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WO2017015902A1 - Système et procédé d'imagerie par ultrasons - Google Patents

Système et procédé d'imagerie par ultrasons Download PDF

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Publication number
WO2017015902A1
WO2017015902A1 PCT/CN2015/085449 CN2015085449W WO2017015902A1 WO 2017015902 A1 WO2017015902 A1 WO 2017015902A1 CN 2015085449 W CN2015085449 W CN 2015085449W WO 2017015902 A1 WO2017015902 A1 WO 2017015902A1
Authority
WO
WIPO (PCT)
Prior art keywords
image data
ultrasound
ultrasonic
remote
video image
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/CN2015/085449
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English (en)
Chinese (zh)
Inventor
李勇
刘硕
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Shenzhen Mindray Bio Medical Electronics Co Ltd
Original Assignee
Shenzhen Mindray Bio Medical Electronics Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Shenzhen Mindray Bio Medical Electronics Co Ltd filed Critical Shenzhen Mindray Bio Medical Electronics Co Ltd
Priority to CN201580081336.8A priority Critical patent/CN107708571B/zh
Priority to PCT/CN2015/085449 priority patent/WO2017015902A1/fr
Publication of WO2017015902A1 publication Critical patent/WO2017015902A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • G—PHYSICS
    • G06—COMPUTING OR CALCULATING; COUNTING
    • G06F—ELECTRIC DIGITAL DATA PROCESSING
    • G06F15/00—Digital computers in general; Data processing equipment in general
    • G06F15/16—Combinations of two or more digital computers each having at least an arithmetic unit, a program unit and a register, e.g. for a simultaneous processing of several programs

Definitions

  • the ultrasound imaging system transmits ultrasound to the human body through an ultrasonic probe, and receives an echo signal reflected by the human tissue, processes the echo signal through the host and displays the ultrasound image, and combines anatomical knowledge, normal and pathological changes. Wait for knowledge and experience to diagnose the tissue being examined.
  • an ultrasound imaging system including:
  • a probe configured to emit ultrasonic waves to the body of the tested body, and receive ultrasonic echoes with organized information reflected from the body tissue to be tested;
  • a camera module configured to photograph an operator's ultrasonic scanning method, and output video image data reflecting an operator's ultrasonic scanning method
  • a data processing module comprising an echo processing unit and a synchronization control unit
  • the echo processing unit is configured to process the ultrasonic echo, output the ultrasonic image data
  • the synchronization control unit is configured to use the ultrasound image data and the The video image data is synchronized to obtain an ultrasonic remote diagnostic file that can be played on the remote client to synchronize the ultrasound image data and the video image data.
  • an ultrasound imaging method including:
  • an ultrasound imaging system including:
  • a local information collection module configured to collect local information for performing an ultrasound examination using the ultrasound imaging system
  • a data processing module configured to process the ultrasonic echo, output the ultrasonic image data, and generate an ultrasonic remote diagnostic file according to the local information and the ultrasonic image data, where the ultrasonic remote diagnostic file is used in a remote client Play.
  • the generated image can be played on the remote client.
  • Ultrasonic remote diagnostic file that synchronizes the ultrasound image data with the scanning method, so that the remote doctor can view the ultrasound image data and simultaneously view the scanning method synchronized with the ultrasound image data, providing more for the remote doctor's diagnosis process. Reference information.
  • an ultrasound imaging system and method provided in some embodiments of the present invention, local information acquired in an ultrasound examination using an ultrasound imaging system is acquired and an ultrasound remote diagnostic file is generated based on the local information and ultrasound image data, the ultrasound The remote diagnostic file can be played on the remote client, enabling the remote doctor to learn more about the ultrasound related to the local ultrasound, so that the remote doctor can diagnose it.
  • FIG. 1 is a schematic structural view of an embodiment
  • FIG. 2 is a schematic diagram of control of a synchronous control unit in an embodiment
  • FIG. 3 is another schematic diagram of control of a synchronization control unit in an embodiment
  • FIG. 4 is a schematic diagram of options in a display interface before playing in a remote client in an embodiment
  • FIG. 5 is a schematic diagram of a display window layout of ultrasonic image data and scanning technique recording
  • 6 is a schematic diagram of another display window layout of ultrasonic image data and scanning method recording
  • FIG. 7 is a flow chart of processing of ultrasonic image data and video image data in another embodiment.
  • Local Client An ultrasound imaging system that performs an ultrasound examination directly on a subject.
