Coronary tracking display

• US 5,054,045 A
• Filed: 11/14/1990
• Issued: 10/01/1991
• Est. Priority Date: 11/14/1990
• Status: Expired due to Term

• Current Assignee: Cedars-Sinai Medical Center (Cedars Sinai Health System)
• Original Assignee: Cedars-Sinai Medical Center (Cedars Sinai Health System)
• Inventors: Eigler, Neal, Whiting, James S.
• Primary Examiner(s): Church, Craig E.
• Application Number:
  US07/614,790
• Time in Patent Office: 321 Days
• Field of Search: 378/99, 358/111
• US Class Current: 378/98.2
• CPC Class Codes: A61B 6/481 involving the use of contrast agents
• CPC Class Codes: A61B 6/504 for diagnosis of blood vessels, e.g. by angiography
• CPC Class Codes: G06T 7/246 using feature-based methods, e.g. the tracking of corners or segments
• CPC Class Codes: H04N 5/3205 using subtraction imaging techniques
• CPC Class Codes: H04N 5/325 Image enhancement, e.g. by subtraction techniques using polyenergetic X-rays
• CPC Class Codes: H05G 1/60 Circuit arrangements for obtaining a series of X-ray photographs or for X-ray cinematography

Abstract

A method of displaying details of a coronary artery lesion in a cineangiogram, by digitally adjusting each frame of the cineangiogram so that the lesion is continually displayed at a fixed location on a display screen. The remaining cardiac anatomy appears to move, in background, past a stationary arterial segment, thus making the displayed arterial segment easier to identify and to examine by medical personnel. Cineangiographic image frames are digitized and processed by an image processor and the image frames are digitally shifted to place the arterial segment in substantially the same viewing location in each frame. Sequential image frames may be presented to the viewer as a stereoscopic pair, to produce pseudostereopsis. The arterial segment appears to the viewer in foreground, as if it was floating in front of the remaining cardiac anatomy. Image frames may be further processed to aid examination by medical personnel. Frames may be averaged to reduce quantum noise and to blur any structure noise. Frame averaging may be used to make numerical measurements of arterial cross-section.

Claims

1. A method of displaying a segment of a coronary artery in a cineangiogram, comprising the step of

digitally adjusting each frame of the cineangiogram so that the segment is continually displayed at a substantially fixed location on a display screen.

2. A method of displaying a segment of a coronary artery in a cineangiogram, comprising the steps of

digitizing cineangiogram image frames;

locating an arterial segment in said image frames;

digitally shifting said image frames to place the arterial segment in substantially the same viewing location in each one of said image frames.

3. A method as in claim 2, wherein said step of locating comprises the steps of

displaying at least one of said image frames to an operator;

and

retrieving information indicating a location of said arterial segment from said operator.

4. A method as in claim 2, wherein said step of locating comprises the step of edge-detection.

5. A method as in claim 2, wherein sequential image frames are presented to a viewer as a stereoscopic pair.

6. A method as in claim 2, wherein image frames are further processed to aid examination by a viewer.

7. A method as in claim 2, comprising the step of averaging a plurality of said frames.

8. A method as in claim 7, comprising the step of computing a measure of vessel cross-section based on a result of said step of averaging.

9. A method of displaying a segment of a coronary artery in a cineangiogram, comprising the steps of

identifying said segment in a plurality of frames of said cineangiogram;

adjusting a display position of each of said frames so that said segment is placed in substantially the same viewing location in each of said frames.

10. A method of displaying a segment of a coronary artery in a cineangiogram, comprising the steps of

identifying said segment in a plurality of frames of said cineangiogram;

adjusting a display position of each of said frames so that said segment is placed in substantially the same viewing location in each of said frames; and

displaying each of said frames in its adjusted display position.

11. A method as in claim 10, wherein said frames comprise digital image frames.

12. A method as in claim 10, wherein said step of identifying comprises the steps of

displaying at least one of said image frames to an operator;

and

retrieving information indicating a location of said arterial segment from said operator.

13. A method as in claim 10, wherein said step of identifying comprises the step of edge-detection.

14. A method of moving a catheter in a patient, comprising the steps of

producing an image of said catheter in said patient'"'"'s body;

adjusting a display position of each of said frames so that said image of said catheter is placed in substantially the same viewing location in each of said frames; and

displaying each of said frames in its adjusted display position.

15. A method as in claim 14, wherein said image of said catheter is an x-ray image.

16. A method as in claim 14, wherein said step of adjusting the steps of

determining a set of adjustments to be applied to a first plurality of frames, based on a location of an arterial segment in a second plurality of frames;

applying said set of adjustments to said display position of said image of said catheter.