阅读说明：本技术 超声心动图上下文测量工具 (Echocardiogram context measuring tool ) 是由 M·塞芬斯特 T·A·福斯贝里 A·帕特尔 于 2018-02-28 设计创作，主要内容包括：一种系统(100)包括：超声心动图测量工具(150),其被配置为根据超声成像序列(110)的视图以及所述视图与测量结果子集(152)之间的映射(154)来从超声心动图测量结果的列表中确定所述测量结果子集。(A kind of system (100) includes: echocardiogram measuring tool (150), is configured as determining the measurement result subset from the list of Echocardiographic measurements according to the mapping (154) between the view of ultrasonic imaging sequence (110) and the view and measurement result subset (152).)

1. a kind of system (100), comprising:

Echocardiogram measuring tool (150) is configured as view and the view according to ultrasonic imaging sequence (110) Mapping (154) between measurement result subset (152) to determine the measurement from the list of Echocardiographic measurements As a result subset.

2. system according to claim 1, wherein the mapping includes: out of the view (200) to the view First son mapping of the part of cardiac anatomy (210), and from the part of the cardiac anatomy in the view To the second son mapping of the measurement result subset.

3. system according to claim 1, further includes:

User interface (160), is configured as: show on the display device the ultrasonic imaging sequence the view and Identified measurement result subset in optional list；And

Wherein, the measuring tool is in response to input and according in the shown measurement result subset by the input instruction Selected measurement result measures the aspect of the heart in the view.

4. system according to claim 1, further includes:

Sequence mark unit (130) is configured as determining the view according to the analysis to the ultrasonic imaging sequence.

5. system according to claim 1, wherein the list of Echocardiographic measurements is stored as searching Table, the look-up table include the element of view (200) and measurement result (220).

6. system according to claim 1, wherein the measurement result subset is according to availability statistical data (230) It is ranked up.

7. system according to claim 2, wherein the first son mapping includes sub- view.

8. system according to claim 1, wherein the measuring tool is directed to the view of the ultrasonic imaging sequence At least one measurement result of the spontaneous selection measurement result subset and at least one measurement result is spontaneous is applied to by described The view of the ultrasonic imaging sequence.

9. a kind of method, comprising:

According to the mapping (154) between the view of ultrasonic imaging sequence and the view and measurement result subset (152) come from (320) described measurement result subset is determined in the list of Echocardiographic measurements.

10. according to the method described in claim 9, wherein, the mapping includes: from the view to the heart in the view First son mapping of the part of anatomical structure, and from the part of the cardiac anatomy in the view to the measurement As a result the second son mapping of subset.

11. according to the method described in claim 9, further include:

On the display device show (330) described ultrasonic imaging sequence the view and in optional list determined by Measurement result subset；And

In response to input according to by it is described input instruction shown measurement result subset in selected measurement result come Measure the aspect of the heart in (340) described view.

12. according to the method described in claim 9, further include:

(310) described view is determined according to the analysis to the ultrasonic imaging sequence.

13. according to the method described in claim 9, wherein, the list of Echocardiographic measurements is stored as searching Table, the look-up table include the element of view (200) and measurement result (220).

14. according to the method for claim 11, wherein shown measurement result subset is according to availability statistical data (230) it is ranked up.

15. according to the method described in claim 9, further include:

For at least one measurement result of the view spontaneous selection measurement result subset of the ultrasonic imaging sequence And by the spontaneous view applied to the ultrasonic imaging sequence of at least one measurement result.

16. a kind of non-transient computer-readable storage media (164) of carrying instruction, the one or more processing of described instruction control Device (142) is to execute following operation:

According to the mapping (154) between the view of ultrasonic imaging sequence and the view and measurement result subset (152) come from (320) described measurement result subset is determined in the list of Echocardiographic measurements.

17. non-transient computer-readable storage media according to claim 16, wherein one or more of processors It is also utilised by are as follows:

On the display device show (330) described ultrasonic imaging sequence the view and in optional list determined by Measurement result subset；And

In response to input according to by it is described input instruction shown measurement result subset in selected measurement result come Measure the aspect of the heart in (340) described view.

