USRE38971E1 - Ultrasound diagnostic apparatus and method - Google Patents
Ultrasound diagnostic apparatus and method Download PDFInfo
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- USRE38971E1 USRE38971E1 US09/458,235 US45823599A USRE38971E US RE38971 E1 USRE38971 E1 US RE38971E1 US 45823599 A US45823599 A US 45823599A US RE38971 E USRE38971 E US RE38971E
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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
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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
- A61B8/481—Diagnostic techniques involving the use of contrast agent, e.g. microbubbles introduced into the bloodstream
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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
- A61B8/5207—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves involving processing of raw data to produce diagnostic data, e.g. for generating an image
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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
- A61B8/5238—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves involving processing of medical diagnostic data for combining image data of patient, e.g. merging several images from different acquisition modes into one image
- A61B8/5246—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves involving processing of medical diagnostic data for combining image data of patient, e.g. merging several images from different acquisition modes into one image combining images from the same or different imaging techniques, e.g. color Doppler and B-mode
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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
- A61B8/54—Control of the diagnostic device
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/54—Control of the diagnostic device
- A61B8/543—Control of the diagnostic device involving acquisition triggered by a physiological signal
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/56—Details of data transmission or power supply
-
- 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
- A61B8/0883—Detecting organic movements or changes, e.g. tumours, cysts, swellings for diagnosis of the heart
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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
- A61B8/0891—Detecting organic movements or changes, e.g. tumours, cysts, swellings for diagnosis of blood vessels
Definitions
- the present invention relates to an ultrasound diagnostic apparatus for implanting shadowing agent to an examining object so as to examine a blood stream state, and its method.
- an ultrasound diagnostic apparatus for obtaining a tomographic image of a soft tissue of a human body by an ultrasonic pulse reflection method.
- This kind of the ultrasound diagnostic apparatus displays the tomographic image of the tissue in a non-harmful examination method.
- This kind of the ultrasound diagnostic apparatus has the following features as compared with the other apparatus such as an X-ray diagnostic apparatus, an X-ray CT apparatus, an MRI apparatus (magnetic resonance image apparatus) and other medical diagnostic apparatus.
- a real time display can be performed; the apparatus is small-sized, and the manufacturing cost is low, and the safety of using the apparatus is high, i.e., no suffering from X ray.
- ultrasound diagnosis has been widely performed in the examination of the heart, the abdomen, the mammary gland, the urinary organs, and the obstetrics and gynecology.
- the beat of the heart and the state of the movement of an embryo can be display at real time by the simple operation in which an ultrasonic probe is only touched on a surface of the body.
- the examination is repeatedly performed due to high safety, and the examination when the apparatus is moved to the head side can be easily performed.
- the technique for image-forming the blood stream which is called as a color-doppler method, is peculiar to the ultrasound diagnosis.
- a color-doppler method a relatively thick blood vessel can be image-formed, but the examination of a capillary cannot be performed.
- the bubbles have extremely small acoustic impedance, and the difference between the acoustic impedance of the bubbles and that of the tissue is extremely large. Therefore, intensity of reflection at a boundary between the bubbles and the tissue is extremely larger than intensity of reflection at a boundary between the tissues, so that the shadowing effect is exerted.
- the bubbles receive ultrasound, the bubbles disappear by its sound pressure.
- the bubbles in the blood expand like a spring by vibration of the sound pressure. If the bubbles expand and contract by a resonance frequency in accordance with its diameter, amplitude of expansion and contraction shows a maximum diameter, and a reduction speed of an amount of bubbles becomes maximum.
- output power (sound pressure) of ultrasound may be reduced to the extent that shadowing agent does not appear for a fixed period of time.
- the reduction of output power lowers spatial resolution.
- concentration of shadowing agent to be implanted may be increased, or shadowing agent may be repeatedly implanted.
- this method is unfavorable.
- the examining human body In order to extend the life of the shadowing agent, it is preferable to scan the examining human body with ultrasound of low power. In this case, however, the contrast is lowered. In order to obtain an image of a high contrast, on the other hand, it is necessary to scan the examining human body with ultrasound of a high power. In this case, however, the use of the high-power ultrasound will shorten the life of the shadowing agent. In order to make the life of the shadowing agent as long as possible and, at the same time, obtain a high contrast image, it may be considered that the examining human body be scanned, only once for a few seconds, with the high-power ultrasound. This method, however, poses the problem of a lowered time resolution.
- the present invention relates to an ultrasound diagnostic apparatus, which can improve efficiency of using ultrasonic shadowing agent, and its method.
- an ultrasound diagnostic apparatus comprising scanning means for repeatedly scanning a cross section of an examining human body having bubbles implanted as ultrasonic shadowing agent by an ultrasound so as to collect an echo signal; image generating means for repeatedly generating image data based on the echo signal; displaying means for displaying the generated image data as a motion image; and changing means for changing power of the ultrasound from first power to second power stronger than the first power.
- an ultrasound diagnostic apparatus comprising scanning means for repeatedly scanning a cross section of an examining human body having bubbles implanted as ultrasonic shadowing agent by an ultrasound so as to repeat an echo signal; image generating means for repeatedly generating image data based on the echo signal; displaying means for displaying the generated image data as a motion image; and changing means for changing a frequency of the ultrasound from a first frequency to a second frequency.
- an ultrasound imaging method which repeatedly scans a cross section of an examining human body having bubbles implanted as ultrasonic shadowing agent by an ultrasound so as to obtain an echo signal, repeatedly generates image data based on the echo signal, and displays the generated image data as a motion image, comprising a first step of scanning the ultrasound by first power; and a second step of scanning the ultrasound by second power stronger than the first power after scanning the ultrasound by the first power.
- an ultrasound imaging method which transmits an ultrasound to an examining human body having bubbles implanted as ultrasonic shadowing agent, receives a reflected wave from the examining human body so as to repeatedly obtain an echo signal of a cross section of the examining human body, repeatedly generates image data based on the echo signal, and displays the generated image data as a motion image, comprising a first step of scanning the ultrasound by a first frequency; and a second step of scanning the ultrasound by a second frequency after scanning the ultrasound by the first frequency.
- a cross section of an examining human body having bubbles implanted as ultrasonic shadowing agent is scanned by an ultrasound so as to obtain an echo signal.
- Image data is repeatedly generated based on the echo signal.
- image data is displayed as a motion image.
- Power of the ultrasound to be transmitted is changed from first power to second power, which is stronger than first power.
- the ultrasound of first power breaks a first amount of bubbles.
- the ultrasound of second power which is stronger than first power, breaks a second amount of bubbles, which is larger than the first amount of bubbles.
- first power is changed to second power.
- Second power is stronger than first power. Therefore, the image obtained by second power is clearer than image obtained by first power, and is fit for a high accurate diagnosis of the state of the blood stream.
- FIG. 1 is a structural view of an ultrasound diagnostic apparatus of a first embodiment of the present invention
- FIG. 2 is a simple circuit diagram showing an ultrasonic probe, a pulsar, and a variable voltage generating unit
- FIG. 3 is a graph showing a time series change of sound pressure of ultrasound in a first mode
- FIG. 4A is a view showing a B mode image obtained by first power
- FIGS. 4B and 4C are views showing a B mode image obtained by second power
- FIG. 5 is a graph showing a time series change of sound pressure of ultrasound in a second mode
- FIG. 6 is a time chart showing processing steps of generation of image data, a storage, and a display
- FIG. 7A is a graph showing a first time series change of sound pressure of ultrasound, and a time density curve corresponding to the time series change;
- FIG. 7B is a graph showing a second time series change of sound pressure of ultrasound, and a time density curve corresponding to the time series change;
- FIG. 8 is an explanatory view showing a subtraction (differential) processing by a frame subtraction calculating section 19 of FIG. 1 ;
- FIG. 9A is a structural view of a first subtraction (differential) circuit having the same function as the frame subtraction calculating section 19 ;
- FIG. 9B is a view showing an application of FIG. 9A ;
- FIG. 9C is a structural view of a second subtraction (differential) circuit having the same function as the frame subtraction calculating section 19 ;
- FIGS. 10A to 10 F are explanatory views showing scanning steps corresponding to first and second subtraction circuits
- FIG. 11 is a structural view showing a modification of the ultrasound diagnostic apparatus of the first embodiment of the present invention.
- FIG. 12 is a structural view of an ultrasound diagnostic apparatus of a second embodiment of the present invention.
- FIGS. 13A and 13B are graphs each showing a time series change of a central frequency of ultrasound
- FIG. 14 is a structural view of a main part of an ultrasound diagnostic apparatus of a third embodiment of the present invention.
- FIG. 15A is a view showing the change of a frequency spectrum due to reflection on a tissue
- FIG. 15B is a view showing the change of a frequency spectrum due to reflection on bubbles
- FIG. 16 is a view showing the change of a frequency spectrum of a bypass filter of FIG. 14 ;
- FIGS. 17A and 17B are views each showing an image difference between a case that no filter is provided and a case that the filter is provided.
- the ultrasound diagnostic apparatus of the present invention is applied to an ultrasound shadowing method for examining a flood flow state at high accuracy.
- ultrasonic shadowing agent is implanted to the blood of an examining human body.
- LevovistTM is used as ultrasonic shadowing agent.
- LevovistTM has minute bubbles as a main component. Acoustic impedance of bubbles is considerably low as compared with that of the tissue. Intensity of reflection at a boundary between the bubbles and the tissue is extremely larger than intensity of reflection at a boundary between the tissues. Therefore, the distribution of the bubbles is clearly expressed on an image as a distribution of the blood.
- FIG. 1 is a block diagram of an ultrasound diagnostic apparatus of a first embodiment of the present invention.
- an ultrasound probe 3 a sector-scan type, a linear-scan type, or the other type may be used.
- the ultrasound probe 3 has a piezoelectric element array at its top end.
- the ultrasound probe 3 is divided to a plurality of channels. For convenience, one piezoelectric element corresponds one channel.
- a transmission system 5 includes a clock generator 35 , a rate pulse generator 37 , a transmission delay circuit 39 , a variable voltage generating unit 41 , and a pulsar 43 .
- the clock generator 35 generates a clock pulse.
- the rate pulse generator 37 divides the clock pulse, and generates a rate pulse of, e.g., 5 KHz.
- the rate pulse serving as a trigger signal, is transmitted to the pulsar 43 through the transmission delay circuit 39 .
- the transmission delay circuit 39 distributes the rate pulse to correspond to the number of channels, and provides necessary delay time to each rate pulse so as to focus the ultrasound in a beam shape, and oscillate the ultrasound beam.
- the variable voltage generating unit 41 variably generates high voltage.
- the voltage generated by the voltage generating unit 41 is adjusted by a CPU 1 .
