION OF RADIO WAVES; ANALOGOUS ARRANGEMENTS USING OTHER WAVES
- G01S15/00—Systems using the reflection or reradiation of acoustic waves, e.g. sonar systems
- G01S15/88—Sonar systems specially adapted for specific applications
- G01S15/89—Sonar systems specially adapted for specific applications for mapping or imaging
- G01S15/8906—Short-range imaging systems; Acoustic microscope systems using pulse-echo techniques
- G01S15/8993—Three dimensional imaging systems
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- G—PHYSICS
- G01—MEASURING; TESTING
- G01S—RADIO DIRECTION-FINDING; RADIO NAVIGATION; DETERMINING DISTANCE OR VELOCITY BY USE OF RADIO WAVES; LOCATING OR PRESENCE-DETECTING BY USE OF THE REFLECTION OR RERADIATION OF RADIO WAVES; ANALOGOUS ARRANGEMENTS USING OTHER WAVES
- G01S7/00—Details of systems according to groups G01S13/00, G01S15/00, G01S17/00
- G01S7/52—Details of systems according to groups G01S13/00, G01S15/00, G01S17/00 of systems according to group G01S15/00
- G01S7/52017—Details of systems according to groups G01S13/00, G01S15/00, G01S17/00 of systems according to group G01S15/00 particularly adapted to short-range imaging
- G01S7/52053—Display arrangements
- G01S7/52057—Cathode ray tube displays
- G01S7/52074—Composite displays, e.g. split-screen displays; Combination of multiple images or of images and alphanumeric tabular information
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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06T—IMAGE DATA PROCESSING OR GENERATION, IN GENERAL
- G06T19/00—Manipulating 3D models or images for computer graphics
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
- A61B2017/3413—Needle locating or guiding means guided by ultrasound
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/37—Surgical systems with images on a monitor during operation
- A61B2090/378—Surgical systems with images on a monitor during operation using ultrasound
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/08—Detecting organic movements or changes, e.g. tumours, cysts, swellings
-
- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06T—IMAGE DATA PROCESSING OR GENERATION, IN GENERAL
- G06T2210/00—Indexing scheme for image generation or computer graphics
- G06T2210/41—Medical
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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06T—IMAGE DATA PROCESSING OR GENERATION, IN GENERAL
- G06T2219/00—Indexing scheme for manipulating 3D models or images for computer graphics
- G06T2219/028—Multiple view windows (top-side-front-sagittal-orthogonal)
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Description
Claims (15)
- 二次元アレイ・トランスデューサをもつプローブを有する超音波撮像システムの作動方法であって:
前記プローブを介して身体の体積領域中の侵襲手順部位を超音波で撮像する段階と;
