JP5433713B2 - Ultrasonic diagnostic apparatus and control program for ultrasonic diagnostic apparatus - Google Patents

Description

  The present invention relates to an ultrasonic diagnostic apparatus that performs signal analysis processing on signal data corresponding to an ultrasonic echo received from a subject, creates and displays image data related to the subject, and control of the ultrasonic diagnostic apparatus More particularly, the present invention relates to an ultrasound diagnostic apparatus and an ultrasound diagnostic apparatus control program that can appropriately analyze image data relating to a diagnosis target of the subject.

  Conventionally, analysis processing such as FFT processing is performed on signal data corresponding to ultrasonic echoes from a subject using an ultrasonic pulse reflection method, an ultrasonic Doppler method, etc. 2. Description of the Related Art There is known an ultrasonic diagnostic apparatus that creates and displays image data relating to a subject to be diagnosed such as an image and waveform data including blood flow information (for example, see Patent Document 1).

  When performing diagnosis using such an ultrasonic diagnostic apparatus, before performing an operation of measuring a diagnosis index of a diagnosis target from image data (for example, Doppler spectrum waveform data including blood flow information) related to the diagnosis target of the subject. First, it is necessary to perform an operation of detecting image data corresponding to the diagnosis target. That is, in the diagnosis in the ultrasonic diagnostic apparatus, after passing through the detection stage, which is a work stage for detecting such image data, the process generally proceeds to a measurement stage for measuring a diagnostic index based on the detected image data. Is.

JP 2005-185731 A

  FIG. 11 shows an example of a display screen of the ultrasonic diagnostic apparatus. On the lower side of the screen of FIG. 11, a Doppler spectrum waveform representing the state of heart valve regurgitation is shown. The horizontal axis of this waveform indicates time, and the vertical axis indicates a Doppler spectrum waveform indicating the blood flow rate at that time. In the waveform of FIG. 11, the polarity is set to the negative side (that is, the direction of normal blood flow is negative), and the waveform of the portion surrounded by the frame, that is, the positive side waveform of the waveform. Represents heart valve regurgitation. Such a valve regurgitation is said to be relatively difficult to detect because its flow rate is fast, but its blood flow is very small and the S / N ratio is not always good.

  The Doppler spectrum waveform data as shown in FIG. 11 is created by fast Fourier transform (FFT) processing. In the FFT processing, the waveform data of the time before and after each sample time (the length of this time is called the observation time length) is extracted, and the FFT processing is performed on the waveform data at the extracted time, and the sample time Doppler spectrum waveform data is created by obtaining the Doppler spectrum and arranging them in time series. In FFT processing, if this observation time length is not set appropriately, for example, a positive Doppler spectrum waveform surrounded by a frame in FIG. 11, that is, a waveform corresponding to valve regurgitation cannot be detected and displayed. is there.

  In the FFT processing, there is a trade-off relationship between speed detection sensitivity and time resolution. In other words, if the observation time length is set longer, the spectrum can be acquired in a wide frequency range at each sample time point, and the speed detection sensitivity becomes higher, but the data is smoothed in the time direction accordingly. Its time resolution is reduced. On the other hand, if the observation time length is set short, the speed detection sensitivity is lowered, but the time resolution is improved.

  From this point of view, the observation time length is set longer in the detection stage, and even if the waveform gets somewhat in the time direction, it is easy to detect the waveform with high speed detection sensitivity at each sample time point, In the measurement stage in which the diagnostic index is measured based on the detected waveform data, it is desirable to improve the time resolution of the waveform by setting this observation time length short. However, the conventional ultrasonic diagnostic apparatus does not provide such a function for switching the observation time length. Therefore, at present, considering the measurement stage, the observation time length is set to be short from the detection stage, and the waveform detection is performed with the speed detection sensitivity lowered. It was necessary.

  In order to solve the above-mentioned problem, the invention according to claim 1 performs signal analysis processing on signal data corresponding to an ultrasonic echo received from a subject, and creates image data relating to the subject. In the ultrasonic diagnostic apparatus to be displayed, the signal analysis unit that performs the signal analysis process, and the signal analysis process in the signal analysis unit before and after the image data related to the diagnosis target of the subject is obtained A parameter setting unit that changes a value of a specific parameter that affects the resolution of the signal analysis processing to a different value from among the processing parameters used for the extraction, and a feature of a diagnosis target of the subject is extracted based on the image data A feature extraction unit, and a determination unit that determines whether or not the extracted feature matches the feature of the subject to be diagnosed, and the parameter setting unit includes: If the determination in the constant portion is affirmative, an ultrasonic diagnostic apparatus characterized by changing the value of the specific parameter.

  The invention according to claim 3 is an ultrasonic diagnostic apparatus that performs signal analysis processing on signal data corresponding to ultrasonic echoes received from a subject, and creates and displays image data relating to the subject. In the control program, the specification that affects the resolution of the signal analysis process among the process parameters used for the signal analysis process before and after the image data related to the diagnosis target of the subject is obtained When causing the ultrasound diagnostic apparatus to execute a parameter changing procedure for changing a parameter value to a different value, a feature of a diagnosis target of the subject is extracted based on the image data prior to the parameter changing procedure. A feature extraction procedure; and a determination procedure for determining whether or not the extracted feature matches a feature of the subject to be diagnosed. The procedure, when the determination in the determining step is affirmative, an ultrasonic diagnostic apparatus control program, characterized by changing the value of the specific parameter.

  According to the first and third aspects of the present invention, before the image data relating to the subject to be diagnosed is obtained in the signal analysis processing for the signal data corresponding to the ultrasonic echo from the subject to be diagnosed. In this case, it becomes possible to detect the image data related to the diagnosis target under the parameter set to a value at which the image data can be easily detected, and the detection becomes easy. Furthermore, after the image data is obtained, it is possible to measure the diagnostic index using the image data under the processing parameters set to values that are easy to measure the diagnostic index, and to accurately measure the diagnostic index. It becomes possible. Thereby, even a very small amount of Doppler spectrum signal can be easily detected, the time required for the detection can be shortened, and high-accuracy and short-time ultrasonic diagnosis can be realized.

