WO2017169332A1 - Ultrasonic imaging device and ultrasonic reception signal processing method - Google Patents
Ultrasonic imaging device and ultrasonic reception signal processing method Download PDFInfo
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- the present invention relates to an ultrasonic imaging apparatus and a method of processing an ultrasonic reception signal, and relates to a technique for evaluating the properties of a living tissue by generating a shear wave in a subject and measuring the propagation speed thereof.
- Medical image display devices represented by ultrasound, magnetic resonance (MRI), and X-ray CT (Computed Tomography) are widely used as devices that present in-vivo information in the form of numerical values or images. Yes.
- an image display device using ultrasonic waves has a higher time resolution than other devices, and has the ability to image a heart under pulsation without bleeding.
- Ultrasound propagating in the living body of the subject is mainly classified into longitudinal waves and transverse waves, and in many of the technologies installed in the product, that is, the technology to visualize the tissue form and the technology to measure the blood flow velocity, Mainly information on longitudinal waves (sound speed of about 1540 m / s) is used.
- shear wave a technique for evaluating the elastic modulus of a tissue using a transverse wave (hereinafter referred to as shear wave) has attracted attention, and clinical use for chronic liver disease and cancer has been promoted.
- shear waves are generated inside the tissue to be measured, and elasticity is evaluated from the propagation velocity.
- Methods for generating shear waves are broadly divided into mechanical methods and radiation pressure methods.
- the mechanical system is a system that generates a shear wave by applying a vibration of about 1 kHz to the body surface using a vibrator or the like, and requires a driving device as a vibration source.
- Patent Document 1 discloses a technique for evaluating elasticity using acoustic radiation pressure. The technique described in this document uses focused ultrasound to generate a radiation force in the tissue and propagate a shear wave in the tissue. A plurality of measurement points for performing ultrasonic transmission / reception are provided in the propagation direction, and a temporal change in tissue displacement is measured. The arrival time of the shear wave at each measurement point is measured using the displacement measurement result, and the velocity and elasticity evaluation values of the propagation wavefront are calculated.
- Non-Patent Document 1 discloses an evaluation method of tissue properties using frequency dispersion (phase velocity) of shear wave velocity. A tangential gradient at a specific frequency is used as a diagnostic index for liver steatosis with respect to the phase velocity measured by ultrasound.
- Gastrointestinal system tissues and muscle tissues including the liver are fattened as tissue characteristics due to lack of exercise and aging. Fattening is regarded as a risk factor for chronic diseases and severe diseases, and mid- to long-term observation from the health checkup stage will be necessary in the future.
- nonalcoholic fatty liver among fatty livers can be divided into simple fatty liver with good prognosis and progressive nonalcoholic steatohepatitis (NASH).
- NASH nonalcoholic steatohepatitis
- Fatty liver is improved by lifestyle, but NASH causes irreversible changes in liver cells, and some percent progress to cirrhosis and further to liver cancer. Therefore, NASH and simple fatty liver are discriminated, and NASH is actively treated. Discrimination between simple fatty liver and NASH is currently performed by biopsy in which a part of the tissue is taken out and examined, such as by inserting a needle into the liver.
- a biopsy has a heavy burden on the subject, and is unnecessary when the subject has simple fatty liver. Therefore, if it is possible to discriminate between non-invasive simple fatty liver and NASH using an ultrasound imaging apparatus and perform a biopsy only when the possibility of NASH is high and confirm the diagnosis, the burden on the subject is reduced. The benefits can be reduced.
- an object of the present invention is to provide an ultrasonic imaging apparatus that can accurately evaluate the tissue properties of a living body.
- a transmission / reception control unit that transmits an ultrasonic wave toward an inspection target in which a wave is propagating and receives an ultrasonic wave from the inspection target, and a reception signal
- An ultrasonic imaging apparatus includes a property evaluation unit that evaluates tissue properties of a test object.
- the property evaluation unit includes a velocity calculation unit that calculates the velocity of the wave propagating through the inspection object based on the received signal, and an index calculation unit that calculates an index value indicating the tissue property of the inspection object using the velocity.
- the index calculation unit uses a predetermined physical property value of the first tissue and a physical property value of the second tissue to obtain a predetermined ratio between the physical property value of the first tissue and the physical property value of the second tissue.
- the ratio of the physical property value of the first tissue and the physical property value of the second tissue corresponding to the velocity calculated by the velocity calculation unit is calculated as the wave propagation velocity corresponding to the post-addition physical property value added in (1).
- the calculated ratio is set as an index value indicating the tissue property of the inspection target.
- an ultrasonic imaging apparatus that can accurately evaluate the tissue properties of a living body.
- FIG. 1 is a block diagram of a configuration example of an ultrasonic imaging apparatus according to a first embodiment.
- (A)-(c) is explanatory drawing which shows the approximate model in case the test object is a liver.
- 3 is a flowchart illustrating an operation of the ultrasonic imaging apparatus according to the first embodiment.
- (A), (b) is explanatory drawing which shows the ultrasonic wave radiated
- (A)-(d) is explanatory drawing which shows the procedure of the phase velocity calculation by a velocity calculation part. It is a flowchart which shows operation
- (A), (b) is explanatory drawing which shows the example of a display screen of a display part.
- (A) is a graph which shows the parameter
- (b) is a graph which shows the concept which calculates parameter
- the concept of calculating the physical property value J a * and the physical property value J b * from the phase velocities of the first and second tissues (adipose tissue and liver tissue) and obtaining the index ⁇ to be examined is shown. It is explanatory drawing.
- a concept is shown in which a physical property value J a * and a physical property value J b * are calculated from the phase velocities of the first and second tissues (severe fatty liver and normal liver) to obtain an index ⁇ to be examined. It is explanatory drawing.
- any method for exciting and propagating a wave in the inspection object may be used as long as it is a method for applying vibration to the inspection object, such as an acoustic radiation pressure or a mechanical device such as a vibration device.
- excitation by a subject to be examined such as a heartbeat is also included.
- the description of the tissue properties of the living tissue will be described with respect to fat formation, but the essence of the present invention is to calculate an index that accurately represents the tissue properties, and the target tissue properties are fat. It is not limited to the conversion.
- the index of the present invention can be used as information for property determination in principle.
- FIG. 1 is a block diagram showing a configuration example of the ultrasonic imaging apparatus according to the embodiment.
- the ultrasonic imaging apparatus (ultrasonic transmission / reception apparatus) of the present embodiment transmits an ultrasonic wave toward the inspection object 100 in which the wave is propagating and receives the ultrasonic wave from the inspection object 100.
- a transmission / reception control unit 11 that receives a signal and a property evaluation unit 14 that evaluates the tissue property of the test object 100 are provided.
- the property evaluation unit 14 evaluates the tissue property of the inspection target 100 using the received signal received by the transmission / reception control unit 11.
- the property evaluation unit 14 calculates a velocity of a wave propagating through the inspection object 100 based on the received signal, and an index that calculates an index value indicating the tissue property of the inspection object 100 using the calculated velocity. And a calculation unit 14b.
- the index calculation unit 14a uses the physical property value of the first tissue and the physical property value of the second tissue, which are obtained in advance, to obtain the physical property value of the first tissue and the physical property value of the second tissue as a predetermined value. Add by the ratio and get the physical property value after addition.
- the physical property value of the first tissue and the physical property of the second tissue so that the wave propagation speed corresponding to the physical property value after addition corresponds to (for example, substantially the same) the speed calculated by the speed calculation unit 14a. Determine the ratio of addition to the value.
- the obtained ratio is set as an index value indicating the tissue properties of the test object 100.
- the physical property value is preferably a complex number including viscosity and elasticity information.
- a complex compliance defined as the reciprocal of the complex elastic modulus as a physical property value in numerical calculation considering apparatus mounting.
- FIGS. 2A, 2B, and 2C show approximate models when the inspection object 100 is a liver.
- the first tissue is the adipose tissue 100b
- the second tissue is the tissue that realizes the function of the test object, that is, the liver tissue 100a (FIG. 2A).
- the liver tissue of the subject 100 can be approximated to be a mixed tissue of adipose tissue 100b and liver tissue 100a (FIG. 2 (b)).
- the inventors use a complex physical property value (J * ) including information on viscosity ⁇ and elasticity E as the physical property values of the first and second tissues, as shown in FIG.
- the physical property value J * of the mixed tissue of the first and second tissues is expressed by a linear sum obtained by weighting the physical property value J a * of the first tissue and the physical property value J b * of the second tissue with a ratio ⁇ . I found out.
- the product of the physical property value (J * ) of the mixed structure and the stress S is calculated by the composite coupled model as shown in the following formulas (1-1) and (1-2). It is expressed as the sum of products of n * and stress S.
- n represents the organization number.
- the physical property value J * becomes the physical property value J a * of the first tissue and the physical property value of the second tissue as shown in the following formula (2).