- the pulsar 43 includes a resonance circuit, which comprises capacitance C and inductance L, and a switch S. If the switch S is turned on by the rate pulse sent from the transmission delay circuit 39 , the high voltage, which is generated by the variable voltage generating unit 41 , is converted to a high frequency by the resonance circuit to be supplied to the piezoelectric element.
- the ultrasound radiated to the examining human body from the ultrasound probe 3 is reflected on the boundary of the acoustic impedance.
- the reflected wave is received at the ultrasound probe 3 , and converted to an electrical signal.
- the electrical signal is transmitted to a receiving system 7 .
- the receiving system 7 includes an amplifier 45 , a receiving delay circuit 47 , and an adder 49 .
- the electrical signal sent from the ultrasound probe 3 is transmitted to the adder 49 through the amplifier 45 , and the receiving delay circuit 47 every channel.
- the receiving delay circuit 47 provides a delay time, which is reserve to time at the time of transmission, same as the transmission delay time to the electrical signal.
- the adder 49 adds electrical signals of all channels. Thereby, an echo signal whose direction component is emphasized in accordance with delay time is generated.
- a B mode processing system 9 includes a detecting circuit 51 , a logarithmic amplifier 53 , and an analog-digital converter (A/D) 55 .
- the detecting circuit 51 detects an envelop of the echo signal sent from the adder 49 .
- the logarithmic amplifier 53 logarithmically amplifies the detected signal.
- the analog-digital converter 55 converts the logarithmically amplified signal to a digital signal. This digital signal is called as original data of a B mode image.
- the original data of the B mode image is sent to a display 33 through a digital-analog converter (D/A) 31 , and its variable density is displayed.
- D/A digital-analog converter
- a color flow mapping processing system 11 includes a mixer 57 , a low pass filter 59 , an analog-digital converter 61 , an MTI filter 63 , an auto-correlation device 65 , and a calculating section 67 .
- the mixer 57 and the low pass filter 59 form an orthogonal phase detecting circuit.
- the orthogonal phase detecting circuit extracts a deviation frequency component due to Doppler effect from the echo signal.
- the signal of the deviation frequency component is converted to a digital signal by the analog-digital converter 61 .
- the MIT filter 63 removes a crack component, and extract only a blood stream component having high moving speed from the signal of the deviation frequency component sent from the analog-digital converter 61 .
- the calculation section 67 generates a blood stream image based on the deviation frequency of the blood stream component.
- the blood stream image is a spatial distribution of blood speed, that of speed dispersion, or that of power.
- the digital signal of the blood stream image is called as original data of the blood stream image.
- Original data of the blood stream image is sent to a digital scan converter 13 .
- the digital scan converter 13 suitably interpolates original data of the blood stream image, and generates blood stream image data by scanning conversion.
- Blood flow image data is sent to a display 33 through the digital-analog converter (D/A) 31 so as to be color-displayed.
- D/A digital-analog converter
- a frame memory unit 15 , a TDC calculation section 17 , and a frame subtraction calculation section 19 are connected to the digital scan converter 13 .
- the frame memory unit 15 stores image data corresponding to a plurality of frames generated by the digital scan converter 13 .
- any one of B mode image data and blood stream image data may be used. The following will explain the case of B mode image data.
- the TDC calculation section 17 generates a time density curve of luminance (pixel value) of image data based on image data, which is directly supplied from the digital scan converter 13 or indirectly supplied through the frame memory unit 15 .
- the time density curve shows time series change of reflection density of the reflected wave.
- Image data used in generating time density carve data is selected by the CPU 1 .
- the time density curve is sent to the display 33 through the digital-analog converter 31 to be displayed as a time density curve.
- the frame subtraction calculation section 19 subtracts image data corresponding to two frames, which is directly supplied from the digital scan converter 13 or indirectly supplied through the frame memory unit 15 , Thereby, subtraction image data is generated.
- Differential image data shows a spatial distribution of the time serial change of luminance.
- Image data, corresponding two frames, used in generating subtraction image data is selected by the CPU 1 .
- An electro-cardiograph 21 and a console 23 are connected to the CPU 1 .
- the electro-cardiograph 21 detects an electrocardiographic wave of the examining human body.
- the console 23 includes a power button 25 for indicating that power of ultrasound transmitted from the probe 3 is changed from lower power to low power, a mode change switch 27 , a mouse 29 for setting region of interest, and a keyboard for inputting various conditions.
- power of ultrasound is defined in a form that sound pressure of the ultrasound is time-integrated.
- power of the ultrasound is increased.
- FIG. 3 shows a time series change of sound pressure of ultrasound in the first mode. Bubbles are implanted to the examining human body at time t 1 . Until the power button 25 is pressed at time t 2 , a first control signal is supplied to the variable voltage generating unit 41 from the CPU 1 . For the period of time, which is from time t 2 when the power button 25 is pressed to predetermined time ⁇ t, a second control signal is supplied to the variable voltage generating unit 41 from the CPU 1 . The length of predetermined time ⁇ t can be freely controlled by use of the console 23 by an operator. After time t 3 when predetermined time ⁇ t is passed since time t 2 , the control signal to be supplied to the variable voltage generating unit 41 from the CPU 1 is automatically returned to the first control signal.
- variable unit 41 When the first control signal is supplied to the variable voltage generating unit 41 from the CPU 1 , the variable unit 41 generates a first voltage.
- the variable unit 41 When the second control signal is supplied to the variable voltage generating unit 41 from the CPU 1 , the variable unit 41 generates a second voltage, which is higher than the first voltage.
- the ultrasound is transmitted from the ultrasonic probe 3 by first power (first sound pressure SP 1 ).
- first power first sound pressure SP 1
- second power second sound pressure SP 2
- a first amount of bubbles per unit time is broken by first power.
- a second amount of bubbles per unit time which is larger than the first amount, is broken by second power.
- the amount of bubbles broken by first power per unit time is absolutely smaller than the amount of bubbles broken by second power per unit time.
- FIG. 4A shows that a first image is lower than a second image in the spatial resolution, and the obtained image is unclear.
- the first image means an image, which is generated based on an echo signal obtained when a signal cross section of the examining human body is scanned by first power.
- the second image means an image, which is generated based on an echo signal obtained when a signal cross section of the examining human body is scanned by second power so as to obtain an echo signal.
- FIG. 4B shows that the second image is higher than the first image in the spatial resolution, and the obtained image is clear.
- FIG. 4C shows an image after the breakage of the bubbles.
- the operator If the operator wishes to confirm that the bubbles are fully introduced to the region of interest as motoring ( monitored as the unclear image), the operator pushes the power button 25 . Thereby, there can obtained an clear image for at least one frame by which high accurate diagnosis can be expected.
- first power is changed to second power.
- Second power is stronger than first power. Therefore, the image obtained by second power is clearer than image obtained by first power, and is fit for a high accurate diagnosis of the state of the blood stream.
- FIG. 5 shows a time series change of sound pressure of ultrasound in the second mode.
- a first period of time ⁇ t 1 when the cross section of the examining human body is scanned by the ultrasound of first power and second period of time ⁇ t 2 when the cross section of the examining human body is scanned by the ultrasound of second power are alternately repeated. In this case, no ultrasound may not beis not transmitted for the first period of time ⁇ t 1 .
- the first period of time ⁇ t 1 and the second period of time ⁇ t 2 are variable. The operator can individually adjust the first period of time ⁇ t 1 and second period of time ⁇ t 2 by use of the console 23 .
- the second period of time ⁇ t 2 may be synchronized with the electrocardiographic wave obtained from the electro-cardiograph.
- FIG. 6 is a time chart showing the flow of the generation of image data, that of the storage thereof, and that of the display thereof. In this time chart, for convenience, time delay relevant to image data transfer, writing, and reading is excepted. Time t 2 and t 3 of FIG. 6 correspond to time t 2 and t 3 , respectively.
- image data I 1 , I 2 , I 3 , . . . is repeatedly generated.
- Unclear image data I 1 to I 5 , I 11 to I 15 which is generated based on the echo signal obtained when the cross section of the examining human body is scanned by first power, is not stored in the frame memory unit 15 .
- Clear image data I 6 to I 10 which is generated based on the echo signal obtained when the cross section of the examining human body is scanned by second power, is stored in the frame memory unit 15 . More limitedly, image data I 6 , which is first generated after power of the ultrasound is changed from first power to second power, is surely stored in the frame memory unit 15 .
- first image data I 6 is generated when second power, which is stronger than first power, is used, and the bubbles are not broken, by the ultrasound of second power, the clearest image having the highest shadowing effect can be obtained.
- the bubbles are sharply broken if the bubbles are subjected to the ultrasound of second power.
- the shadowing effect of image data I 7 which is second generated after power of the ultrasound is changed from first power to second power, is reduced in accordance with the amount of the bubbles, which are broken by first second power.
- the clearest image I 6 having the highest shadowing effect is displayed as a static image of for a predetermined period of time ⁇ t since the power button 25 is pressed.
- Image I 6 is repeatedly read from the digital scan converter 13 at a fixed cycle.
- image data I 6 to I 10 which is generated after the power button 25 is pressed, is displayed as a motion image.
- image data I 6 to I 10 which is generated after the power button 25 is pressed, is displayed as a motion image.
- it is considerably difficult for the operator to capture first image data I 6 in consideration of the display period per one frame, e.g., 1/30 seconds. Due to this, it is preferable that first image data I 6 be displayed in the static state.
- Graphic data which shows a power state of the ultrasound prepared by the CPU 1 , is synthesized with image data by the digital scan converter 13 . Then, the power state of the ultrasound is displayed on the display 33 together with image data.
- the power state of the ultrasound is data for identifying whether the present ultrasound is transmitted by first power or second power.
- the ultrasound is fixed to first power SP 1 for the period of time when time density curve data is generated.
- Image data for the plurality of frames which is sequentially generated, is supplied to the TDC calculation section 17 from the digital scan converter 13 or the frame memory unit 15 .
- a pixel value (luminance) of a specific one pixel or a total value of the plurality of pixel values of the region of interest is extracted from image data of each frame, and calculated by the TDC calculation section 17 .
- Luminance of each image data is plotted at a position where a vertical axis corresponds to a luminance value and a horizontal axis corresponds to time.
- FIG. 7A data of time density curve is generated.
- the time density curve describes the state showing an inflow of shadowing agent to the region of interest and an outflow thereof.
- the second mode is selected by the CPU 1 .
- the change of power from first power SP 1 to second power SP 2 is intermittently repeated.
- the second period of time ⁇ t 2 when second power SP 2 is continued is automatically set to extremely short period of time, which is needed to break most of the bubbles of the region of interest, by the CPU 1 .
- the ultrasound is transmitted by second power SP 2 , the most of the bubbles of the region of interest are broken. After the most of the bubbles are broken, new bubbles flow to the region of interest together with the blood stream.