1 is a block diagram showing a schematic configuration of an ultrasonic diagnostic apparatus according to an embodiment of the present invention. It is a block diagram which shows the detailed structure of a control part and a D mode process part. 3A and 3B are schematic diagrams for explaining the FFT processing. It is a figure which shows an example of the display screen which a display part displays. FIG. 5A is an example of a Doppler spectrum waveform in which valve regurgitation is not detected and a trace waveform of the highest flow velocity, and FIG. 5B is a Doppler spectrum waveform in which valve regurgitation is detected and a trace waveform of the highest flow velocity. It is an example. It is a flowchart which shows an example of a process of the operation analysis part. It is a flowchart which shows an example of a process of a parameter setting part. FIG. 8A is a diagram illustrating an example of a waveform display at the detection stage, and FIG. 8B is a diagram illustrating an example of a waveform display at the measurement stage. It is a flowchart which shows an example of a process of a waveform information extraction part. It is a flowchart which shows an example of the process of a determination part. It is a figure which shows the Doppler spectrum waveform of the valve regurgitation of the heart.

  DESCRIPTION OF EXEMPLARY EMBODIMENTS Hereinafter, preferred embodiments of an ultrasound diagnostic apparatus and a control program for the ultrasound diagnostic apparatus according to the present invention will be specifically described with reference to the drawings.

  FIG. 1 is a block diagram showing the overall configuration of the ultrasonic diagnostic apparatus 100 according to the present embodiment. As shown in FIG. 1, the ultrasonic diagnostic apparatus 100 is acquired based on an ultrasonic probe 2 that transmits and receives ultrasonic waves to and from a subject (not shown) and ultrasonic waves received by the ultrasonic probe 2. The display unit 6 is configured to display a two-dimensional morphological image (B-mode image) of the subject, a two-dimensional blood flow image, and a Doppler spectrum waveform.

  Between the ultrasonic probe 2 and the display unit 6, a transmission / reception unit 3, a signal processing unit 4, and a digital scan converter (DSC) 5 are provided as units for performing signal processing and the like. A data storage unit 11 is provided between the transmission / reception unit 3 and the signal processing unit 4. Furthermore, the ultrasonic diagnostic apparatus 100 includes a control unit 8 that performs overall control of these units 2, 3, 4, 5, and 6. An operation panel 7 serving as an input man-machine interface is connected to the control unit 8.

  The ultrasonic probe 2 includes a plurality of piezoelectric vibrators such as piezoelectric ceramics arranged. When a voltage pulse is applied to the plurality of piezoelectric vibrators from the transmission / reception unit 3, an ultrasonic wave is generated, and the ultrasonic wave is transmitted to the subject. The ultrasonic probe 2 receives an ultrasonic echo obtained by reflecting the transmitted ultrasonic wave on the subject, converts the ultrasonic echo into an echo signal that is an electrical signal, and outputs the echo signal to the transmission / reception unit 3 To do.

  The transmission / reception unit 3 is provided with a pulse generator, a transmission delay circuit, a pulser, a preamplifier, an A / D, a reception delay circuit, an adder, and a phase detection circuit (all not shown).

  The pulse generator controls the transmission timing of the voltage pulse, generates a timing signal (clock pulse) every predetermined time, and transmits it to the transmission delay circuit. The transmission delay circuit delays the application of the voltage pulse for each piezoelectric vibrator to provide a time difference, and determines the scanning direction of the ultrasonic beam. The pulser applies a voltage pulse having a pulse width corresponding to each mode to each piezoelectric vibrator at the timing received from the transmission delay circuit.

  The preamplifier amplifies the echo signal. A / D converts the amplified signal into a digital signal. The reception delay circuit and the adder phasing-add signals from each transducer to generate a single signal. The phase detection circuit performs frequency shift to set the desired center frequency of the signal that has passed through the adder to 0 Hz, and then outputs digital signal data (Doppler signal) subjected to quadrature detection to the data storage unit 11 at a predetermined sampling period. To do.

  The data storage unit 11 includes a first-in first-out (FIFO) memory for storing the quadrature phase detected signal, and stores the digital signal data output from the transmission / reception unit 3 in the memory according to time series. To do. In the present embodiment, in order to simplify the explanation, it is assumed that the storage capacity of the memory is a capacity capable of storing one image displayed on the display unit 6. As long as the freeze operation described later is not performed, the stored contents of the memory are updated at any time by the digital signal data from the transmitting / receiving unit. The digital signal data stored in the memory is output to the signal processing unit 4 in the chronological order with the predetermined sampling period. The data storage unit 11 includes an external input capable of prohibiting or permitting data writing.

  The signal processing unit 4 receives the digital signal data output from the data storage unit 11 and executes signal processing for generating each image based on the digital signal data.

  The B mode processing unit 14 includes an echo filter, an envelope detection circuit, and a LOG (all not shown), and executes signal processing (B mode signal processing) for generating a two-dimensional morphological image. The echo filter applies a low-pass filter to the signal by frequency shift input from the data storage unit 11. The envelope detection circuit detects the envelope and obtains an envelope detection signal. LOG performs logarithmic transformation on the envelope detection signal. The data of the two-dimensional morphological image generated in this way is transmitted to the DSC 5.

