Adaptive medical image acquisition system and method

• US 8,145,293 B2
• Filed: 03/10/2009
• Issued: 03/27/2012
• Est. Priority Date: 06/16/2008
• Status: Active Grant

• Current Assignee: Siemens Healthcare GMBH (Siemens AG)
• Original Assignee: Siemens Medical Solutions USA Incorporated (Siemens AG)
• Inventors: Chen, Jinghua, Zhang, Hongxuan, Wade, Harold James
• Primary Examiner(s): Smith, Ruth S
• Application Number:
  US12/400,910
• Publication Number:
  US 20090312648A1
• Time in Patent Office: 1,113 Days
• Field of Search: 600/413, 600/428, 600/481, 600485-505, 600/508
• US Class Current: 600/428
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/021 Measuring pressure in heart or blood vessels A61B5/0205 takes precedence
• CPC Class Codes: A61B 5/026 Measuring blood flow A61B3/1233, A61B3/1241 take precedence
• CPC Class Codes: A61B 6/503 for diagnosis of the heart
• CPC Class Codes: A61B 6/504 for diagnosis of blood vessels, e.g. by angiography
• CPC Class Codes: A61B 6/541 involving acquisition triggered by a physiological signal

Abstract

A medical imaging system adaptively acquires anatomical images. The system includes a synchronization processor for providing a heart rate related synchronization signal derived from a patient cardiac function blood flow related parameter. The synchronization signal enables adaptive variation in timing of acquisition within successive heart cycles of each individual image frame of multiple sequential image frames. An image acquisition device initiates acquisition of anatomical images of a portion of patient anatomy in response to the synchronization signal. A display processor presents images, acquired by the acquisition device and synchronized with the synchronization signal, to a user on a reproduction device. The image acquisition device adaptively selects image pixel resolution of individual image frames of the multiple sequential image frames in response to data identifying a heart cycle segment so that successively acquired image frames have different image pixel resolution within a single heart cycle.

Claims

1. A medical imaging system for adaptively acquiring anatomical images, comprising:

a synchronization processor for providing a heart rate related synchronization signal derived from a patient cardiac function blood pressure signal, said synchronization signal enabling adaptive variation in timing of image acquisition within successive heart cycles of each individual image frame of a plurality of sequential image frames;

an image acquisition device for initiating acquisition of anatomical images of a portion of patient anatomy in response to said synchronization signal and adaptively selecting image pixel resolution of individual image frames of said plurality of sequential image frames in response to data identifying a heart cycle segment so that successively acquired image frames have different image pixel resolution within a single heart cycle; and

a display processor for presenting images, acquired by said acquisition device and synchronized with said synchronization signal, to a user on a reproduction device.

2. A system according to claim 1, wherein

said image acquisition device adaptively selects acquisition of images within a single heart cycle of first image pixel resolution at a first rate and first inter-image acquisition interval and selects acquisition of images within a single heart cycle of second image pixel resolution at a second rate and second inter-image acquisition interval, said first image pixel resolution being higher than said second image pixel resolution, said first rate being lower than said second rate and said first inter-image acquisition interval being larger than said second inter-image acquisition interval.

3. A system according to claim 1, wherein

said heart rate related synchronization signal comprises a signal synchronized with end-diastolic pressure in a cardiac cycle.

4. A system according to claim 3, wherein

the end-diastolic pressure synchronized signal is derived from a non-invasive blood pressure monitoring device.

5. A system according to claim 3, wherein

the end-diastolic pressure synchronized signal is derived from a blood oxygen saturation (SpO2) monitoring device.

6. A system according to claim 1, wherein

said heart rate related synchronization signal comprises a signal synchronized with end-systolic pressure in a cardiac cycle.

7. A system according to claim 6, wherein

the end-systolic pressure synchronized signal is derived from a non-invasive blood pressure monitoring device.

8. A system according to claim 6, wherein

the end-systolic pressure synchronized signal is derived from a blood oxygen saturation (SpO2) monitoring device.

9. A system according to claim 1, wherein

said cardiac function blood pressure signal indicates at least one of, (a) invasive blood pressure, (b) non-invasive blood pressure, (c) blood flow velocity, (d) blood flow acceleration and (e) blood flow frequency.

10. A system according to claim 1, wherein

said synchronization signal is derived from parameter data derived from-an intra-cardiac blood pressure signal.

11. A system according to claim 10, wherein

said parameter data is a blood pressure gradient indicator.

12. A system according to claim 1, wherein

said image acquisition device acquires a plurality of 2D anatomical images of a patient heart in substantially the same operational phase over a plurality of heart beat cycles in response to said synchronization signal derived from said cardiac function blood pressure signal.

13. A system according to claim 12, wherein

said same operational phase comprises one of, (a) an end of diastolic pressure (ED) phase and (b) an end of systolic pressure (ES) phase.

