Abstract: An ultrasonic diagnostic imaging system and method enable the automatic acquisition of standard view planes of the heart in real time, such as the AP4, AP3, and AP2 views. A 3D image of the heart is acquired and the processed in conjunction with a geometrical heart model. The heart model is fitted to the heart in its acquired pose to segment the desired image planes from the 3D image data. During successive image acquisition intervals the image planes are tracked through successive image data as multi-plane system to update a display of the multiple images. The successive image acquisitions can be volume image acquisitions or multi-plane acquisitions of just the tracked image planes during each acquisition interval.

Abstract: An apparatus includes an imaging probe and is configured for dynamically arranging presentation of visual feedback (144) for guiding manual adjustment, via the probe, of a location, and orientation, associated with the probe. The arranging is selectively based on comparisons (321) between fields of view of the probe and respective results of segmenting image data acquired via the probe. In an embodiment, the feedback does not include (175) a grayscale depiction of the image data. Coordinate system trans formations corresponding to respective comparisons may be computed. The selecting may be based upon and dynamically responsive to content of imaging being dynamically acquired via the probe.

Abstract: An ultrasonic imaging system produces a sequence of images of the heart during a cardiac cycle. The images are analyzed to determine the motion, displacement, or change in size of segments of the myocardium. In a preferred embodiment the values determined are radial, longitudinal, or circumferential myocardial strain values. The displacement of the myocardial segments may be tracked during the cardiac cycle by speckle tracking or border detection. The motion, displacement, or change in size values for the segments are analyzed to produce a recruitment curve and anatomical display showing the relative times of recruitment of the different segments in the contractile and relaxation motion of the heart. Participation in and achievement of full recruitment may be determined by comparison against an initial recruitment threshold criterion and against a predetermine maximal recruitment milestone level.

Abstract: Based on anatomy recognition from three-dimensional live imaging of a volume, one or more portions (204, 208) of the volume are selected in real time. In further real time response, live imaging or the portion(s) is performed with a beam density (156) higher than that used in the volume imaging. The one or more portion may be one or more imaging plane selected for optimal orientation in making an anatomical measurement (424) or display. The recognition can be based on an anatomical model, such as a cardiac mesh model. The model may be pre-encoded with information that can be associated with image locations to provide the basis for portion selection, and for placement of indicia (416, 420, 432, 436) displayable for initiating measurement within an image provided by the live portion imaging. A single TEE or TTE imaging probe (112) may be used throughout.

Abstract: An ultrasound system for planning a surgical implantation of a prosthetic aortic valve produces three dimensional images of the aortic root region of a patient. An electronic model of an aortic root is accessed and fitted to the aortic root in a three dimensional ultrasound image. Preferably the aortic root model exhibits closed contour cross-sections which are fitted to the endothelial lining of the aortic root in the ultrasound image. A medial axis of the fitted model is identified and radii measured from the medical axis to the border of the fitted model. The radii are joined to identify a surface forming a mesh model fitted to the aortic root anatomy of the patient. The shape and dimensions of the fitted model may be used to fabricate a custom prosthetic valve for aortic valve replacement.

Abstract: A display system for ultrasound images and ECG data produces a common display of a cardiac ultrasound image of a given view and ECG traces relevant to that ultrasound view. The ECG traces relate to the heart anatomy seen in the ultrasound image. The user is given the ability to select certain ECG lead signals for display in conjunction with specific views of the heart. ST elevation values for the ECG leads may also be shown to enable the clinician to correlate electrical abnormalities with anatomical abnormalities of the ultrasound image such as abnormal wall motion or thickening. The ST elevation values are displayed on a bullseye chart in association with heart regions related to the leads for which the ST values were detected.

Abstract: An autostereoscopic display 101, which provides a depth perception by providing a viewer's left and right eyes (104a, 104b) with two slightly different perspectives of an image to be displayed, is provided for ultrasound guided interventions with a surgical instrument (103). The surgeon watches displayed ultrasound data (102), rendered for at least two views. The plane at which those views (L, R) intersect is adjusted to correspond exactly with the tracked three-dimensional position within a displayed scene of the surgical instrument (103), which position can be extracted from the three-dimensional ultrasound data by means of, for example, 3D object recognition. Thus, the point of reconstruction of the image presented to the viewer can be dynamically adjusted to correspond with the position of the surgical instrument on which the surgeon's eyes are presumed to be focused.

Abstract: An ultrasound system and method are described for assessing cardiac performance which is particularly useful for diagnosing heart remodeling. A 3D data set of a surface of the heart is acquired and the principal curvatures determined at one or more points of the surface. A curvature metric is produced which is the difference of the two principal curvatures at each point. Metrics produced from the heart surface acquired at systole have been found to correlate strongly with ejection fraction.

Abstract: An ultrasonic diagnostic imaging method and system are described for detecting abnormalities in the synchronicity of heart wall stimulation. Points on opposite sides of a chamber of the heart are identified in a starting ultrasound image, then tracked through at least a portion of the heart cycle. The changing positions of lines extending between pairs of the points are accumulated and displayed in a color kinesis display in which each color depicts the location of a line at a particular point in the cardiac cycle. In an illustrated example the points are tracked through the cardiac cycle by speckle tracking of the speckle pattern of the adjacent myocardial tissue, tracking specific anatomy, or tracking tissue texture.

Abstract: An ultrasonic diagnostic imaging system is described which acquires 3D data sets of the heart including the myocardium. The epicardial and endocardial surfaces of the myocardium in the data sets are identified by automated or semi-automated border detection. A 3D image of the myocardium is produced from the defined surfaces. The 3D image illustrates the wall thickness of the myocardium and can be segmented into defined regions, with quantified measures made for each defined region.