  • Local doctor refers to the doctor at the inspection site, which may be an ultrasound examination operator or a person who checks the site for joint diagnosis.
  • Ultrasound image data refers to an image generated from an ultrasound echo, which may be a two-dimensional image, a three-dimensional image, a four-dimensional image (eg, a three-dimensional image with a diurnal dimension) or any other ultrasound image;
  • the image frame may also be a movie file formed by a sequence of image frames.
  • Ultrasonic remote diagnosis file It may include only ultrasound image data, or may be an image processed by adding information to the ultrasound image, such as adding body position information, measuring marks and results, position indication map, patient information on the ultrasound image Any other required information, current imaging mode, etc., may also include audio information, or other video information, or other textual information (eg, subtitles, etc.), or a collection of ultrasound images and other information.
  • the ultrasonic remote diagnostic file referred to herein can be any file containing any information that will be sent to the remote end for viewing by a remote physician.
  • Remote client refers to a system for displaying an ultrasonic remote diagnostic image or playing an ultrasonic remote diagnostic file, which can be installed in various data terminals such as a computer, a mobile phone, a PAD, or can be installed in another ultrasonic imaging system or the like. In medical equipment.
  • Remote doctor refers to a doctor who is not at the ultrasound examination site.
  • the remote remote doctor can view the ultrasonic remote diagnosis image or the ultrasonic remote diagnosis file.
  • the remote doctor and the local doctor can belong to different cities, or belong to the same city, or even the same hospital.
  • Embodiments of the invention relate to ultrasound imaging systems and methods that are capable of supporting remote consultations.
  • Embodiment 1 is a diagrammatic representation of Embodiment 1:
  • the ultrasound imaging system 100 is a local client, which includes a probe 10 , a camera module 11 , a data processing module 13 , a storage module 14 , a display module 15 , and a transmission module 16 , and a probe 10 and a camera module 11 .
  • the storage module 14, the display module 15, and the transmission module 16 are respectively coupled to the data processing module 13 for signal connection.
  • the signal connection can be a direct connection or a processed connection through an intermediate component, either a wireless communication connection or a wired connection.
  • the probe 10 is configured to scan the surface of the body to be tested, emit ultrasonic waves to the body tissue to be tested, and receive ultrasonic echoes with tissue information reflected from the body tissues of the body to be tested.
  • the probe 10 can be equipped with a suitable probe according to actual requirements.
  • the probe 10 is coupled to the transmitting circuit 17 through a switching mechanism 18, and transmits ultrasonic waves to the body of the tested body under the control of the transmitting circuit, and is coupled to the data processing module 13 on the other hand, and the received ultrasonic waves are returned. The wave is output to the data processing module 13.
  • the camera module 11 is for taking an image and forming video image data.
  • the camera module 11 is used to capture a scanning method by which an operator performs an ultrasonic scan, and outputs video image data in which an operator's ultrasonic scanning method is recorded.
  • the output of the camera module 11 is connected to the data processing module 13, and the captured video image data is output to the data processing module 13.
  • the camera module 11 can be integrated into the ultrasound imaging system or it can be a stand-alone camera mounted in the appropriate location of the ultrasound imaging system or at a suitable location outside of the ultrasound imaging system.
  • the data processing module 13 is configured to process various information of the ultrasound imaging system, and may also send control signals to various components to control components, and may also be used to store information to the storage module 14 and/or Reading or using the information from the storage module 14 can also be used to output the information to the display module 15 for visual display, and can also be used to control the transmission module 16 for data transmission.
  • the data processing module 13 is also used for Receiving the ultrasonic echo collected by the probe and the video image data output by the camera module, the ultrasonic echo has the measured tissue information, and the video image data is used to record the operator during the probe scanning process. Ultrasound scanning technique.
  • the data processing module 13 can be an integrated circuit or a circuit composed of discrete components.
  • the data processing module 13 can be a microprocessor.
  • the data processing module 13 includes an echo processing unit 131 and a synchronization control unit 132.
  • the reference clock is provided by the synchronization control unit 132, and the ultrasound image data and the video image data are respectively labeled with an inter-frame stamp, for example, each time an image is acquired, that is, data in the image frame. Focus on increasing the time of the collection ;; or add a time stamp every time the image frame is set.
  • the video image data and the ultrasonic image data added to the inter-turn stamp are still two independent image data, and then the video image data and the ultrasonic image data added with the inter-turn stamp are used as the ultrasonic remote diagnostic file played on the remote client, respectively, through the transmission.