- the change of power from first power SP 1 to second power SP 2 is intermittently repeated. Thereby, the bubbles of the region of interest substantially disappear. Then, new bubbles repeatedly flow to the region of interest.
- the state sowing showing the inflow of shadowing agent to the region of interest and the outflow thereof can be repeatedly described by one density curve.
- Time density curve data generated by the TDC calculation section 17 is displayed on the display 33 as a time density curve showing time series change of luminance through the digital scan converter 13 , and the digital-analog converter 31 .
- the ultrasound of second power SP 2 is transmitted only to break the bubbles. Due to this, the ultrasound may be transmitted to scan not only the cross section of the examining human body but also a relatively wide three-dimensional region including the cross section of the examining human body.
- the ultrasonic probe 3 in which the plurality of piezoelectric elements are two-dimensionally arrayed is used.
- the delay control due to the transmission delay circuit 39 is changed so as to scan the three-dimensional region. Or, the scanning of the three-dimensional region is achieved by changing the delay control due to the transmission delay circuit 39 such that the ultrasound is not focused by the CPU 1 , that is, the ultrasound is dispersed. In the latter case, it is unnecessary to replace the probe in which the piezoelectric elements are one-dimensionally arrayed with the ultrasonic probe in which the piezoelectric elements are two-dimensionally arrayed.
- Image data for two fames that is, image data I 6 , which is first generated after power of the ultrasound is changed from first power to second power, and image data I 6 +n ⁇ 1, which is nth generated in a state that second power is maintained, is supplied to the frame subtraction calculating section 19 from the digital scan converter 13 or the frame memory unit 15 .
- n is 10 ⁇ n ⁇ 2, and is set, in advance, to a minimum number of transmissions, which is needed such that most of the bubbles are broken by the ultrasound of second power SP 2 .
- Image data for two frames that is, first generated image data I 6 and nth generated image data I 6 +n ⁇ 1, is subtracted from each other between the frames by the frame subtraction calculating section 19 .
- the shadowing effect of first generated image data I 6 is maximum.
- the shadowing effect of nth generated image data I 6 +n ⁇ 1 is lower than that of image data I 6 .
- the tissue portion is unchanged between two frames. There is generated subtraction image data in which the tissue portion is removed and only the spatial distribution of shadowing agent is extracted.
- Time density curve data generated by the TDC calculation section 17 is displayed on the display 33 as a time density curve showing time series change of luminance through the digital scan converter 13 , and the digital-analog converter 31 .
- the frame subtraction calculating section 19 can be modified as follows.
- the scanning step for scanning the cross section of the examining human body is changed.
- the cross section of the examining human body is scanned by ultrasonic scanning lines R 1 , R 2 , . . . R 120 .
- the receiving and transmitting of the ultrasound is repeated twice in connection with each of the ultrasonic scanning lines R 1 , R 2 , . . . R 120 .
- fr is a rate frequency
- 1/fr shows a cycle of the receiving and transmitting of the ultrasound.
- FIGS. 10C and 10D the ultrasound, which is first transmitted, is reflected on the bubble and the tissue. The bubbles are broken by the first ultrasound.
- the ultrasound transmitted which is transmitted at the second time, is reflected on only the tissue. Therefore, the echo signal, which is obtained at the first receiving and transmitting, includes the bubble component and the tissue component. The echo signal, which is obtained at the second receiving and transmitting, includes only the tissue component.
- an adder 71 and a delay circuit 73 serving as a subtraction circuit, are provided between the adder 49 of the receiving system 7 and the detecting circuit 51 of the B mode processing system 9 .
- the delay circuit 73 provides delay time of 1/fr to the echo signal sent from the adder 49 .
- the echo signal, which is obtained at the first receiving and transmitting, and the echo signal, which is obtained at the second receiving and transmitting, are synchronized with each other to be supplied to the delay circuit 73 . If these two echo signals are subtracted from each other by the adder 71 , the tissue component is removed, and only the bubble component remains.
- a subtraction circuit of FIG. 9B is a modification of FIG. 9 A.
- Line memories 75 and 77 , and a changer 79 are provided between the adder 71 and the detecting circuit 51 , and these memories and the changer 79 are added to the subtraction circuit of FIG. 9A , thereby making it possible to select execution/non-execution of the subtraction processing.
- a subtraction circuit of FIG. 9C provides a subtraction processing to a receiving signal before being added by the adder 49 . Similar to the subtraction circuit of FIG. 9A , a delay circuit 89 and an adder 91 are provided between a delay line 89 , which is provided every channel, and the adder 49 . The delay circuit 89 provides delay time of 1/fr to the receiving signal sent from the delay line 87 . The adder 91 is used to subtract the receiving signal, which is obtained at the first receiving and transmitting, and the receiving signal, which is obtained at the second receiving and transmitting, from each other.
- the receiving signal, which is obtained at the first receiving and transmitting, and the receiving signal, which is obtained at the second receiving and transmitting, are synchronized with each other to be supplied to the adder 91 . If these two receiving signals are subtracted from each other by the adder 91 , the tissue component is removed, and only the bubble component remains. By adding only the receiving signal in which the tissue component is removed and only the bubble component remains, the adder 49 obtains an echo signal in which the tissue component is removed and only the bubble component remains. By processing the echo signal in which the tissue component is removed and only the bubble remains, the B mode processing system 9 generates subtraction image data in which only the spatial distribution of shadowing agent is extracted.
- the transmission of the ultrasound may be performed for only the breakage of the bubbles.
- the above-explained first embodiment can be modified as shown in FIG. 11 .
- the changing of the first and second voltages was performed by the variable voltage generating unit 41 .
- This operation may be separated to a high voltage source 41 a for generating the second voltage and a low voltage source 41 b for generating the first voltage.
- the pulsar 43 may be separated to a first pulsar 43 a corresponding to the high voltage source 41 a and a second pulsar 43 b corresponding to the low voltage power source 41 b.
- the ultrasonic probe 3 may be separated to a first ultrasonic probe 3 a for the breakage of bubbles, which corresponds to the high voltage source 41 a, and a second ultrasonic probe 3 b for imaging, which corresponds to the low voltage source 41 b.
- FIG. 12 is a structural view of an ultrasound diagnostic apparatus of a second embodiment of the present invention.
- the same reference numerals as FIG. 1 are added to the portions common to FIG. 1 .
- power of the ultrasound was changed from first low power to second high power.
- a central frequency of the ultrasound is changed from a first frequency to a second frequency.
- the power source unit 42 generates a fixed voltage.
- power of the ultrasound is constant.
- a variable capacitor is used as a capacitor C of a resonance circuit of a pulse sequencer 44 .
- the CPU 1 sets the variable capacitor to a first capacity for the period of time when the cross section of the examining human body is scanned by ultrasound of first power in the first embodiment.
- the CPU 1 sets the variable capacitor to a second capacity for the period of time when the cross section of the examining human body is scanned by ultrasound of second power in the first embodiment. Thereby, an ultrasound is generated at a second central frequency from the ultrasonic probe 3 .
- FIG. 13A is a view showing a time series change of a central frequency of ultrasound in connection with FIG. 3 .
- FIG. 13B is a view showing a time series change of a central frequency of ultrasound in connection with FIG. 5 .
- the bubbles in the blood contract/expand like a spring by vibration of sound pressure of the ultrasound.
- Each of the bubbles has a peculiar resonance frequency in accordance with its diameter.
- the bubble contracts/expands by the peculiar resonance frequency, its amplitude shows a maximum diameter, and the breakage of the bubble advances most.
- the diameter of the bubble, which is actually implanted to the examining human body, is not fixed.
- the bubbles each having a diameter corresponding to the resonance frequency, which is other than the first central frequency, can be left until the central frequency of the ultrasound is changed from the first central frequency to the second central frequency by suitable timing.
- the voltage wave may be shaped based on a sinc function.
- FIG. 14 is a structural view of a main part of an ultrasound diagnostic apparatus of a third embodiment of the present invention.
- the structure other than the above main part is the same as the structure of the first and second embodiments.
- a changer 101 and a high pass filter (HPF) 103 are provided between the adder 49 and the detecting circuit 51 .
- the CPU 1 selectively supplies the first and second control signals. If the first control signal is supplied, the changer 101 directly connects the detecting circuit 61 to the output of the adder 49 . In this case, the structure is completely the same as the structure of the first and second embodiments. If the second control signal is supplied, the changer 101 indirectly connects the detecting circuit 61 to the output of the adder 49 through the high pass filter 103 . In this case, the low frequency component of the echo signal sent from the adder 49 is removed, and the high frequency component is extracted.
- FIG. 15A is a frequency spectrum of the ultrasound to be transmitted, and a frequency spectrum of a reflected wave reflected on the boundary of the tissues.
- the tissue substantially unchanges the frequency spectrum between the transmitted wave and the reflected wave.
- FIG. 15B is a frequency spectrum of the ultrasound to be transmitted, and a frequency spectrum of a reflected wave reflected on the boundary between the bubble and the tissue. Elasticity of the bubbles substantially changes the frequency spectrum between the transmitted wave and the reflected wave. For example, if the ultrasound is transmitted by the central frequency of 2 MHz, the high frequency component of 4 MH or 6 MHz is mixed to the frequency spectrum of the reflected wave.
- FIG. 16 shows a frequency characteristic of the high pass filter 103 .
- a cutoff frequency of the high pass filter 103 is set so as to pass the high frequency component, which is not included in the reflected wave of the tissue but included in only the reflected wave of the bubbles. Also, the cutoff frequency of the high pass filter 103 is set not to pass the low frequency component, which is included in both the reflected wave of the tissue and the reflected wave of the bubbles.
- the high frequency component of the echo signal passed through the high pass filter 103 thereby generating image data for mainly describing the spatial distribution of shadowing agent.
- the shadowing effect can be clearly confirmed.
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Abstract
According to an ultrasound diagnostic apparatus of the present invention, a cross section of an examining human body having bubbles implanted as ultrasonic shadowing agent is scanned by an ultrasound so as to obtain an echo signal. Image data is repeatedly generated based on the echo signal. Then, image data is displayed as a motion image. Power of the ultrasound to be transmitted is changed from first power to second power, which is stronger than first power. The ultrasound of first power breaks a first amount of bubbles. The ultrasound of second power, which is stronger than first power, breaks a second amount of bubbles, which is larger than the first amount of bubbles. Though the image generated by use of first power is unclear, the amount of breakage of bubbles can be extremely retrained. Since the image is used to examine the state of the bubble flow to the region of interest, unclearness can be allowed. When the bubbles are fully introduced to the region of interest, first power is changed to second power. Second power is stronger than first power. Therefore, the image obtained by second power is clearer than image obtained by first power, and is fit for a high accurate diagnosis of the state of the blood stream.
