Coronary tracking display

• US 5,822,391 A
• Filed: 03/25/1996
• Issued: 10/13/1998
• 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 L., Whiting, James S.
• Primary Examiner(s): Church, Craig E.
• Application Number:
  US08/555,673
• Time in Patent Office: 932 Days
• Field of Search: 378/98.2, 378/62
• 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 2207/30101 Blood vessel; Artery; Vein; Vascular
• CPC Class Codes: G06T 7/20 Analysis of motion motion estimation for coding, decoding, compressing or decompressing digital video signals H04N19/43, H04N19/51
• CPC Class Codes: G06T 7/246 using feature-based methods, e.g. the tracking of corners or segments
• CPC Class Codes: G06T 7/70 Determining position or orientation of objects or cameras camera calibration G06T7/80
• 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 adjusting each frame of the cineangiogram so that the lesion is continually displayed at a fixed location on a display. 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 a 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. The processor may make quantitative measurements of the cineangiogram and may display results of those measurements to aid review of the cineangiogram. Frames may be averaged to reduce quantum noise and to blur any structure noise; frames may be compared with prior cineangiograms to increase clarity or contrast. Coordinate adjustments for a cineangiogram may help guide therapeutic procedures, or may help enhance other imaging procedures such as fluoroscopy.

Claims

1. A method of displaying a feature moving within a fluoroscopic image, comprising the steps of:

capturing a fluoroscopic image over a sequence of image frames;

identifying a feature moving relative to the rest of said fluoroscopic image; and

adjusting the display position of each said frame so that the said feature is continually displayed in substantially the same viewing position on a video display screen.

2. A method as in claim 1, wherein said step of identifying a feature moving relative to the rest of said fluoroscopic image further comprises:

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

retrieving information indicating a location of said feature from said operator.

3. A method as in claim 2, wherein said step of identifying a feature moving relative to the rest of said fluoroscopic image occurs automatically.

4. A method as in claim 3, wherein said step of automatic identification further comprises the step of edge detection.

5. A method of displaying a feature moving within an image comprising the steps of:

capturing an image over a sequence of image frames made in response to echocardiography, ultrafast computed tomography, cine magnetic resonance imaging, or single-photon emission computed tomography;

identifying a feature moving relative to the rest of said image; and

adjusting the displaying position of each said frame so that the said feature is continually displayed in substantially the same viewing position on a video display screen.

6. A method as in claim 5, wherein said step of identifying a feature moving relative to the rest of said image further comprises:

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

retrieving information indicating a location of said feature from said operator.

7. A method as in claim 6, wherein said step of identifying a feature moving relative to the rest of said image occurs automatically.

8. A method as in claim 7, wherein said step of automatic identification further comprises the step of edge detection.

9. A system for displaying a feature moving within a fluoroscopic image, comprising:

means for capturing a fluoroscopic image over a sequence of image frames;

means for identifying a feature moving relative to the rest of said fluoroscopic image; and

means for adjusting the display position of each said frame so that the said feature is continually displayed in substantially the same viewing position on a video display screen.

10. A system as in claim 9, wherein said means for identifying a feature moving relative to the rest of said fluoroscopic image further comprises:

a means for displaying at least one of said image frames to an operator; and

a means for retrieving information indicating a location of said feature from said operator.

11. A system as in claim 10, wherein said means for identifying a feature moving relative to the rest of said fluoroscopic image is automated.

12. A system as in claim 11, wherein said automated means for identification further comprises a means for edge detection.