14. A system according to claim 12, including

an image processor for calculating at least one of maximum left ventricle volume and minimum left ventricle volume based on image data acquired at said same operational phase.

15. A system according to claim 12, including

an image processor for calculating an ejection fraction value based on image data acquired at said same operational phase.

16. A system according to claim 12, including

an image processor for processing said plurality of 2D anatomical images of said patient heart in substantially the same operational phase over said plurality of heart beat cycles to provide a 3D image reconstruction of said heart in said same operational phase.

17. A system according to claim 12, including

an image processor for incorporating data indicating at least one of, (a) heart wall thickness, (b) heart tissue temperature and (c) heart energy expenditure, in image data representing a 3D image reconstruction of said heart in said same operational phase.

18. A system according to claim 12, wherein

said image acquisition device acquires said plurality of 2D anatomical images in substantially the same operational phase over a plurality of heart beat cycles, in response to said synchronization signal derived from said cardiac function blood pressure signal and synchronizing image acquisition to heart phases including at least one of, (a) a phase at which heart volume is a minimum and (b) a phase at which heart volume is a maximum.

19. A medical imaging system for acquiring anatomical images, comprising:

an adaptive synchronization processor for providing a heart rate related synchronization signal synchronous with one of,

(a) end-diastolic pressure in a cardiac cycle and

(b) end-systolic pressure in a cardiac cycle, and is derived from a patient blood pressure signal;

an image acquisition device for acquiring a plurality of sequential image frames of a portion of patient anatomy in response to said synchronization signal and adaptively selecting image pixel resolution of individual image frames of said plurality of sequential image frames in response to data identifying a heart cycle segment so that successively acquired image frames have different image pixel resolution within a single heart cycle; and

a display processor for presenting images, acquired by said acquisition device and synchronized with said synchronization signal, to a user on a reproduction device.

20. A system according to claim 19, wherein

said image acquisition device adaptively acquisition of images of first image pixel resolution at a first rate and first inter-image acquisition interval and selects acquisition of images of second image pixel resolution at a second rate and second inter-image acquisition interval, said first image pixel resolution being higher than said second image pixel resolution, said first rate being lower than said second rate and said first inter-image acquisition interval being larger than said second inter-image acquisition interval.

21. A system according to claim 20, wherein

said synchronization signal enables adaptive variation in timing of acquisition within successive heart cycles of each individual image frame of said plurality of sequential image frames.

22. A system according to claim 19, wherein

said adaptive synchronization processor provides said heart rate related synchronization signal by identifying noisy image data and deriving the heart rate related synchronization signal to exclude acquisition of noisy image frames or noisy image data in an image frame.

23. A system according to claim 19, wherein

said adaptive synchronization processor operates in a closed loop and adaptively adjusts filter characteristics used in deriving said heart rate related synchronization signal to optimize synchronization signal detection.

24. A medical imaging system for acquiring anatomical images, comprising:

a synchronization processor for providing a heart rate related synchronization signal derived from a patient cardiac function signal comprising one of

(a) a vital sign signal and

(b) an electrophysiological signal, said synchronization signal enabling adaptive variation in timing of acquisition within successive heart cycles of each individual image frame of a plurality of sequential image frames;

an image acquisition device for gating one or more signals and initiating acquisition of anatomical images of a portion of patient anatomy in response to said synchronization signal and adaptively selecting image pixel resolution of individual image frames of said plurality of sequential image frames in response to data identifying a heart cycle segment so that successively acquired image frames have different image pixel resolution within a single heart cycle; and

a display processor for presenting images, acquired by said acquisition device and synchronized with said synchronization signal, to a user on a reproduction device.

25. A system according to claim 24, wherein

said synchronization processor derives said heart rate related synchronization signal from a vital sign signal comprising one of, (a) an SpO2 waveform, (b) an ECG impedance indicative waveform, (c) an arterial oxygen content (CaO2) signal and (d) a central venous oxygen saturation (CvO2) signal.

26. A system according to claim 24, wherein

said synchronization processor derives said heart rate related synchronization signal from an electrophysiological signal comprising one of, (a) an Intracardiac electrogram (ICEG) signal, (b) an electrocardiogram (ECG) signal and (c) a signal derived by frequency analysis.

27. A method employed by a medical imaging system for adaptively acquiring anatomical images, comprising the steps of:

providing a heart rate related synchronization signal derived from a patient cardiac function blood pressure signal, said synchronization signal enabling adaptive variation in timing of image acquisition within successive heart cycles of each individual image frame of a plurality of sequential image frames;

initiating acquisition of anatomical images of a portion of patient anatomy in response to said synchronization signal and adaptively selecting image pixel resolution of individual image frames of said plurality of sequential image frames in response to data identifying a heart cycle segment so that successively acquired image frames have different image pixel resolution within a single heart cycle; and

presenting acquired images, synchronized with said synchronization signal, to a user on a reproduction device.