Abstract: A difference between a detected motion and a reference motion is automatically displayed. The reference motion is a modeled motion of an organ, a base line motion of an organ or another portion of an organ. A deviation in motion amplitude, angle or both angle and amplitude from a reference set may more easily identify abnormal or normal motion of the organ.

Abstract: Automated image interpretation is provided with transducer position and/or orientation sensing. The current position of a transducer is used to determine the anatomy being imaged. Other reference information, such as (1) the previous position of the transducer and the known anatomy being imaged at that time or (2) a reference device at a known location, is used in the determination. The anatomy is determined based on position sensing or determined based on position sensing and other anatomy features, such as image analysis.

Abstract: A method and system for segmentation of mitral valve inflow (MI) patterns in Doppler echocardiogram images is disclosed. Trained root detectors are used to detect left root candidates, right root candidates, and peak candidates in an input Doppler echocardiogram image. Two global structure detectors, a single triangle detector for non-overlapping E-waves and A-waves and a double triangle detector for overlapping E-waves and A-waves, are used to detect single triangle candidates and double triangle candidates based on the left root, right root, and peak candidates. A shape profile is used to determine a shape probability for each of the single triangle candidates and each of the double triangle candidates. The best single triangle candidate and the best double triangle candidate are selected based on shape probability and detection probability. One of the best single triangle candidate and the best double triangle candidate is selected as the final segmentation result based on a shape probability comparison.

Abstract: A method and system for detection of deformable structures in medical images is disclosed. Deformable structures can represent blood flow patterns in images such as Doppler echocardiograms. A probabilistic, hierarchical, and discriminant framework is used to detect such deformable structures. This framework integrates evidence from different primitive levels via a progressive detector hierarchy, including a series of discriminant classifiers. A target deformable structure is parameterized by a multi-dimensional parameter, and primitives or partial parameterizations of the parameter are determined. An input image is received, and a series of primitives are sequentially detected using the progressive detector hierarchy, in which each detector or classifier detects a corresponding primitive. The final detector detects configuration candidates for the deformable structure.

Abstract: Disclosed are a system and method of selecting one or more operational parameters of an ultrasonic imaging system. In particular, methods and means are disclosed for automatically or semi-automatically determining a best operating frequency, or for determining whether a system should operate in a fundamental imaging mode or a harmonic imaging mode.

Abstract: A physical 3D volume object is manipulated to navigate through a volume image. The orientation of the volume object, such as a cube or other shaped device, is sensed. As the volume object is rotated, the viewing direction associated with three dimensional rendering rotates. The volume object may represent a viewer's eye or the object for determining the viewing direction from the volume object orientation. The volume object may be untethered and/or generally flat, allowing ease of use. The volume object may be associated with a shape of an organ or tissue to provide further frame of reference.

Abstract: Automated analysis of ultrasound data is provided to extract event times, such as valve opening and closing times. Different types of ultrasound data, such as B-mode, M-mode, tissue velocity or flow velocity, are processed by a processor to identify automatically the event times. The event times are used for the processing of ultrasound data or to assist diagnosis. The event times may be used to estimate other event times in different heart cycles, such as with interpolation or extrapolation.

Abstract: A method and system for segmentation of mitral valve inflow (MI) patterns in Doppler echocardiogram images is disclosed. Trained root detectors are used to detect left root candidates, right root candidates, and peak candidates in an input Doppler echocardiogram image. Two global structure detectors, a single triangle detector for non-overlapping E-waves and A-waves and a double triangle detector for overlapping E-waves and A-waves, are used to detect single triangle candidates and double triangle candidates based on the left root, right root, and peak candidates. A shape profile is used to determine a shape probability for each of the single triangle candidates and each of the double triangle candidates. The best single triangle candidate and the best double triangle candidate are selected based on shape probability and detection probability. One of the best single triangle candidate and the best double triangle candidate is selected as the final segmentation result based on a shape probability comparison.

Abstract: A method and system for detection of deformable structures in medical images is disclosed. Deformable structures can represent blood flow patterns in images such as Doppler echocardiograms. A probabilistic, hierarchical, and discriminant framework is used to detect such deformable structures. This framework integrates evidence from different primitive levels via a progressive detector hierarchy, including a series of discriminant classifiers. A target deformable structure is parameterized by a multi-dimensional parameter, and primitives or partial parameterizations of the parameter are determined. An input image is received, and a series of primitives are sequentially detected using the progressive detector hierarchy, in which each detector or classifier detects a corresponding primitive. The final detector detects configuration candidates for the deformable structure.

Abstract: Automated image interpretation is provided with transducer position and/or orientation sensing. The current position of a transducer is used to determine the anatomy being imaged. Other reference information, such as (1) the previous position of the transducer and the known anatomy being imaged at that time or (2) a reference device at a known location, is used in the determination. The anatomy is determined based on position sensing or determined based on position sensing and other anatomy features, such as image analysis.

Abstract: The embodiments described herein relate to stepping through the stages of a protocol using an input device and a protocol controller for a medical diagnostic imaging system. The protocol controller may be operative to transition from one stage to a next stage in the protocol in response to no more than a single input from the input device. Thus, a single input from the input device may indicate to the protocol controller to transition to each of the stages of the protocol. In one embodiment, the same single input, such as a stage transition input, is received to transition to each stage of the at least two sequential stages. In another embodiment, different single input, such as different keys on a keyboard, may be used to transition to different stages of the at least two sequential stages. Other embodiments are provided, and each of the embodiments described herein can be used alone or in combination with one another.