Abstract: An ultrasound system for planning a surgical implantation of an implantable device produces two or three dimensional ultrasound images of the site of the surgical implantation. An image of a sizer for an implantable device comprises a virtual sizer which is scaled to the scale of the anatomy in the ultrasound image. A user manipulates the virtual sizer on the display in relation to the anatomy in the ultrasound image to ascertain whether the virtual sizer, and hence its corresponding implantable device, fits the patient's anatomy. In place of the anatomical ultrasound image a model of the anatomy can be produced from the ultrasound image data and used for sizing. When sizing is done with 3D ultrasound images, the fit of the virtual sizer and the anatomy can be studied by rotating and tilting the two images together. Imprecision in the fit of the virtual sizer and anatomy can be display with highlighting.

Abstract: An ultrasonic imaging system and method are described for quantification and display of myocardial wall thickening. The endocardial and epicardial borders in an image sequence are defined over a heart cycle and changes in the distance between the borders are tracked at specified locations around the myocardium over the heart cycle, The changes in distance are presented to the user in a graphical format, preferably together with another measure of the cardiac cycle such as chamber volume variation, ejection fraction, or the ECG waveform. The changes in the distance of chord lengths across the myocardium provide a direct indication of wall thickness variation at the specified locations. Preferably the tracking of the specified locations over the heart cycle is done by speckle tracking. The inventive technique can also represent strain at the specified locations of the myocardium.

Abstract: An ultrasonic imaging system produces a sequence of images of the heart during a cardiac cycle. The images are analyzed to determine the motion, displacement, or change in size of segments of the myocardium. In a preferred embodiment the values determined are radial, longitudinal, or circumferential myocardial strain values. The displacement of the myocardial segments may be tracked during the cardiac cycle by speckle tracking or border detection. The motion, displacement, or change in size values for the segments are analyzed to produce a recruitment curve and anatomical display showing the relative times of recruitment of the different segments in the contractile and relaxation motion of the heart. Participation in and achievement of full recruitment may be determined by comparison against an initial recruitment threshold criterion and against a predetermine maximal recruitment milestone level.

Abstract: A three dimensional ultrasonic diagnostic imaging system is operated to guide or observe the operation of an invasive medical device (30) in three dimensions. An interventional system (20) is used to operate the invasive medical device (30) and produces spatially-based information relating to the activity of the invasive medical device (30). The spatially-based information from the interventional system (20) is merged into the three dimensional ultrasonic image data to produce a live three dimensional image of the invasive medical device (30) or its activity. In one embodiment the locations where the activity of the invasive medical device (30) is performed is recorded and displayed in the three dimensional ultrasonic image. The three dimensional ultrasonic image may be shown as an anatomical volume rendered image or as a wire frame model (130) of the anatomy. In another embodiment an integrated three dimensional ultrasonic imaging and invasive device system is described.

Abstract: Quantified measures of a volumetric object in the body can be made ultrasonically by acquiring concurrent biplane images of two different image planes of the object. Corresponding borders of the volumetric object are traced using automatic border detection. The border tracings are used in their planar spatial relationship to compute a graphical model of the volumetric object. The volume of the graphical model may be computed by the rule of disks, and a graphical or numerical display of the changing volume with time displayed. A user interface comprises both real time biplane images, the real time graphical model, and the quantified measures.

Abstract: An ultrasound system and method are described for assessing cardiac performance which is particularly useful for diagnosing heart remodeling. A 3D data set of a surface of the heart is acquired and the principal curvatures determined at one or more points of the surface. A curvature metric is produced which is the difference of the two principal curvatures at each point. Metrics produced from the heart surface acquired at systole have been found to correlate strongly with ejection fraction.

Abstract: An ultrasonic diagnostic imaging system is described which acquires 3D data sets of the heart including the myocardium. The epicardial myocardium in the data sets are identified by automated or A 3D image of the myocardium is produced from the defined surfaces. The 3D image illustrates the wall regions, with quantified measures made for each defined region.

Abstract: A three dimensional ultrasonic diagnostic imaging system is operated to guide or observe the operation of an invasive medical device (30) in three dimensions. The invasive medical device (30) is shown in a detailed ultrasonic image and the balance of the volumetric region (120) in which the device is located is shown in a wide field of view. The detailed and wide fields of view may be displayed separately or overlapping in spatial alignment on an image display (18). The wide field of view may be shown in two or three dimensions. A quantified display may be shown together with the wide and detailed anatomical displays. The detailed view may also be shown in an enlarged or zoomed format.

Abstract: The present invention relates to an imaging system for displaying a structure of temporally changing configuration. The imaging system comprises a display rendering means which processes the image data representative of the structure, renders a display representative of the structure and a presents a display panel of key data indicia which relates to the key data of the structure. The data indicia is targeted within a two stage process, which first causes the relevant computer generated trace image related to the data indicium to be superposed upon the relevant ultrasound image. The second stage provides the option of selecting the data indicium to further reveal information about the structure. Such an interaction provides all the data related to a key measurement and not just the end result, without cluttering the display images by displaying all the image data simultaneously.

Abstract: An ultrasonic diagnostic imaging method and system are described for detecting abnormalities in the synchronicity of heart wall stimulation. Points on opposite sides of a chamber of the heart are identified in a starting ultrasound image, then tracked through at least a portion of the heart cycle. The changing positions of lines extending between pairs of the points are accumulated and displayed in a color kinesis display in which each color depicts the location of a line at a particular point in the cardiac cycle. In an illustrated example the points are tracked through the cardiac cycle by speckle tracking of the speckle pattern of the adjacent myocardial tissue, tracking specific anatomy, or tracking tissue texture.