- a linear sum obtained by weighting J b * by the ratio ⁇ is derived.
- first tissue and the second tissue are not limited to the fat tissue and the tissue that realizes the function of the test object 100, and the case where the site of the test object 100 is normal as the first tissue.
- the second tissue can be modeled as a tissue when the test object 100 suffers from a disease.
- normal liver tissue may be used as the first tissue
- severe fatty liver tissue may be used as the second tissue.
- FIG. 1 shows an outline of the overall configuration of the ultrasonic imaging apparatus according to the first embodiment of FIG.
- the ultrasonic imaging apparatus includes a probe 10 and an apparatus main body 20.
- a display unit 15 is connected to the apparatus main body 20.
- a transmission / reception control unit 11 and a signal processing unit 12 are arranged in the apparatus main body 20, a transmission / reception control unit 11 and a signal processing unit 12 are arranged.
- the transmission / reception control unit 11 generates a predetermined point in the inspection object 100 from the transmission beamformer 21 that generates a transmission signal to be transferred to each transducer constituting the probe 10 and the output of each transducer of the probe 10.
- a reception beamformer 22 for generating a reception signal for.
- the signal processing unit 12 includes an image configuration unit 13 that generates an image of the inspection target 100 using the reception signal output from the reception beamformer 22, and a property evaluation unit 14 that evaluates the tissue property of the inspection target 100. Yes.
- a storage unit 16 storing a database is connected to the signal processing unit 12.
- transmission / reception control unit 11 and the signal processing unit 12 are connected to a control unit 17 that controls the operation.
- control unit 17, the property evaluation unit 14, and the image configuration unit 13 can be realized by software, or part or all of the functions can be realized by hardware.
- control unit 17, the property evaluation unit 14, and the image configuration unit 13 are configured by a CPU (Central Processing Unit) and a memory in which a program is stored in advance.
- CPU Central Processing Unit
- the functions of the control unit 17, the property evaluation unit 14, and the image configuration unit 13, which will be described later, are realized.
- a custom IC such as ASIC (Application Specific Integrated Circuit) or a programmable IC such as FPGA (Field-Programmable Gate Array) is used.
- the circuit design may be performed so as to realize at least the operations of the image forming unit 14 and the image forming unit 13.
- the control unit 17 is read and executed by a CPU containing a program stored in advance in a built-in memory. Thereby, each part is controlled like the flowchart which shows operation
- the control unit 17 transmits the first ultrasonic wave from the vibrator 10 to excite the radiation pressure in the inspection object 100 and generate a shear wave (step 101). Specifically, the control unit 17 causes the transmission beam former 21 to generate a transmission signal for irradiating a predetermined position with the first ultrasonic wave that generates the acoustic radiation pressure. The transmission signal generated by the transmission beamformer 21 is transferred to each transducer constituting the probe 10, and the probe 10 has a predetermined acoustic intensity and converges to a focal point having a predetermined depth.
- One ultrasonic wave 23 is transmitted in a predetermined transmission direction (step 101).
- FIG. 4 (a) and 4 (b) show ultrasonic waves radiated from the probe 10 to the inspection object 100.
- the first ultrasonic wave 23 is irradiated to a predetermined position and direction of the region of interest (ROI) 100a of the inspection object 100, and a wave (longitudinal wave and shear wave) is generated in the inspection object 100 by the acoustic radiation pressure of the first ultrasonic wave 23. ) Occurs.
- the wave propagates radially starting from the position irradiated with the first ultrasonic wave 23.
- 4A and 4B illustrate a case where a wavefront propagating in the right direction is measured.
- the generated shear wave will be described as an example.
- the control unit 17 transmits the second ultrasonic wave from the vibrator 10 and measures the displacement of the tissue (step 102). Specifically, in order to measure the displacement of the tissue due to the generated shear wave, the control unit 17 transmits one or more second ultrasonic waves from the probe 10 to a predetermined position at a predetermined timing.
- the beamformer 21 is caused to generate a transmission signal.
- a plurality of second ultrasonic waves 24 are irradiated at a predetermined timing at a predetermined interval in the direction in which the shear wave generated by the first ultrasonic wave 23 propagates.
- the ultrasonic wave reflected from the inspection object 100 at the location irradiated with the second ultrasonic wave 24 is received by the transducer of the probe 10.
- the control unit 17 operates the reception beam former 22 to perform reception beam forming on the signal output from the probe, and for each point on one reception scanning line centering on the irradiation position of the second ultrasonic wave 24. Get the received signal. This is repeated over time.
- the image constructing unit 13 constructs an image to be inspected from the received signal. Based on the obtained image, the velocity calculation unit 14a of the property evaluation unit 14 detects a temporal change in displacement of each point in the predetermined propagation direction of the shear wave in the inspection object 100 (step 102).
- one second ultrasonic wave 24 is irradiated over a predetermined range in the propagation direction of the shear wave generated by the first ultrasonic wave 23.
- the ultrasonic wave reflected from the inspection object 100 at the location irradiated with the second ultrasonic wave 24 is received by the transducer of the probe 10.
- the control unit 17 operates the reception beam former 22 to perform reception beam forming from the signal output from the probe 10, and each point on the plurality of reception scanning lines centering on the irradiation position of the second ultrasonic wave 24. Get the received signal for.
- the velocity calculation unit 14a detects the displacement of the inspection object 100 due to the propagation of the shear wave at a plurality of propagation positions starting from the irradiation position of the first ultrasonic wave 23.
- the transmission / reception pattern of the second ultrasonic wave 24 in FIG. 4A is excellent in sensitivity, but the time resolution is reduced because the second ultrasonic wave 24 needs to be transmitted many times.
- the transmission / reception pattern of FIG. 4B has a high time resolution because a reception signal can be obtained for a plurality of reception scanning lines with one second ultrasonic wave 24, but the irradiation with the second ultrasonic wave 24 is performed. Because the range is wide, the sensitivity cannot be so high. Any of the transmission / reception patterns shown in FIGS. 4A and 4B may be used according to the region of the inspection object 100 and the required time resolution.
- the control unit 17 instructs the speed calculation unit 14a to calculate the shear wave speed (here, phase speed as an example) (steps 103 to 105).
- the processing of the speed calculation unit 14a will be described with reference to FIG.
- FIG. 5 is an explanatory diagram showing a procedure of phase velocity calculation by the velocity calculator 14a.
- the image of the inspection object 100 is configured by the image construction unit 13 in the above step 102, and the velocity calculation unit 14 a is in a plurality of propagation positions starting from the irradiation position of the first ultrasonic wave 23. The time change of the displacement of the inspection object 100 due to the propagation of the shear wave is detected.
- the velocity calculation unit 14a plots the detected displacement on a map having two axes of the distance in time and propagation direction (propagation position) x, and generates a map (displacement distribution) (FIG. 5B).
- the velocity calculation unit 14a performs two-dimensional Fourier transform on the generated map to obtain an intensity spectrum distribution having the time frequency f (Hz) and the spatial frequency k (m ⁇ 1 ) in FIG. 5C as two axes (step 103).
- the control unit 17 operates the index calculation unit 14 b of the property evaluation unit 14. This will be described with reference to the flowchart of FIG.
- the phase velocity V ( ⁇ ) of the predetermined frequency band ⁇ is received for the phase velocity calculated by the velocity calculation unit 14a (step 201).
- the index calculation unit 14b reads the physical property value J a * of the liver tissue as the first tissue and the physical property value J b * of the fatty tissue as the second tissue from the database stored in the storage unit 16 in advance. (Step 210). Then, the index calculation unit 14b uses the above formula (2) to determine a predetermined ratio ⁇ between the physical property value J a * of the liver tissue that is the first tissue and the physical property value J b * of the fat tissue that is the second tissue.
- the physical property value J * of the mixed tissue mixed in (1) is calculated (step 211).
- the index calculation unit 14b calculates a phase velocity V ( ⁇ ) corresponding to the physical property value J * of the mixed tissue based on the calculated physical property value J * of the mixed tissue based on the equation (3) (step 212).
- ⁇ is the density of the inspection object 100 and is a constant determined in advance.
- the index calculation unit 14b compares the phase velocity V ( ⁇ ) calculated in step 212 with the phase velocity calculated by the velocity calculation unit 14a received in step 201 and V ( ⁇ ), and the difference is within a predetermined value range. For example, it is determined whether or not the two correspond to each other. If the two do not correspond, the process returns to step 211, the value of the ratio ⁇ is changed by a predetermined amount, and steps 211 to 213 are repeated. If the corresponding phase velocity V ( ⁇ ) is obtained in step 213, the ratio ⁇ at that time is determined as an index representing the tissue properties (step 214).
- the index ⁇ is the ratio of the adipose tissue in the test object 100, and shows different values for simple fatty liver and NASH.
- FIGS. 7A and 7B are explanatory diagrams illustrating display screen examples of the display unit 15.
