Methods and apparatus for performing ultrasound and enhanced X-ray imaging

• US 5,983,123 A
• Filed: 06/18/1998
• Issued: 11/09/1999
• Est. Priority Date: 10/29/1993
• Status: Expired due to Term

• Current Assignee: United States Surgical Corporation (Medtronic Plc)
• Original Assignee: United States Surgical Corporation (Medtronic Plc)
• Inventors: Shmulewitz, Ascher
• Primary Examiner(s): JAWORSKI, FRANCIS J
• Application Number:
  US09/099,165
• Time in Patent Office: 509 Days
• Field of Search: 600/407, 600/425-427, 600/437, 600/439, 600/443-445, 600/464, 128/915, 378/37, 378/11-14
• US Class Current: 600/407
• CPC Class Codes: A61B 6/4417 related to combined acquisition of different diagnostic modalities
• CPC Class Codes: A61B 6/50 specially adapted for specific body parts; specially adapted for specific clinical applications
• CPC Class Codes: A61B 6/5247 combining images from an ionising-radiation diagnostic technique and a non-ionising radiation diagnostic technique, e.g. X-ray and ultrasound
• 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 8/4209 by using holders, e.g. positioning frames
• CPC Class Codes: A61B 8/4416 related to combined acquisition of different diagnostic modalities, e.g. combination of ultrasound and X-ray acquisitions
• CPC Class Codes: A61B 8/4455 Features of the external shape of the probe, e.g. ergonomic aspects
• CPC Class Codes: Y10S 128/915 Ultrasound mammography

Abstract

Apparatus is provided that combines radiography equipment with an ultrasonic transducer to generate ultrasonic images of the internal structure of biological tissue that are in registration with an X-ray image. The apparatus includes an examination table having a radiolucent and sonolucent window for imaging the biological tissue with an ultrasound and X-ray subsystems without moving the patient. In alternative embodiments, the ultrasound transducer may be an annular array transducer mounted on a moveable or a linear array of ultrasonic transducing elements. The X-ray images are preferably generated digitally using a line X-ray source and detector.

Claims

1. An apparatus for imaging biological tissue, comprising:

a table having a radiolucent and sonolucent window on which biological tissue may be positioned;

an X-ray source movably disposed above the table that emits X-ray radiation;

an X-ray detector movably disposed beneath the window to receive X-ray radiation emitted by the X-ray source that passes through the biological tissue, wherein the X-ray detector is synchronously movable with the X-ray source relative to the window to facilitate generating X-ray data to form an X-ray image;

an ultrasonic transducer positioned adjacent the X-ray detector and acoustically coupled to the window, the ultrasonic transducer generating an ultrasound image of the biological tissue; and

a drive assembly for moving the ultrasonic transducer through a predetermined path beneath the window while the biological tissue remains immobilized on the table, so that the ultrasonic transducer generates a plurality of ultrasound images of the biological tissue that are in registration with the X-ray image.

2. The apparatus as defined in claim 1, wherein the X-ray source emits X-ray radiation along a line.

3. The apparatus as defined in claim 2, wherein the X-ray detector is a digital line detector.

5. The apparatus as defined in claim 1, further comprising a gantry, the gantry housing the ultrasonic transducer and being coupled to the drive assembly.

6. The apparatus as defined in claim 5, wherein the ultrasonic transducer comprises an annular array carried on a laterally moveable carriage.

7. The apparatus as defined in claim 6, wherein the drive assembly further comprises:

a motor;

a lead screw coupled to the gantry and to the motor; and

circuitry for controlling operation of the motor.

8. The apparatus as defined in claim 1, wherein the ultrasonic transducer comprises a multiplicity of piezoelectric transducer elements.

9. The apparatus as defined in claim 8, further comprising control circuitry for activating the multiplicity of piezoelectric transducer elements to form an ultrasound image of the biological tissue.

10. The apparatus as defined in claim 1 wherein the table comprises a plurality of removable patient support sections, and wherein the X-ray detector, ultrasonic transducer and drive assembly are housed in a scanning section, the scanning section movable to a desired location on the table.

20. The apparatus as defined in claim 1 wherein the plurality of patient support sections are removable and the scanning section is selectively movable to a desired location on the table.

