System and method for improved diagnostic image displays

• US 20040077952A1
• Filed: 10/21/2002
• Published: 04/22/2004
• Est. Priority Date: 10/21/2002
• Status: Abandoned Application

• Current Assignee: Koninklijke Philips Electronics N.V. (Koninklijke Philips N.V.), Philips Electronics North America Corporation (Koninklijke Philips N.V.)
• Original Assignee: Koninklijke Philips Electronics N.V. (Koninklijke Philips N.V.)
• Inventors: Gutierrez, Mario, DiNino, Patrick D., Filerman, Marc C., Rafter, Patrick G.
• Application Number:
  US10/274,612
• Publication Number:
  US 20040077952A1
• Time in Patent Office: Days
• US Class Current: 600/481
• CPC Class Codes: A61B 5/352 Detecting R peaks, e.g. for synchronising diagnostic apparatus; Estimating R-R interval
• CPC Class Codes: A61B 5/4884 inducing physiological or psychological stress, e.g. applications for stress testing
• CPC Class Codes: A61B 5/7285 for synchronising or triggering a physiological measurement or image acquisition with a physiological event or waveform, e.g. an ECG signal A61B6/5205, A61B6/541, A61B8/5207, A61B8/543 take precedence
• CPC Class Codes: A61B 6/503 for diagnosis of the heart
• CPC Class Codes: A61B 6/541 involving acquisition triggered by a physiological signal
• CPC Class Codes: A61B 6/563 involving image data transmission via a network
• CPC Class Codes: A61B 8/08 Detecting organic movements or changes, e.g. tumours, cysts, swellings A61B8/02 - A61B8/06 take precedence
• CPC Class Codes: A61B 8/0883 for diagnosis of the heart
• CPC Class Codes: A61B 8/463 characterised by displaying multiple images or images and diagnostic data on one display composite display in devices for short-range imaging with acoustic waves G01S7/52074
• CPC Class Codes: A61B 8/465 adapted to display user selection data, e.g. icons or menus
• CPC Class Codes: A61B 8/481 involving the use of contrast agent, e.g. microbubbles introduced into the bloodstream analysis of echo signal exploiting properties of a contrast enhancer in devices for short-range imaging with acoustic waves G01S7/52039
• CPC Class Codes: A61B 8/565 involving data transmission via a network
• CPC Class Codes: G16H 30/20 for handling medical images, e.g. DICOM, HL7 or PACS
• CPC Class Codes: G16H 30/40 for processing medical images, e.g. editing
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems

Abstract

An improved ultrasound-imaging diagnostic system comprises a patient interface configured to measure a patient condition, an ultrasound-imaging system configured to obtain a plurality of medical diagnostic images of a patient treated with a contrast agent over time, a medical diagnostic image manager configured to associate at least one imaging parameter and the patient condition with each of the plurality of medical diagnostic images, and an operator interface configured to receive an operator preference for spatially arranging a plurality of medical diagnostic images. A method for arranging a plurality of diagnostic images comprises collecting a plurality of diagnostic images of a patient, wherein each of the diagnostic images is associated with an image-acquisition mode and a patient condition, receiving a diagnostic directive comprising information responsive to a diagnostician'"'"'s preference to observe diagnostic images associated with an image-identifier selected from the group consisting of image-acquisition orientation, image-acquisition mode, and patient condition, identifying a subset of the plurality of diagnostic images responsive to the diagnostic directive, and forwarding the subset of the plurality of diagnostic images to an output device.

Claims

1. A diagnostic-imaging management system, comprising:

means for acquiring a plurality of medical diagnostic images of a patient, wherein each of the plurality of medical diagnostic images is associated with an image-acquisition time;

means for associating an imaging parameter with each of the plurality of medical diagnostic images;

means for associating a patient condition with each of the plurality of medical diagnostic images; and

means for selectively displaying a subset of the plurality of medical diagnostic images in accordance with a directive responsive to the image-acquisition time, the imaging parameter, and the patient condition.

2. The system of claim 1, wherein the imaging parameter is selected from the group consisting of image-acquisition mode and anatomical view.

3. The system of claim 1, wherein the patient condition comprises a stress stage defined by a range of heart-cycle rates.