  • Module 16 is transmitted to remote client 17.
  • the reference clock provided by the synchronization control unit 132 can be generated by a separate clock generation circuit, or a public clock of the ultrasound imaging system.
  • the synchronization control unit 132 is further configured to control the probe 10 and the camera module 11 to work synchronously to realize synchronous acquisition of video image data and ultrasound image data, for example, the control probe 10 and the camera module 11 are simultaneously Start collecting.
  • the synchronization control unit 132 can control the synchronization operation of the probe 10 and the camera module 11 in a plurality of ways. One way is as shown in FIG. 2.
  • the synchronization control unit 132 detects the working state of the probe 10, and starts scanning at the probe 10. Controlling the camera module 11 to start acquiring images, thereby synchronously obtaining the ultrasonic image data 101 obtained by the probe 10 and the video image data obtained by the camera module 11. 111.
  • FIG. 1 shows a plurality of ways.
  • the synchronization control unit 132 controls the camera module 11 and the probe 10 to start working together.
  • the synchronization control unit 132 sends an enable signal to the peer of the probe 10, and also sends an enable signal to the camera module 11, so that the two can simultaneously initiate scanning and recording, thereby synchronously obtaining the ultrasonic image data 101 obtained by the probe 10 and passing through the camera.
  • the storage module 15 is configured to store various information, including patient information, ultrasound examination information, and/or diagnostic information, etc., which may be modified, updated, and/or deleted by the data processing module 13.
  • the storage module 15 is used to store, in particular, the ultrasound image data generated by the echo processing unit 13 and the video image data output by the camera module 11.
  • the ultrasonic image data and the video image data stored by the storage module 15 may be image data after the inter-post stamp is added by the synchronization control unit 14, or may be image data without increasing the inter-turn stamp, or may be an ultrasonic edited by the operator. Image data and video image data.
  • memory module 14 and data processing module 13 are discrete components, but in other embodiments, memory module 14 may be integrated within data processing module 13.
  • the display module 15 is coupled to the data processing module 13 for displaying visualization data output by the data processing module 13, such as patient information, ultrasound images, various textual descriptions, and video image data captured by the camera module.
  • the ultrasound image data and the video image data captured by the camera module synchronized thereto can be simultaneously displayed on the display module 15 of the local ultrasound imaging system, and the layout of the two in the display interface can be as shown in FIGS. 5 and 6. As shown, it can be a tiled independent play window or a superimposed play window.
  • the synchronization control unit 132 synthesizes the video image data frame and the ultrasound image data frame according to the acquisition engraving, and sends the image frame to the display module for display.
  • the peer display allows the local doctor to confirm that the camera module's shooting angle is appropriate to adjust the lens of the camera module.
  • the local doctor can select the ultrasound image data. And one or more segments of the video image data are transmitted to the remote client as an ultrasound remote diagnostic file.
  • the local doctor can read the ultrasound image data from the storage module through the operation panel or the operation interface of the ultrasound imaging system, and select an appropriate segment of the ultrasound image data, and the synchronization control unit 132 detects the operation of the local doctor to determine the selected
  • the first and last inter-post stamps of the ultrasound image data are selected according to the initial inter-turn stamp of the ultrasound image data segment, and a video image data having the same inter-postmark is selected, and the selected ultrasound image data segment and video are selected.
  • the image data segment serves as an ultrasound remote diagnostic file.
  • the ultrasound image data acquired by the ultrasound imaging system is closely related to the scanning technique of the operator. Therefore, the scanning technique is also one of the important reference information for the diagnosis of the doctor. If the diagnosis is based on the ultrasound image data, if the scanning method is considered, It will improve the accuracy of the diagnosis, but for remote diagnosis, doctors and experts from different places cannot see the scanning method of the local doctor during the ultrasound examination.
  • the inter-turn stamp is added to the ultrasonic image data and the video image data by the synchronization control unit, so that the ultrasound image data and the video image data can be transmitted in the transmission buffer, for example, the transmission module 16 will mark the same time stamp.
  • the ultrasonic image data frame and the video image data frame are transmitted at the same time or as close as possible, thereby realizing synchronous transmission of the ultrasonic image data and the video image data, so that the remote client can receive the ultrasound image data simultaneously or simultaneously as soon as possible.
  • the video image data of the scanning technique collected at the same time as it is engraved provides a possibility for the remote doctor to actually view the ultrasound image data frame and its synchronization scanning method.