- the property evaluation unit 14 displays the index ⁇ calculated by the index calculation unit 14b together with the image of the ROI 100a of the inspection target 100 generated by the image configuration unit 13 as a numerical value. You may display on 15 display areas 15a.
- the display unit 15 superimposes an image obtained by converting the index ⁇ into a color shade or a change in color tone on the image of the inspection target 100 generated by the image configuration unit 13. May be displayed.
- the user can easily grasp the value of the index ⁇ and the severity level of the organization by displaying the intensity level of the organization indicated by the index range in combination with a lightness bar, a color bar 15b, etc. Can do. For example, as shown in FIGS. 7A and 7B, a lightness bar and a color bar 15b are displayed which indicate the severity in three levels of severe, middle, and normal.
- the index ⁇ by comparing the index ⁇ with a predetermined index range, it is also possible to display by replacing the severity of the organization indicated by the index range.
- the color bar 15b shown in FIGS. 7A and 7B is displayed by replacing it with colors and shades representing the three levels of tissue severity.
- the ROI 100a can be set only to a part of the inspection object 100.
- the ROI 100a may be set two-dimensionally, the entire inspection object 100 may be colored according to the numerical value of the index, and displayed on the display unit 15 as a two-dimensional map.
- the physical property values J a * and J b * of the first tissue and the second tissue stored in advance in the database of the storage unit 16 are, for example, adipose tissue provided from a subject different from the test object 100 It may be a physical property value (complex compliance) measured for liver tissue or a value obtained by calculation.
- an index ⁇ of fatification such as fatty liver is obtained based on the phase velocity. It is extremely difficult to measure only one physical property such as elastic modulus and viscosity of a biological tissue having a complicated composition.
- the physical property index including the complexity of the composition is stored in advance, the tendency of the numerical value to be inspected is determined based on this numerical value, and used as a diagnostic index reflecting the tissue properties. High accuracy and high reproducibility are realized. Thereby, treatment judgment based on objective information, lifestyle guidance, and postoperative progress judgment are possible.
- This technique is also effective for evaluation of fibrosis other than fat and tumor properties, and the biological tissue to be applied is not particularly limited.
- the physical property value J * of the mixed tissue of the first and second tissues is obtained in step 211, and the phase velocity V ( ⁇ ) corresponding to the physical property value J * is calculated in step 212.
- the index ⁇ is obtained by comparing the calculated phase velocity with the phase velocity calculated from the received signal (step 201).
- the present embodiment is not limited to this procedure. From the phase speed calculated from the received signal (step 201), calculates a physical property value J * using the equation (3), the calculated property values J * compared with mixed structure of physical values J * obtained in step 211
- the value of the index ⁇ may be changed so that the two correspond (for example, the difference falls within a predetermined range).
- complex numbers including viscosity and elasticity information are used as physical property values.
- the present invention is not limited to this, and physical quantities such as ultrasonic velocity in the inspection target are used instead of physical property values. Also good.
- FIG. 8A is a graph showing the index ⁇ calculated for each frequency band in the second embodiment
- FIG. 8B shows the concept of calculating the index ⁇ for each phase velocity and frequency band. It is a graph.
- the phase velocity of one frequency band is obtained for the inspection target 100 and the index ⁇ is calculated.
- the frequency dependence of the calculated phase velocity as shown in FIG. 8B For the characteristics, as shown in FIG. 8B, a plurality of frequency bands F1 to F4 are set, and indices ⁇ F1 to ⁇ F4 are obtained for each frequency band.
- the operation for obtaining the index ⁇ in each of the frequency bands F1 to F4 is the same as the flow in FIG. 6 of the first embodiment.
- tissue viscosity has a characteristic that it appears strongly in a high frequency region and tissue elasticity strongly appears in a low frequency region. Therefore, by calculating an index for each frequency band, higher accuracy can be realized as a tissue property determination index.
- the diagnostic index can be calculated by selectively using the high-frequency band index ⁇ according to the user's instruction or the like. For example, a form in which the overall tissue characteristics are determined in a wide band and more detailed tissue characteristics are determined in a narrow band is also effective by diagnosis.
- the physical property value J a * of the first tissue and the physical property value J b * of the second tissue are stored in advance in the database of the storage unit 16, and they are stored in step 210 of the flow of FIG.
- the phase velocities of the first and second tissues are stored in the database as shown in the block diagram of the database structure in FIG. Examples of the phase velocity of the first tissue include the phase velocity of the hepatocyte main tissue and the phase velocity of normal liver. Further, examples of the phase velocity of the second tissue include the phase velocity of the fat-based tissue and the phase velocity of the abnormal liver.
- Step 210 the phase velocities of the first and second tissues are read from the database, and the physical property value J a * and the physical property value corresponding to the respective phase velocities are obtained using Equation (3). J b * is calculated.
- FIG. 10 shows the physical property value J a * and the physical property value J b * calculated from the phase velocities of the first and second tissues (adipose tissue and liver tissue) in the third embodiment, and the index ⁇ of the test object 100 is calculated. It is explanatory drawing which shows the concept which calculates
- a physical property value J a * indicating low viscosity and a physical property value J b * indicating high viscosity are calculated from the phase velocities of the first and second tissues (adipose tissue, liver tissue),
- the index ⁇ can be obtained by calculating the physical property value J * indicating the intermediate viscosity of the test liver that is the test object 100.
- phase velocity can be measured without removing the tissue from the subject, the phase velocity actually measured with another subject can be stored in the database. Therefore, since the average value of the phase velocities actually measured for a large number of subjects can be used as the physical property value, the reliability of the database can be improved.
- a fat tissue is used as the first tissue
- a tissue for example, liver tissue
- a severely diseased tissue is used as the first tissue
- a normal tissue for example, normal liver
- the second tissue for example, severe fatty liver
- the phase velocities of the first and second tissues are stored in advance in the database of the storage unit 16.
- FIG. 11 shows that the physical property value J a * and the physical property value J b * are calculated from the phase velocities of the first and second tissues (severe fatty liver, normal liver) in the fourth embodiment, and the index ⁇ of the test object 100 is calculated.
- the index calculation unit 14b has a physical property value J a * indicating low viscosity and a physical property value J b indicating high viscosity based on the phase velocity of severe fatty liver, as in the third embodiment.
- a physical property value J * indicating the intermediate viscosity of the test liver which is a mixture of high viscosity and low viscosity can be calculated, and the index ⁇ of the test object 100 can be obtained.
- phase velocity measured for a serious disease tissue for example, severe fatty liver
- a normal tissue for example, normal liver
- the fourth embodiment can use the phase velocities actually measured for a large number of subjects as the physical property values, so that the reliability of the database can be improved.
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Abstract
Description
本発明は、超音波撮像装置および超音波受信信号の処理方法に係り、被検体内においてせん断波を発生させ、その伝搬速度を計測することにより、生体組織の性状を評価する技術に関する。 The present invention relates to an ultrasonic imaging apparatus and a method of processing an ultrasonic reception signal, and relates to a technique for evaluating the properties of a living tissue by generating a shear wave in a subject and measuring the propagation speed thereof.
超音波やMRI(Magnetic Resonance Imaging)、X線CT(Computed Tomography)に代表される医療用の画像表示装置は、目視できない生体内の情報を数値または画像の形態で提示する装置として広く利用されている。中でも超音波を利用した画像表示装置は、他の装置と比較して高い時間分解能を備えており、拍動下の心臓を滲みなく画像化できる性能を持つ。 Medical image display devices represented by ultrasound, magnetic resonance (MRI), and X-ray CT (Computed Tomography) are widely used as devices that present in-vivo information in the form of numerical values or images. Yes. In particular, an image display device using ultrasonic waves has a higher time resolution than other devices, and has the ability to image a heart under pulsation without bleeding.
被検体である生体内を伝搬する超音波は主に縦波と横波に区別され、製品に搭載されている多くの技術、すなわち組織形態を映像化する技術や血流速度を計測する技術では、主に縦波(音速約1540m/s)の情報を利用している。 Ultrasound propagating in the living body of the subject is mainly classified into longitudinal waves and transverse waves, and in many of the technologies installed in the product, that is, the technology to visualize the tissue form and the technology to measure the blood flow velocity, Mainly information on longitudinal waves (sound speed of about 1540 m / s) is used.
