Ultrasound pulse-wave doppler measurement of blood flow velocity and/or turbulence

• US 9,204,858 B2
• Filed: 02/04/2011
• Issued: 12/08/2015
• Est. Priority Date: 02/05/2010
• Status: Expired due to Fees

• Current Assignee: BK Medical Holding Company, Inc. (GE Healthcare Technologies, Inc.)
• Original Assignee: Ultrasonix Medical Corporation (GE Healthcare Technologies, Inc.)
• Inventors: Pelissier, Laurent, Dickie, Kris, Zhuang, Bo
• Primary Examiner(s): SIRIPURAPU, RAJEEV P
• Application Number:
  US13/021,676
• Publication Number:
  US 20110196237A1
• Time in Patent Office: 1,768 Days
• Field of Search: 600/445
• US Class Current: 1/1
• CPC Class Codes: A61B 8/06 Measuring blood flow measuring volume flow in general G01F, e.g. G01F1/66, G01F1/72; measuring speed of fluids in general G01P5/00
• 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 8/0891 for diagnosis of blood vessels
• CPC Class Codes: A61B 8/461 Displaying means of special interest
• CPC Class Codes: A61B 8/463 characterised by displaying multiple images or images and diagnostic data on one display composite display in devices for short-range imaging with acoustic waves G01S7/52074
• CPC Class Codes: A61B 8/466 adapted to display 3D data 3D imaging and stereoscopic displays in devices for short-range imaging with acoustic waves G01S15/8993 and G01S7/52068, respectively; 3D image rendering G06T15/00; manipulating 3D models for computer graphics G06T19/00
• CPC Class Codes: A61B 8/467 characterised by special input means
• CPC Class Codes: A61B 8/488 involving Doppler signals
• CPC Class Codes: A61B 8/543 involving acquisition triggered by a physiological signal
• CPC Class Codes: G01S 15/8984 Measuring the velocity vector
• CPC Class Codes: G01S 7/52073 Production of cursor lines, markers or indicia by electronic means

Abstract

Apparatus and methods for measuring and analyzing blood flow in vessels in the bodies of living subjects are provided. The true velocity vector, or a projection thereof onto a scan plane, for blood flowing at a location in a vessel is determined from multiple Doppler velocity components. The true velocity vector is displayed as a directional marker on an image comprising the vessel. The true velocity magnitude and angle, and scalar blood flow characteristics derived therefrom, are plotted as a functions of time and/or position across the depiction of the blood vessel in the image. Time intervals for which blood flow characteristic data is displayed and/or determined may be user configurable.

Claims

1. A method for displaying blood flow information concerning blood in a vessel, the method comprising:

generating ultrasound signals by using an ultrasound transducer;

producing, in electronic format, an ultrasound image of the vessel from the ultrasound signals, wherein the ultrasound image includes a representation of the vessel;

displaying the ultrasound image via a display device;

constructing and displaying a user-positionable cursor overlaid over a sub-portion of the representation of the vessel in the displayed ultrasound image, wherein the user-positionable cursor identifies a single sub-sample volume of interest in the vessel;

obtaining, with a controller and for each of a plurality of different time intervals, a different true velocity vector of blood passing through the same single sub-sample volume located in the vessel wherein the true velocity vectors are determined from the ultrasound signals;

constructing a plurality of vector-markers, each vector-marker including a graphical indicator that indicates a magnitude and an angle of a different one of the true velocity vectors, wherein each of the graphical indicators includes an arrow with a linear line segment having a first end and a second opposing end and a head disposed at the first end;

displaying, concurrently, the arrows with their second ends at a same spatial point that is located within the same single sub-sample volume, wherein each of the arrows extends from the same point that is located within the same single sub-sample volume, and wherein all of the concurrently displayed plurality of the graphical indicators are concurrently visible.

2. The method according to claim 1 comprising:

visually displaying the graphical indicators with time-varying flow characteristics that indicate respective time intervals of the plurality of different time intervals.

3. The method according to claim 1 comprising:

receiving a user input indicating a maximum number of the graphical indicators to display at any point in time and displaying no more than the maximum number of the graphical indicators at any point in time.