Description
Notice: More than one reissue application has been filed for the reissue of U.S. Pat. No. 5,694,937. In addition to the present reissue, continuation reissue application No. 11/109,884 had also been filed. Continuation reissue application No. 11/109,884 was filed on Apr. 20, 2005.
1. Field of the Invention
The present invention relates to an ultrasound diagnostic apparatus for implanting shadowing agent to an examining object so as to examine a blood stream state, and its method.
2. Description of the Related Art
Various kinds of apparatus have been used as a medical application of ultrasound. Particularly, there has been mainly used an ultrasound diagnostic apparatus for obtaining a tomographic image of a soft tissue of a human body by an ultrasonic pulse reflection method. This kind of the ultrasound diagnostic apparatus displays the tomographic image of the tissue in a non-harmful examination method. This kind of the ultrasound diagnostic apparatus has the following features as compared with the other apparatus such as an X-ray diagnostic apparatus, an X-ray CT apparatus, an MRI apparatus (magnetic resonance image apparatus) and other medical diagnostic apparatus.
More specifically, a real time display can be performed; the apparatus is small-sized, and the manufacturing cost is low, and the safety of using the apparatus is high, i.e., no suffering from X ray.
Due to this, ultrasound diagnosis has been widely performed in the examination of the heart, the abdomen, the mammary gland, the urinary organs, and the obstetrics and gynecology. Particularly, the beat of the heart and the state of the movement of an embryo can be display at real time by the simple operation in which an ultrasonic probe is only touched on a surface of the body. Moreover, the examination is repeatedly performed due to high safety, and the examination when the apparatus is moved to the head side can be easily performed. Furthermore, the technique for image-forming the blood stream, which is called as a color-doppler method, is peculiar to the ultrasound diagnosis. However, in the color-doppler method, a relatively thick blood vessel can be image-formed, but the examination of a capillary cannot be performed.
In order to solve the above problem, attention has been recently paid to a contrast echo method using ultrasonic shadowing agent. In the contrast echo method, intensity of reflection from the blood stream is increased, thereby making it possible to clearly image-form the blood vessels including from a relatively thick trunk blood vessel to the capillary. As ultrasonic shadowing agent, minute bubbles have mainly used.
As diagnostic data obtained by the contrast echo method, there are a time series change of a spatial distribution of a shadow portion, time from when the shadowing agent is implanted till the agent reaches a reason region of interest (ROI), a time density curve (TDC) of luminance, and maximum luminance.
The following will explain the principle of the shadowing effect briefly.
The bubbles have extremely small acoustic impedance, and the difference between the acoustic impedance of the bubbles and that of the tissue is extremely large. Therefore, intensity of reflection at a boundary between the bubbles and the tissue is extremely larger than intensity of reflection at a boundary between the tissues, so that the shadowing effect is exerted.
However, the following problem is present in the case of the bubbles.
If the bubbles receive ultrasound, the bubbles disappear by its sound pressure. The bubbles in the blood expand like a spring by vibration of the sound pressure. If the bubbles expand and contract by a resonance frequency in accordance with its diameter, amplitude of expansion and contraction shows a maximum diameter, and a reduction speed of an amount of bubbles becomes maximum.
All bubbles do not necessarily disappear at one time of receiving and transmitting ultrasound. However, by the repetition of receiving and transmitting ultrasound several times per one second, shadow agent substantially disappears instantaneously. Due to this, the shadowing effect is reflected on only the image for several frames, and it is difficult to confirm the shadowing effect on a motion image for 30 frames per second if the amount of implanted shadowing agent is small.
In order to solve the above problem, output power (sound pressure) of ultrasound may be reduced to the extent that shadowing agent does not appear for a fixed period of time. However, the reduction of output power lowers spatial resolution. Also, in order to solve this problem, concentration of shadowing agent to be implanted may be increased, or shadowing agent may be repeatedly implanted. However, in consideration of danger to the examining human body, this method is unfavorable.
In order to extend the life of the shadowing agent, it is preferable to scan the examining human body with ultrasound of low power. In this case, however, the contrast is lowered. In order to obtain an image of a high contrast, on the other hand, it is necessary to scan the examining human body with ultrasound of a high power. In this case, however, the use of the high-power ultrasound will shorten the life of the shadowing agent. In order to make the life of the shadowing agent as long as possible and, at the same time, obtain a high contrast image, it may be considered that the examining human body be scanned, only once for a few seconds, with the high-power ultrasound. This method, however, poses the problem of a lowered time resolution.
The present invention relates to an ultrasound diagnostic apparatus, which can improve efficiency of using ultrasonic shadowing agent, and its method.
According to a first aspect of the present invention, there is provided an ultrasound diagnostic apparatus comprising scanning means for repeatedly scanning a cross section of an examining human body having bubbles implanted as ultrasonic shadowing agent by an ultrasound so as to collect an echo signal; image generating means for repeatedly generating image data based on the echo signal; displaying means for displaying the generated image data as a motion image; and changing means for changing power of the ultrasound from first power to second power stronger than the first power.
According to a second aspect of the present invention, there is provided an ultrasound diagnostic apparatus comprising scanning means for repeatedly scanning a cross section of an examining human body having bubbles implanted as ultrasonic shadowing agent by an ultrasound so as to repeat an echo signal; image generating means for repeatedly generating image data based on the echo signal; displaying means for displaying the generated image data as a motion image; and changing means for changing a frequency of the ultrasound from a first frequency to a second frequency.
According to a third aspect of the present invention, there is provided an ultrasound imaging method, which repeatedly scans a cross section of an examining human body having bubbles implanted as ultrasonic shadowing agent by an ultrasound so as to obtain an echo signal, repeatedly generates image data based on the echo signal, and displays the generated image data as a motion image, comprising a first step of scanning the ultrasound by first power; and a second step of scanning the ultrasound by second power stronger than the first power after scanning the ultrasound by the first power.
According to a fourth aspect of the present invention, there is provided an ultrasound imaging method, which transmits an ultrasound to an examining human body having bubbles implanted as ultrasonic shadowing agent, receives a reflected wave from the examining human body so as to repeatedly obtain an echo signal of a cross section of the examining human body, repeatedly generates image data based on the echo signal, and displays the generated image data as a motion image, comprising a first step of scanning the ultrasound by a first frequency; and a second step of scanning the ultrasound by a second frequency after scanning the ultrasound by the first frequency.
According to the above-mentioned present invention, a cross section of an examining human body having bubbles implanted as ultrasonic shadowing agent is scanned by an ultrasound so as to obtain an echo signal. Image data is repeatedly generated based on the echo signal. Then, image data is displayed as a motion image. Power of the ultrasound to be transmitted is changed from first power to second power, which is stronger than first power. The ultrasound of first power breaks a first amount of bubbles. The ultrasound of second power, which is stronger than first power, breaks a second amount of bubbles, which is larger than the first amount of bubbles. Though the image generated by use of first power is unclear, the amount of breakage of bubbles can be extremely retrained. Since the image is used to examine the state of the bubble flow to the region of interest, unclearness can be allowed. When the bubbles are fully introduced to the region of interest, first power is changed to second power. Second power is stronger than first power. Therefore, the image obtained by second power is clearer than image obtained by first power, and is fit for a high accurate diagnosis of the state of the blood stream.
Additional objects and advantages of the invention will be set forth in the description which follows, and in part will be obvious from the description, or may be learned by practice of the invention. The objects and advantages of the invention may be realized and obtained by means of the instrumentalities and combinations particularly pointed out in the appended claims.
The accompanying drawings, which are incorporated in and constitute a part of the specification, illustrate presently preferred embodiments of the invention and, together with the general description given above and the detailed description of the preferred embodiments given below, serve to explain the principles of the invention.
The ultrasound diagnostic apparatus of the present invention is applied to an ultrasound shadowing method for examining a flood flow state at high accuracy. In the ultrasound shadowing method, ultrasonic shadowing agent is implanted to the blood of an examining human body. Levovist™ is used as ultrasonic shadowing agent. Levovist™ has minute bubbles as a main component. Acoustic impedance of bubbles is considerably low as compared with that of the tissue. Intensity of reflection at a boundary between the bubbles and the tissue is extremely larger than intensity of reflection at a boundary between the tissues. Therefore, the distribution of the bubbles is clearly expressed on an image as a distribution of the blood.
A transmission system 5 includes a clock generator 35, a rate pulse generator 37, a transmission delay circuit 39, a variable voltage generating unit 41, and a pulsar 43. The clock generator 35 generates a clock pulse. The rate pulse generator 37 divides the clock pulse, and generates a rate pulse of, e.g., 5 KHz. The rate pulse, serving as a trigger signal, is transmitted to the pulsar 43 through the transmission delay circuit 39. The transmission delay circuit 39 distributes the rate pulse to correspond to the number of channels, and provides necessary delay time to each rate pulse so as to focus the ultrasound in a beam shape, and oscillate the ultrasound beam. The variable voltage generating unit 41 variably generates high voltage. The voltage generated by the voltage generating unit 41 is adjusted by a CPU 1. As shown in FIG. 2 , the pulsar 43 includes a resonance circuit, which comprises capacitance C and inductance L, and a switch S. If the switch S is turned on by the rate pulse sent from the transmission delay circuit 39, the high voltage, which is generated by the variable voltage generating unit 41, is converted to a high frequency by the resonance circuit to be supplied to the piezoelectric element.
The ultrasound radiated to the examining human body from the ultrasound probe 3 is reflected on the boundary of the acoustic impedance. The reflected wave is received at the ultrasound probe 3, and converted to an electrical signal. The electrical signal is transmitted to a receiving system 7.
The receiving system 7 includes an amplifier 45, a receiving delay circuit 47, and an adder 49. The electrical signal sent from the ultrasound probe 3 is transmitted to the adder 49 through the amplifier 45, and the receiving delay circuit 47 every channel. The receiving delay circuit 47 provides a delay time, which is reserve to time at the time of transmission, same as the transmission delay time to the electrical signal. The adder 49 adds electrical signals of all channels. Thereby, an echo signal whose direction component is emphasized in accordance with delay time is generated.
A B mode processing system 9 includes a detecting circuit 51, a logarithmic amplifier 53, and an analog-digital converter (A/D) 55.
The detecting circuit 51 detects an envelop of the echo signal sent from the adder 49. The logarithmic amplifier 53 logarithmically amplifies the detected signal. The analog-digital converter 55 converts the logarithmically amplified signal to a digital signal. This digital signal is called as original data of a B mode image. The original data of the B mode image is sent to a display 33 through a digital-analog converter (D/A) 31, and its variable density is displayed.