近年、横波(以降、せん断波)を利用して組織の弾性率を評価する技術が注目されており、慢性肝疾患や癌に対する臨床利用が進められている。この技術では、計測対象となる組織内部にせん断波を発生させ、その伝搬速度から弾性を評価する。せん断波を発生させる手法は、機械方式と放射圧方式に大別される。機械方式は、バイブレータ等を利用して体表面に1kHz程度の振動を与えてせん断波を発生させる方式で、振動源となる駆動装置が必要である。一方、放射圧方式は、超音波を組織内の局所に集中させる集束超音波を利用して生体内に音響放射圧を加え、瞬時的に発生する組織変位を利用してせん断波を発生させる。いずれの方式も、発生したせん断波の伝搬速度を、超音波による組織変位の計測結果から算出し、組織性状を評価する技術である。
特許文献1には、音響放射圧を利用した弾性評価技術が開示されている。本文献に記載の手法は、集束超音波を利用して組織内に放射力を発生させ、組織内にせん断波を伝搬させる。伝搬方向には超音波送受信を実施する複数の計測地点が設けられ、組織変位の時間変化が計測される。変位の計測結果を利用して各計測地点におけるせん断波の到来時間が計測され、伝搬波面の速度および弾性の評価値が算出される。
In recent years, a technique for evaluating the elastic modulus of a tissue using a transverse wave (hereinafter referred to as shear wave) has attracted attention, and clinical use for chronic liver disease and cancer has been promoted. In this technique, shear waves are generated inside the tissue to be measured, and elasticity is evaluated from the propagation velocity. Methods for generating shear waves are broadly divided into mechanical methods and radiation pressure methods. The mechanical system is a system that generates a shear wave by applying a vibration of about 1 kHz to the body surface using a vibrator or the like, and requires a driving device as a vibration source. On the other hand, in the radiation pressure method, acoustic radiation pressure is applied to the living body using focused ultrasound that concentrates the ultrasonic waves locally in the tissue, and shear waves are generated using tissue displacement that occurs instantaneously. Each method is a technique for calculating the propagation speed of the generated shear wave from the measurement result of the tissue displacement by ultrasonic waves and evaluating the tissue properties.
非特許文献1には、せん断波速度の周波数分散(位相速度)を利用した組織性状の評価方式が開示されている。超音波により計測する位相速度に対して、特定周波数の接線勾配を肝臓脂肪化の診断指標として利用している。
Non-Patent
肝臓を始めとする消化器系組織や筋組織は、運動不足や老化により組織性状として脂肪化が進む。脂肪化は慢性疾患や重症疾患のリスク要因として重視されており、健診段階からの中長期的な観察が今後必要となると思われる。 Gastrointestinal system tissues and muscle tissues including the liver are fattened as tissue characteristics due to lack of exercise and aging. Fattening is regarded as a risk factor for chronic diseases and severe diseases, and mid- to long-term observation from the health checkup stage will be necessary in the future.
特に、脂肪肝のうち非アルコール性脂肪肝(Nonalcoholic fatty liver:NAFL)は、予後良好な単純性脂肪肝と、進行性の非アルコール性脂肪性肝炎(nonalcoholic steatohepatitis:NASH)に分けられる、単純性脂肪肝は、生活習慣により改善するが、NASHは、肝臓細胞が非可逆な変化を生じており、何割かが肝硬変さらに肝癌へと進行する。そのため、NASHと単純性脂肪肝を判別し、NASHには積極的な治療が行われる。単純性脂肪肝とNASHとの判別は、現状では肝臓に針を刺す等して組織を一部取り出して検査する生検により行われている。 In particular, nonalcoholic fatty liver (NAFL) among fatty livers can be divided into simple fatty liver with good prognosis and progressive nonalcoholic steatohepatitis (NASH). Fatty liver is improved by lifestyle, but NASH causes irreversible changes in liver cells, and some percent progress to cirrhosis and further to liver cancer. Therefore, NASH and simple fatty liver are discriminated, and NASH is actively treated. Discrimination between simple fatty liver and NASH is currently performed by biopsy in which a part of the tissue is taken out and examined, such as by inserting a needle into the liver.
しかしながら、生検は被検体への負担が大きく、被検体が単純性脂肪肝であった場合には無用な検査となる。そのため、超音波撮像装置を用いて非侵襲で単純性脂肪肝とNASHとを判別し、NASHの可能性が高い場合のみ生検を行って診断を確定することができれば、被検体への負担を軽減できメリットが大きい。 However, a biopsy has a heavy burden on the subject, and is unnecessary when the subject has simple fatty liver. Therefore, if it is possible to discriminate between non-invasive simple fatty liver and NASH using an ultrasound imaging apparatus and perform a biopsy only when the possibility of NASH is high and confirm the diagnosis, the burden on the subject is reduced. The benefits can be reduced.
特許文献1の技術により得られる伝搬波面の速度および弾性の評価値や、非特許文献1の技術により得られるせん断波の位相速度の特定周波数における接線勾配を評価値とした場合、単純性脂肪肝とNASHとで値が近かったり、値が重なっていることが多く、単純性脂肪肝とNASHとを精度よく判別することが難しい。
When the evaluation value of the velocity and elasticity of the propagation wavefront obtained by the technique of
以上を背景に、本発明の目的は、精度よく生体の組織性状を評価することのできる超音波撮像装置を提供することにある。 Against this background, an object of the present invention is to provide an ultrasonic imaging apparatus that can accurately evaluate the tissue properties of a living body.
本発明によれば、波が伝搬している検査対象に向かって、超音波を送信させ、検査対象からの超音波を受信して得られた受信信号を受信する送受信制御部と、受信信号を用いて、検査対象の組織性状を評価する性状評価部と、を有する超音波撮像装置が提供される。性状評価部は、受信信号に基づいて検査対象を伝搬する波の速度を算出する速度算出部と、速度を用いて検査対象の組織性状を示す指標の値を算出する指標算出部とを有する。指標算出部は、予め求めておいた第1の組織の物性値と第2の組織の物性値とを用いて、第1の組織の物性値と第2の組織の物性値とを所定の比率で加算した加算後物性値に対応する波の伝搬速度が、速度算出部が算出した速度に対応する、第1の組織の物性値と第2の組織の物性値との比率を算出する。算出した比率を、検査対象の組織性状を示す指標の値とする。 According to the present invention, a transmission / reception control unit that transmits an ultrasonic wave toward an inspection target in which a wave is propagating and receives an ultrasonic wave from the inspection target, and a reception signal An ultrasonic imaging apparatus is provided that includes a property evaluation unit that evaluates tissue properties of a test object. The property evaluation unit includes a velocity calculation unit that calculates the velocity of the wave propagating through the inspection object based on the received signal, and an index calculation unit that calculates an index value indicating the tissue property of the inspection object using the velocity. The index calculation unit uses a predetermined physical property value of the first tissue and a physical property value of the second tissue to obtain a predetermined ratio between the physical property value of the first tissue and the physical property value of the second tissue. The ratio of the physical property value of the first tissue and the physical property value of the second tissue corresponding to the velocity calculated by the velocity calculation unit is calculated as the wave propagation velocity corresponding to the post-addition physical property value added in (1). The calculated ratio is set as an index value indicating the tissue property of the inspection target.
本発明によれば、精度よく生体の組織性状を評価することのできる超音波撮像装置を提供することができる。 According to the present invention, it is possible to provide an ultrasonic imaging apparatus that can accurately evaluate the tissue properties of a living body.
以下、本発明の実施形態を図面に従い説明する。なお、本明細書において、検査対象内で波を励起させ、伝搬させる方法としては、検査対象に振動を与える方法であればどのようなものでもよく、音響放射圧や加振装置などの機械的な加振方法の他、心拍動など検査対象自身による加振も含む。また、本実施形態では生体組織の組織性状として、脂肪化を対象として説明を進めるが、本発明の本質は、組織性状を精度よく表す指標を算出することにあり、対象とする組織性状は脂肪化に限定されるものではない。例えば、線維化に伴う組織の硬化のほか、のう胞や複雑な組織構成を持つ腫瘍組織を対象にした場合でも、原理的には本発明の指標を性状判断の情報として活用が可能である。 Hereinafter, embodiments of the present invention will be described with reference to the drawings. In this specification, any method for exciting and propagating a wave in the inspection object may be used as long as it is a method for applying vibration to the inspection object, such as an acoustic radiation pressure or a mechanical device such as a vibration device. In addition to a simple excitation method, excitation by a subject to be examined such as a heartbeat is also included. Further, in the present embodiment, the description of the tissue properties of the living tissue will be described with respect to fat formation, but the essence of the present invention is to calculate an index that accurately represents the tissue properties, and the target tissue properties are fat. It is not limited to the conversion. For example, in addition to the hardening of tissue accompanying fibrosis, even in the case of targeting a cyst or a tumor tissue having a complicated tissue structure, the index of the present invention can be used as information for property determination in principle.