4. The method according to claim 1 comprising:

adding a new graphical indicator generated for a current time interval to the display and removing an existing graphical indicator corresponding to an earlier time interval from the display.

5. The method according to claim 1 wherein concurrently displayed graphical indicators differ in appearance according to a temporal order of their respective time intervals.

6. The method according to claim 5 wherein the concurrently displayed graphical indicators comprise arrows, and respective arrows differ in appearance by at least sizes of heads on the arrows, wherein a first graphical indicator for a first time interval has a first arrow head with a first size and a second graphical indicator for a second time interval has a second arrow head with a second size, the first time interval is earlier than the second time interval, and the first size is smaller than the second size.

7. The method according to claim 5 wherein the concurrently displayed graphical indicators comprise arrows, and respective arrows differ in appearance by at least visible faintness, wherein a first graphical indicator for a first time interval has a first visible faintness and a second graphical indicator for a second time interval has a second visible faintness, the first time interval is earlier than the second time interval, and the first visible faintness is greater than the second visible faintness.

8. The method according to claim 5 comprising changing an appearance of an arrow of a visible displayed graphical indicator each successive time internal.

9. The method according to claim 1 wherein a time separation between the different time intervals is specified by a user.

10. The method according to claim 1 comprising:

displaying a scale that associates graphical indicator length with a range of numeric velocity magnitude values.

11. The method according to claim 1 comprising:

for each of the plurality of time intervals;

determining a scalar blood flow characteristic value based on the corresponding true velocity vector; and

plotting the scalar blood flow characteristic value on a timescale at a location corresponding to the time interval.

12. The method according to claim 11 wherein the scalar blood flow characteristic comprises velocity angle.

13. The method according to claim 11 wherein the scalar blood flow characteristic comprises velocity magnitude.

14. The method according to claim 13 wherein a plurality of velocity magnitude values corresponding to different time intervals are plotted together at a single location along the timescale.

15. The method according to claim 14 wherein the plurality of velocity magnitude values corresponding to different time intervals are plotted together as a plurality of different points at different locations along a value axis.

16. The method according to claim 14 wherein the plurality of velocity magnitude values comprises a first plurality of velocity magnitude values in a first range and a second plurality of velocity magnitude values in a second range different from the first range, and wherein the first plurality of velocity magnitude values are plotted as a first point defined by the location along the timescale and a first coordinate along the value axis, and the second plurality of velocity magnitude values are plotted as a second point defined by the location along the timescale and a second coordinate along the value axis.

17. The method according to claim 16 wherein the first point has a display attribute corresponding to the number of velocity magnitude values in the first plurality of velocity magnitude values.

18. The method according to claim 17 wherein the display attribute comprises at least one of color and brightness.

19. The method according to claim 6 comprising decreasing the size of the arrow head of the first graphical indicator each successive time internal.

20. The method according to claim 7 comprising increasing the visible faintness the first graphical indicator each successive time internal.

21. The method according to claim 6 wherein the concurrently displayed graphical indicators comprise arrows, and respective arrows differ in appearance by at least faintness, wherein a first graphical indicator for a first time interval has a first faintness and a second graphical indicator for a second time interval has a second faintness, the first time interval is earlier than the second time interval, and the first faintness is greater than the second faintness.

22. The method according to claim 21 comprising decreasing the size of the arrow head of the first graphical indicator each successive time internal.

23. The method according to claim 21 comprising increasing the faintness the first graphical indicator each successive time internal.

24. The method according to claim 21 comprising decreasing the size of the arrow head of the first graphical indicator each successive time internal and increasing the faintness the first graphical indicator each successive time internal.

25. The method according to claim 1, wherein a graphical indicator has at least one of a length, a color or a brightness, and a magnitude of the graphical indicator is indicated by the at least one of the length, the color or the brightness.

26. The method according to claim 1, further comprising:

constructing and displaying graphical indications of bisectors of angles between a path from a transmitting transducer element to the sample volume and paths from the sample volume to receive transducer elements.