A color flow mapping processing system 11 includes a mixer 57, a low pass filter 59, an analog-digital converter 61, an MTI filter 63, an auto-correlation device 65, and a calculating section 67. The mixer 57 and the low pass filter 59 form an orthogonal phase detecting circuit. The orthogonal phase detecting circuit extracts a deviation frequency component due to Doppler effect from the echo signal. The signal of the deviation frequency component is converted to a digital signal by the analog-digital converter 61. The MIT filter 63 removes a crack component, and extract only a blood stream component having high moving speed from the signal of the deviation frequency component sent from the analog-digital converter 61. The calculation section 67 generates a blood stream image based on the deviation frequency of the blood stream component. The blood stream image is a spatial distribution of blood speed, that of speed dispersion, or that of power. The digital signal of the blood stream image is called as original data of the blood stream image. Original data of the blood stream image is sent to a digital scan converter 13. The digital scan converter 13 suitably interpolates original data of the blood stream image, and generates blood stream image data by scanning conversion. Blood flow image data is sent to a display 33 through the digital-analog converter (D/A) 31 so as to be color-displayed.
A frame memory unit 15, a TDC calculation section 17, and a frame subtraction calculation section 19 are connected to the digital scan converter 13. The frame memory unit 15 stores image data corresponding to a plurality of frames generated by the digital scan converter 13. In this case, any one of B mode image data and blood stream image data may be used. The following will explain the case of B mode image data.
More specifically, writing and reading of image data to/from the frame memory unit 15 is controlled by CPU 1. The TDC calculation section 17 generates a time density curve of luminance (pixel value) of image data based on image data, which is directly supplied from the digital scan converter 13 or indirectly supplied through the frame memory unit 15. The time density curve shows time series change of reflection density of the reflected wave. Image data used in generating time density carve data is selected by the CPU 1. The time density curve is sent to the display 33 through the digital-analog converter 31 to be displayed as a time density curve. The frame subtraction calculation section 19 subtracts image data corresponding to two frames, which is directly supplied from the digital scan converter 13 or indirectly supplied through the frame memory unit 15, Thereby, subtraction image data is generated. Differential image data shows a spatial distribution of the time serial change of luminance. Image data, corresponding two frames, used in generating subtraction image data is selected by the CPU 1.
An electro-cardiograph 21 and a console 23 are connected to the CPU 1. The electro-cardiograph 21 detects an electrocardiographic wave of the examining human body. The console 23 includes a power button 25 for indicating that power of ultrasound transmitted from the probe 3 is changed from lower power to low power, a mode change switch 27, a mouse 29 for setting region of interest, and a keyboard for inputting various conditions.
The following will explain an operation of the embodiment of the present invention. In this case, power of ultrasound is defined in a form that sound pressure of the ultrasound is time-integrated. By enhancing amplitude of the voltage applied to the probe or increasing the number of pulse waves, power of the ultrasound is increased.
(First Mode)
When the first control signal is supplied to the variable voltage generating unit 41 from the CPU 1, the variable unit 41 generates a first voltage. When the second control signal is supplied to the variable voltage generating unit 41 from the CPU 1, the variable unit 41 generates a second voltage, which is higher than the first voltage.
When the ultrasonic probe 3 is driven by the first voltage, the ultrasound is transmitted from the ultrasonic probe 3 by first power (first sound pressure SP1). When the ultrasonic probe 3 is driven by the second voltage, the ultrasound is transmitted from the ultrasonic probe 3 by second power (second sound pressure SP2), which is larger than the first power.
A first amount of bubbles per unit time is broken by first power. A second amount of bubbles per unit time, which is larger than the first amount, is broken by second power. The amount of bubbles broken by first power per unit time is absolutely smaller than the amount of bubbles broken by second power per unit time.
Most of the bubbles are subjected to radiation of the ultrasound of second power so as to be broken for an extremely short period of time. FIG. 4C shows an image after the breakage of the bubbles.
If the operator wishes to confirm that the bubbles are fully introduced to the region of interest as motoring (monitored as the unclear image), the operator pushes the power button 25. Thereby, there can obtained an clear image for at least one frame by which high accurate diagnosis can be expected.
Though the image generated by use of first power is unclear, the amount of breakage of bubbles can be extremely retrained restrained. Since the image is used to examine the state of the bubble flow to the region of interest, unclearness can be allowed. When the bubbles are fully introduced to the region of interest, first power is changed to second power. Second power is stronger than first power. Therefore, the image obtained by second power is clearer than image obtained by first power, and is fit for a high accurate diagnosis of the state of the blood stream.
(Second Mode)
Most of the bubbles of the region of interest are broken at the second period of time Δt2. Then, at the next period of time Δt1, new bubbles flows into the region of interest together with the blood stream. At the next period of time Δt2, image data having clearness and high shadowing effect can be obtained.
Since the first period of time Δt1 and the second period of time Δt2 are alternately repeated, image data having clearness and high shadowing effect can be repeatedly obtained by one bubble implantation. The second period of time Δt2 may be synchronized with the electrocardiographic wave obtained from the electro-cardiograph.
If the cross section of the examining human body is repeatedly scanned by the ultrasound, image data I1, I2, I3, . . . is repeatedly generated. Unclear image data I1 to I5, I11 to I15, which is generated based on the echo signal obtained when the cross section of the examining human body is scanned by first power, is not stored in the frame memory unit 15. Clear image data I6 to I10, which is generated based on the echo signal obtained when the cross section of the examining human body is scanned by second power, is stored in the frame memory unit 15. More limitedly, image data I6, which is first generated after power of the ultrasound is changed from first power to second power, is surely stored in the frame memory unit 15. Since first image data I6 is generated when second power, which is stronger than first power, is used, and the bubbles are not broken, by the ultrasound of second power, the clearest image having the highest shadowing effect can be obtained. The bubbles are sharply broken if the bubbles are subjected to the ultrasound of second power. As compared with first image data I6, the shadowing effect of image data I7, which is second generated after power of the ultrasound is changed from first power to second power, is reduced in accordance with the amount of the bubbles, which are broken by first second power.
The clearest image I6 having the highest shadowing effect is displayed as a static image of for a predetermined period of time Δt since the power button 25 is pressed. Image I6 is repeatedly read from the digital scan converter 13 at a fixed cycle. Moreover, image data I6 to I10, which is generated after the power button 25 is pressed, is displayed as a motion image. However, in the case that image data is displayed as a motion image, it is considerably difficult for the operator to capture first image data I6, in consideration of the display period per one frame, e.g., 1/30 seconds. Due to this, it is preferable that first image data I6 be displayed in the static state.
Graphic data, which shows a power state of the ultrasound prepared by the CPU 1, is synthesized with image data by the digital scan converter 13. Then, the power state of the ultrasound is displayed on the display 33 together with image data. In this case, the power state of the ultrasound is data for identifying whether the present ultrasound is transmitted by first power or second power.
Next, the following will explain the generation of time density curve data due to the TDC calculation section 17.
First, the conventional method for generating time density curve data will be explained as follows.
More specifically, the ultrasound is fixed to first power SP1 for the period of time when time density curve data is generated. Image data for the plurality of frames, which is sequentially generated, is supplied to the TDC calculation section 17 from the digital scan converter 13 or the frame memory unit 15. A pixel value (luminance) of a specific one pixel or a total value of the plurality of pixel values of the region of interest is extracted from image data of each frame, and calculated by the TDC calculation section 17. Luminance of each image data is plotted at a position where a vertical axis corresponds to a luminance value and a horizontal axis corresponds to time. As shown in FIG. 7A , data of time density curve is generated. The time density curve describes the state showing an inflow of shadowing agent to the region of interest and an outflow thereof.
The following will explain a method for generating time density curve data of the embodiment of the present invention with reference to FIG. 7B.
When time density curve data is generated, the second mode is selected by the CPU 1. In other words, the change of power from first power SP1 to second power SP2 is intermittently repeated. The second period of time Δt2 when second power SP2 is continued is automatically set to extremely short period of time, which is needed to break most of the bubbles of the region of interest, by the CPU 1. If the ultrasound is transmitted by second power SP2, the most of the bubbles of the region of interest are broken. After the most of the bubbles are broken, new bubbles flow to the region of interest together with the blood stream. The change of power from first power SP1 to second power SP2 is intermittently repeated. Thereby, the bubbles of the region of interest substantially disappear. Then, new bubbles repeatedly flow to the region of interest. The state sowing showing the inflow of shadowing agent to the region of interest and the outflow thereof can be repeatedly described by one density curve.
Time density curve data generated by the TDC calculation section 17 is displayed on the display 33 as a time density curve showing time series change of luminance through the digital scan converter 13, and the digital-analog converter 31.
The ultrasound of second power SP2 is transmitted only to break the bubbles. Due to this, the ultrasound may be transmitted to scan not only the cross section of the examining human body but also a relatively wide three-dimensional region including the cross section of the examining human body. In this case, the ultrasonic probe 3 in which the plurality of piezoelectric elements are two-dimensionally arrayed is used. The delay control due to the transmission delay circuit 39 is changed so as to scan the three-dimensional region. Or, the scanning of the three-dimensional region is achieved by changing the delay control due to the transmission delay circuit 39 such that the ultrasound is not focused by the CPU 1, that is, the ultrasound is dispersed. In the latter case, it is unnecessary to replace the probe in which the piezoelectric elements are one-dimensionally arrayed with the ultrasonic probe in which the piezoelectric elements are two-dimensionally arrayed.
The following will explain the subtraction processing of the embodiment of the present invention with reference to FIG. 8. In this case, it is assumed that the first mode of FIG. 3 is executed.
Image data for two fames, that is, image data I6, which is first generated after power of the ultrasound is changed from first power to second power, and image data I6+n−1, which is nth generated in a state that second power is maintained, is supplied to the frame subtraction calculating section 19 from the digital scan converter 13 or the frame memory unit 15. In this case, n is 10≧n≧2, and is set, in advance, to a minimum number of transmissions, which is needed such that most of the bubbles are broken by the ultrasound of second power SP2.
Image data for two frames, that is, first generated image data I6 and nth generated image data I6+n−1, is subtracted from each other between the frames by the frame subtraction calculating section 19. The shadowing effect of first generated image data I6 is maximum. Then, the shadowing effect of nth generated image data I6+n−1 is lower than that of image data I6. The tissue portion is unchanged between two frames. There is generated subtraction image data in which the tissue portion is removed and only the spatial distribution of shadowing agent is extracted.
Time density curve data generated by the TDC calculation section 17 is displayed on the display 33 as a time density curve showing time series change of luminance through the digital scan converter 13, and the digital-analog converter 31.
The frame subtraction calculating section 19 can be modified as follows.
