WO2018162305A1 - Location device and system for locating an acoustic sensor - Google Patents
Location device and system for locating an acoustic sensor Download PDFInfo
- Publication number
- WO2018162305A1 WO2018162305A1 PCT/EP2018/054999 EP2018054999W WO2018162305A1 WO 2018162305 A1 WO2018162305 A1 WO 2018162305A1 EP 2018054999 W EP2018054999 W EP 2018054999W WO 2018162305 A1 WO2018162305 A1 WO 2018162305A1
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- WO
- WIPO (PCT)
- Prior art keywords
- location
- acoustic sensor
- transmit
- signals
- ultrasound
- Prior art date
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/08—Detecting organic movements or changes, e.g. tumours, cysts, swellings
- A61B8/0833—Detecting organic movements or changes, e.g. tumours, cysts, swellings involving detecting or locating foreign bodies or organic structures
- A61B8/0841—Detecting organic movements or changes, e.g. tumours, cysts, swellings involving detecting or locating foreign bodies or organic structures for locating instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; determining position of probes within or on the body of the patient
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/42—Details of probe positioning or probe attachment to the patient
- A61B8/4245—Details of probe positioning or probe attachment to the patient involving determining the position of the probe, e.g. with respect to an external reference frame or to the patient
- A61B8/4254—Details of probe positioning or probe attachment to the patient involving determining the position of the probe, e.g. with respect to an external reference frame or to the patient using sensors mounted on the probe
-
- G—PHYSICS
- G01—MEASURING; TESTING
- G01S—RADIO DIRECTION-FINDING; RADIO NAVIGATION; DETERMINING DISTANCE OR VELOCITY BY USE OF RADIO WAVES; LOCATING OR PRESENCE-DETECTING BY USE OF THE REFLECTION OR RERADIATION OF RADIO WAVES; ANALOGOUS ARRANGEMENTS USING OTHER WAVES
- G01S7/00—Details of systems according to groups G01S13/00, G01S15/00, G01S17/00
- G01S7/52—Details of systems according to groups G01S13/00, G01S15/00, G01S17/00 of systems according to group G01S15/00
- G01S7/52017—Details of systems according to groups G01S13/00, G01S15/00, G01S17/00 of systems according to group G01S15/00 particularly adapted to short-range imaging
- G01S7/52023—Details of receivers
- G01S7/52036—Details of receivers using analysis of echo signal for target characterisation
-
- G—PHYSICS
- G01—MEASURING; TESTING
- G01S—RADIO DIRECTION-FINDING; RADIO NAVIGATION; DETERMINING DISTANCE OR VELOCITY BY USE OF RADIO WAVES; LOCATING OR PRESENCE-DETECTING BY USE OF THE REFLECTION OR RERADIATION OF RADIO WAVES; ANALOGOUS ARRANGEMENTS USING OTHER WAVES
- G01S7/00—Details of systems according to groups G01S13/00, G01S15/00, G01S17/00
- G01S7/52—Details of systems according to groups G01S13/00, G01S15/00, G01S17/00 of systems according to group G01S15/00
- G01S7/52017—Details of systems according to groups G01S13/00, G01S15/00, G01S17/00 of systems according to group G01S15/00 particularly adapted to short-range imaging
- G01S7/52085—Details related to the ultrasound signal acquisition, e.g. scan sequences
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
- A61B2034/2046—Tracking techniques
- A61B2034/2063—Acoustic tracking systems, e.g. using ultrasound
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/37—Surgical systems with images on a monitor during operation
- A61B2090/378—Surgical systems with images on a monitor during operation using ultrasound
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3925—Markers, e.g. radio-opaque or breast lesions markers ultrasonic
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
- A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
- A61B5/6852—Catheters
Definitions
- One solution for marking a needle tip under ultrasound guidance is to embed a small ultrasound sensor at the tip of the needle.
- Such a sensor receives the direct ultrasound signals that impinge upon it as imaging beams from an ultrasound imaging probe sweep the field of view.
- a sensor may also be implanted in the body, for monitoring a condition in the body.