4. An apparatus for imaging biological tissue, comprising:

a table having a radiolucent and sonolucent window on which biological tissue may be positioned;

an X-ray source disposed above the table that emits X-ray radiation;

an X-ray detector disposed beneath the window to receive X-ray radiation emitted by the X-ray source that passes through the biological tissue, the X-ray detector generating X-ray data to form an X-ray image;

an ultrasonic transducer positioned adjacent the X-ray detector on a movable support and acoustically coupled to the window, wherein the moveable support undergoes relative motion with respect to the biological tissue to facilitate the ultrasonic transducer generating an ultrasound image of the biological tissue; and

drive assembly for moving the ultrasonic transducer through a predetermined path beneath the window while the biological tissue remains immobilized on the table, so that the ultrasonic transducer generates a plurality of ultrasound images of the biological tissue that are in registration with the X-ray image.

11. Apparatus for imaging biological tissue, comprising:

a table having a plurality of patient support sections and a scanning section; and

an X-ray source disposed above the table that emits X-ray radiation;

wherein the scanning section includes;

a radiolucent and sonolucent window on which biological tissue may be positioned, the scanning section housing including;

an X-ray detector movably disposed beneath the window to receive X-ray radiation emitted by the X-ray source that passes through the biological tissue, wherein the X-ray detector is synchronously with the X-ray source relative to the window to facilitate generating X-ray data to form an X-ray image;

an ultrasonic transducer positioned adjacent the X-ray detector and acoustically coupled to the window, the ultrasonic transducer generating an ultrasound image of the biological tissue; and

a drive assembly for moving the ultrasonic transducer through a predetermined path beneath the window while the biological tissue remains immobilized on the table, so that the ultrasonic transducer generates a plurality of ultrasound images of he biological tissue that are in registration with the X-ray image.

12. The apparatus as defined in claim 11, wherein the X-ray source emits X-ray radiation along a line.

13. The apparatus as defined in claim 12, wherein the X-ray detector is a digital line detector.

15. The apparatus as defined in claim 11, further comprising a gantry, the gantry housing the ultrasonic transducer and being coupled to the drive assembly.

16. The apparatus as defined in claim 15, wherein the ultrasonic transducer comprises an annular array carried on a laterally moveable carriage.

17. The apparatus as defined in claim 16, wherein the drive assembly further comprises:

a motor;

a lead screw coupled to the gantry and to the motor; and

circuitry for controlling operation of the motor.

18. The apparatus as defined in claim 11, wherein the ultrasonic transducer comprises a multiplicity of piezoelectric transducer elements.

19. The apparatus as defined in claim 18, further comprising control circuitry for activating the multiplicity of piezoelectric transducer elements to form an ultrasound image of the biological tissue.

14. Apparatus for imaging biological tissue, comprising:

a table having a plurality of patient support sections and a scanning section; and

an X-ray source disposed above the table that emits X-ray radiation;

wherein the scanning section includes;

a radiolucent and sonolucent window on which biological tissue may be positioned, the scanning section housing including;

an X-ray detector disposed beneath the window to receive X-ray radiation emitted by the X-ray source that passes through the biological tissue, the X-ray detector generating X-ray data to form an X-ray image;

an ultrasonic transducer positioned adjacent the X-ray detector on a moveable support on a moveable support and acoustically coupled to the window, the ultrasonic transducer generating an ultrasound image of the biological tissue upon relative motion of the moveable support with respect to the biological tissue upon relative motion of the moveable support with respect to the biological tissue; and

a drive assembly for moving the ultrasonic transducer through a predetermined path beneath the window while the biological tissue remains immobilized on the table, so that the ultrasonic transducer generates a plurality of ultrasound images of he biological tissue that are in registration with the X-ray image.

21. A method for imaging biological tissue, comprising the steps of:

providing a table having a radiolucent and sonolucent window on which biological tissue may be positioned;

generating X-ray data to form an X-ray image by moving an X-ray detector synchronously with an X-ray source; and

moving an ultrasonic transducer through a predetermined path beneath the window while the biological tissue remains immobilized on the table, so that the ultrasonic transducer generates a plurality of ultrasound images of the biological tissue that are in registration with the X-ray image.