  The color Doppler mode processing unit 15 includes a corner turning buffer, a wall filter, an autocorrelator, and a calculation unit (all not shown), and executes signal processing (CFM mode signal processing) for generating a two-dimensional blood flow image. To do. The corner turning buffer performs rearrangement after temporarily storing a data string of signals (signals obtained via the data storage unit 11) by quadrature phase detection from the phase detection circuit of the transmission / reception 3. The wall filter reads the data string stored in the corner turning buffer in a predetermined order, and removes the clutter component of the signal with a predetermined filter band. The autocorrelator performs two-dimensional Doppler signal processing in real time and frequency-analyzes the signal. The calculation unit includes an average velocity calculation unit, a variance calculation unit, and a power calculation unit, and obtains data of a two-dimensional blood flow image such as an average Doppler shift frequency, a variance value, or a blood flow power value. For example, the calculation unit converts a blood flow velocity component included in the signal into corresponding color information.

  FIG. 2 shows a detailed configuration of the D-mode processing unit 16. As shown in FIG. 2, the D-mode processing unit 16 includes a range gate unit 21, a wall filter 23, an FFT processing unit 25, and a trace processing unit 27, and forms Doppler spectrum waveform data. Signal processing (D-mode signal processing) is executed.

  The range gate unit 21 has a sample hold circuit (not shown). The range gate unit 21 samples and holds a Doppler signal at a desired position in the subject according to a sampling pulse corresponding to the range gate. The wall filter 23 removes unnecessary low-frequency components (clutter components) such as blood vessel walls and heart walls that move relatively slowly from the Doppler signal at the desired position.

  The FFT processing unit 25 analyzes the frequency of the Doppler signal from which the clutter component has been removed, and obtains its spectrum data. This spectrum data is transmitted to the DSC 5.

  3A and 3B schematically show the FFT processing in the FFT processing unit 25. FIG. 3A shows the Doppler signal Ax input to the FFT processing unit 25, and FIG. 3B shows Doppler spectrum data obtained by performing FFT processing on a predetermined section of the Doppler signal Ax. Bx (x = 1, 2,...) Is shown. In this FFT processing, for example, m Doppler signal components q1 to qm (that is, components having a time length Tm) are extracted from the discrete Doppler signals (FIG. 3A). FFT processing is performed, and first Doppler spectrum data B1 for the spectrum components p1 to pm is generated. Next, m Doppler signal components q1 + j to qm + j after time ΔT are subjected to FFT processing to generate new Doppler spectrum data B2. FIG. 3A shows the case where j = 3.

  Similarly, FFT analysis is sequentially performed on m doppler signal components of q1 + 2j to qm + 2j after time 2ΔT, q1 + 3j to qm + 3j after time 3ΔT, and the Doppler spectrum for spectrum components p1 to pm. Data B3, B4,... Are generated. (FIG. 3B).

  m is a processing parameter that can be set by the control unit 8. The time Tm determined by m is the time length of the waveform data extracted for calculating the spectrum at each time point, and this time Tm is hereinafter referred to as the observation time length. If this observation time length Tm is lengthened, the Doppler spectrum waveform at each sample point becomes an accurate one that captures blood flow in a wide speed range, and speed detection sensitivity is improved, but smoothed in the time direction. It becomes a waveform, and the time resolution decreases. Further, when the observation time length Tm is shortened, the speed detection sensitivity at each sample point is lowered, but the time resolution is improved.

  On the other hand, the spectrum data output from the FFT processing unit 25 is also sent to the trace processing unit 27. The trace processing unit 27 creates and outputs trace waveform data of the maximum flow velocity Vp (Vpeak) and the average flow velocity Vm (Vmean) from the input spectrum data. The trace waveform data of the maximum flow velocity Vp and the average flow velocity Vm is also output to the DSC 5 and a measurement unit (not shown). Further, the trace waveform data is used for measurement of a diagnostic index (HR (Heart Rate), PI, RI (Resistance Index) of blood flow rate or pulsatile flow) of a subject to be diagnosed in the measurement unit.

  The DSC 5 converts each data output from the B mode processing unit 14, the color Doppler mode processing unit 15, and the D mode processing unit 16 into an image signal (standard TV scanning analog signal) that can be displayed on the display unit 6. It transmits to the display unit 6.

  The display unit 6 is composed of a monitor, and synthesizes and displays an image corresponding to each image data processed by the DSC 5. FIG. 4 shows an example of a display screen displayed by the display unit 6. As shown in FIG. 4, this display screen is displayed in triplex mode. In this display screen, a two-dimensional blood flow image is displayed in an overlay on the region of interest (ROI, Region Of Interest) in the two-dimensional morphological image on the tomographic image display unit 31 at the top of the screen. In FIG. 4, a tomographic image of the heart is shown. The waveform display section 33 at the bottom of the screen displays a Doppler spectrum waveform, that is, time-series data of blood flow, along with the two-dimensional morphological image. The displayed Doppler spectrum waveform is a waveform corresponding to the position indicated in the sample volume 35 displayed on the tomographic image in the tomographic image display unit 31. When the position of the sample volume 35 is changed, the timing of the sampling pulse of the range gate unit 21 is changed, and a Doppler spectrum waveform corresponding to the changed position of the sample volume 35 is displayed.

  For example, the Doppler spectrum waveform is drawn on the waveform display unit 33 from the left end to the right end at a constant speed with the moving bar MB at the top. When the moving bar MB reaches the right end, the moving bar MB returns to the left end and proceeds to the right end again. Following the moving bar, the waveform display of the Doppler spectrum waveform is updated. This kind of screen update is called scrolling. The speed range update and process parameter change described later are defined so that the moving bar is at the left end and can be performed only at the same time as the screen update.