- the acoustic sensor device may function solely for location, by generating an identifiable signal at its location. However, by calibrating the frequency response of the sensor, information about the external environment (such as the pressure in a fluid flow field) can also be encoded in the signal received from the acoustic sensor. For example, for pressure sensors, the relationship between the device resonance frequency and the ambient pressure can be calibrated. Based on the frequency detected, the ambient pressure around the device can be determined.
- the acoustic sensor device is often implanted with other interventional devices such as stents or prosthetic heart valves. As a result, it is challenging to locate the device under B-mode ultrasound.
- a location device for determining the location of an acoustic sensor comprising:
- an ultrasound transducer array arranged to transmit a plurality of ultrasound beams and receive corresponding reflected echo signals
- the scanning approaches may be of different types (such as unfocused and focused) or they may be of the same type but with different scanning parameters (such as different density of scan lines). Overall, the aim is to enable a high precision location to be identified in a way which reduces the amount of time and/or image processing required to reach the desired location accuracy.
- the controller arrangement is adapted to implement a location process which comprises: providing a first, non-focused, transmit beam and obtaining a first location area;
- the accuracy of the location is increased in iterative steps, making use of an adaptive transmit pattern.
- the pattern starts as a non-focused beam such as a broad beam pattern and narrows to a focused beam based on the receive beams that have components of the resonant signals from the acoustic sensor.
- the broad beam pattern provides a coarse location (i.e. a location area) and the spatial resolution and bandwidth of the focused beam allows a more precise location to be determined.
- the controller arrangement is adapted to implement a location process which comprises scanning a first plurality of focused transmit beams across a region of interest to provide focusing positions with a first spacing (first beam density), and scanning at least a second plurality of focused transmit beams across the region of interest to provide more closely spaced focusing positions (more densely packed scanning lines).
- the higher first spacing corresponds to a lower precision of the first location area, whereas the more closely spaced focusing positions correspond to a more precise location.
- the controller arrangement is thus for example adapted to identify an orientation of the acoustic sensor by determining a transmission angle and emission
- the invention also provides a location system comprising:
- the acoustic sensor for example comprises a membrane having a resonant frequency within a reception frequency range of the acoustic transducer array, for generating an echo at the resonant frequency.
- the method comprises:
- Figure 1 shows a known ultrasound imaging system
- An image is formed by combining multiple transmit scan lines, where one scan line is a transmitted and received narrow beam. By combining the received echo data for the set of limes the ultrasound image is created.
- CMUT transducers in particular are able to function over a broad bandwidth, enable high resolution and high sensitivity imaging, and produce a large pressure output so that a large depth of field of acoustic signals can be received at ultrasonic frequencies.
- the transducer array 6 is coupled to a micro-beamformer 12 which controls transmission and reception of signals by the CMUT array cells.
- Micro-beamformers are capable of at least partial beam forming of the signals received by groups or "patches" of transducer elements for instance as described in US patents US 5,997,479 (Savord et al), US 6,013,032 (Savord), and US 6,623,432 (Powers et al.)
- the Doppler processor typically includes a wall filter with parameters which may be set to pass and/or reject echoes returned from selected types of materials in the body.
- the wall filter can be set to have a passband characteristic which passes signal of relatively low amplitude from higher velocity materials while rejecting relatively strong signals from lower or zero velocity material.
- This passband characteristic will pass signals from flowing blood while rejecting signals from nearby stationary or slowing moving objects such as the wall of the heart.
- An inverse characteristic would pass signals from moving tissue of the heart while rejecting blood flow signals for what is referred to as tissue Doppler imaging, detecting and depicting the motion of tissue.
- the Doppler processor receives and processes a sequence of temporally discrete echo signals from different points in an image field, the sequence of echoes from a particular point referred to as an ensemble.
- An ensemble of echoes received in rapid succession over a relatively short interval can be used to estimate the Doppler shift frequency of flowing blood, with the correspondence of the Doppler frequency to velocity indicating the blood flow velocity.