4. The system of claim 1, further comprising:

means for associating a loop identifier with a time-based sequence of images selected from the plurality of medical diagnostic images, wherein the time-based sequence of images share at least one parameter selected from the group consisting of imaging and patient conditions.

5. The system of claim 4, further comprising:

means for storing the time-based sequence of images.

6. The system of claim 4, further comprising:

means for segmenting the time-based sequence of images.

7. The system of claim 4, further comprising:

means for controllably generating a composite view including a plurality of images wherein each of the plurality of images is selected from a separate sequence of images.

8. The system of claim 4, wherein each of the images comprising the time-based sequence of images is associated with information relating the image-acquisition time to a concurrently acquired portion of the patient'"'"'s heart cycle.

9. The system of claim 8, wherein the concurrently acquired representation of the patient'"'"'s heart cycle reflects the completion of the systole.

10. The system of claim 8, wherein the concurrently acquired representation of the patient'"'"'s heart cycle reflects the completion of the diastole.

11. The system of claim 4, further comprising:

means for controllably acquiring a sequence of images every n^th heart cycle.

12. The system of claim 11, further comprising:

means for controllably displaying images acquired every n^th heart cycle.

13. The system of claim 12, further comprising:

means for controllably displaying images acquired during a select heart cycle when the patient is at a first stress stage along with images acquired during a select heart cycle when the patient is at a second stress stage.

14. The system of claim 5, wherein the means for storing generates an image file comprising information selected from the group consisting of the diagnostic-test identifier, the image-acquisition time, the imaging parameter, and the patient condition.

15. The system of claim 1, wherein the means for selectively displaying further comprises means for identifying images that share a common imaging parameter.

16. The system of claim 1, wherein the means for selectively displaying further comprises means for identifying images that share a common patient condition.

17. A method for arranging a plurality of diagnostic images, comprising:

collecting a plurality of diagnostic images of a patient, wherein each of the diagnostic images is associated with an image-acquisition mode and a patient condition;

receiving a diagnostic directive comprising information responsive to a diagnostician'"'"'s preference to observe diagnostic images associated with an image-identifier selected from the group consisting of image-acquisition orientation, image-acquisition mode, and patient condition;

identifying a subset of the plurality of diagnostic images responsive to the diagnostic directive; and

forwarding the subset of the plurality of diagnostic images to an output device.

18. The method of claim 17, further comprising:

aligning a composite representation of a number of diagnostic images selected from the subset of the plurality of diagnostic images.

19. The method of claim 18, wherein aligning comprises arranging the diagnostic images in accordance with an operator preference.

20. The method of claim 17, further comprising:

forming a diagnostic-image loop comprising a plurality of diagnostic images associated with the same image-acquisition mode, wherein the plurality of diagnostic images are presented in sequence.

21. The method of claim 20, further comprising:

aligning a composite representation of a number of diagnostic-image loops selected from the subset of the plurality of diagnostic images.

22. The method of claim 21, wherein aligning comprises arranging the number of diagnostic-image loops in accordance with an operator preference to observe diagnostic-image loops having the same image-acquisition orientation over multiple stages of stress.

23. The method of claim 17, wherein receiving comprises a diagnostician'"'"'s preference to observe diagnostic images having the same image-acquisition orientation over multiple stages of stress.

24. The method of claim 17, wherein receiving comprises a diagnostician'"'"'s preference to observe diagnostic images having the same image-acquisition orientation over multiple stages of stress.

25. The method of claim 17, wherein identifying comprises associating a plurality of diagnostic images acquired at the same portion of the patient'"'"'s heart cycle.

26. The method of claim 25, wherein identifying further comprises aligning the plurality of diagnostic images in time.

27. A diagnostic-imaging system, comprising:

a patient interface configured to measure a patient condition and generate a first control signal;

an ultrasound-imaging system communicatively coupled to the patient interface, the ultrasound imaging system configured to obtain a plurality of medical diagnostic images of a patient treated with a contrast agent over time, wherein each of the plurality of medical diagnostic images is associated with an image-acquisition time;

a medical diagnostic image manager communicatively coupled to the ultrasound-imaging system, the medical diagnostic image manager configured to associate at least one imaging parameter and the patient condition with each of the plurality of medical diagnostic images;

an operator interface communicatively coupled to the ultrasound-imaging system and the medical diagnostic-image manager, the operator interface configured to receive information from an operator of the diagnostic imaging system indicative of an operator preference for spatially arranging a plurality of medical diagnostic images.