  The operation panel 7 includes a keyboard, a trackball, a mouse, and the like. The operation panel 7 is used by the operator to input switching of each mode, switching of the ROI position and range gate (sample volume 35), change of points for collecting Doppler spectrum waveform data, and the like. Further, a freeze ON / OFF button (not shown) for switching an image displayed on the display unit 6 to either a moving image or a still image is provided on the operation panel 7. When the freeze ON / OFF button is pressed while a moving image is displayed, a still image is displayed on the display unit 6. The button operation at this time is called freeze operation. When the freeze ON / OFF button is pressed while a still image is displayed, a moving image is displayed on the display unit 6. The button operation at this time is called freeze release operation.

  The control unit 8 includes a computer such as a CPU 81, a RAM 82, an HDD 83, and a sequencer 84. The HDD 83 stores a control program for the ultrasonic diagnostic apparatus 100. The control unit 8 reads out this control program from the HDD 83 onto the RAM 82, and the CPU 81 executes the control program, whereby an operation analysis unit 61 and a parameter setting unit 63 provided in the control unit 8 shown in FIG. Functions such as the determination unit 65, the waveform information calculation unit 67, and the automatic adjustment unit 69 are realized. The operation analysis unit 61, the parameter setting unit 63, the determination unit 65, the waveform information extraction unit 67, and the automatic adjustment unit 69 are real-time execution tasks that are periodically executed at a predetermined cycle (for example, timer interruption).

  The operation analysis unit 61 receives information regarding the operation content transmitted from the operation panel 7, analyzes the reception result, and performs processing according to the analysis result. For example, the operation analysis unit 61 analyzes the operation content of the operation panel, and issues a parameter change command to the parameter setting unit 63 if necessary. Further, the operation analysis unit 61 gives a command for prohibiting writing to the data storage unit 11 and writing permission to the data storage unit 11 as necessary. Further, the operation analysis unit 61 can also transmit a reprocessing command of data stored in the data storage unit 11 to the signal processing unit 4.

  The parameter setting unit 63 can change the value of the processing parameter of the FFT processing unit 25 in response to a parameter change command from the operation analysis unit 61 or the determination unit 65. In the present embodiment, in order to simplify the description, the processing parameter whose value is changed is only the observation time length Tm described above. In general, when the observation time length Tm is set longer, it becomes easier to detect the Doppler spectrum waveform data corresponding to the diagnosis target by increasing the speed detection sensitivity. Therefore, in the detection stage of detecting the waveform data, the parameter setting unit 63 As the value of the observation time length Tm, a longer numerical value is set. In addition, since the time resolution of the waveform is higher when the observation time length Tm is set shorter, the parameter setting unit 63 sets the shorter observation time length Tm as a setting value for the observation time length Tm. A numerical value will be set. The value of the observation time length Tm at each stage is stored in advance in the parameter setting value storage unit 71 on the HDD 83, and the parameter setting unit 63 changes this parameter setting value storage unit when changing the parameter value. The parameter setting value stored in 71 may be referred to.

  The determination unit 65 is provided for automatically determining whether or not the parameter value can be changed based on a Doppler spectrum waveform or the like. The determination unit 65 determines, for example, a waveform related to a diagnosis target from the characteristics of a Doppler spectrum waveform obtained from a waveform information extraction unit 67 described later, the adjustment state of automatic adjustment of the display screen in the display unit 6 received from the automatic adjustment unit 69, and the like. It is determined whether or not is detected. If the determination is affirmative, the determination unit 65 transmits a parameter change command to the parameter setting unit 63.

  The waveform information extraction unit 67 inputs the trace data of the maximum flow velocity Vp and the average flow velocity Vm from the trace processing unit 27. The waveform information extraction unit 67 extracts the characteristics of the subject to be diagnosed based on these trace data.

  Each waveform data corresponding to each diagnosis object has its own characteristics. The waveform information extraction unit 67 extracts and outputs the feature. Hereinafter, the characteristics of the diagnosis target will be specifically described.

  5A and 5B show Doppler spectrum waveforms corresponding to the blood flow of the heart valve.

  In the trace waveform data shown in FIG. 5A, a peak appears only on the negative side. Normally, in the Doppler method, a negative sign is assigned to a blood flow in which the direction of the blood flow is positive and away from the blood flow toward the ultrasonic probe. When an ultrasound probe is applied to a blood vessel, if the blood vessel is an artery, the speed of blood flow fluctuates due to pulsation, but it does not change between positive and negative, and is usually biased to either positive or negative. Yes. Therefore, in the waveform shown in FIG. 5A, the heart valve flow is always in the negative direction, and no valve regurgitation is detected. In this case, only one polarity, that is, only the waveform of the trace data on the negative side among the trace data waveforms of the positive and negative maximum flow velocities Vp represented by the bold lines exceeds the predetermined level.

  In the trace waveform data shown in FIG. 5B, a peak appears not only on the positive side but also on the negative side (the horizontal line in the center indicates that the flow velocity is zero). In this case, forward and reverse blood flows exist at the same position (position designated by the sample volume 35). Here, if the designated position of the sample volume 35 is a heart valve, the waveform on the positive side represents valve regurgitation.

  Thus, when the diagnosis target is the heart and the valve regurgitation exists, the waveform of the trace data of the maximum flow velocity Vp exceeds a certain level on both the positive side and the negative side as well as one polarity. It becomes like this. The waveform information extraction unit 67 extracts such waveform features and transmits them to the determination unit 65.

  The automatic adjustment unit 69 inputs the trace data of the maximum flow velocity Vp and the average flow velocity Vm from the trace processing unit 27, and based on the trace data, prevents the aliasing generated in the Doppler spectrum waveform displayed on the display unit 6. Automatic adjustment of speed range (speed display range of Doppler spectrum waveform) and baseline (zero level of Doppler spectrum waveform). The automatic adjustment unit 69 extracts trace data for a predetermined time, and calculates a statistical value for the distribution of the maximum blood flow velocity Vp and the average flow velocity Vm in the extracted trace data. Then, based on the calculated statistical value, a speed range or the like for appropriately displaying the current Doppler spectrum waveform is adjusted. The specific processing content of the automatic adjustment unit is disclosed in, for example, Japanese Patent Application Laid-Open No. 2005-185731, and detailed description thereof is omitted. The automatic adjustment unit 69 outputs information on the adjusted speed range and the like to the determination unit 65.