18. non-transient computer-readable storage media according to claim 16, wherein one or more of processors It is also utilised by are as follows:

(310) described view is determined according to the analysis to the ultrasonic imaging sequence.

19. non-transient computer-readable storage media according to claim 16, wherein Echocardiographic measurements The list is stored as look-up table, and the look-up table includes the element of view and measurement result.

20. non-transient computer-readable storage media according to claim 16, wherein one or more of processors It is also utilised by are as follows:

For at least one measurement result of the view spontaneous selection measurement result subset of the ultrasonic imaging sequence And by the spontaneous view applied to the ultrasonic imaging sequence of at least one measurement result.

Technical field

Echocardiogram is related generally to below, and relates more specifically to Echocardiographic measurements.

Background technique

Executing echocardiogram measurement can monitor and diagnosis of heart disease and/or heart.Echocardiogram is executed to survey The system of amount usually using generate ultrasonic wave and detect reflection ultrasonic wave probe it is functional to be created using ultrasonic (US) wave The imaging sequence of heart.

US imaging sequence can include two-dimentional (2D) image, three-dimensional (3D) image, Doppler mapping technology and combinations thereof etc.. Echocardiogram can include multiple sequences.Each sequence is usually the figure of the cardiac component in a cycle or at a phase Picture.

Probe determines the content of image or view relative to the orientation of heart.Popping one's head in relative to the orientation of heart includes visiting Position and angle of the head on patient skin, and therefore include wave relative to heart and the cardiac component being included in view Orientation.View can include sub- view, this little view be probe focus on heart specific anatomical part position and/or The subtle adjustment of angle.

It is measured using imaging sequence to quantify the one aspect of the anatomic part of heart.To the measurement result amount of progress Change, for example, the function of length, width, diameter, area, volume and combinations thereof etc..The cardiac cycle that can be indicated in the sequence It is measured at particular phases.Measured anatomic part can include atrium, ventricle, blood vessel, valve etc..

When quantifying the various aspects of echocardiogram, medical staff is from the measurement result list for being related to echocardiogram Select a kind of measurement result.Measurement result list is usually to be alphabetically sorted, and can include different more than 200 kinds Measurement result.Even if list may also be very using abbreviation (for example, left ventricle is abbreviated as LV, bicuspid valve value is abbreviated as MV etc.) Greatly.For example, abbreviated list can fill up half screen in the display screen of echocardiography system, to temporarily cover half It is related to the information of echocardiogram.

Summary of the invention

Various aspects described herein solves the above problem and other problems.

The implementation of the system and method for list for the Echocardiographic measurements based on context is described below Example.The context is determined according to the following contents: the view of echocardiogram imaging sequence or sub- view and the view or Sub- view, the anatomical structure shown in the view or sub- view and the echocardiogram for corresponding to shown anatomical structure are surveyed Measure the mapping between result.In some embodiments, which further includes the context determined according to availability statistical data.In In some embodiments, spontaneous measurement result is applied according to the context.In some embodiments, according to echocardiogram at View or sub- view are determined as the analysis of sequence.

In an aspect, a kind of system includes: echocardiogram measuring tool, according to the view of ultrasonic imaging sequence And the mapping between the view and measurement result subset to determine the survey from the list of Echocardiographic measurements Measure result subset.

In another aspect, a kind of method includes: to be tied according to the view of ultrasonic imaging sequence and the view and measurement Mapping between fruit collection to determine the measurement result subset from the list of Echocardiographic measurements.

In another aspect, a kind of non-transient computer-readable storage media of carrying instruction, described instruction control one Or multiple processors are to execute following operation: according to the view of ultrasonic imaging sequence and the view and measurement result subset it Between mapping to determine the measurement result subset from the list of Echocardiographic measurements.

With reference to (one or more) embodiment described below, these and other aspects of the present invention be will be apparent And it is set forth.

Detailed description of the invention

The present invention can be using the arrangement of various parts and the arrangement and each step and each step of various parts Form.Attached drawing and is not necessarily to be construed as limitation of the present invention merely for the purpose of preferred illustrated embodiment.

Fig. 1 schematically illustrates the implementation of the system of the measurement result of the context selection for ultrasonic cardiography graphic sequence Example.

Fig. 2 shows the examples of the ultrasonic cardiography graphic sequence of the display with the measurement result view based on context.