More specifically, in the modification, the scanning step for scanning the cross section of the examining human body is changed. As shown in FIG. 10A , the cross section of the examining human body is scanned by ultrasonic scanning lines R1, R2, . . . R120. As shown in FIG. 10B , the receiving and transmitting of the ultrasound is repeated twice in connection with each of the ultrasonic scanning lines R1, R2, . . . R120. In FIG. 10B , fr is a rate frequency, and 1/fr shows a cycle of the receiving and transmitting of the ultrasound. As shown in FIGS. 10C and 10D , the ultrasound, which is first transmitted, is reflected on the bubble and the tissue. The bubbles are broken by the first ultrasound. As shown in FIGS. 10E and 10F , the ultrasound transmitted, which is transmitted at the second time, is reflected on only the tissue. Therefore, the echo signal, which is obtained at the first receiving and transmitting, includes the bubble component and the tissue component. The echo signal, which is obtained at the second receiving and transmitting, includes only the tissue component.
As shown in FIG. 9A , an adder 71 and a delay circuit 73, serving as a subtraction circuit, are provided between the adder 49 of the receiving system 7 and the detecting circuit 51 of the B mode processing system 9. The delay circuit 73 provides delay time of 1/fr to the echo signal sent from the adder 49. The echo signal, which is obtained at the first receiving and transmitting, and the echo signal, which is obtained at the second receiving and transmitting, are synchronized with each other to be supplied to the delay circuit 73. If these two echo signals are subtracted from each other by the adder 71, the tissue component is removed, and only the bubble component remains. By processing the echo signal in which the tissue component is removed and only the bubble remains, the B mode processing system 9 generates subtraction image data in which only the spatial distribution of shadowing agent is extracted. A subtraction circuit of FIG. 9B is a modification of FIG. 9A. Line memories 75 and 77, and a changer 79 are provided between the adder 71 and the detecting circuit 51, and these memories and the changer 79 are added to the subtraction circuit of FIG. 9A , thereby making it possible to select execution/non-execution of the subtraction processing.
A subtraction circuit of FIG. 9C provides a subtraction processing to a receiving signal before being added by the adder 49. Similar to the subtraction circuit of FIG. 9A , a delay circuit 89 and an adder 91 are provided between a delay line 89, which is provided every channel, and the adder 49. The delay circuit 89 provides delay time of 1/fr to the receiving signal sent from the delay line 87. The adder 91 is used to subtract the receiving signal, which is obtained at the first receiving and transmitting, and the receiving signal, which is obtained at the second receiving and transmitting, from each other. The receiving signal, which is obtained at the first receiving and transmitting, and the receiving signal, which is obtained at the second receiving and transmitting, are synchronized with each other to be supplied to the adder 91. If these two receiving signals are subtracted from each other by the adder 91, the tissue component is removed, and only the bubble component remains. By adding only the receiving signal in which the tissue component is removed and only the bubble component remains, the adder 49 obtains an echo signal in which the tissue component is removed and only the bubble component remains. By processing the echo signal in which the tissue component is removed and only the bubble remains, the B mode processing system 9 generates subtraction image data in which only the spatial distribution of shadowing agent is extracted.
For the period of time when the receiving and transmitting of the ultrasound is repeated twice in connection with each of the ultrasonic scanning lines R1, R2, . . . R120, the transmission of the ultrasound may be performed for only the breakage of the bubbles.
The above-explained first embodiment can be modified as shown in FIG. 11. In the explanation of the first embodiment, the changing of the first and second voltages was performed by the variable voltage generating unit 41. This operation may be separated to a high voltage source 41a for generating the second voltage and a low voltage source 41b for generating the first voltage. Moreover, the pulsar 43 may be separated to a first pulsar 43a corresponding to the high voltage source 41a and a second pulsar 43b corresponding to the low voltage power source 41b. Furthermore, the ultrasonic probe 3 may be separated to a first ultrasonic probe 3a for the breakage of bubbles, which corresponds to the high voltage source 41a, and a second ultrasonic probe 3b for imaging, which corresponds to the low voltage source 41b.
(Second Embodiment)
The bubbles in the blood contract/expand like a spring by vibration of sound pressure of the ultrasound. Each of the bubbles has a peculiar resonance frequency in accordance with its diameter. When the bubble contracts/expands by the peculiar resonance frequency, its amplitude shows a maximum diameter, and the breakage of the bubble advances most. The diameter of the bubble, which is actually implanted to the examining human body, is not fixed.
When the ultrasound of the first central frequency is transmitted, most of the bubbles each having a diameter corresponding to the resonance frequency, which is the same as the first central frequency, are broken. Then, most of the bubbles each having a diameter corresponding to the resonance frequency, which is other than the first central frequency, are not broken.
When the ultrasound of the second central frequency is transmitted, most of the bubbles each having a diameter corresponding to the resonance frequency, which is the same as the second central frequency, are broken. Then, most of the bubbles each having a diameter corresponding to the resonance frequency, which is other than the second central frequency, are not broken.
In other words, when the cross section of the examining human body is scanned by the ultrasound of the first central frequency to observe the inflow of the bubbles to the region of interest, most of the bubbles each having a diameter corresponding to the resonance frequency, which is the same as the first central frequency, are broken. Then, most of the bubbles each having a diameter corresponding to the resonance frequency, which is other than the first central frequency, remain without being broken.
The bubbles each having a diameter corresponding to the resonance frequency, which is other than the first central frequency, can be left until the central frequency of the ultrasound is changed from the first central frequency to the second central frequency by suitable timing. This means the same advantage as the case of the first embodiment. That is, the cross section of the examining human body is scanned by the ultrasound of the first low power, so that the breakage of the bubbles is extremely restrained.
In order to extremely restrain the amount of the breakage of the bubbles by the ultrasound of the first central frequency, it is useful to sharply narrow the band of the ultrasound. For this purpose, the voltage wave may be shaped based on a sinc function.
(Third Embodiment)
As shown in FIGS. 17A and 17B , according to the third embodiment, the shadowing effect can be clearly confirmed.
Additional advantages and modifications will readily occur to those skilled in the art. Therefore, the invention in its broader aspects is not limited to the specific details, representative devices, and illustrated examples shown and described herein. Accordingly, various modifications may be made without departing from the spirit or scope of the general inventive concept as defined by the appended claims and their equivalents.
Claims (70)
1. An ultrasound diagnostic apparatus comprising:
scanning means for repeatedly scanning a cross section of an examining human body having implanted bubbles as an ultrasonic shadowing agent with an ultrasound to collect an echo signal;
image data obtaining means for repeatedly obtaining image data based on said echo signal;
displaying means for displaying said obtained image data as a motion image;
changing means for repeatedly changing power of said ultrasound from first power to second power stronger than said first power; and and from the second power to the first power;
storing means for selectively storing the image data obtained from the obtaining means during a time period in which the cross section of the examining body is scanned with the ultrasound of the second power; and
the motion image displayed by said displaying means being an image of ultrasonic shadowing agent flow as produced by the first power ultrasound, with the displayed motion image being reset by breaking of the implanted bubbles of the shadow agent upon application of ultrasound of the second power.
2. The apparatus according to claim 1 , wherein said power is sound pressure.
3. The apparatus according to claim 1 , wherein said scanning means includes a piezoelectric element group and voltage generating means for variably generating a voltage for driving said piezoelectric element group, and said changing means changes the voltage generated by said voltage generating means from a first voltage corresponding to said first power to a second voltage corresponding to said second power and being higher than said first voltage.
4. The apparatus according to claim 1 , wherein said image data obtain means includes means for storing image data first obtained after said power of the ultrasound is changed from said first power to said second power.
5. The apparatus according to claim 1 , wherein said displaying means includes means for displaying image data first obtained after said power of the ultrasound is changed from said first power to said second power as a static image.
6. The apparatus according to claim 1 , further comprising inputting means for manually designating a change of power from said first power to said second power.
7. The apparatus according to claim 1 , wherein said changing means includes means for returning power of said ultrasound to said first power after the scanning is continued for a predetermined period of time by said second power.
8. The apparatus according to claim 1 , wherein said image data obtaining means includes means for subtracting image data, first obtained after said power of the ultrasound is changed from said first power to said second power, and image data, nth obtained after said power of the ultrasound is changed from said first power to said second power, from each other between frames.
9. The apparatus according to claim 1 , wherein said scanning means scans plural ultrasonic scanning lines and includes means for repeating a receiving and transmitting operation twice in connection with each of said ultrasonic scanning lines, and means for subtracting the echo signal obtained by the first receiving and transmitting operation and the echo signal obtained by the second receiving and transmitting operation from each other, and said image data obtaining means obtains image data based on said subtracted echo signal.
10. The apparatus according to claim 1 , wherein said scanning means includes means for extracting a high frequency component from said echo signal, and said image data obtaining means obtains image data based on said high frequency component.
11. The apparatus according to claim 1 , wherein said displaying means includes means for displaying a power state of said ultrasound.
12. The apparatus according to claim 1 , wherein said image obtaining means includes means for obtaining a time density curve of a pixel value of said image data.
13. The apparatus according to claim 1 , wherein said scanning means includes first means for generating the ultrasound by said first power, and second means for generating the ultrasound by said second power.
14. An ultrasound diagnostic apparatus comprising:
scanning means for repeatedly scanning a cross section of an examining human body having implanted bubbles as an ultrasonic shadowing agent with an ultrasound to repeat an echo signal;
image obtaining means for repeatedly obtaining image data based on said echo signal;
displaying means for displaying said generated image data as a motion image;
changing means for repeatedly changing a frequency of said ultrasound from a first frequency to a second frequency; and and from the second frequency to the first frequency;
storing means for selectively storing the image data obtained from the obtaining means during a time period in which the cross section of the examining human being is scanned with the ultrasound of the second frequency; and
the motion image displayed by said displaying means being an image of ultrasonic shadowing agent flow as produced by the first frequency ultrasound, with the displayed motion image being reset by breaking of the implanted bubbles of the shadow agent upon application of ultrasound of the second frequency.
15. The apparatus according to claim 14 , wherein said image obtaining means includes means for storing image data first obtained after said frequency of the ultrasound is changed from said first frequency to said second frequency.
16. The apparatus according to claim 14 , wherein said displaying means includes means for displaying image data first obtained after said frequency of the ultrasound is changed from said first frequency to said second frequency as a static image.
17. The apparatus according to claim 14 , further comprising inputting means for manually designating a change of the frequency from said first frequency to said second frequency.
18. The apparatus according to claim 14 , wherein said changing means includes means for returning the frequency of said ultrasound to said first frequency after the scanning is continued for a predetermined period of time by said second frequency.
19. The apparatus according to claim 14 , wherein said image obtaining means includes means for subtracting image data, first obtained after said frequency of the ultrasound is changed from said first frequency to said second frequency, and image data, subsequently obtained after said frequency of the ultrasound is changed from said first frequency to said second frequency, from each other between frames.
20. The apparatus according to claim 14 , wherein said scanning means scans plural ultrasonic scanning lines and includes means for repeating a receiving and transmitting operation twice in connection with each of said ultrasonic scanning lines, and means for subtracting the echo signal obtained by the first receiving and transmitting operation and the echo signal obtained by the second receiving and transmitting operation from each other, and said image generating means generates image data based on said subtracted echo signal.