  The determination unit 65 receives information on the characteristics of the waveform extracted by the waveform information extraction unit 67, information on the speed range input from the automatic adjustment unit 69, and the like. Based on the received information, the waveform corresponding to the diagnosis target is obtained. It is determined whether it is detected or whether the adjustment state is stable.

  Next, the processing operation of each part of the ultrasonic diagnostic apparatus according to the present embodiment will be described more specifically.

  FIG. 6 shows a flowchart of an example of processing of the operation analysis unit 61. As shown in FIG. 6, in step 201, the operation analysis unit 61 is waiting for an operation input. When there is an operation input from the operation panel 7, the operation analysis unit 61 determines whether or not the operation content is a freeze operation (step 203). If this determination is affirmed, the process proceeds to step 205. If the determination is negative, the process proceeds to step 213.

  Steps 205 to 211 are processes when the operation content is a freeze operation. The operation analysis unit 61 first transmits a write prohibition command to the data storage unit 11 (step 205). In response to this write prohibition command, the data storage unit 11 prohibits writing of data input from the transmission / reception unit 3 at a predetermined timing. Here, the predetermined timing is the timing at which the waveform corresponding to the waveform when the waveform of the waveform display unit 33 of the display unit 6 reaches the right end and the waveform is updated from the left end is written to the memory. This is the timing when the first signal data (for example, q1 in FIG. 3A) used for the first image data for one image is written.

  In the next step 207, the operation analysis unit 61 transmits a parameter change command to the parameter setting unit 63, and waits for a change completion notification from the parameter setting unit 63 in step 209. In response to this command, the parameter setting unit 63 changes the setting value of the processing parameter of the FFT processing unit 25 as will be described later, and when the change is completed, returns a change completion notification to the operation analysis unit 61. The operation analysis unit 61 receives this and proceeds to step 211.

  In step 211, the D Doppler mode processing unit 16 is instructed to perform reprocessing. In response to this, the D Doppler mode processing unit 16 reads the data already written from the data storage unit 11 that is prohibited from being written in order from the top, to the range gate unit 21, the wall filter 23, and the FFT processing unit. 25. Reprocessing in the trace processing unit 27 is executed. As a result, on the display screen of the display unit 6, the result of this reprocessing, that is, the still image of the processing result of the signal data stored in the data storage unit 11 is displayed.

  On the other hand, if it is determined in step 203 that the operation content is not a freeze operation, it is determined in step 213 whether or not the operation content is a freeze release operation. If this determination is affirmed, the process proceeds to step 215, and if not, the process proceeds to step 221.

  Steps 215 to 219 are processes performed when the operation content is a freeze release operation. First, in step 213, a write permission command is transmitted to the data storage unit 11. In response to this, the data storage unit 11 releases the prohibition of data writing from the transmission / reception unit 3. Data is written from the transmission / reception unit 3 from the beginning of the memory. In the next step 215, a parameter change command is transmitted to the parameter setting unit 63, and in the next step 217, a change completion notification is awaited. In response to this, the parameter setting unit 63 changes the processing parameter of the FFT processing unit 25, and returns a change completion notification to the operation analysis unit 61.

  On the other hand, if it is determined in step 213 that the operation content is not a freeze operation but another operation, command processing corresponding to the other operation is executed in step 221.

  After step 211, step 219, and step 221, the process returns to step 201 and again waits for an operation input.

  Next, the operation of the parameter setting unit 63 will be described. FIG. 7 shows a flowchart of an example of the parameter setting unit 63. As shown in FIG. 7, first, the parameter setting unit 63 is waiting to receive a parameter change command in step 251. As described above, when a parameter change command is received from the operation analysis unit 61 or the like, the process proceeds to step 253. In step 253, it is determined whether or not the detection mode is set. The parameter setting unit 63 internally manages whether a detection stage mode for detecting a waveform corresponding to a diagnosis target, that is, a detection mode, or a measurement stage mode for measuring a diagnostic index, that is, a measurement mode. This judgment is made by referring to the management information.

  If the determination in step 253 is affirmed, the process proceeds to step 255, and if the determination is negative, the process proceeds to step 257. In step 255, the value of the processing parameter in the measurement mode (that is, a shorter value of the observation time length Tm) is read from the parameter setting value storage unit 71 for switching from the detection mode to the measurement mode. In step 257, the value of the processing parameter in the detection mode (that is, a longer value of the observation time length Tm) is read from the parameter setting value storage unit 71 in order to switch from the measurement mode to the detection mode.

  In the next step 261, the set value of the read observation time length Tm is set in the FFT processing unit 25, thereby changing the value of the observation time length Tm of the FFT processing. In the next step 263, a change completion notification is returned to the parameter change command source (for example, the operation analysis unit 61). After step 263 is completed, the process returns to step 251 again and waits for a parameter change command.

  FIG. 8A shows an example of the display screen of the display unit 6 before the freeze operation, and FIG. 8B shows an example of the display screen of the display unit 6 after the freeze operation. Yes. As shown in FIGS. 8A and 8B, the value of the processing parameter (observation time length Tm) of the FFT processing unit 25 is changed before and after the freeze operation. It can be seen that the displayed Doppler spectrum waveforms are greatly different.

  Next, the operation of the waveform information extraction unit 67 will be described. FIG. 9 shows a flowchart of an example of processing of the waveform information extraction unit 67. The process shown in FIG. 9 is a process in which the diagnosis target is a heart valve regurgitant flow and information relating to the characteristics is extracted.