  • the remote doctor can select the displayed content as needed, as shown in FIG. 4, the patient information, the playing ultrasound image data, the playing scan method video, and the peer playing are arranged on the display interface of the remote client.
  • the remote client will recognize the same ultrasound image data file and video image data file, and read the interim stamp of the ultrasound image data and video image data during playback.
  • the two signals played are from the same acquisition engraving, thus achieving Simultaneous playback of ultrasound image data and scanning technique video allows the remote doctor to see both the ultrasound image data and the local doctor's scanning method to generate the ultrasound image data, providing more information for the remote doctor's diagnosis.
  • the layout of the ultrasound image data and the scanning method video on the display interface of the remote client may be a tiled independent playback window, as shown in FIG. 5, or may be a superimposed playback window, as shown in FIG. 6.
  • the synchronization control unit does not add the inter-turn stamp to the ultrasound image data and the video image data, but synchronizes the camera module and the probe, so that the camera module and the probe work synchronously, thereby implementing ultrasound. Simultaneous acquisition of image data and video image data, in the remote client, simultaneous playback of ultrasound image data and video image data, since the ultrasound image data and video image data are collected at the same time, so Can basically achieve synchronous playback.
  • the ultrasonic remote diagnostic file may be transmitted to a remote client through various wired or wireless networks (for example, local area network, internet, Bluetooth, etc.), or through a storage medium (for example, a disk or a USB flash drive).
  • Embodiment 2 is a diagrammatic representation of Embodiment 1:
  • Step 20 The synchronization control unit acquires a video image data frame and an ultrasound image data frame.
  • Step 21 synthesize one frame of the ultrasound image data and one frame of the video image data collected by the engraving into one frame, and generate a comprehensive image file from each composite frame.
  • Frame synthesis techniques that have been or will occur in the future may not be described in detail herein.
  • Step 22 Transfer the integrated image file to the remote client.
  • the ultrasound imaging system can also have two working modes, namely, a working mode of real transmission and The mode of operation of non-real transmission.
  • a working mode of real transmission when all the ultrasound image data of the ultrasound examination process and the video image data of the scanning technique are not required, the local doctor can also select a segment of the integrated image file as the ultrasound remote diagnosis file and transmit it to the remote device. Client.
  • the ultrasound remote diagnostic file that needs to be played on the remote client is copied to a portable storage medium (such as a flash disk or a hard disk) and carried to a remote doctor. Play after reading through the remote client.
  • a portable storage medium such as a flash disk or a hard disk
  • the ultrasound imaging system may further include an audio collection module (for example, a microphone or the like, which is not shown in the figure).
  • the audio collection module can capture the voice of a local doctor (e.g., an operator of the ultrasound imaging system or a doctor who diagnoses locally) and output audio data reflecting the voice information of the local doctor.
  • the local doctor can scan the current subject, the current scanning method, the currently scanned organ and its condition, the current probe position or scan while scanning. Cut surface, current imaging mode, current measurement items and results, current ongoing and expected inspection items, and reasons and reasons for conducting these items, local doctors' initial diagnosis and/or questions about the subject Wait for an oral explanation.
  • the audio acquisition module can also collect the discussion and diagnosis process and results of the local doctor's scan results of the subject.
  • the audio capture module can also capture the voice required for any other remote diagnostics.
  • the audio collection module may collect these voice descriptions of the local doctor to generate audio data.
  • the ultrasound imaging system also uses this audio data as an ultrasound remote diagnostic file that is played on a remote client to provide remote physicians with more reference information.
  • the synchronization control unit 132 may add a time stamp to the audio data in the process of obtaining the audio data by the audio collection module, and the audio data of the added time stamp is used as a remote client.
  • Ultrasound remote diagnostic file for playback. After playing on the remote client, the audio data can be presented synchronously with the video image data or the ultrasound image data that is also marked with the time stamp.
  • the synchronization control unit 132 may also synthesize the audio data with the aforementioned video image data and/or the ultrasound image data according to the acquisition engraving to generate a comprehensive image file, and the integrated image file.
  • the integrated image file has synthesized the audio data and the video image data and/or the ultrasonic image data, the audio data and the video image data and/or the ultrasonic image data can be simultaneously presented while playing on the remote client.
  • the ultrasound imaging system can also include a text acquisition module.
  • the text collection module can collect text information input by a local doctor, for example, interpretative and descriptive words, symbols, logos, etc., input by the local doctor on the current patient condition, current scanning method, current probe position, current lesion position, and the like. Wait.