- An ensemble of echoes received over a longer period of time is used to estimate the velocity of slower flowing blood or slowly moving tissue.
- Output data from the quantification processor is coupled to a graphics processor 36 for the reproduction of measurement graphics and values with the image on the display 40.
- the graphics processor 36 can also generate graphic overlays for display with the ultrasound images. These graphic overlays can contain standard identifying information such as patient name, date and time of the image, imaging parameters, and the like. For these purposes the graphics processor receives input from the user interface 38, such as patient name.
- the user interface is also coupled to the transmit controller 18 to control the generation of ultrasound signals from the transducer array 6 and hence the images produced by the transducer array and the ultrasound system.
- the user interface is also coupled to the multiplanar reformatter 44 for selection and control of the planes of multiple multiplanar reformatted (MPR) images which may be used to perform quantified measures in the image field of the MPR images.
- MPR multiplanar reformatted
- the emitted ultrasound excites the membrane of the acoustic sensor device, which then generates an echo signal at its resonant frequency.
- the resonance frequency of the acoustic sensor will depend on the surrounding environment, such as the pressure.
- the acoustic signals emitted from the sensors will have frequency components of the incident signals transmitted from transducer 6 and of the resonant frequency of the sensor 52, and shifted frequency components compared to the signals transmitted from the ultrasound transducer array 6. While the components of the resonant frequency of sensors do not necessarily need to be in the frequency bandwidth covered by the ultrasound array, the shifted frequency components will be. By detecting the presence of shifted frequency components in each receive beam, the location of the acoustic sensor device can be identified.
- the acoustic sensor responds to an incident acoustic wave by generating a resonant echo signal.
- the sensor may be of the type disclosed in US 2013/0060139.
- the sensor may be used for pressure monitoring, based on changes in the frequency response of the sensor to local pressure variations.
- This invention is concerned in particular with locating the sensor.
- the obtaining and processing of a sensor reading may be performed in known manner and as described above.
- Those receive beams are indicated by region 54 within an image 56 representing the spatially received beams.
- the image 56 represents elevation versus azimuth.
- the received beams of Figure 2A are obtained based on providing a first, plane wave, transmit beam, and from this the region 54 defines a first obtained location for the ultrasound sensor.
- This first obtained location is a general location area, of lower precision than is required.
- delays may be applied to steer the plane-waves to different angles or to adjust how much the beams are diverging.
- the unfocused (e.g. plane wave) beam imaging the emitted acoustic signals (beams) cover larger areas. For each of these transmit beams, a large field of view can be generated (with lower quality compared to focused-beam imaging).
- a final image can be generated with image quality comparable to a transmit-focused beam.
- the advantages of unfocused beam imaging include faster frame rate (less transmits required to reconstruct the whole image) but at the cost of increased system complexity because more parallel-line processing is required to reconstruct the larger field of view.
- the received echo signals from the sensor will be received at multiple elements of the transducer. These signals arrive at the elements at different time, based on the travelling paths. Therefore, during subsequent receive beamforming, the location of the source signals can be identified.
- the receive beamforming takes place for every point in the field of view and comprises a delay-and-sum operation for the employed set of transducer elements.
- the received signals may have different amplitudes and frequencies, from which the location of the sensor can be identified but also information about the environment outside the sensor (i.e. making use of the pressure sensing functionality of the implanted acoustic sensor).
- a focused beam 58 is formed as shown in Figure 2B. This focuses to a point behind the coarse sensor location as determined by the plane wave imaging. The focusing is achieved by transmit beamforming.
- This approach provides a first, focused, transmit beam for a smaller region of interest. From this, a more accurate location within the location area found in Figure 2A is found, as shown as pane 60.
- This process may be repeated iteratively so that a second focused beam 62 is provided as shown in Figure 2C resulting in a more focused beam around the region 60.
- the transmit beam starts as a broad beam in-plane pattern and progressively narrows down to a focused beam based on the receive beams that have the components of resonance signals from the acoustic sensor.
