Surgery – Diagnostic testing – Detecting nuclear – electromagnetic – or ultrasonic radiation
Reexamination Certificate
1999-02-24
2002-06-25
Lateef, Marvin M. (Department: 3737)
Surgery
Diagnostic testing
Detecting nuclear, electromagnetic, or ultrasonic radiation
C600S445000, C128S916000
Reexamination Certificate
active
06409669
ABSTRACT:
FIELD OF THE INVENTION
This invention relates to medical ultrasound imaging and, more particularly, to ultrasound transducer assemblies that incorporate acoustic mirrors for three-dimensional ultrasound imaging.
BACKGROUND OF THE INVENTION
Medical ultrasound imaging systems typically use a one-dimensional phased array to form an image of a two-dimensional slice through a patient's body. This approach has limitations. First, the two-dimensional slice is always perpendicular to the face of the transducer, thereby limiting the choice of views. For example, a cardiologist sometimes wants to view heart valves in plane. This requires a double oblique imaging plane with respect to the face of the transducer. This plane can only be derived from three-dimensional data. Second, anatomy such as the left ventricle is inherently three-dimensional. To obtain an accurate volume measurement of the left ventricle, three-dimensional data must be acquired.
Current methods used to acquire three-dimensional data, such as maybe obtained using Hewlett-Packard's Omni Plane transducers, use a one-dimensional array that is mechanically moved in a second dimension. This method may require several minutes to obtain a three-dimensional data set. Furthermore, the organs of interest may move during acquisition of the three-dimensional data set.
Phased array ultrasound transducers having multiple elements in the azimuth direction and a few elements in the elevation direction permit scanning in the azimuth direction and elevation focusing. See for example, U.S. Pat. No. 5,462,057 issued Oct. 31, 1995 to Hunt et al. These transducer configurations, often referred to as 1.5 dimensional arrays, do not permit beam steering in the elevation direction.
Planar, two-dimensional transducer arrays may be used for three-dimensional ultrasound imaging. However, in order to obtain good resolution and large steering angle, a large number of extremely small transducer elements is required. Such transducer arrays are difficult to fabricate and are difficult to interconnect to the imaging system electronics.
A system capable of acquiring real-time, three-dimensional data by electronically steering in two dimensions is described by T. Ota in “Accuracy of Left Ventricular Stroke Volume Measurement Using Real-Time, Three Dimensional Echocardiography Flow Probe in Vivo”, 70th Scientific Session American Heart Association Meeting, Nov. 11, 1997. This system uses
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active transducer elements. Signals from the transducer elements are passed through a cable having
512
coaxial conductors into a system with appropriate electronics. The image quality of the system is limited due to the small number of transducer elements used. Furthermore, since the cable between the transducer and the system has a significant diameter, it is difficult to extend this technology to many more transducer elements without an unacceptably large cable or a cable with such small diameter conductors that significant signal loss will occur.
A device for three-dimensional focusing of an ultrasonic beam is disclosed in U.S. Pat. No. 5,027,820, issued Jul. 2, 1991, to Pesque. The device includes a cylindrical phased array. An acoustic beam may be created by phasing the elements of a selected circumferential segment along the length of the cylindrical array. Although the element count is reduced in comparison with a planar array, the sampling in the circumferential direction is much coarser than the sampling in the lateral direction and provides an irregular data set. A drawback of the cylindrical array is that a large number of elements is still needed along the length of the transducer to achieve an acceptable field of view.
None of the known prior art ultrasound imaging techniques have achieved high quality, high resolution, three-dimensional ultrasound imaging with transducer assemblies that are practical in size, cost and complexity.
SUMMARY OF THE INVENTION
According to a first aspect of the invention, an ultrasound transducer assembly is provided. The transducer assembly comprises an acoustic mirror, an ultrasound transducer positioned to direct a scanned ultrasound beam at the acoustic mirror, wherein the scanned ultrasound beam is reflected by the acoustic mirror to form a reflected ultrasound beam, and an actuating device for moving the acoustic mirror relative to the scanned ultrasound beam so that the reflected ultrasound beam scans a three-dimensional volume.
The transducer assembly preferably further comprises an ultrasound matching fluid disposed between the ultrasound transducer and the acoustic mirror, and an enclosure containing the fluid. The enclosure may include one or more windows for transmitting and receiving ultrasound energy.
In one embodiment, the actuating device for moving the acoustic mirror comprises a motor for producing reciprocating rotational motion of the acoustic mirror. In another embodiment, the acoustic mirror comprises a polygon having a plurality of acoustically-reflective faces, and the actuating device comprises a motor for rotating the polygon. The actuating device may produce stepped movement of the acoustic mirror or continuous movement of the acoustic mirror during scanning of the three-dimensional volume. The actuating device may be configured for rotating the acoustic mirror, translating the acoustic mirror or for rotating and translating the acoustic mirror. The actuating device may be configured for translating and rotating the acoustic mirror so as to produce a three-dimensional scan pattern having an apex that is spaced from the acoustic mirror.
According to another aspect of the invention, apparatus is provided for coupling to and use with an ultrasound transducer. The apparatus comprises an acoustic mirror, an actuating device for moving the acoustic mirror, an ultrasound matching fluid disposed between the ultrasound transducer and the acoustic mirror, and an enclosure containing the fluid. A scanned ultrasound beam produced by the ultrasound transducer is reflected by the acoustic mirror to form a reflected ultrasound beam. The acoustic mirror is moved relative to the scanned beam so that the reflected ultrasound beam scans a three-dimensional volume.
According to a further aspect of the invention, a method is provided for ultrasound scanning with an ultrasound transducer. The method comprises the steps of scanning an ultrasound beam with the ultrasound transducer, directing the scanned ultrasound beam at an acoustic mirror, wherein the scanned ultrasound beam is reflected by the acoustic mirror to form a reflected ultrasound beam, and moving the acoustic mirror relative to the scanned ultrasound beam so that the reflected ultrasound beam scans a three-dimensional volume.
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T. Ota, “Accuracy of Left Ventricular Stroke Volume Measurement Using Real-Time, Three Dimensional Echocardiography Flow Probe in Vivo”, 70th Scientific Session Amer. Heart Assn. Meeting, Nov.
Clark David W
Hager Richard A
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