21. The apparatus according to claim 14 , wherein said scanning means includes means for extracting a high frequency component from said echo signal, and said image data obtaining means obtains image data based on said high frequency component.
22. The apparatus according to claim 14 , wherein said displaying means includes means for displaying a frequency state of said ultrasound.
23. The apparatus according to claim 14 , wherein said image obtaining means includes means for obtaining a time density curve of a pixel value of said image data.
24. An ultrasound imaging method, which repeatedly scans a cross section of an examining human body having implanted bubbles as an ultrasonic shadowing agent with an ultrasound to obtain an echo signal, repeatedly obtains image data based on said echo signal, and displays said image data as a motion image, comprising:
a first step of scanning said ultrasound by first power;
a second step of scanning said ultrasound by second power stronger than said first power after scanning said ultrasound by said first power; and
a third step of selectively storing the image data obtained during a time period in which the cross section of the examining human body is scanned with the ultrasound of the second power; and
a fourth step of displaying a motion image of the ultrasonic shadowing agent flow produced by the first power ultrasound, with the displayed motion image being reset by breaking of the implanted bubbles of the shadow agent upon application of ultrasound of the second power.
25. The method according to claim 24 , wherein said power is sound pressure.
26. The method according to claim 25 , further comprising a third step of returning power of said ultrasound to said first power after the scanning is continued for a predetermined period of time by said second power.
27. An ultrasound imaging method, which repeatedly scans a cross section of an examining human body having implanted bubbles as an ultrasonic shadowing agent with an ultrasound to obtain an echo signal, repeatedly obtains image data based on said echo signal, and displays said image data as a motion image, comprising:
a first step of scanning said ultrasound by first power;
a second step of scanning said ultrasound by second power stronger than said first power after scanning said ultrasound by said first power; and
a third step of selectively storing the image data obtained during a time period in which the cross section of the examining human body is scanned with the ultrasound of the second frequency power.
28. The method according to claim 27 , further comprising a third step of returning the frequency of said ultrasound to said first frequency power after the scanning is continued for a predetermined period of time by said second frequency power.
29. The apparatus of claim 10 , wherein said high frequency component includes at least a harmonic greater than a first harmonic of a frequency of the ultrasound signal.
30. An ultrasound diagnostic apparatus comprising:
a transducer configured to transmit ultrasound to a human body having implanted bubbles and to receive an echo signal corresponding to an ultrasound echo from the human body;
a transmission mechanism configured to apply a first drive signal and then a second drive signal successively to said transducer, said first drive signal having a first characteristic resulting in said transducer generating a respective first echo signal representative of a first quality image and said second drive signal having a second characteristic resulting in said transducer generating a respective second echo signal representative of a second quality image higher than the first quality;
a processor configured to generate first and second display image data corresponding to said first and second quality images; and
a display configured to display a motion image of implanted bubbles as produced by application of the first drive signal, with the displayed motion image being reset by breaking of the implanted bubbles upon application of the second drive signal.
31. The apparatus of claim 30 , wherein said transmission mechanism is configured to apply said first and second drive signals to said transducer during respective first and second time periods and comprises a selection mechanism configured to variably select at least one of said first and second time periods.
32. The apparatus of claim 31 , wherein said transmission mechanism comprises a user interface by which a user can manually variably select duration of at least one of said first and second time periods.
33. The apparatus of claim 32 , wherein said transmission mechanism is configured to apply first drive signals having a first power level and second drive signals having a second power level greater than said first power level.
34. The apparatus of claim 32 , wherein said transmission mechanism is configured to apply first drive signals having a first frequency and second drive signals having a second frequency different form said first frequency.
35. The apparatus of claim 32 , wherein said transmission mechanism is configured to apply first drive signals having a first pulse repetition rate and second drive signals having a second pulse repetition rate greater than said first pulse repetition rate.
36. The apparatus of claim 30 , wherein said transmission mechanism is configured to apply first drive signals having a first power level and second drive signals having a second power level greater than said first power level.
37. The apparatus of claim 30 , wherein said transmission mechanism is configured to apply first drive signals having a first frequency and second drive signals having a second frequency different from said first frequency.
38. The apparatus of claim 30 , wherein said transmission mechanism is configured to apply first drive signals having a first pulse repetition rate and second drive signals having a second pulse repetition rate greater than said first pulse repetition rate.
39. The apparatus of claim 30 , wherein said processor comprises a high pass filter which extracts high frequency components from the second echo signals and is configured to generate said second display image data based on the high frequency components extracted by said filter.
40. The apparatus any one of claims 30-39, wherein said transmit mechanism comprises a user interface by which an operator can manually initiate application of said second drive signal.
41. The apparatus of any one of claims 30-39, wherein said transmit mechanism comprises a trigger input configured to receive an electrocardiographic signal and generate said second drive signal in response to said electrocardiographic signal.
42. An ultrasound diagnostic apparatus for examining a region of a human body having an implanted bubbles, comprising:
a transducer configured to transmit an ultrasound signal to said region of said human body in response to a first drive signal and to generate an echo signal in response to an ultrasound echo from said region of said human body;
a transmit driver coupled to the transducer and configured to apply to said transducer during a first variable time interval in which implanted bubbles flow into said region of said human body a series of drive pulses as said first drive signal, said drive pulses causing said transducer to transmit the ultrasound signal with a power level sufficient to break at least some but substantially less than all of the bubbles in said region of said human body; and
a processor coupled to said transducer and configured to generate display image data based on echo signals produced by said transducer in response to application of said series of said first drive signals to said transducer.
43. The ultrasonic diagnostic apparatus according to claim 42 , wherein said transmit driver is configured to apply said series of first drive signals so that the transducer produces corresponding first ultrasound signals at a first power level during said first variable time interval and to apply to said transducer a second series of drive signals so that the transducer produces corresponding second ultrasound signals at a second power level during a second variable time interval after said first time interval to break bubbles in said region of said human body during said second variable time interval.
44. An ultrasound diagnostic apparatus comprising:
a transducer configured to transmit in response to a drive pulse an ultrasound signal to a human body having implanted bubbles and to generate an echo signal corresponding to an ultrasound echo from the human body;
a transmission mechanism configured to apply to said transducer a series of first drive pulses to cause said transducer to transmit ultrasound signals to break the bubbles during a first time period and to stop the transmitting of the drive pulses breaking the bubbles during a subsequent variable time period; and
a processor configured to generate data of plural images based on echo signals generated by said transducer during the first time period.
45. The apparatus according to claim 44 , wherein said processor is configured to generate data corresponding to motion display images based on echo signals generated in response to a series of second drive pulses applied during the variable time period.
46. The apparatus according to claim 44 , wherein said processor comprises a filter configured to extract high frequency components from the echo signals and to generate said image data based on the extracted high frequency components.
47. The apparatus according to claim 44 , wherein said processor comprises a memory configured to store storing the image data.
48. The apparatus according to claim 44 , wherein said processor is configured to generate static display image based on image data obtained during the first time period.
49. An ultrasound diagnostic apparatus comprising:
a transducer configured to transmit in response to a drive pulse an ultrasound signal to a human body having implanted bubbles and to generate an echo signal corresponding to an ultrasound echo from the human body;
a transmission mechanism configured to apply to said transducer repeatedly a series of first drive pulses to cause said transducer to transmit corresponding ultrasound signals to break the bubbles, wherein the first drive pulses transmission is started by a trigger signal and ended a first time period after the trigger signal; and
a processor configured to generate data of plural images based on echo signals generated by said transducer in response to the series of said first drive pulses and to generate a subtraction image by subtracting between the data of plural images.
50. An ultrasound diagnostic apparatus comprising:
a transducer configured to transmit in response to a drive signal an ultrasound signal to a region of a human body having a shadow agent with implanted bubbles and to generate an echo signal corresponding to an ultrasound echo from the human body;
a transmit driver coupled to the transducer and configured to apply to said transducer a sequence of said drive signals having a sufficiently low first power during a first time period so that said transducer transmits said ultrasound signal at a first power level during said first time period to allow a substantial number of bubbles to remain in said region of said human body during said first time period and a second power during a second time period so that during said second time period said transducer transmits said ultrasound signal at a second power level to break substantially all the bubbles in said region of said human; and
a display configured to display a motion image of the implanted bubbles flow produced by said drive signals having said sufficiently low first power, with the displayed motion image being reset by breaking of the implanted bubbles of the shadow agent upon application of ultrasound of the second power level.
51. An ultrasound diagnostic apparatus comprising:
a transducer configured to transmit in response to a drive pulse an ultrasound signal to a region of a human body having implanted bubbles and to generate an echo signal corresponding to an ultrasound echo from the human body; and
a transmission mechanism configured to apply to the transducer plural drive pulses at a first power followed by plural drive pulses of a second power greater than said first power; and
a processor configured to generate time density curve data corresponding to time variation of luminance value of at least one image pixel based on echo signals generated by said transducer during application of said plural drive signals of said first power and said second power.
52. The apparatus according to claim 51 , wherein said processor includes a filter configured to extract high frequency components from the echo signals and to generate image data based on the extracted high frequency components.
53. An ultrasonic diagnostic apparatus comprising:
an ultrasound probe configured to generate an ultrasound signal for application to a region of a human body having implanted bubbles therein in response to a drive signal and to generate an echo signal in response to reflection of said ultrasound signal by said human body;
a drive signal generator coupled to the probe and configured to generate and apply to the probe the drive signal, said drive signal having a selected power which is changeable between a first power and a second power greater than said first power;
an image processor coupled to said probe to generate image data based on echo signals generated by said probe in response to reflections of ultrasound signals generated by said drive signal in correspondence with the drive signal having said first and second powers, said image processor comprising a memory configured to store the image data generated in relation to ultrasound signals generated when said drive signal has said second power; and
a display coupled to the image processor and configured to display a motion image corresponding to the generated image data.
54. An ultrasound diagnostic apparatus comprising:
a probe configured to generate an ultrasound for application to a region of a human body having implanted bubbles therein in response to a drive signal and to repeatedly scan said region to detect an echo signal;
a driver coupled to the probe and configured to apply the drive signal to the probe;
a frequency selector coupled to the driver for providing a frequency select signal to change the frequency of the drive signal from a first frequency to a second frequency;
an image processor coupled to said probe and configured to generate image data in response to said detected echo signal; and
a memory coupled to the image processor and selectively storing the image data during a time period in which the cross section of the examining human being is scanned with the ultrasound generated upon application to the probe of the drive signal having the second frequency; and
a display coupled to the image processor and configured to display the image data generated upon application of the drive signal of the first frequency as a motion image, with the displayed motion image being reset by breaking of the implanted bubbles upon application of ultrasound produced by the drive signal of the second frequency.