  Returning to FIG. 9, the waveform information extraction unit 67 is started by a periodic timer interruption. First, in step 301, trace data within a predetermined time is acquired from the trace processing unit 27. In the next step 303, the average value of the trace data of the maximum flow velocity on the positive side is calculated, and in the next step 305, the average value of the trace data of the maximum flow velocity on the negative side is calculated. In the next step 307, the average value (positive or negative) of the trace data of the maximum flow velocity Vp is transmitted to the determination unit 65, and the process ends.

  Next, the operation of the determination unit 65 will be described. FIG. 10 shows a flowchart of an example of processing of the determination unit 65. The processing mode of the determination unit 65 includes an A mode and a B mode. The A mode is a mode for determining whether or not the processing parameter can be changed based on the information sent from the waveform information extraction unit 67, and the B mode is the processing parameter based on the information sent from the automatic adjustment unit 69. This mode is for determining whether or not the change can be made. It is assumed that the A mode / B mode is set in advance by device parameters.

  As shown in FIG. 10, the determination unit 65 starts processing by a periodic timer interruption. First, in step 351, it is determined whether or not the processing mode is set to the A mode. If this determination is affirmed, the process proceeds to step 353, and if not, the process proceeds to step 361.

  The processing in steps 353 to 359 is processing at the time of setting the A mode. First, in step 353, the average value of the trace data (positive and negative) of the highest flow velocity is received. In the next step 355, it is determined whether or not the average value of the trace data of the maximum flow velocity on the positive side and the average value of the trace data of the maximum flow velocity on the negative side both exceed the threshold value. Only when this determination is affirmed, in step 357, a parameter change command is transmitted to the parameter setting unit 63, and in step 359, the notification of the completion of the change is awaited. In response to this, the parameter setting unit 63 changes the processing parameter of the FFT processing unit 25 and returns a change completion notification. The determination unit 65 receives the change completion notification and ends the process. If the determination in step 355 is negative, the process ends.

  On the other hand, if the determination in step 355 is negative, the process ends without issuing a parameter change command.

  The processing of step 361 to step 371 is processing at the time of setting the B mode. First, in step 361, it is determined whether or not the B mode is set. If this determination is affirmed, the process proceeds to step 363. If the determination is negative, the process ends.

  In step 363, the speed range data output from the automatic adjustment unit 69 is received. In the next step 365, the variation of the speed range for a certain period, for example, the variance is calculated. In the next step 367, it is determined whether or not the variance is within an allowable value. Only when this determination is affirmed, the routine proceeds to step 369, where a parameter change command is issued, and in step 371, reception of a change completion notice is awaited. In response to this, the parameter setting unit 63 changes the processing parameter of the FFT processing unit 25 and returns a change completion notification. The determination unit 65 receives the change completion notification and ends the process.

  On the other hand, if the determination in step 367 is negative, the process is terminated as it is.

  As described above, the control unit 8 is based on the freeze operation or freeze release operation input from the operation panel 7, the waveform information extracted by the waveform information extraction unit 67, and the information on the adjustment state in the automatic adjustment unit 69. The value of the processing parameter in the FFT processing unit 25 (the value of the observation time length Tm) is changed. In the B mode processing (steps 363 to 371), whether or not the parameter can be changed is determined based on the dispersion of the speed range. Instead of the dispersion of the speed range, the magnitude of the fluctuation of the speed range is indicated. Other statistics (eg, standard deviation) can be used.

  Next, the flow of diagnosis using the ultrasonic diagnostic apparatus 100 having the above-described configuration and operation will be described.

  First, a diagnostic method for performing a freeze operation will be described. At the first time point, the operator aligns the sample volume 35 to the diagnosis target part while observing the tomographic image displayed on the tomographic image display unit 31 of the display unit 6 while placing the ultrasonic probe 2 on the subject. . At the time of the alignment, the waveform display unit 33 is checked to check whether the waveform data to be acquired is displayed. This stage is still a waveform detection stage, and a long value is set in the processing parameter (observation time length Tm) of the FFT process so that the waveform can be easily detected. Thereby, the operator can detect the waveform data under high speed detection sensitivity.

  When the waveform display unit 33 displays the waveform data corresponding to the diagnosis target on the waveform display unit 33 and confirms that the waveform data has been obtained, the operator presses the freeze ON / OFF button on the operation panel 7. When the operation content is sent to the operation analysis unit 61 by pressing the freeze ON / OFF button, a parameter change command is sent to the parameter setting unit 63, and the processing parameter (observation time length Tm) of the FFT processing is set. The value is changed to a shorter value. Accordingly, FFT processed waveform data (still image) is created under a processing parameter that provides high time resolution, and a diagnostic index can be measured with high accuracy using this waveform data. .

  Next, a diagnosis method using the A mode (parameter change by the waveform information extraction unit) will be described. At the first time point, the operator aligns the sample volume 35 to the diagnosis target part while observing the tomographic image displayed on the tomographic image display unit 31 of the display unit 6 while placing the ultrasonic probe 2 on the subject. . At the time of the alignment, the waveform display unit 33 is checked to check whether the waveform data to be acquired is displayed. This stage is still a waveform detection stage, and a longer value is set in the processing parameter (observation time length) of the FFT processing. Thereby, the operator can detect the waveform data under high speed detection sensitivity.

  When the sample volume 35 is appropriately set and the characteristics of the reverse valve flow appear in the waveform data, the average values of the positive and negative maximum flow velocity trace data extracted by the waveform information extraction unit 67 both exceed the threshold value. The determination unit 65 issues a parameter change command to the parameter setting unit 63. In response to this, the parameter setting unit 63 changes the value of the processing parameter (observation time length Tm). As a result, FFT-processed waveform data is created under a processing parameter that provides high time resolution, and the diagnostic index can be measured with high accuracy using this waveform data.