図1に実施形態の超音波撮像装置の一構成例のブロック図を示す。本実施形態の超音波撮像装置(超音波送受信装置)は、波が伝搬している検査対象100に向かって、超音波を送信させ、検査対象100からの超音波を受信して得られた受信信号を受信する送受信制御部11と、検査対象100の組織性状を評価する性状評価部14と、を備えている。性状評価部14は、送受信制御部11が受信した受信信号を用いて検査対象100の組織性状を評価する。
FIG. 1 is a block diagram showing a configuration example of the ultrasonic imaging apparatus according to the embodiment. The ultrasonic imaging apparatus (ultrasonic transmission / reception apparatus) of the present embodiment transmits an ultrasonic wave toward the
性状評価部14は、受信信号に基づいて検査対象100を伝搬する波の速度を算出する速度算出部14aと、算出した速度を用いて検査対象100の組織性状を示す指標の値を算出する指標算出部14bと、を備えている。指標算出部14aは、予め求めておいた第1の組織の物性値と第2の組織の物性値とを用いて、第1の組織の物性値と第2の組織の物性値とを所定の比率で加算し、加算後物性値を得る。この加算後物性値に対応する波の伝搬速度が、速度算出部14aが算出した速度に対応する(例えば、ほぼ同一になる)ように、第1の組織の物性値と第2の組織の物性値との加算の比率を決定する。求めた比率を、検査対象100の組織性状を示す指標の値とする。
The
上記物性値は、粘性及び弾性の情報を含む複素数であることが好ましい。特に、物性値としては複素弾性率の逆数として定義される複素コンプライアンスを用いることが、装置実装を考慮した数値計算上で望ましい。 The physical property value is preferably a complex number including viscosity and elasticity information. In particular, it is desirable to use a complex compliance defined as the reciprocal of the complex elastic modulus as a physical property value in numerical calculation considering apparatus mounting.
発明者らは、検査対象100の組織を、典型的な第1の組織と第2の組織の混合組織であると近似し、その混合比率を組織性状を示す指標として用いる。図2(a)、(b)、(c)に検査対象100が肝臓である場合の近似モデルを示す。検査対象100が肝臓である場合、第1の組織は脂肪組織100bであり、第2の組織は、検査対象の機能を実現する組織、すなわち肝組織100aであり(図2(a))、検査対象100の肝臓の組織は、脂肪組織100bと肝組織100aの混合組織である(図2(b))と近似することができる。
The inventors approximate the tissue of the
このとき、発明者らは、第1及び第2の組織の物性値として、粘性η及び弾性Eの情報を含む複素数の物性値(J*)を用いることにより、図2(c)のように、第1及び第2の組織の混合組織の物性値J*が、第1の組織の物性値Ja *と第2の組織の物性値Jb *に比率σで重み付けした線形和で表されることを見出した。さらに詳しく説明すると、混合組織の物性値(J*)と応力Sとの積は、複合連成モデルにより下式(1-1)、(1-2)のように、各組織の物性値Jn *と応力Sとの積の総和で表される。ただし、nは、組織の番号を示す。 At this time, the inventors use a complex physical property value (J * ) including information on viscosity η and elasticity E as the physical property values of the first and second tissues, as shown in FIG. The physical property value J * of the mixed tissue of the first and second tissues is expressed by a linear sum obtained by weighting the physical property value J a * of the first tissue and the physical property value J b * of the second tissue with a ratio σ. I found out. More specifically, the product of the physical property value (J * ) of the mixed structure and the stress S is calculated by the composite coupled model as shown in the following formulas (1-1) and (1-2). It is expressed as the sum of products of n * and stress S. Here, n represents the organization number.
式(1-1)、(1-2)を展開することにより、下式(2)のように物性値J*が、第1の組織の物性値Ja *と第2の組織の物性値Jb *に比率σで重み付けした線形和が導出される。 By expanding the formulas (1-1) and (1-2), the physical property value J * becomes the physical property value J a * of the first tissue and the physical property value of the second tissue as shown in the following formula (2). A linear sum obtained by weighting J b * by the ratio σ is derived.
発明者らは、式(2)で表される物性値Ja *、Jb *と比率σの線形和の物性値J*が、実際の生体組織の物性値J*の性状による変化とよく対応していることを見出した。よって、混合組織のモデルの混合比率σを、受信信号から求めた速度を実現するように決定することにより、混合組織の第1の組織の割合(σ)を求めることができ、例えば脂肪化の度合を示す指標としてσを用いることができる。発明者らの研究によると、単純性脂肪肝とNASHは、σの値に明確な差があり、精度よく単純性脂肪肝とNASHを判別することが可能である。 We have physical properties J a * represented by the formula (2), J b * and a ratio Physical properties of the linear sum of sigma J * is well with change by the physical property values J * of properties of actual biological tissue I found that it corresponds. Therefore, by determining the mixing ratio σ of the mixed tissue model so as to realize the speed obtained from the received signal, the ratio (σ) of the first tissue of the mixed tissue can be obtained. Σ can be used as an index indicating the degree. According to the inventors' research, there is a clear difference in the value of σ between simple fatty liver and NASH, and it is possible to accurately distinguish between simple fatty liver and NASH.
特にJ*としてコンプライアンスを用いた場合には、σの値の差により、高精度に単純性脂肪肝とNASHを判別できる。 In particular, when compliance is used as J * , simple fatty liver and NASH can be distinguished with high accuracy from the difference in the value of σ.
なお、第1の組織および第2の組織は、脂肪組織と、検査対象100の機能を実現する組織に限定されるものではなく、第1の組織として検査対象100の部位が正常である場合の組織を用い、第2の組織を検査対象100が疾患を患った場合の組織として、モデル化することも可能である。例えば、第1の組織として、正常肝組織を、第2の組織として重症脂肪肝の組織を用いてもよい。
Note that the first tissue and the second tissue are not limited to the fat tissue and the tissue that realizes the function of the
以下、さらに詳しく説明する。 The following is a more detailed explanation.
<<第1の実施形態>>
第1の実施形態の超音波撮像装置について図1を用いて詳しく説明する。
<< First Embodiment >>
The ultrasonic imaging apparatus according to the first embodiment will be described in detail with reference to FIG.
図1の第1の実施形態の超音波撮像装置の全体構成の概要を示す。超音波撮像装置は、探触子10と、装置本体20とを備えて構成される。装置本体20には、表示部15が接続されている。装置本体20には、送受信制御部11と、信号処理部12が配置されている。送受信制御部11は、探触子10を構成する各振動子に受け渡す送信信号を生成する送信ビームフォーマ21と、探触子10の各振動子の出力から、検査対象100内の所定の点についての受信信号を生成する受信ビームフォーマ22とを備えている。
FIG. 1 shows an outline of the overall configuration of the ultrasonic imaging apparatus according to the first embodiment of FIG. The ultrasonic imaging apparatus includes a
信号処理部12は、受信ビームフォーマ22の出力する受信信号を用いて、検査対象100の画像を生成する画像構成部13と、検査対象100の組織性状を評価する性状評価部14とを備えている。信号処理部12には、データベースを格納した記憶部16が接続されている。
The
また、送受信制御部11と信号処理部12には、動作を制御する制御部17が接続されている。
Further, the transmission /
制御部17、性状評価部14および画像構成部13の機能は、ソフトウエアによって実現することも可能であるし、その一部または全部をハードウエアによって実現することも可能である。ソフトウエアによって実現する場合、制御部17、性状評価部14および画像構成部13を、CPU(Central Processing Unit)と、プログラムを予め格納したメモリによって構成する。CPUがプログラムを読み込んで実行することにより、後述する制御部17、性状評価部14および画像構成部13の機能を実現する。また、ハードウエアによって実現する場合には、ASIC(Application Specific Integrated Circuit)のようなカスタムICや、FPGA(Field-Programmable Gate Array)のようなプログラマブルICを用い、後述する制御部17、性状評価部14および画像構成部13の動作の少なくとも実現するように回路設計を行えばよい。
The functions of the
以下、各部の動作を具体的に説明する。ここでは、ソフトウエアにより実行する場合を例に説明する。 Hereinafter, the operation of each part will be described in detail. Here, a case where it is executed by software will be described as an example.
