Ultrasonic wave diagnosis apparatus

• US 6,093,148 A
• Filed: 03/30/1998
• Issued: 07/25/2000
• Est. Priority Date: 03/31/1997
• Status: Expired due to Term

• Current Assignee: Toshiba Medical Systems Corporation (Canon Inc.)
• Original Assignee: Kabushiki Kaisha Toshiba (Toshiba Corporation)
• Inventors: Fujimoto, Katsuhiko
• Primary Examiner(s): Lateef, Marvin M.
• Assistant Examiner(s): PATEL, MAULIN M
• Application Number:
  US09/050,001
• Time in Patent Office: 848 Days
• Field of Search: 600/439, 601/2, 601/3, 601/4
• US Class Current: 600/439
• CPC Class Codes: A61N 7/00 Ultrasound therapy lithotripsy A61B17/22, A61B17/225; massage using supersonic vibration A61H23/00 ; using ultrasound for introducing media into the body A61M37/0092

Abstract

When an affected region is greater than a focal point of a therapy ultrasonic wave, a therapy region is set in a way to include the affected region. The focal point of the therapy ultrasonic wave is moved along a planned course designed based on the therapy region, so that it is possible to treat that whole affected region greater than the focal point. In the present invention, before an actual therapy, that is, before irradiation with the therapy ultrasonic wave, a therapy simulation is made to see whether or not a better treatment is carried out. In the therapy simulation, an applicator is moved in accordance with a planned course designed based on the therapy region. During the movement, the internal region of a human subject is continuously scanned and imaged by the ultrasonic probe. A cross-sectional image obtained is displayed together with a focal point marker representing the focal point. In this way, the applicator is moved along an actual planned course and, by observing a positional relation between the subject and the focal point, accurate checking is made to see whether or not the therapy region is set relative to the affected region.

Claims

1. An ultrasonic therapy apparatus for focusing a therapy ultrasonic wave at an affected part for therapy, comprising:

an applicator having a therapy ultrasonic wave generation source and ultrasonic probe;

a mechanism for moving the applicator;

a driver for driving the therapy ultrasonic wave generation source so as to generate the therapy ultrasonic wave from the therapy ultrasonic wave generation source;

a diagnosis apparatus for driving the ultrasonic probe to scan a focal point and its neighborhood with the ultrasonic wave, forming a cross-sectional image based on an obtained echo and displaying the cross-sectional image;

a console for setting a therapy region in a state to include the affected part; and

a system controller for performing a therapy simulation, wherein,

in the therapy simulation, the mechanism moves the applicator in accordance with a planned course of the focal point designed in a way to correspond to the therapy region, the driver does not drive the therapy ultrasonic wave generation source so that no therapy ultrasonic wave is generated, and the diagnosis apparatus scans the focal point and its neighborhood through the ultrasonic probe and displays, together with the cross-sectional image, a focal point marker representing the focal point.

2. The apparatus according to claim 1, wherein the console is provided for resetting at least one of a position, size and shape of the therapy region.

3. The apparatus according to claim 1, wherein the diagnosis apparatus is provided for displaying, together with the cross sectional image and focal point marker, a marker representing the therapy region.

4. The apparatus according to claim 1, wherein the diagnosis apparatus is provided for displaying an intensity distribution at and near the focal point of the therapy ultrasonic wave as the focal point marker.

5. The apparatus according to claim 1, wherein the diagnosis apparatus is provided for picking up a few cross-sectional images from among those cross-sectional images obtained during the therapy simulation and displaying the picked cross-sectional images all at a time on an image screen, the few images being obtained by scanning at and near the therapy region.

6. The apparatus according to claim 1, wherein the system controller enables a simpler type simulation to be performed and wherein, in the simpler type simulation, the driver does not drive the therapy ultrasonic wave generation source so that no therapy ultrasonic wave is generated and the diagnosis apparatus effects any of an axial rotation, swing and translation of the ultrasonic probe to generate a plurality of cross-sectional images and display these images.