28. The system of claim 27, wherein the ultrasound-imaging system selectively applies the first control signal to acquire images at a desired portion of the patient'"'"'s heart cycle.

29. The system of claim 27, wherein the ultrasound-imaging system selectively applies a second control signal to generate a transmit pulse that alters the contrast agent within the patient enabling the ultrasound-imaging system to acquire images that contain information indicative of the reperfusion of patient tissue.

30. The system of claim 27, wherein the operator interface receives an operator preference to arrange the plurality of medical diagnostic images having a particular image-acquisition orientation over multiple ranges of patient heart rates.

31. The system of claim 27, wherein the operator interface receives an operator preference to arrange the plurality of medical diagnostic images acquired at the same portion of the patient'"'"'s heart cycle.

32. The system of claim 27, wherein the operator interface receives an operator preference to arrange the plurality of medical diagnostic images acquired with a particular image-acquisition mode over multiple ranges of patient heart rates.

33. The system of claim 27, wherein the operator interface receives an operator preference to arrange the plurality of medical diagnostic images acquired with a particular image-acquisition mode over a plurality of medical diagnostic images having multiple image-acquisition orientations.

34. The system of claim 27, further comprising:

a rendering device communicatively coupled to the diagnostic image manager configured to display the plurality of medical diagnostic images in accordance with the operator preference.

35. The system of claim 34, wherein the rendering device is configured to present a plurality of diagnostic image loops in accordance with the operator preference.

36. The system of claim 35, wherein the medical diagnostic image manager is configured to present a wall motion loop coinciding with the patient'"'"'s heart cycle, the loop chosen to coincide with the group consisting of the systolic portion, the diastolic portion, and the entire heart cycle of the patient.

37. The system of claim 36, wherein the medical diagnostic image manager is configured to synchronize a plurality of wall motion loops acquired over multiple stages of stress such that the loops begin and end at the same time.

38. The system of claim 35, wherein the medical diagnostic image manager is configured to present a wall motion loop coinciding with the patient'"'"'s heart cycle, the loop chosen to coincide with the group consisting of the systolic portion, the diastolic portion, and the entire heart cycle of the patient.

39. The system of claim 33, wherein the medical diagnostic image manager is configured to present the plurality of images as separate thumb nail representations.

40. The system of claim 33, wherein the medical diagnostic image manager is configured to present the plurality of images in a stack.

41. The system of claim 40, wherein the operator interface receives an operator preference to alternatively observe each of the plurality of images from the stack.

42. A computer-readable medium having processor-executable instructions thereon which, when executed by a processor, direct the processor to:

apply an input indicative of an operator preference for a spatial arrangement of a plurality of subsets of medical diagnostic images acquired during an examination, wherein each of the plurality of medical diagnostic images are associated with an image-acquisition time, an imaging parameter, and a patient condition;

determine which of the plurality of medical diagnostic images match the operator preference for respective positions for observation on an output device; and

forwarding the plurality of medical diagnostic images in sequence in accordance with the associated image-acquisition time to a display device communicatively coupled to the processor.

43. The computer-readable medium of claim 42, wherein the input indicative of the operator preference identifies an imaging parameter selected from the group consisting of image-acquisition orientation and imaging mode.

44. The computer-readable medium of claim 42, wherein the input indicative of the operator preference identifies a patient condition related to the patient'"'"'s heart function.

45. The computer-readable medium of claim 44, wherein the patient condition comprises a range of heart-cycle rates.

46. The computer-readable medium of claim 42, wherein the image-acquisition time is synchronized to enable simultaneous presentation of the plurality of subsets of medical diagnostic images.

47. The computer-readable medium of claim 46, wherein the image acquisition time is synchronized in accordance with real time.

48. The computer-readable medium of claim 46, wherein the image acquisition time is synchronized in accordance with events in the patient'"'"'s heart cycle.