Fig. 3 shows the implementation of the method for the view of the Echocardiographic measurements based on context in flow diagram form Example.

Specific embodiment

With reference to Fig. 1, illustrate for echocardiogram ultrasound sequence 110 context selection measurement result system 100 embodiment.Ultrasonic (US) imaging scanner 120 uses 122 sweep objects of probe and formation sequence 110.Sequence 110 is According to the view ultrasound image generated determined by 122 operation relative to the heart of object of popping one's head in.The view has determined It is present in the anatomic part of the heart in sequence 110.

The view can be represented as single data element or including sub- view, and can also be represented as number of combinations According to element.Sub- view can be nested on the different stage of N > 1.For example, the first sub- view 1 of view PLAX includes sub- view A and B, the view of this little view identification PLAX, PLAX1, PLAX1A and PLAX1B.As the other PLAX1 energy of intermediate nesting level Enough it is omitted.View can be indicated by explanatory note, numeric reference or combinations thereof.For example, view can be said by text Bright or abbreviation is to indicate, for example, parasternal long axis (PLAX), parasternal short axis (PSAX), apical four-chamber (AP4), five chamber of the apex of the heart (AP5), (SC) and suprasternal notch (SSN) under two chamber of the apex of the heart (AP2), three chamber of the apex of the heart (AP3), rib cage.In another example, PLAX3 indicates the combination of textual representation and digital representation, and PLAX3 includes sub- view.

Sequence mark unit 130 determines view according to the analysis to sequence 110.This analysis can include pixel data With the pattern match of reference picture.This analysis can include segmentation to anatomical features and compared with anatomical model.In In some embodiments, label can include that view is inputted via console or calculating equipment 140, select view, show view With modification view and combinations thereof etc..

It calculates equipment 140 or console can be the part of US imaging scanner 120, combined with US imaging scanner 120 Or it is separated with US imaging scanner 120.Calculating equipment 140 includes one or more processors 142, for example, digital processing unit, Microprocessor, electronic processors, optical processor, multiprocessor, the processor including peer-to-peer processor or cooperating exist Interior processor is distributed, client-server disposer is arranged etc..The arrangement can include network 144, and network 144 can wrap Bus structures or other internal or local communication structures are included, are wirelessly or non-wirelessly communicated, public or private network communicates, honeycomb or number According to communication and combinations thereof etc..Laptop computer, desktop computer, tablet computer, intelligence can be configured as by calculating equipment 140 Phone, body wearable device etc..

Echocardiogram measuring tool 150 is according between the view and view and measurement result subset 152 of sequence 110 Mapping 154 to determine measurement result subset 152 from the list of Echocardiographic measurements.For example, in PLAX3 view, The measurement result of such as left ventricular ejection fraction (LVEF) etc is included in subset 152, and the diameter of such as inferior caval vein The measurement result of (IVC Diam) etc is then excluded from subset 152.That is, PLAX3 view is mapped to LVEF, and It is not mapped to IVC Diam.PLAX3 view includes the anatomic part for being enough to calculate the left ventricle of LVEF.PLAX3 eliminates foot To calculate the anatomic part of the inferior caval vein of IVC Diam, therefore, IVC Diam is simultaneously mapped not according to PLAX3 view.According to The anatomical structure that is present in view and the anatomical structure of measurement is executed to it to determine mapping.

The mapping 154 of Echocardiographic measurements can be expressed and be stored as look-up table, which has view With the data element of measurement result.For example, table can include multiple rows, every a line indicates the measurement result according to view.One A view can include multiple measurement results.Data element or column include view and corresponding measurement result.The table can include The other elements of mapping, for example, the anatomic part for the view being applicable according to measurement result, arrives specific survey for routine access Measure the link etc. of result.