  Next, a diagnosis method using the B mode (parameter change according to the adjustment state of automatic adjustment) will be described. At the first time point, the operator aligns the sample volume 35 to the diagnosis target part while observing the tomographic image displayed on the tomographic image display unit 31 of the display unit 6 while placing the ultrasonic probe 2 on the subject. . At the time of the alignment, the waveform display unit 33 is checked to check whether the waveform data to be acquired is displayed. This stage is still a waveform detection stage, and a longer value is set as the value of the processing parameter (observation time length) of the FFT processing. Thereby, the operator can detect the waveform data under high speed detection sensitivity.

  The automatic adjustment unit 69 is configured so that the maximum flow velocity Vp. Based on the trace waveform of the average flow velocity Vm, the speed range is adjusted, and the adjusted value is output to the determination unit 65. The determination unit 65 determines that the waveform data has been detected when the variance indicating the fluctuation state of the speed range is within the allowable range, issues a parameter change command to the parameter setting unit 63, and sets the parameter The setting unit 63 changes the value of the processing parameter (observation time length) to a shorter value. As a result, FFT-processed waveform data is created under a processing parameter that provides high time resolution, and the diagnostic index can be measured with high accuracy using this waveform data.

  As described above in detail, according to the present embodiment, the signal processing unit 4 for signal data corresponding to the ultrasound echo from the subject to be diagnosed has a waveform before the waveform related to the subject to be diagnosed is obtained. Thus, it is possible to detect the waveform relating to the diagnosis target under the processing parameter (observation time length Tm) set to a value that facilitates detection of the waveform, and the detection becomes easy. Furthermore, after the image data is obtained, the diagnostic index can be measured using the waveform data under the processing parameter (observation time length Tm) set to a value that facilitates the measurement of the diagnostic index, and the diagnosis is accurately performed. An index can be measured. Thereby, even a very small amount of Doppler spectrum signal can be easily detected, the time required for the detection can be shortened, and high-accuracy and short-time ultrasonic diagnosis can be realized.

  In the ultrasonic diagnostic apparatus 100 according to the present embodiment, the parameter setting unit 63 changes the value of the observation time length Tm when a switching operation is performed on the operation panel 7. In this way, if the operator who has determined that the waveform has been detected performs a switching operation using the operation panel 7, the value of the processing parameter is automatically changed along with the operation. As a result, the operability of the apparatus is significantly improved.

  In the ultrasonic diagnostic apparatus 100 according to the present embodiment, the parameter is changed by a freeze operation for switching the image to be displayed from a moving image to a still image. Since such a freeze operation is usually performed after the waveform is detected, if the processing parameter value is automatically changed in conjunction with the freeze operation, the operator's workload is significantly reduced. The

  Further, in the ultrasonic diagnostic apparatus 100 according to the present embodiment, data before D-mode processing or the like is stored in the data storage unit 11. The D-mode processing unit 16 of the control unit 8 saves the data to be stored in the data storage unit 11 under the observation time length Tm whose value has been changed by the parameter setting unit when switching the image to be displayed from a moving image to a still image. Predetermined processing is again performed on the signal data thus generated to create waveform data. In this way, even if the waveform data has already been subjected to FFT processing under a long observation time length Tm, the observation time length Tm is set short and the D-mode processing is reprocessed and displayed. It is possible to redisplay on the screen of the unit 6.

  In the ultrasound diagnostic apparatus 100 according to the present embodiment, the waveform information extraction unit 67 extracts the characteristics of the waveform data. Then, the determination unit 65 determines whether or not the extracted feature matches the diagnosis target feature of the subject. And the parameter setting part 63 changes the value of a process parameter, when it determines with determination of the determination part 65 being affirmative. In this way, the processing parameters are automatically changed after detecting the waveform data to be diagnosed based on the characteristics of the waveform, so that the operator's workload is significantly reduced.

  In the above-described embodiment, features that appear in the waveform data are extracted by using heart valve regurgitation as a diagnosis target, and the waveform detection is confirmed. However, such waveform features vary depending on the diagnosis target. Therefore, the waveform information extraction unit 67 extracts the waveform information corresponding to the diagnosis target, and the determination unit needs to perform determination processing according to the characteristics of the waveform.

  In the ultrasonic diagnostic apparatus 100 according to the present embodiment, the automatic adjustment unit 69 automatically adjusts the waveform display state based on the size of the waveform data. Then, the determination unit 65 determines whether the adjustment state by the automatic adjustment unit 69 is stable. Further, the parameter setting unit 63 changes the value of the processing parameter when it is determined that the determination by the determination unit 65 is affirmative. In this way, when the adjustment state of the automatic adjustment unit 69 is stable, the processing parameters are automatically changed, so that the operator's workload is significantly reduced.

  In the ultrasonic diagnostic apparatus 100 according to the above embodiment, the processing parameter whose value is changed is the observation time length Tm in the FFT processing unit, but the present invention is not limited to this, and the resolution of the signal processing unit 4 is All relevant processing parameters are subject to change. For example, an example of a parameter for changing the sampling interval ΔT shown in FIG.

  Further, the processing unit whose processing parameter is to be changed is not limited to the FFT processing unit 25. For example, the time length of the waveform data extracted for obtaining the maximum flow velocity Vp or the like in the trace processing unit 27 may be changed. Furthermore, the processing parameters of the B mode processing unit 14 and the color Doppler mode processing unit 15 may be changed.

  In addition, the changeable parameters may include display parameters in the display unit 6 such as pixel ratio and display color.