- This adaptive transmit pattern provides a quick way to locate the sensor. While the broad beam provides a coarse location of the sensor at the beginning of the location process, the greater spatial resolution and smaller beam width of the focusing beams allow more precise location.
- An alternative example is to sweep a transmit focus beam throughout the region of interest and identify the beams that carry signals specific to the acoustic sensor device.
- a first sweep is at a lower resolution, for example with a transmit beam for every Nth scan line (e.g. every fifth scan line).
- a higher resolution image may be obtained, for example based on a sub-set of adjacent scan lines (e.g. scan line numbers 10 to 15).
- an imaging process is to be understood as a number of transmit sequences to localize the sensor.
- a first sequence may involve transmitting every 5 scan lines for the whole 3D volume.
- a second sequence may then involve transmitting every 3 scan lines with a smaller region 60, and a third sequence then involves transmitting every scan lines for the final sequence with the smallest region 54.
- the acoustic sensor device will emit pressure waves which are stronger in a direction normal to the sensor membrane, and they will be set into resonance more strongly by an incident ultrasound wave which is directed normally to the membrane orientation.
- the position of the ultrasound transducer may be selected taking into account an orientation and/or position of the sensor.
- the known directional angle of the focused beam is used to derive an improved position of the transducer array.
- the user may then be instructed to move the ultrasound transducer array to a better position shown in Figure 3B.
- An indicator 64 for example provides a measure of the resonant signal strength so that the user can be directed to move the transducer array to obtain the best location signal.
- the sensor may not have its membrane parallel to the transducer array plane.
- Figure 4 shows a transmit beam directed to a sensor 52 which is central to the ultrasound transducer array 6 but the membrane is not parallel.
- Figure 4A shows that the reflected echo signal 62 is directed laterally. The excitation of the resonance is not optimized.
- the known directional angle of the received beam is used to derive an improved position of the transducer array.
- the user may then be instructed to move the ultrasound transducer array to a better position shown in Figure 4B.
- the transmit beam is then directed perpendicularly to the membrane to provide a resonant excitation resulting in the maximum intensity of the reflected echo 62 towards the direction of the array 6.
- An indicator 64 again for example provides a measure of the resonant signal strength so that the user can be directed to move the transducer array to obtain the best location signal.
- the signal processing may compare signal strengths derived from several adjacent transmit beams and select the beam that results in the highest signal strength from sensor. This can happen intermittently throughout the monitoring period and the selected beam can be updated and used as reference for position and signal strength.
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Abstract
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Priority Applications (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201880017100.1A CN110392553B (en) | 2017-03-10 | 2018-03-01 | Positioning device and system for positioning acoustic sensors |
EP18707716.9A EP3592240B1 (en) | 2017-03-10 | 2018-03-01 | Location system for locating an acoustic sensor |
US16/492,446 US11747456B2 (en) | 2017-03-10 | 2018-03-01 | Location device and system for locating an ultrasound acoustic sensor |
JP2019548395A JP7167045B2 (en) | 2017-03-10 | 2018-03-01 | Location devices and systems for positioning acoustic sensors |
Applications Claiming Priority (6)
Application Number | Priority Date | Filing Date | Title |
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US201762469592P | 2017-03-10 | 2017-03-10 | |
US62/469,592 | 2017-03-10 | ||
EP17160264.2 | 2017-03-10 | ||
EP17160264 | 2017-03-10 | ||
US201762577198P | 2017-10-26 | 2017-10-26 | |
US62/577198 | 2017-10-26 |
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WO2018162305A1 true WO2018162305A1 (en) | 2018-09-13 |
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PCT/EP2018/054999 WO2018162305A1 (en) | 2017-03-10 | 2018-03-01 | Location device and system for locating an acoustic sensor |
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2019243896A3 (en) * | 2018-06-20 | 2020-04-02 | Microtech Medical Technologies, Ltd. | Apparatus and system for increasing object visibility |
CN111616736A (en) * | 2019-02-27 | 2020-09-04 | 深圳市理邦精密仪器股份有限公司 | Ultrasonic transducer alignment method, device and system and storage medium |
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