  • the synchronization control unit 132 can synchronize the text information with the aforementioned ultrasound image data or video image data to obtain an ultrasound remote diagnosis capable of playing on the remote client and synchronously presenting the text information with the ultrasound image data or the video image data. file.
  • the synchronization control unit 132 may synthesize text information into the ultrasound image data or video image data (e.g., as a subtitle or a graphic identifier, etc.), or may also place a text stamp on the text.
  • an ultrasound imaging system includes a probe 10, a local information acquisition module, and a data processing module 13.
  • the data processing module 13 may also include the same or similar synchronization control unit 132 as in the previous embodiments.
  • the synchronization control unit 132 can synchronize the ultrasound image data and the video image data to obtain an ultrasound remote diagnostic file that can be played on the remote client to synchronize the ultrasound image data and the video image data.
  • the synchronization control unit 132 may add a meta-patch to the video image data and the ultrasound image data in the process of acquiring the video image data and the ultrasound image data, and insert the video image data and the ultrasound of the inter-turn stamp.
  • the image data is used as an ultrasound remote diagnostic file for playback on a remote client.
  • the synchronization control unit 132 may synthesize the video image data frame and the ultrasound image data frame according to the acquisition engraving, and generate a comprehensive image file, and use the integrated image file as a remote image file. Ultrasound remote diagnostic file played by the client.
  • the data processing unit 13 may also include the same or similar synchronization control unit 132 as in the previous embodiments.
  • the synchronization control unit 132 can synchronize the audio data with the ultrasound image data to obtain an ultrasound remote diagnostic file, such that the audio data played by the remote client is synchronized with the ultrasound image data.
  • the synchronization control unit 132 may synthesize the audio data and the ultrasound image data according to the acquisition engraving, and generate a comprehensive image file, and use the integrated image file as an ultrasonic remote diagnosis file played on the remote client. .
  • the synchronization control unit 132 may add a meta-patch to the audio data during the process of obtaining the audio data, and use the audio data added to the inter-poke as the ultrasonic remote diagnostic file played on the remote client.
  • the data processing module 13 may also include the same or similar synchronization control unit 132 as in the previous embodiments.
  • the synchronization control unit 132 can synchronize the text information with the ultrasound image data to obtain an ultrasound remote diagnostic file that can be played in the remote client to synchronize the text information with the ultrasound image data.
  • the remote doctor can view the ultrasound image data and the scanning method video image data synchronized with the remote client through the remote client.
  • Local doctors need to work with remote doctors and experts to break the gaps and space constraints, and provide convenience and improve the accuracy of diagnosis for off-site and multi-site consultations.

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Abstract

La présente invention concerne un système, un procédé et un appareil d'imagerie par ultrasons prenant en charge un diagnostic à distance. L'appareil comprend une sonde, un module de caméra et un module de traitement de données, ledit module de traitement de données comprenant une unité de traitement d'écho permettant de traiter un écho ultrasonore et une unité de commande de synchronisation, et l'unité de commande de synchronisation étant utilisée pour obtenir, après un traitement de synchronisation, un fichier de diagnostic à distance par ultrasons qui permet de présenter simultanément des données d'images ultrasonores et des données d'images vidéo synchronisées avec celles-ci lorsqu'elles sont lues sur un client distant. Comme le traitement de synchronisation est effectué sur des données d'images ultrasonores et des données d'images vidéo, ce qui reflète une technique de balayage ultrasonore dans un processus de balayage par sonde, les données d'images ultrasonores et la technique de balayage peuvent être présentées de manière synchronisée lorsqu'elles sont lues sur un client distant, de sorte qu'un médecin distant peut visualiser simultanément la technique de balayage synchronisée avec les données d'images ultrasonores tout en visualisant les données d'images ultrasonores, et davantage d'informations de référence sont fournies au médecin distant pour un processus de diagnostic.
PCT/CN2015/085449 2015-07-29 2015-07-29 Système et procédé d'imagerie par ultrasons Ceased WO2017015902A1 (fr)

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CN201580081336.8A CN107708571B (zh) 2015-07-29 2015-07-29 一种超声成像系统及方法
PCT/CN2015/085449 WO2017015902A1 (fr) 2015-07-29 2015-07-29 Système et procédé d'imagerie par ultrasons

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CN114176627A (zh) * 2021-11-05 2022-03-15 四川省妇幼保健院 超声波自动扫描系统及其扫描方法
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