Abstract: Velocity data is automatically anti-aliased. Since a tissue velocity varies a small amount over small distances, more accurate velocity or strain rate estimates are calculated automatically with an anti-aliasing algorithm. Since the velocity information derived from phase information, like Doppler, contains uncertainties of a multiple of a specific velocity (e.g., a constant multiple of 2? error), a specific velocity is at least one of multiple possible velocities. The possible velocities are calculated and the specific velocity selected. Additional velocities may then be extrapolated for different regions or subsequent frames of data for a same region.

Abstract: Accurate tissue motion systems and methods are provided. Motion of the ultrasound transducer is accounted for in estimates at tissue motion. Correcting for transducer motion better isolates localized tissue contractions or expansions, such as motion of the myocardial muscle or fibers. Accurate motion estimation is also provided by determining an angle of motion from the ultrasound data. The angle of motion is used to adjust velocity estimates, providing two-dimensional velocity vectors (i.e. motion estimates comprising motion in at least two dimensions). Movement of tissue is determined by correlating speckle or a feature represented by two different sets of ultrasound data obtained at different times. Additional aspects include tracking the location of a tissue of interest. A characteristic of strain, such as the strain rate or strain, is calculated for the tracked tissue of interest.

Abstract: Velocity data is automatically anti-aliased. Since a tissue velocity varies a small amount over small distances, more accurate velocity or strain rate estimates are calculated automatically with an anti-aliasing algorithm. Since the velocity information derived from phase information, like Doppler, contains uncertainties of a multiple of a specific velocity (e.g., a constant multiple of 2&pgr; error), a specific velocity is at least one of multiple possible velocities. The possible velocities are calculated and the specific velocity selected. Additional velocities may then be extrapolated for different regions or subsequent frames of data for a same region.

Abstract: Two or more temporal indicators are used for interleaving frames from a plurality of physiological cycles. For example, frames of one cycle are separated from the frames of another cycle based on an ECG signal. Data representing an imaged region for each of the frames is then used for temporally aligning the frames. For example, average velocity waveforms calculated from the frames of each of the cycles are fitted together. The temporal position of each of the frames within a base physiological cycle is determined based on the fitting. The interleaved frames provide a higher effective frame rate with improved temporal resolution which is based on the accurate interleaving of the data from the plurality of physiological cycles. Course alignment is provided using one event or temporal indicator. A more refined temporal alignment is provided in response to a second temporal indicator.

Abstract: A method and system for contrast agent imaging with a catheter transducer is provided. The catheter transducer may comprise an intra-vascular, intra-cardiac or other transducer for insertion into or through a small space. The catheter transducer is inserted within the heart or other portion of a patient. Contrast agents, such as micro-spheres, are injected into the patient. Using the catheter transducer, ultrasonic acoustic energy is transmitted, and reflected energy is received. The reflected energy is responsive to the contrast agents. An image processor generates an image of the tissue and contrast agents as a function of the reflected energy. The image provides an indication of perfusion. Alternatively, the ultrasound system calculates perfusion. By generating intra-vascular images or data, interference from other tissues is avoided. Therefore, the perfusion information obtained may have higher resolution. Images with better resolution better assist doctors in medical diagnosis.

Abstract: A catheter and method for determining a position of the catheter within the cardiovascular system is provided. Local bending and twisting is measured at multiple locations along the catheter. By integrating the measurements, the position and orientation of the catheter is determined. Based on the catheter position information, the location and orientation of an ultrasound transducer array connected with the catheter is known. The imaging array position and orientation information may be used to assist a physician in determining the tissue structure or fluid being scanned and/or assist in the accurate generation of three-dimensional representations.

Abstract: Accurate tissue motion systems and methods are provided. Motion of the ultrasound transducer is accounted for in estimates at tissue motion. Correcting for transducer motion better isolates localized tissue contractions or expansions, such as motion of the myocardial muscle or fibers. Accurate motion estimation is also provided by determining an angle of motion from the ultrasound data. The angle of motion is used to adjust velocity estimates, providing two-dimensional velocity vectors (i.e. motion estimates comprising motion in at least two dimensions). Movement of tissue is determined by correlating speckle or a feature represented by two different sets of ultrasound data obtained at different times. Additional aspects include tracking the location of a tissue of interest. A characteristic of strain, such as the strain rate or strain, is calculated for the tracked tissue of interest.

Abstract: A method and system for indicating the position and orientation of a scan plane relative to a patient is provided. The image as presented on a display is oriented in accordance with the orientation of a transducer. The orientation may provide for displaying an image where the transducer is not in a transducer up or transducer down position, but is rotated away from vertical of the display. Alternatively or additionally, a two or three-dimensional graphical generic representation is provided with a scan plane indicated as a polygon or image rendering within a generic representation to show relative positioning of the scan plane with respect to the patient.

Abstract: The preferred embodiments described herein provide a medical diagnostic ultrasound catheter with a tip portion carrying an ultrasound transducer. The tip portion comprises a first portion that is in the acoustic path of the ultrasound transducer, and a second portion that is outside the acoustic path of the ultrasound transducer. The first and second portions comprise different acoustic and mechanical properties. For example, the mechanical properties of the second portion can give the catheter tip sufficient durability to withstand normal use without bowing, while the acoustic properties of the first portion can give the catheter tip desired acoustic properties. This may be especially important for small diameter catheters (e.g., maximum cross-sectional dimensions less than or equal to about 10 French or 8 French) where the stiffness of the catheter tip is reduced.