User interface 160 display equipment 162 on display sequence 110 and in optional list (such as menu, drop-down In frame, selective listing etc.) identified measurement result subset 152.In some embodiments, subset 152 is displayed on ultrasound The top of the entire list of cardiogram measurement result, shows subset 152 at the top of all possible measurement result.In some realities It applies in example, remaining measurement result in the entire list of Echocardiographic measurements is shown in submenu or expansion subrack (not including subset 152).I.e. it is capable to access entire list by submenu or expansion subrack.Submenu or expansion subrack Remaining measurement result will not be shown before called, and in some cases, submenu or expansion subrack will not cover display Part.In some embodiments, the individual measurement result in subset 152 is illustrated as active, and does not include in subset 152 Those measurement results be illustrated as it is sluggish, for example, graying and not may be selected.In some cases, shown measurement knot Fruit collection significantly reduces the quantity of shown measurement result, thus covers the fewer parts of display 162 and subtracts The quantity for the measurement result having lacked medical staff and being searched for select measurement result.Show equipment 162 by computer display, Wearable display of smart phone display, projector, body etc. is appropriately carried out.

Input equipment 132 (for example, keyboard, mouse, microphone etc.) sends the input (example for indicating the measurement result of selection Such as, the input of the measurement result in shown subset 152 is indicated).Measuring tool 150 is in response to the input and according to selected Measurement result carry out the aspect of measurement result view cardiac.For example, clicking selection left ventricular ejection fraction in response to mouse, survey Amount tool measures left ventricular ejection fraction according to sequence 110.

In some embodiments, by user interface 160 show before, measuring tool 150 for marked view from In measurement result subset 152 spontaneous selection measurement result and by the measurement result be applied to marked view.It being capable of basis Site policy or availability statistical data are (for example, the frequency of use of medical staff, the frequency of use of one group of practitioner, the ultrasonic heart Cardon utilization rate, uses number of threshold values etc. at sequence utilization rate) carry out measurement result of the spontaneous selection from subset 152.For example, aobvious Before showing sequence 110, can be selected by measuring tool 150 and using high frequency applications measurement result.Measured value can be wrapped Include in the initial display of sequence 110 or be added to the input being displayed without for selecting measurement result from list. In some embodiments, the measurement knot of spontaneous selection and application is indicated in shown sub- focus utilization icon or other symbols Fruit.

Computer equipment 140 includes processor 142 and memory 164.Mapping 154 is accessed by configured processor 142 Configuration electronic storage medium (for example, local disk, cloud storage equipment, server storage device, remote storage device etc.) To be appropriately carried out.The electronic storage medium configured can include system file structure, relational database system result and/or face To database system structure, the data structure etc. of object.

Sequence mark unit 130, measuring tool 150 and user interface 160 are appropriately carried out by processor 142, are configured as Sequence 110 is received, determines view, generating subset 152, display sequence 110 and subset 152, receives selection and according to the selection To execute measurement.

The operation of configured processor 142 is stored in computer readable storage medium 164 (for example, CD, disk, tool Have the semiconductor memory of the calculating equipment of the processor of configuration) at least one computer-readable instruction, it is computer-readable Storage medium 164 does not include transitory state medium and executes disclosed skill including physical storage and/or other non-transitory medias Art.Configured processor can also be run can by one or more computers of carrier wave, signal or other transient mediums carrying Reading instruction.Line between the component indicated in figure indicates communication path.

With reference to Fig. 2, illustrate the subset 152 with the list as Echocardiographic measurements based on context The example of the ultrasonic cardiography graphic sequence 110 of the display of the view of measurement result.Identified view of the context based on sequence 110 Scheme (for example, PLAX).Identified view can include sub- view.I.e. it is capable to specify institute with different granularity level Determining view.For example, a view can be PLAX, PLAX1 or PLAX1A, wherein PLAX1 is the sub- view of PLAX, and PLAX1A is the sub- view of PLAX1.PLAX1 further refines or draws PLAX, and PLAX1A is further refined or drawn PLAX1.Each refinement draws and accordingly can refine or draw the anatomical structure being present in view.

The value (for example, value of view 200, anatomical structure 210, availability statistical data 230 or combinations thereof) of data element It can be included in shown subset 152.In some embodiments, view 200, anatomical structure 210 and availability statistics The value of data 230 can be omitted from display.The value of measurement result element 220 or its expression are (for example, LVEF, IVC Diam etc.) it is included in display.The expression of measurement result element 220 can include abbreviation, icon or other instructions Symbol.