制御部17は、内蔵するメモリに予め格納されているプログラムを内蔵するCPUが読み込んで実行する。これにより、図3に示した超音波撮像装置の動作を示すフローチャートのように各部の制御を行う。
The
まず、制御部17は、第1超音波を振動子10から送信させて、検査対象100内で放射圧を励起させ、せん断波を発生させる(ステップ101)。具体的には、制御部17は、音響放射圧を生じさせる第1超音波を所定の位置に照射するための送信信号を送信ビームフォーマ21に生成させる。送信ビームフォーマ21が生成した送信信号は、探触子10を構成する振動子にそれぞれ受け渡され、探触子10は、所定の音響強度を有し、所定の深さの焦点に収束する第1超音波23を所定の送信方向に送信する(ステップ101)。
First, the
図4(a),(b)は、探触子10から検査対象100に放射される超音波を示している。第1超音波23が検査対象100の関心領域(ROI)100aの所定の位置及び方向に照射され、第1超音波23の音響放射圧により、検査対象100内には波(縦波およびせん断波)が発生する。波は、第1超音波23が照射された位置を起点に放射状に伝搬する。図4(a)、(b)の図面では、右方向に伝搬する波面を計測する場合を例示している。以下、発生したせん断波を例に説明する。
4 (a) and 4 (b) show ultrasonic waves radiated from the
制御部17は、第2超音波を振動子10から送信させ、組織の変位を計測する(ステップ102)。具体的には、制御部17は、発生したせん断波による組織の変位を計測するために、1以上の第2超音波を探触子10から所定の位置に所定のタイミングで照射するように送信ビームフォーマ21に送信信号を生成させる。これにより、図4(a)のように、第1超音波23により発生したせん断波が伝搬する方向に予め定めた間隔で複数の第2超音波24を所定のタイミングで照射する。第2超音波24を照射した箇所の検査対象100から反射等した超音波は、探触子10の振動子によって受信される。制御部17は、受信ビームフォーマ22を動作させて探触子の出力する信号について受信ビームフォーミングを行わせ、第2超音波24の照射位置を中心とする1本の受信走査線上の各点について受信信号を得る。これを時間経過とともに繰り返す。画像構成部13は、受信信号から検査対象の画像を構成する。性状評価部14の速度算出部14aは、得られた画像に基づいて、検査対象100におけるせん断波の所定の伝搬方向の各点の変位の時間変化を検出する(ステップ102)。
The
一方、図4(b)の例では、第1超音波23により生じたせん断波の伝搬方向に所定の範囲にわたって1つの第2超音波24を照射する。第2超音波24を照射した箇所の検査対象100から反射等した超音波は、探触子10の振動子によって受信される。制御部17は、受信ビームフォーマ22を動作させて、探触子10の出力する信号から受信ビームフォーミングを行い、第2超音波24の照射位置を中心とする複数本の受信走査線上の各点について受信信号を得る。これを時間経過とともに繰り返すことにより、速度算出部14aは、第1超音波23の照射位置を起点とする複数の伝搬位置において、せん断波の伝搬による検査対象100の変位を検出する。
On the other hand, in the example of FIG. 4B, one second
なお、図4(a)の第2超音波24の送受信パターンは、感度に優れるが何回も第2超音波24を送信する必要があるため時間分解能が低下する。一方、図4(b)の送受信パターンは、1回の第2超音波24で複数本の受信走査線について受信信号を得ることができるため、時間分解能が高いが、第2超音波24の照射範囲が広いため、感度があまり高くできない。検査対象100の部位や、必要な時間分解能に応じて、図4(a),(b)のいずれの送受信パターンを用いてもよい。
The transmission / reception pattern of the second
制御部17は、速度算出部14aに指示して、せん断波の速度(ここでは例として位相速度)を算出させる(ステップ103~105)。速度算出部14aの処理を図5を用いて説明する。図5は、速度算出部14aによる位相速度算出の手順を示す説明図である。図5(a)のように、検査対象100の画像が上記ステップ102において画像構成部13により構成され、速度算出部14aは、第1超音波23の照射位置を起点とする複数の伝搬位置において、せん断波の伝搬による検査対象100の変位の時間変化を検出する。速度算出部14aは、検出した変位を、時間と伝搬方向の距離(伝搬位置)xを2軸とするマップにプロットし、マップ(変位分布)を生成する(図5(b))。速度算出部14aは、生成したマップを2次元フーリエ変換し、図5(c)の時間周波数f(Hz)と空間周波数k(m-1)を2軸とする強度スペクトル分布を得る(ステップ103)。図5(c)の強度スペクトル分布に示されるピーク位置を検出する(ステップ104)。ピーク位置の時間周波数fと空間周波数kの関係から、位相速度VをV=f/kにより算出する。これにより、図5(d)のような位相速度の周波数依存性を算出する(ステップ105)。
The
つぎに、制御部17は、性状評価部14の指標算出部14bを動作させる。これを図6のフローを用いて説明する。速度算出部14aが算出した位相速度について所定の周波数帯域ωの位相速度V(ω)を受け取る(ステップ201)。また、指標算出部14bは、予め記憶部16に格納されているデータベースから、第1の組織として肝組織の物性値Ja
*と第2の組織として脂肪組織の物性値Jb
*をそれぞれ読みだす(ステップ210)。そして、指標算出部14bは、上記式(2)により、第1の組織である肝組織の物性値Ja
*と第2の組織である脂肪組織の物性値Jb
*を予め定めた比率σで混合した混合組織の物性値J*を算出する(ステップ211)。
Next, the
つぎに、指標算出部14bは、算出した混合組織の物性値J*から式(3)に基づいて、混合組織の物性値J*に対応する位相速度V(ω)を算出する(ステップ212)。なお、ρは、検査対象100の密度であり、予め求めたおいた定数である。
Next, the
指標σは、検査対象100に占める脂肪組織の割合であり、単純脂肪肝とNASHとで異なる値を示す。図7(a)、(b)は、表示部15の表示画面例を示す説明図である。図7(a)の画面例のように、性状評価部14は、画像構成部13が生成した検査対象100のROI100aの画像とともに、指標算出部14bが算出した指標σを、数値のまま表示部15の表示領域15aに表示させてもよい。また、図7(b)の画面例のように、画像構成部13が生成した検査対象100の画像に、指標σを色の濃淡や色調の変化に変換したものを、重畳させて表示部15に表示させてもよい。この場合、指標の範囲が示す組織の深刻度を数段階で示す濃淡バーやカラーバー15b等を併せて表示することにより、ユーザーは、指標σの値と組織の深刻度を容易に把握することができる。例えば、図7(a),(b)のように深刻度をシビア(Severe)、ミドル(Middle)、ノーマル(Normal)の3段階に表す濃淡バーやカラーバー15bを表示する。
The index σ is the ratio of the adipose tissue in the
また、指標σと、予め定めておいた指標の範囲とを比較することにより、指標の範囲が示す組織の深刻度に置き換えて表示することも可能である。例えば、図7(a),(b)のカラーバー15bの示す3段階の組織の深刻度を表す色や濃淡に置き換えて表示する。
Also, by comparing the index σ with a predetermined index range, it is also possible to display by replacing the severity of the organization indicated by the index range. For example, the
また、図7(a)のように、ROI100aを検査対象100の一部分にのみ設定することも可能である。図7(b)のように、ROI100aを二次元に設定し、検査対象100全体を指標の数値に応じて配色し、二次元マップとして表示部15に表示してもよい。
Further, as shown in FIG. 7A, the
なお、記憶部16のデータベースに予め格納しておく第1の組織および第2の組織の物性値Ja
*およびJb
*は、例えば、検査対象100とは異なる被検体から提供された脂肪組織や肝組織について実測した物性値(複素コンプライアンス)であってもよいし、計算によって求めた値を用いることも可能である。
The physical property values J a * and J b * of the first tissue and the second tissue stored in advance in the database of the
第1の実施形態によれば、位相速度に基づいて、脂肪肝等の脂肪化の指標σが得られる。複雑な組成を持つ生体組織に対し、弾性率や粘性率といった唯一つの物性を計測するのは極めて困難である。本実施形態は、組成の複雑性を含めた物性指標を予め保持し、この数値を基準に検査対象の数値の傾向を判定し、組織性状を反映した診断指標として利用するため、診断機能としての高精度化、および高い再現性が実現される。これにより客観的情報に基づく治療判断や生活習慣指導、術後の経過判定が可能である。本技術は、脂肪化以外の線維化や腫瘍性状の評価にも有効であり、適用する生体組織は特に限定されない。 According to the first embodiment, an index σ of fatification such as fatty liver is obtained based on the phase velocity. It is extremely difficult to measure only one physical property such as elastic modulus and viscosity of a biological tissue having a complicated composition. In the present embodiment, the physical property index including the complexity of the composition is stored in advance, the tendency of the numerical value to be inspected is determined based on this numerical value, and used as a diagnostic index reflecting the tissue properties. High accuracy and high reproducibility are realized. Thereby, treatment judgment based on objective information, lifestyle guidance, and postoperative progress judgment are possible. This technique is also effective for evaluation of fibrosis other than fat and tumor properties, and the biological tissue to be applied is not particularly limited.
なお、図6のフローでは、ステップ211において第1及び第2の組織の混合組織の物性値J*を求め、ステップ212において物性値J*に対応する位相速度V(ω)を算出して、算出した位相速度を、受信信号から算出した位相速度(ステップ201)と対比することにより、指標σを求めたが、本実施形態はこの手順に限られるものではない。受信信号から算出した位相速度(ステップ201)から、式(3)を用いて物性値J*を算出し、算出した物性値J*をステップ211で求めた混合組織の物性値J*と比較し、両者が対応する(例えば差が所定の範囲内になる)ように指標σの値を変化させてもよい。
In the flow of FIG. 6, the physical property value J * of the mixed tissue of the first and second tissues is obtained in
また、本実施形態では、物性値として粘性と弾性の情報を含む複素数を用いたが、これに限られるものではなく、検査対象内の超音波の速度等の物理量を物性値の代わりに用いてもよい。 In this embodiment, complex numbers including viscosity and elasticity information are used as physical property values. However, the present invention is not limited to this, and physical quantities such as ultrasonic velocity in the inspection target are used instead of physical property values. Also good.