7. The apparatus according to claim 6, wherein the diagnosis apparatus is provided for picking up a few cross-sectional images from among those cross-sectional images obtained during the simpler type simulation and displaying these cross-sectional images all at a time on an image screen, the few images being obtained by scanning at and near the therapy region.

8. The apparatus according to claim 6, wherein the diagnosis apparatus is provided for picking up two cross-sectional images from those cross-sectional images obtained from among the simpler type simulation and displaying these cross-sectional images all at a time on an image screen, the two cross-sectional images having their scan planes orthogonal to each other.

9. The apparatus according to claim 6, wherein the diagnosis apparatus is provided for picking up a plurality of cross-sectional images from among those cross-sectional images obtained during the simpler type simulation and displaying these cross-sectional images all at a time on an image screen, the cross-sectional images having their scan planes shifted at a predetermined angle with respect to each other.

10. An ultrasonic therapy apparatus for focusing a therapy ultrasonic wave at an affected region for therapy, comprising:

means for generating a therapy ultrasonic wave;

means for imaging a cross-sectional tissue associated with a focal point and its neighborhood of a therapy ultrasonic wave;

means for setting a therapy region including the affected region;

means for performing a therapy simulation, wherein, in a therapy simulation, no therapy ultrasonic wave is generated from the therapy ultrasonic wave generation source and a cross-sectional tissue is imaged and the imaged cross-sectional plane is moved in accordance with a planned course of the focal point of the therapy ultrasonic wave in a way to correspond to the therapy region.

11. The apparatus according to claim 10, wherein the setting means is provided for re-setting at least one of a position, size and shape of the therapy region.

12. The apparatus according to claim 10, wherein the imaging means is provided for displaying, together with the cross-sectional image, a focal point marker representing a focal point of the therapy ultrasonic wave.

13. The apparatus according to claim 12, wherein the imaging means is provided for displaying an intensity distribution at and near the focal point of the therapy ultrasonic wave as the focal point marker.

14. The apparatus according to claim 10, wherein the imaging means is provided for displaying, together with the cross-sectional image, a marker representing the therapy region.

15. The apparatus according to claim 10, wherein the imaging means is provided for picking up a few cross-sectional images from those cross-sectional images obtained in the therapy simulation and displaying these cross-sectional images all at a time on an image screen, the few cross-sectional images being obtained by scanning at and near the therapy region.

16. The apparatus according to claim 10, wherein the imaging means is provided for picking up two cross-sectional images from among those cross-sectional images obtained in the therapy simulation and displaying these cross-sectional images all at a time on an image screen, the two cross-sectional images having scan planes orthogonal to each other.

17. The apparatus according to claim 10, wherein the imaging means is provided for picking up a plurality of cross-sectional images from among those cross-sectional images obtained in the therapy simulation and displaying these cross-sectional images all at a time on an image screen, the cross-sectional images having scan planes shifted at a predetermined angle with respect to each other.

18. An ultrasonic therapy apparatus for focusing a therapy ultrasonic wave at an affected region for therapy, comprising:

means for generating a therapy ultrasonic wave;

means for imaging a cross-sectional tissue associated with a focal point and its neighborhood of the therapy ultrasonic wave;

means for setting a therapy region including the affected region; and

means for performing a therapy simulation, wherein, in the therapy simulation, no therapy ultrasonic wave is generated from the therapy ultrasonic wave generation source, the therapy region is scanned by effecting an axial rotation, swing and translation with the ultrasonic wave, the cross-sectional image associated with the cross-sectional tissue is displayed and the cross-sectional image is displayed together with a marker representing the focal point and marker representing the therapy region.

19. A method for planning before treating an affected region of a subject while moving a focal point of a therapy ultrasonic wave relative to the affected region, comprising the steps of:

(a) setting a therapy region in a way to correspond to the affected region;

(b) simulating the therapy after the first step; and

(c) re-setting the therapy region in accordance with a result of the therapy simulation;

wherein, in the second step (b), no therapy ultrasonic wave is generated, a cross-sectional tissue is imaged and an imaged cross-sectional plane is moved in accordance with a planned course of the focal point designed based on the set therapy region.