Value or example of the display for the measurement result element 220 of subset 152 in optional list.Data element sketch map Show that the relationship between view/sub- view 200 value, view/sub- view 200 value are mapped to the value of anatomical structure 210, and And the value of anatomical structure 210 is mapped to the measurement result in subset 152 included.The value of anatomical structure is cardiac anatomy Part, for example, left ventricle, atrium sinistrum, aorta, bicuspid valve, aorta petal, sub- anatomic part or in which each of, Yi Jiqi In each of combination etc..In some embodiments, cardiac anatomy can include phase, for example, left ventricular end diastolic.

In some embodiments, subset 152 is according to availability statistical data 230 or availability statistical data 230 and solution The combination of structure 210 is cutd open to sort.For example, showing the measurement result in maximum useful frequency first.In another example, In Measurement result is ranked up in anatomical structure 210.For example, by frequency to the measurement result mapped from the anatomical structure of left ventricle Be ranked up and be grouped together these measurement results, and by frequency the measurement result of right ventricle is ranked up and These measurement results are grouped together.In some instances, context is based on view, and in some instances, up and down Text is the combination based on view Yu availability statistical data.

With reference to Fig. 3, the method for the view of the Echocardiographic measurements based on context is shown in flow diagram form.

At 300, ultrasonic cardiography graphic sequence 110 is received.Can from US imaging scanner 120 or from computer storage or Storage equipment directly receives ultrasonic cardiography graphic sequence 110.

At 310, the view of sequence 110 is determined.Identified view can include sub- view.In some embodiments, View is determined by the analysis to ultrasound image data.This analysis can include the pattern of pixel data and reference picture Match.This analysis can include segmentation to anatomical features and compared with anatomical model.In some embodiments, pass through hand It is dynamic to examine and/or input to determine view.

At 320, according to the mapping 154 between view and view and subset 152 come from Echocardiographic measurements List in determine measurement result subset 152.Mapping 154 include: from view to view in cardiac anatomy part First son mapping, and from the part of the cardiac anatomy in view to the second of measurement result subset 152 the son mapping.It searches Table can store the mapping between view and measurement result.Look-up table includes the data element of view and mapped measurement result Element.Look-up table can include availability statistical data 230.Availability statistics can based on system, tissue, website, user or its Combination.For example, service condition can be tracked in PLAX view, for example, measuring the sum or hundred of LVEF in PLAX view Divide than frequency, in PLAX view, sum or percentage frequency etc. of LVEF are measured by active user.

At 330, the view of ultrasonic imaging sequence and determining in optional list are shown in display equipment 162 Measurement result subset 152.Shown subset 152 can be ranked up according to availability statistical data.For example, determining Measurement result subset 152 can be ordered as in shown subset 152 using total degree or use percentage frequency.

At 340, in response to the input from input equipment 132, according to selected in shown measurement result subset Measurement result measure the aspect of view cardiac.For example, user selects LVEF by clicking mouse, then according to being received Sequence 110 measure LVEF.

In some embodiments, step 330 and 340 is omitted, and is directed to the spontaneous selection of view of ultrasonic imaging sequence At least one measurement result of measurement result subset is simultaneously spontaneous applied to ultrasonic imaging sequence by least one measurement result View.For example, according to site policy or availability statistical data in view spontaneous specified measurement result (for example, in PLAX Spontaneous specified LVEF).Spontaneous measurement result can be indicated in a lookup table, such as utilizes the independent data element with binary value Usually indicate spontaneous measurement result.By spontaneous survey before (such as when receiving sequence 110) the received sequence 110 of display institute It measures result and is applied to the received sequence 110 of institute.

The above content can be implemented in a manner of computer-readable instruction, and the computer-readable instruction is encoded or insertion On computer readable storage medium, the computer-readable instruction when by (one or more) computer processor execute when, (one or more) processor is enabled to execute described movement.Additionally or alternatively, at least one in computer-readable instruction It is a to be carried by signal, carrier wave or other transitory state mediums.

The present invention is described by reference to preferred embodiment.In the case where other people specific descriptions before reading and understanding It is contemplated that modifications and substitutions.It is intended to and invention is constructed as including all such modifications and substitutions, as long as they fall In the range of entering claims and its equivalence.Word " comprising " is not excluded for other elements or step, and word " one " Or "one" be not excluded for it is multiple.