<<第2の実施形態>>
第2の実施形態の超音波撮像装置について説明する。図8(a)は、第2の実施形態において周波数帯域ごとに算出される指標σを示すグラフであり、図8(b)は、位相速度と周波数帯域ごとに指標σを算出する概念を示すグラフである。
<< Second Embodiment >>
An ultrasonic imaging apparatus according to the second embodiment will be described. FIG. 8A is a graph showing the index σ calculated for each frequency band in the second embodiment, and FIG. 8B shows the concept of calculating the index σ for each phase velocity and frequency band. It is a graph.
第1の実施形態では、検査対象100について1つの周波数帯域の位相速度を求め、指標σを算出したが、第2の実施形態では、図5(d)のように算出した位相速度の周波数依存特性に対して、図8(b)のように、複数の周波数帯域F1~F4を設定し、それぞれの周波数帯域について指標σF1~σF4を求める。各周波数帯域F1~F4のそれぞれにおいて指標σを求める動作は、第1の実施形態の図6のフローと同様である。
In the first embodiment, the phase velocity of one frequency band is obtained for the
これにより、図8(a)のように周波数帯域F1~F4においてそれぞれ指標σF1~σF4を求められるため、指標σF1~σF4の勾配値や平均値を算出することができる。よって、勾配値や平均値を用いて、組織の脂肪化等の評価を行うことが可能になる。例えば組織粘性は高周波域に、組織弾性は低周波域に強く現れる特徴があるため、周波数帯域毎に指標を算出することで、組織性状の判断指標として更なる高精度化が実現する。 As a result, since the indices σ F1 to σ F4 are obtained in the frequency bands F1 to F4 as shown in FIG. 8A, gradient values and average values of the indices σ F1 to σ F4 can be calculated. Therefore, it becomes possible to evaluate tissue fatification and the like using the gradient value and the average value. For example, tissue viscosity has a characteristic that it appears strongly in a high frequency region and tissue elasticity strongly appears in a low frequency region. Therefore, by calculating an index for each frequency band, higher accuracy can be realized as a tissue property determination index.
即ち、ユーザの関心が特に粘性にある場合(例えば脂肪肝やのう胞)、高周波帯域の指標σをユーザの指示等により選択的に用いて、診断指標を算出することもできる。例えば、広帯域で全体的な組織性状を判断し、狭帯域でより詳細な組織性状を判断、とする形態も診断によって有効である。 That is, when the user's interest is particularly viscous (eg, fatty liver or cyst), the diagnostic index can be calculated by selectively using the high-frequency band index σ according to the user's instruction or the like. For example, a form in which the overall tissue characteristics are determined in a wide band and more detailed tissue characteristics are determined in a narrow band is also effective by diagnosis.
他の構成および動作は、第1の実施形態と同様であるので説明を省略する。 Other configurations and operations are the same as those in the first embodiment, and thus description thereof is omitted.
<<第3の実施形態>>
第3の実施形態の超音波撮像装置について説明する。
<< Third Embodiment >>
An ultrasonic imaging apparatus according to the third embodiment will be described.
第1の実施形態では、記憶部16のデータベースに第1の組織の物性値Ja
*と第2の組織の物性値Jb
*が予め格納されており、図6のフローのステップ210においてそれらを読みだして用いる構成であったが、第3の実施形態では、図9のデータベースの構造を示すブロック図のように、データベースに第1および第2の組織の位相速度を格納する。第1の組織の位相速度の例として、肝細胞主体組織の位相速度や正常肝の位相速度がある。また、第2の組織の位相速度の例として、脂肪主体組織の位相速度や異常肝の位相速度がある。
In the first embodiment, the physical property value J a * of the first tissue and the physical property value J b * of the second tissue are stored in advance in the database of the
第3の実施形態では、ステップ210において、第1および第2の組織の位相速度がデータベースから読み込まれ、式(3)を用いて、それぞれの位相速度に対応する物性値Ja
*と物性値Jb
*が算出される。他のステップの動作および装置構成は、第1の実施形態と同様である。図10は、第3の実施形態において第1及び第2の組織(脂肪組織、肝組織)の位相速度から、物性値Ja
*と物性値Jb
*を算出し、検査対象100の指標σを求める概念を示す説明図である。この概念図に示すように、第1及び第2の組織(脂肪組織、肝組織)の位相速度から、低粘性を示す物性値Ja
*と高粘性を示す物性値Jb
*を算出し、検査対象100である検査肝の中間粘性を示す物性値J*を算出して指標σを求めることができる。
In the third embodiment, in
位相速度は、組織を被検体内から取り出すことなく計測することができるため、他の被検体で実測した位相速度をデータベースに格納しておくことができる。よって、多数の被検体について実測した位相速度の平均値を物性値として用いることができるため、データベースの信頼性を向上させることができる。 Since the phase velocity can be measured without removing the tissue from the subject, the phase velocity actually measured with another subject can be stored in the database. Therefore, since the average value of the phase velocities actually measured for a large number of subjects can be used as the physical property value, the reliability of the database can be improved.
<<第4の実施形態>>
第4の実施形態の超音波撮像装置について説明する。
<< Fourth Embodiment >>
An ultrasonic imaging apparatus according to the fourth embodiment will be described.
第1の実施形態では、第1の組織として脂肪組織が、第2の組織として、その検査対象の機能を実現する組織(例えば肝組織)を用いたが、第1の組織として重症の疾患組織(例えば重症脂肪肝)を、第2の組織として、正常な組織(例えば正常肝)を用いてもよい。この場合、第1及び第2の組織(重症脂肪肝、正常肝)の位相速度を記憶部16のデータベースに予め格納しておく。図11は、第4の実施形態において第1及び第2の組織(重症脂肪肝、正常肝)の位相速度から物性値Ja
*と物性値Jb
*を算出し、検査対象100の指標σを求める概念を示す説明図である。この概念図を示すように、指標算出部14bは、第3の実施形態と同様に、重症脂肪肝の位相速度に基づいて低粘性を示す物性値Ja
*と高粘性を示す物性値Jb
*を算出して、高粘性と低粘性の混合体である検査肝の中間粘性を示す物性値J*を算出し、検査対象100の指標σを求めることが可能である。
In the first embodiment, a fat tissue is used as the first tissue, and a tissue (for example, liver tissue) that realizes the function of the examination target is used as the second tissue. However, a severely diseased tissue is used as the first tissue. A normal tissue (for example, normal liver) may be used as the second tissue (for example, severe fatty liver). In this case, the phase velocities of the first and second tissues (severe fatty liver and normal liver) are stored in advance in the database of the
位相速度は、組織を被検体内から取り出すことなく計測することができるため、重症の疾患組織(例えば重症脂肪肝)および正常な組織(例えば正常肝)について実測した位相速度をデータベースに格納しておくことができる。他の構成および動作は、第3の実施形態と同様である。 Since the phase velocity can be measured without removing the tissue from the subject, the phase velocity measured for a serious disease tissue (for example, severe fatty liver) and a normal tissue (for example, normal liver) is stored in a database. I can leave. Other configurations and operations are the same as those of the third embodiment.
第4の実施形態は、第3実施形態と同様に、多数の被検体について実測した位相速度を物性値として用いることができるため、データベースの信頼性を向上させることができる。 As in the third embodiment, the fourth embodiment can use the phase velocities actually measured for a large number of subjects as the physical property values, so that the reliability of the database can be improved.
10…探触子、11…送受信制御部、12…信号処理部、13…画像構成部、14…性状評価部、15…表示部、16…データベースが格納された記憶部、17…制御部、21…送信ビームフォーマ、22…受信ビームフォーマ、100…検査対象
DESCRIPTION OF
Claims (14)
前記性状評価部は、前記受信信号に基づいて前記検査対象を伝搬する前記波の速度を算出する速度算出部と、前記速度を用いて前記検査対象の組織性状を示す指標の値を算出する指標算出部とを有し、
前記指標算出部は、予め求めておいた第1の組織の物性値と第2の組織の物性値とを用いて、前記第1の組織の物性値と第2の組織の物性値とを所定の比率で加算した加算後物性値に対応する波の伝搬速度が、前記速度算出部が算出した前記速度に対応する、前記第1の組織の物性値と第2の組織の物性値との前記比率を算出し、前記比率を、前記検査対象の組織性状を示す指標の値とする、
ことを特徴とする超音波撮像装置。 A transmission / reception control unit that transmits an ultrasonic wave toward an inspection target in which a wave propagates and receives an ultrasonic wave from the inspection target, and the reception signal, and the reception signal, the inspection It has a property evaluation section that evaluates the target tissue properties,
The property evaluation unit is a velocity calculation unit that calculates a velocity of the wave propagating through the inspection object based on the received signal, and an index that calculates a value of an index indicating the tissue property of the inspection object using the velocity A calculation unit,
The index calculation unit uses the physical property value of the first tissue and the physical property value of the second tissue determined in advance to determine the physical property value of the first tissue and the physical property value of the second tissue. The wave propagation speed corresponding to the added physical property value added at the ratio of the first physical property value of the first tissue and the physical property value of the second tissue corresponding to the speed calculated by the speed calculation unit A ratio is calculated, and the ratio is set as an index value indicating the tissue property of the inspection target.