55. An ultrasound diagnostic apparatus comprising
a transducer transmitting in response to a drive signal an ultrasound to a region of a human body having implanted bubbles, and generating an echo signal corresponding to an ultrasound echo from the human body
a transmission mechanism configured to apply first and second drive signals to the transducer to cause said ultrasound to break the bubbles in said region of said human body, said first drive signal comprising plural pulses applied for a scanning line and said second drive signal comprising a pulse applied for same line after applying the first drive signal, said transmission mechanism repeating application of said first and second drive signals for each of plural scanning lines;
a processor comprising a subtraction mechanism configured to perform subtraction between a first echo signal produced upon application of said first drive signal and a second echo signal produced upon application of said second drive signal, said processor configured to generate display image data based on a result of the subtraction.
56. An ultrasound diagnostic apparatus comprising:
a transducer configured to transmit ultrasound to a region of a human body having implanted bubbles and to generate an echo signal corresponding to an ultrasound echo from the human body;
a transmission mechanism configured to apply to the transducer first and second drive signals to produce first and second ultrasound echo signals from the human body, said first drive signal having a first characteristic which results in echo reflected off bubbles and tissue and breaking of the bubbles in the region and the second drive signal having a characteristic which results in echo reflected off substantially only tissue in said region; and
a processor having a subtraction mechanism, a synchronism mechanism configured to apply the first and second echo signals in synchronism to said subtraction mechanism and an image processor configured to generate display image data based on the result of the subtraction performed by the subtraction mechanism, said subtraction mechanism configured to perform subtraction between the first and second echo signals.
57. The apparatus according to claim 56 , wherein said processor comprises:
the synchronism mechanism having a delay mechanism configured to delay the echo signals outputted from the probe, and a detecting mechanism configured to detect a result of subtraction by the subtraction mechanism.
58. The apparatus according to claim 56 , wherein said processor comprises:
a receiving delay mechanism providing delay time for the echo signals outputted from the probe, the synchronism mechanism having a delay mechanism configured to delay the echo signals outputted from the receiving delay mechanism, the subtraction mechanism configured to perform subtraction between the echo signals outputted from the receiving delay mechanism and from the delay mechanism, an adder mechanism adding the subtracted echo signals, and a detecting mechanism detecting the added echo signals.
59. An ultrasound diagnostic apparatus comprising:
a transducer configured to transmit ultrasound to a human body having implanted bubbles, and to generate an echo signal corresponding to an ultrasound echo from the human body;
means for applying a first drive signal and then a second drive signal successively to said transducer, said first drive signal resulting in said transducer generating a respective first echo signal representative of a first quality image and said second drive signal resulting in said transducer generating a respective second echo signal representative of a second quality image higher that the first quality; and
a processor configured to generate first and second display image data corresponding to said first and second quality images, the first image data being representative of a motion image produced during application of said first drive signal, said motion image being reset by breaking of bubbles by ultrasound produced by application of the second drive signal.
60. An ultrasound diagnostic apparatus for examining a region of a human body having an implanted bubbles, comprising:
a transducer configured to transmit an ultrasound signal to said region of said human body in response to a first drive signal and to generate an echo signal in response to an ultrasound echo from said region of said human body;
means for applying to said transducer a series of pulses as said first drive signal during a first variable time interval in which implanted bubbles flow into said region of said human body, said drive pulses causing said transducer to transmit the ultrasound signal with a power level sufficient to break at least some but substantially less than all of the bubbles in said region of said human body; and
a processor coupled to said transducer and configured to generate display image data based on echo signals produced by said transducer in response to application of said series of said first drive signals to said transducer.
61. An ultrasound diagnostic apparatus comprising:
a transducer configured to transmit in response to a drive pulse an ultrasound signal to a human body having implanted bubbles and to generate an echo signal corresponding to an ultrasound echo from the human body;
means for applying to said transducer a series of drive pulses to cause said transducer to transmit ultrasound signals to break the bubbles during a first time period and to stop the applying of the drive pulses breaking the bubbles during a subsequent variable time period; and
a processor configured to generate data of plural images based on echo signals generated by said transducer during the first time period.
62. An ultrasound diagnostic apparatus comprising:
a transducer configured to transmit in response to a drive pulse an ultrasound signal to a human body having implanted bubbles and to generate an echo signal corresponding to an ultrasound echo from the human body;
means for repeatedly applying to said transducer a series of first drive pulses to cause said transducer to transmit corresponding ultrasound signals to break the bubbles, wherein the first drive pulses transmission is started by a trigger signal and ended a first time period after the trigger signal; and
a processor configured to generate data of plural images based on echo signals generated by said transducer in response to the series of said first drive pulses.
63. An ultrasound diagnostic apparatus comprising:
a transducer configured to transmit in response to a drive signal an ultrasound signal to a region of a human body having implanted bubbles and to generate an echo signal corresponding to an ultrasound echo from the human body; and
means for applying to said transducer a sequence of said drive signals having a sufficiently low first power during a first time period so that said transducer transmits said ultrasound signal at a first power level during said first time period to allow a substantial number of bubbles to remain in said region of said human body during said first time period and a second power during a second time period so that during said second time period said transducer transmits said ultrasound signal at a second power level to break substantially all the bubbles in said region of said human.
64. An ultrasound diagnostic apparatus comprising:
a transducer configured to transmit in response to a drive pulse an ultrasound signal to a region of a human body having implanted bubbles and to generate an echo signal corresponding to an ultrasound echo from the human body; and
means for applying to the transducer plural drive pulses at a first power followed by plural drive pulses of a second power greater than said first power; and
a processor configured to generate time density curve data corresponding to time variation of luminance value of at least one image pixel based on echo signals generated by said transducer during application of said plural drive signals at said first power and said second power.
65. An ultrasonic diagnostic apparatus comprising:
an ultrasound probe configured to generate an ultrasound signal for application to a region of a human body having implanted bubbles therein in response to a drive signal and to generate an echo signal in response to reflection of said ultrasound signal by said human body;
means for applying the drive signal to the probe, said drive signal having a selected power which is changeable between a first power and a second power greater than said first power;
an image processor coupled to said probe to generate image data based on echo signals generated by said probe in response to reflections of ultrasound signals generated by said drive signal in correspondence with the drive signal having said first and second powers, said image processor comprising a memory configured to store the image data generated in relation to ultrasound signals generated when said drive signal has said second power; and
a display coupled to the image processor and configured to display a motion image corresponding to the generated image data.
66. An ultrasound diagnostic apparatus comprising
a transducer transmitting in response to a drive signal an ultrasound to a region of a human body having implanted bubbles, and generating an echo signal corresponding to an ultrasound echo from the human body
means for applying first and second drive signals to the transducer to cause said ultrasound to break the bubbles in said region of said human body, said first drive signal comprising plural pulses applied for a scanning line and said second drive signal comprising a pulse applied for the same line after applying the first drive signal, said transmission mechanism repeating application of said first and second drive signals for each of plural scanning lines;
a processor comprising a subtraction mechanism configured to perform subtraction between a first echo signal produced upon application of said first drive signal and second echo signal produced upon application of said second drive signal, said processor configured to generate display image data based on a result of the subtraction.
67. An ultrasound diagnostic apparatus comprising:
a transducer configured to transmit ultrasound to a region of a human body having implanted bubbles and to generate an echo signal corresponding to an ultrasound echo from the human body;
means for applying to the transducer first and second drive signals to produce first and second ultrasound echo signals from the human body, said first drive signal having a first characteristic which results in echo reflected off bubbles and tissue and breaking of the bubbles in the region and the second drive signal having a characteristic which results in echo reflected off substantially only tissue in said region; and
a processor having a subtraction mechanism and configured to apply to first and second echo signals in synchronism to said subtraction mechanism, said subtraction mechanism configured to perform subtraction between the first and second echo signals, said processor configured to generate display image data based on the result of the subtraction performed by the subtraction mechanism.
68. An ultrasound diagnostic apparatus comprising:
a transducer configured to transmit in response to a drive pulse an ultrasound signal to a human body having implanted bubbles and to generate an echo signal corresponding to an ultrasound echo from the human body;
a transmission mechanism configured to apply to said transducer repeatedly a series of first drive pulses to cause said transducer to transmit corresponding ultrasound signals to break the bubbles;
said transmission mechanism having an input configured to receive a trigger signal so that transmission of the first drive pulses transmission is started by the trigger signal and ended a first time period after the trigger signal, the trigger signal being produced manually or in response to an electro-cardiographic wave; and
a processor configured to generate data of plural images based on echo signals generated by said transducer in response to the series of said first drive pulses.
69. An ultrasound diagnostic apparatus comprising:
a transducer configured to transmit in response to a drive pulse an ultrasound signal to a human body having implanted bubbles and to generate an echo signal corresponding to an ultrasound echo from the human body;
means for applying to said transducer a series of drive pulses to cause said transducer to transmit ultrasound signals to break the bubbles during a first time period and to stop the applying of the drive pulses breaking the bubbles during a subsequent variable time period, said means for applying having an input configured to receive a trigger signal so that transmission of first drive pulses is started by the trigger signal and ended the first time period after the trigger signal, the trigger signal being produced manually or in response to an electro-cardiographic wave; and
a processor configured to generate data of plural images based on echo signals generated by said transducer during the first time period and to generate a subtraction image by subtracting between the data of plural images.
70. An ultrasound diagnostic method comprising:
transmitting an ultrasound signal to a region of a human body having a shadow agent with implanted bubbles so as to generate an echo signal corresponding to an ultrasound echo from the human body, including,
transmitting said ultrasound signal at a first power level during a first time period to allow a substantial number of bubbles to remain in said region of said human body during said first time period, and
transmitting said ultrasound signal at a second power level higher than said first power level during a second time period so that during said second time period said ultrasound signal at the second power level breaks substantially all the bubbles in said region of said human; and
displaying a motion image of the implanted bubbles flow produced by said ultrasound signals transmitted at said first power level, with the displayed motion image being reset by breaking of the implanted bubbles of the shadow agent upon application of ultrasound of the second power level.
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US20100331701A1 (en) * | 2009-06-25 | 2010-12-30 | Kenji Hamada | Three-dimensional ultrasonic diagnosis apparatus |
US8740798B2 (en) * | 2009-06-25 | 2014-06-03 | Kabushiki Kaisha Toshiba | Three-dimensional ultrasonic diagnosis apparatus |
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US9763645B2 (en) * | 2010-12-27 | 2017-09-19 | Toshiba Medical Systems Corporation | Ultrasound apparatus and ultrasound apparatus controlling method and non-transitory computer readable medium |
KR20150102211A (en) * | 2014-02-28 | 2015-09-07 | 삼성전자주식회사 | Ultrasonic diagnostic apparatus and operating method for the same |
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