  Further, in the above embodiment, the parameter value to be changed is one at the stage where the waveform is detected and one at the stage where the diagnostic index is measured. However, the present invention is not limited to this, and a plurality of parameters are provided at each stage. Also good. By doing so, it becomes possible to select an optimum set value from a plurality of set values at each stage. At this time, after the freeze operation, the parameter value is sequentially switched, the D-mode processing is reprocessed on the signal data stored in the data storage unit 11 and displayed on the display unit 6 to display the best waveform data. It is also possible to select an optimum processing parameter corresponding to. In order to perform such processing, a separate man-machine interface for switching processing parameters is required on the operation panel 7 separately from the freeze ON / OFF button.

  In the above embodiment, the data storage unit 11 is arranged between the transmission / reception unit 3 and the signal processing unit 4. However, the present invention is not limited to this, and the processing units 14, 15, 16 may be provided in each. In this case, in the D mode processing unit 16, a data storage unit may be provided between the wall filter 23 and the FFT processing unit 25. In short, the data storage unit only needs to be provided in front of the processing unit corresponding to the processing parameter whose value is changed.

  Moreover, in the said embodiment, although the display mode of the display part 6 was set as the triplex mode, this invention is not limited to this. Needless to say, the Doppler spectrum waveform may be displayed alone.

  Moreover, although the ultrasonic diagnostic apparatus 100 according to the above embodiment uses the pulse Doppler method for calculating the Doppler spectrum waveform, it is needless to say that the present invention can also be applied to the continuous wave Doppler method.

  In the above-described embodiment, a piezoelectric vibrator is used as the ultrasonic vibrator. However, as the ultrasonic vibrator, the capacitance detection that enables the vibrator to be fabricated on a silicon substrate due to recent progress in MEMS technology. You may make it use a type | mold ultrasonic transducer (CMUT: Capacitive Micromachined Ultrasonic Transducer).

  The embodiments and various modifications described above do not limit the scope of the present invention. Accordingly, those skilled in the art can employ embodiments in which each or all of these elements are replaced by equivalents thereof, and these embodiments are also included in the scope of the present invention.

2 Ultrasonic probe 3 Transmission / reception unit 4 Signal processing unit 5 DSC
6 Display unit 7 Operation panel 8 Control unit 11 Data storage unit 14 B mode processing unit 15 Color Doppler mode processing unit 16 D mode processing unit 21 Range gate unit 23 Wall filter 25 FFT processing unit 27 Trace processing unit 31 Tomographic image display unit 33 Waveform display section 35 Sample volume 61 Operation analysis section 63 Parameter setting section 65 Determination section 67 Waveform information extraction section 69 Automatic adjustment section 71 Parameter setting value storage section 81 CPU
82 RAM
83 HDD
100 Ultrasonic diagnostic equipment MB Moving bar

Claims (4)

In an ultrasonic diagnostic apparatus that performs signal analysis processing on signal data corresponding to ultrasonic echoes received from a subject and creates and displays image data relating to the subject,
A signal analysis unit for performing the signal analysis processing;
Among the processing parameters used for the signal analysis processing in the signal analysis unit before and after obtaining the image data related to the diagnosis target of the subject, identification that affects the resolution of the signal analysis processing A parameter setting section for changing the parameter value to a different value;
Based on the image data, a feature extraction unit that extracts features of a diagnosis target of the subject;
A determination unit that determines whether or not the extracted feature matches the feature of the diagnosis target of the subject,
The parameter setting unit
The ultrasonic diagnostic apparatus characterized by changing the value of the specific parameter when the determination by the determination unit is affirmed. In an ultrasonic diagnostic apparatus that performs signal analysis processing on signal data corresponding to ultrasonic echoes received from a subject and creates and displays image data relating to the subject,
A signal analysis unit for performing the signal analysis processing;
Among the processing parameters used for the signal analysis processing in the signal analysis unit before and after obtaining the image data related to the diagnosis target of the subject, identification that affects the resolution of the signal analysis processing A parameter setting section for changing the parameter value to a different value;
An automatic adjustment unit that automatically adjusts the display state based on the size of the waveform included in the image data;
A determination unit that determines that the adjustment state by the automatic adjustment unit is stable when the dispersion indicating the variation state of the speed range by the automatic adjustment unit is within an allowable range ;
The parameter setting unit
Wherein the determination unit, when the determination of a stable is such, the specific parameter ultrasonic diagnostic apparatus characterized by changing the value of. In a control program for an ultrasonic diagnostic apparatus that performs signal analysis processing on signal data corresponding to an ultrasonic echo received from a subject and creates and displays image data related to the subject.
The value of a specific parameter that affects the resolution of the signal analysis processing among the processing parameters used for the signal analysis processing is different before and after the image data relating to the diagnosis target of the subject is obtained. When making the ultrasound diagnostic apparatus execute the parameter change procedure to change to a value,
Prior to the parameter changing procedure,
A feature extraction procedure for extracting features of the diagnosis target of the subject based on the image data;
A determination procedure for determining whether the extracted feature matches the feature of the subject to be diagnosed, and
In the parameter changing procedure,
A control program for an ultrasound diagnostic apparatus, wherein the value of the specific parameter is changed when a determination in the determination procedure is affirmed. In a control program for an ultrasonic diagnostic apparatus that performs signal analysis processing on signal data corresponding to an ultrasonic echo received from a subject and creates and displays image data related to the subject.
The value of a specific parameter that affects the resolution of the signal analysis processing among the processing parameters used for the signal analysis processing is different before and after the image data relating to the diagnosis target of the subject is obtained. When making the ultrasound diagnostic apparatus execute the parameter change procedure to change to a value,
Prior to the parameter changing procedure,
An automatic adjustment procedure for automatically adjusting the display state based on the size of the waveform included in the image data;
When dispersing showing the variation state of the speed range by the automatic adjusting unit becomes within the allowable range, anda determining step determines that the adjustment state is stabilized in the automatic adjustment procedure,
In the parameter changing procedure,
Wherein the determining step, if the determination of a stable is such, the ultrasonic diagnostic apparatus control program, characterized by changing the value of the specific parameter.

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