前記体積領域の、厚さ次元方向において部分的に重なり合う隣り合う平面の複数のリアルタイム二次元(2D)画像を形成する段階であって、前記画像は前記侵襲手順部位の少なくとも一つの画像を含む、段階と;
前記侵襲手順部位に向けて挿入される侵襲器具が意図された侵入経路が整列していた前記一つの画像の画像平面外に出たときに、前記侵襲器具の諸部分が複数の空間的に隣り合う平面の前記画像中に現れる、
方法。 - 前記形成する段階が、平行な隣り合う諸画像平面の画像を形成することを含む、請求項1記載の方法。
- 前記形成する段階が、異なる角度を付けられた交わらない諸画像平面の画像を形成することを含む、請求項1記載の方法。
- 前記形成し、同時並行的に表示する段階が、厚さ次元方向において重なり合う隣り合う平面の画像を形成することを含み、
ある画像に現れる前記侵襲器具の一部が隣の画像平面の画像にも現れる、
請求項1記載の方法。 - 前記形成する段階が、前記体積領域内の複数の画像平面内のビームを送信することを含み、
各ビームが単一の画像平面のみをスキャンする、
請求項1記載の方法。 - 前記形成する段階が、
前記体積領域中の諸点からのエコー信号を取得してエコー・データの3Dデータセットを形成する段階と;
前記3Dデータセットの、ある共通の画像平面内に位置されていると識別されるエコー・データから、2D画像を形成する段階とを含む、
請求項1記載の方法。 - 2D画像を形成する段階がさらに、多断面再構成器を用いて2D画像を形成することを含む、請求項6記載の方法。
- 前記侵襲器具の前記意図された挿入経路は、前記画像のうち一つの画像の画像平面と実質的に整列している、請求項1記載の方法。
- 形成された前記画像のシーケンスの少なくとも部分集合を一つまたは複数の行において同時並行的に表示する段階であって、前記侵襲手順部位の画像がシーケンスの中心に表示される、段階をさらに含む、請求項1ないし8のうちいずれか一項記載の方法。
- 前記同時並行的に表示する段階が、複数の超音波画像からなる行を複数表示する段階を含み、
各行の少なくとも一つの画像の画像平面が、別の行の画像の画像平面に空間的に隣接している、
請求項9記載の方法。 - 画像の前記複数の行に表示される画像が、2D画像が形成されうる前記体積領域の全画像平面の部分集合を含み、
当該方法がさらに、ユーザー・コントロールを通じた指示に応じて画像の特定の部分集合を選択する段階を含む、
請求項10記載の方法。 - 前記同時並行的に表示する段階が、空間的に隣り合う画像平面の画像の単一の行を表示することを含む、請求項9記載の方法。
- 画像の前記単一の行に表示される画像が、2D画像が形成されうる前記体積領域の全画像平面の部分集合を含み、
当該方法がさらに、ユーザー・コントロールを通じた指示に応じて画像の特定の部分集合を選択する段階を含む、
請求項12記載の方法。 - 前記同時並行的に表示する段階が、前記行中の画像のうち少なくとも一つの画像を、他の画像より大きな表示フォーマットで表示することを含む、請求項12記載の方法。
- 二次元アレイ・トランスデューサをもつプローブを有する超音波撮像システムであって:
前記プローブを介して身体の体積領域中の侵襲手順部位を超音波で撮像する手段と;
前記体積領域の、厚さ次元方向において部分的に重なり合う隣り合う平面の複数のリアルタイム二次元(2D)画像を形成する手段であって、前記画像は前記侵襲手順部位の少なくとも一つの画像を含む、手段と;
前記侵襲手順部位に向けて挿入される侵襲器具が意図された侵入経路が整列していた前記一つの画像の画像平面外に出たときに、前記侵襲器具の諸部分が複数の空間的に隣り合う平面の前記画像中に現れる、
超音波撮像システム。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
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US41565510P | 2010-11-19 | 2010-11-19 | |
US61/415,655 | 2010-11-19 | ||
PCT/IB2011/055082 WO2012066470A1 (en) | 2010-11-19 | 2011-11-15 | A method for guiding the insertion of a surgical instrument with three dimensional ultrasonic imaging |
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JP2013542831A JP2013542831A (ja) | 2013-11-28 |
JP5961623B2 true JP5961623B2 (ja) | 2016-08-02 |
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US (1) | US10624607B2 (ja) |
EP (1) | EP2640276A1 (ja) |
JP (1) | JP5961623B2 (ja) |
CN (1) | CN103220981B (ja) |
RU (1) | RU2627596C2 (ja) |
WO (1) | WO2012066470A1 (ja) |
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2011
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RU2627596C2 (ru) | 2017-08-09 |
US20130225984A1 (en) | 2013-08-29 |
CN103220981A (zh) | 2013-07-24 |
RU2013127680A (ru) | 2014-12-27 |
JP2013542831A (ja) | 2013-11-28 |
US10624607B2 (en) | 2020-04-21 |
EP2640276A1 (en) | 2013-09-25 |
WO2012066470A1 (en) | 2012-05-24 |
CN103220981B (zh) | 2016-05-18 |
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