An ultrasonic imaging apparatus.
前記物性値は、粘性及び弾性の情報を含む複素数である、
ことを特徴とする超音波撮像装置。 The ultrasonic imaging apparatus according to claim 1,
The physical property value is a complex number including viscosity and elasticity information.
An ultrasonic imaging apparatus.
前記物性値は、コンプライアンスである、
ことを特徴とする超音波撮像装置。 The ultrasonic imaging apparatus according to claim 2,
The physical property value is compliance.
An ultrasonic imaging apparatus.
前記速度算出部は、前記波の1以上の周波数帯域ごとに前記速度を算出し、
前記指標算出部は、前記周波数帯域ごとに前記指標の値を算出する
ことを特徴とする超音波撮像装置。 The ultrasonic imaging apparatus according to claim 1,
The velocity calculation unit calculates the velocity for each of one or more frequency bands of the wave,
The ultrasonic imaging apparatus, wherein the index calculation unit calculates a value of the index for each frequency band.
前記指標算出部は、予め定めておいた1以上の組織性状と、その組織性状に対応する比率の値の範囲との関係に基づいて、前記算出した比率の値に対応する組織性状を求め、求めた組織性状を表示装置に表示させる、
ことを特徴とする超音波撮像装置。 The ultrasonic imaging apparatus according to claim 1,
The index calculation unit obtains a tissue property corresponding to the calculated ratio value based on a relationship between one or more predetermined tissue properties and a range of ratio values corresponding to the tissue property; Display the obtained tissue properties on the display device.
An ultrasonic imaging apparatus.
前記第1の組織は、脂肪組織であり、
前記第2の組織は、前記検査対象の機能を実現する組織である、
ことを特徴とする超音波撮像装置。 The ultrasonic imaging apparatus according to claim 1,
The first tissue is adipose tissue;
The second organization is an organization that realizes the function of the inspection target.
An ultrasonic imaging apparatus.
前記第1の組織は、前記検査対象の部位が正常である場合の組織であり、
前記第2の組織は、前記検査対象が疾患を患った場合の組織である、
ことを特徴とする超音波撮像装置。 The ultrasonic imaging apparatus according to claim 1,
The first tissue is a tissue in a case where the site to be examined is normal,
The second tissue is a tissue when the test subject suffers from a disease.
An ultrasonic imaging apparatus.
前記波は、縦波またはせん断波であり、
前記速度は、周波数依存性を有する位相速度または群速度である、
ことを特徴とする超音波撮像装置。 The ultrasonic imaging apparatus according to claim 1,
The wave is a longitudinal wave or a shear wave;
The velocity is a phase velocity or a group velocity having frequency dependency.
An ultrasonic imaging apparatus.
前記速度算出部は、前記受信信号から、前記検査対象の前記波の伝搬方向についての複数の位置ごとの、複数の時間における変位を表すマップを生成し、前記マップを2次元フーリエ変換することにより、時間周波数と空間周波数との関係を求め、前記関係から位相速度を算出する、
ことを特徴とする超音波撮像装置。 The ultrasonic imaging apparatus according to claim 1,
The velocity calculation unit generates a map representing displacement at a plurality of times for each of a plurality of positions in the propagation direction of the wave to be inspected from the received signal, and performs two-dimensional Fourier transform on the map , Find the relationship between the time frequency and the spatial frequency, and calculate the phase velocity from the relationship,
An ultrasonic imaging apparatus.
前記受信信号に基づいて前記検査対象を伝搬する前記波の速度を算出し、予め求めておいた第1の組織の物性値及び第2の組織の物性値と、算出した前記速度と、に基づいて、前記検査対象の組織性状を評価する指標を算出する信号処理部と、
を有することを特徴とする超音波撮像装置。 A transmission / reception control unit that transmits an ultrasonic wave toward the inspection target in which the wave is propagating and receives a reception signal obtained by receiving the ultrasonic wave from the inspection target;
The velocity of the wave propagating through the inspection object is calculated based on the received signal, and based on the physical property value of the first tissue and the physical property value of the second tissue obtained in advance and the calculated velocity. A signal processing unit that calculates an index for evaluating the tissue property of the inspection target;
An ultrasonic imaging apparatus comprising:
前記信号処理部は、
前記第1の組織の物性値及び前記第2の組織の物性値と、算出した前記速度と、に基づいて、前記検査対象を構成する前記第1の組織と前記第2の組織の比率を算出し、前記算出した比率を前記指標とする、
ことを特徴とする超音波撮像装置。 The ultrasonic imaging apparatus according to claim 10,
The signal processing unit
Based on the physical property value of the first tissue and the physical property value of the second tissue, and the calculated speed, the ratio of the first tissue and the second tissue constituting the examination object is calculated. And using the calculated ratio as the index,
An ultrasonic imaging apparatus.
前記信号処理部は、
前記第1の組織の物性値と第2の組織の物性値とを前記比率で加算した加算後物性値に対応する波の速度が、前記受信信号に基づいて算出した前記速度に対応するように前記比率を算出する、
ことを特徴とする超音波撮像装置。 The ultrasonic imaging apparatus according to claim 11,
The signal processing unit
The velocity of the wave corresponding to the added physical property value obtained by adding the physical property value of the first tissue and the physical property value of the second tissue by the ratio corresponds to the velocity calculated based on the received signal. Calculating the ratio,
An ultrasonic imaging apparatus.
前記物性値は、粘性及び弾性の情報を含む複素数であり、
前記第1の組織は、脂肪組織であり、
前記第2の組織は、前記検査対象の機能を実現する組織であり、
前記波は、縦波またはせん断波であり、
前記速度は、周波数依存性を有する位相速度または群速度である、
ことを特徴とする超音波撮像装置。 The ultrasonic imaging apparatus according to claim 12,
The physical property value is a complex number including viscosity and elasticity information,
The first tissue is adipose tissue;
The second organization is an organization that realizes the function of the inspection target,
The wave is a longitudinal wave or a shear wave;
The velocity is a phase velocity or a group velocity having frequency dependency.
An ultrasonic imaging apparatus.
前記受信信号に基づいて前記検査対象を伝搬する前記波の速度を算出するステップと、
予め求めておいた第1の組織の物性値と第2の組織の物性値とを用いて、前記第1の組織の物性値と第2の組織の物性値とを所定の比率で加算した加算後物性値に対応する波の伝搬速度が、前記算出した前記波の速度に対応する、前記第1の組織の物性値と第2の組織の物性値との前記比率を算出し、前記比率を、前記検査対象の組成性状を示す指標の値とするステップと、を含む、
ことを特徴とする超音波受信信号の処理方法。
Transmitting an ultrasonic wave toward the inspection object through which the wave is propagating, receiving an ultrasonic wave from the inspection object, and obtaining a reception signal;
Calculating the velocity of the wave propagating through the inspection object based on the received signal;
Addition in which the physical property value of the first tissue and the physical property value of the second tissue are added at a predetermined ratio using the physical property value of the first tissue and the physical property value of the second tissue which are obtained in advance. The ratio of the physical property value of the first tissue and the physical property value of the second tissue, wherein the wave propagation velocity corresponding to the post physical property value corresponds to the calculated wave velocity, calculates the ratio. And a step of setting an index value indicating the composition property of the test object,
A method for processing an ultrasonic reception signal.
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| JP2015104412A (en) * | 2013-11-28 | 2015-06-08 | ジーイー・メディカル・システムズ・グローバル・テクノロジー・カンパニー・エルエルシー | Ultrasonic diagnostic equipment |
| JP2017047193A (en) * | 2015-09-02 | 2017-03-09 | 有限会社生物振動研究所 | Biological measurement apparatus, biological measurement method, and detection method |
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| US20140276058A1 (en) * | 2013-03-15 | 2014-09-18 | Siemens Medical Solutions Usa, Inc. | Fat Fraction Estimation Using Ultrasound with Shear Wave Propagation |
| JP2015104412A (en) * | 2013-11-28 | 2015-06-08 | ジーイー・メディカル・システムズ・グローバル・テクノロジー・カンパニー・エルエルシー | Ultrasonic diagnostic equipment |
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| CN111789632B (en) * | 2019-04-04 | 2023-06-27 | 富士胶片医疗健康株式会社 | Ultrasonic diagnostic device, signal processing device and storage medium |
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