Abstract:
This invention concerns a device for recording three-dimensional ultrasound images. The device includes an ultrasound head which can be freely moved by hand, an ultrasound recording apparatus, an image processing system, and a position detection system. The position detection system has an analyzing unit and at least two sensors for detecting electromagnetic waves so that the position and orientation of the ultrasound head and, thus, the position and orientation of the ultrasound section images in space can be determined.

Description:
FIELD OF THE INVENTION 
     This invention relates to an ultrasound imaging system, a three-dimensional ultrasonographic-image acquisition device as specified in the independent patent claim and a procedure for the acquisition of three-dimensional ultrasound images. 
     BACKGROUND OF THE INVENTION 
     A system for determining the position of a sensor within a given object and for the display of previously recorded images of the object corresponding to the sensor position has been described earlier by BUCHHOLZ in U.S. Pat. No. 5,383,454. With that system it is also possible to guide the tip of a sensor to a particular location within an object, while the position of the sensor can be observed on a monitor screen which also displays a previously recorded image of that particular region within the object. In that earlier concept, the position of the sensor is determined using a commercially available, three-dimensional sound digitizer. 
     Another example of an earlier method and appropriate system for the acquisition of diagnostically useful, three-dimensional ultrasound image data has been described by POLZ in the European patent EP 0 736 284 A2. That system incorporates a device by means of which it is possible, by freely and manually guiding the ultrasound scanning head, to assemble from a set of three-dimensional data tomographic images of an entire three-dimensional volume object or space to be examined. The position and orientation of the ultrasound scanning head are registered by an additional, electromagnetic sensor system. The ultrasound scanning head, freely guided by hand by the diagnostician, is preferably provided with a holder which also accommodates the receiver of the said electromagnetic sensor system. The sensor system whose receiver coils pick up magnetic fields emitted by a transmitter, produces sensor output data (both positional and rotational data) which precisely define the spatial position and orientation of the ultrasound scanning head. These are translational X, Y and Z axis data as well as rotational data around these axes. 
     A prerequisite for sufficiently precise positional and orientational determinations using magnetic field measurements is very detailed information on such extraneous parameters as: 
     interference fields generated for instance by display monitors, computers or electric motors; 
     interference patterns produced by highly permeable materials in the magnetic field, for instance metal objects moving within the measuring region; or 
     electromagnetic interference fields emanating from the AC power supply. 
     SUMMARY OF THE INVENTION 
     Quantifying these effects and/or minimizing them by appropriate hardware or procedures, be it shielding or continuous calibration, is a complex matter. The drawback of the earlier concept referred to thus lies in the fact that it is difficult to obtain positional and orientational determinations with the necessary degree of accuracy. 
     It is the objective of this invention to solve the problem. Its purpose is to provide a means for acquiring three-dimensional ultrasonographic images using a freely movable, manually guided ultrasound scanning head, an ultrasound acquisition device and a positional-determination i.e. locating device, which locating device permits the determination of the position and orientation of the ultrasound scanning head and thus of the spatial position and orientation of the tomographic ultrasound images. 
     The advantages offered by this invention consist essentially in the fact that the conceptual design of the device here disclosed simplifies the manipulation conditions in the following manner: 
     in terms of precise resolution, the system is not affected by external parameters; 
     the system is easy to handle; even if the positional determination were to be disrupted for instance by an object that strayed in between the acquisition device and the ultrasound scanning head, measurements can continue as soon as a clear view is restored; and 
     the tracking accuracy is not negatively affected by extraneous electromagnetic fields produced by display monitors and/or electrical equipment. 
     The present invention relates to an ultrasound imaging system for creating a three-dimensional image of a patient body. The system includes an ultrasound scanning head for acquiring a plurality of ultrasound images, a fixed control plane for determining position and orientation of the ultrasound scanning head relative to a spatial base by linear measurement, transmitters for emitting electromagnetic waves associated with either base points on the spatial base or control points on the control plane, receivers for receiving the electromagnetic waves located on the other of the base points or the control points, and an image processor for processing the ultrasound images to create the three-dimensional image of the body. The electromagnetic waves are used to determine the position and orientation of the ultrasound scanning head to thereby position and orient the plurality of ultrasound images. 
     In another aspect of the present invention, the ultrasound imaging system includes a freely movable, manually guided ultrasound scanning head for acquiring a plurality of ultrasound images, an ultrasound acquisition device for storing and displaying the plurality of ultrasound images, an image processor for processing the plurality of ultrasound images to create the three-dimensional image of the body, and a positional locating device for determining position and orientation of the ultrasound scanning head to thereby position and orient the plurality of ultrasound images. The locating device has a plurality of electromagnetic wave emitting devices located on the ultrasound scanning head, a plurality of electromagnetic wave sensor arrays for detecting the electromagnetic waves of the emitting devices, and an evaluation unit for computing the position and orientation of the ultrasound scanning head relative to a spatial base by linear measurements based on the electromagnetic waves. 
     The present invention relates to an ultrasound imaging system for creating a three-dimensional image of a patient body. The system includes an ultrasound scanning head for acquiring a plurality of ultrasound images, a fixed control plane for determining position and orientation of the ultrasound scanning head relative to a spatial base by linear measurement, transmitters for emitting electromagnetic waves associated with either base points on the spatial base or control points on the control plane, receivers for receiving the electromagnetic waves located on the other of the base points or the control points, and an image processor for processing the ultrasound images to create the three-dimensional image of the body. The eletromagnetic waves are used to determine the position and orientation of the ultrasound scanning head to thereby position and orient the plurality of ultrasound images. 
     In another aspect of the present invention, the ultrasound imaging system includes a freely movable, manually guided ultrasound scanning head for acquiring a plurality of ultrasound images, an ultrasound acquisition device for storing displaying the plurality of ultrasound images, an image processor for processing the plurality of ultrasound images to create the three-dimensional image of the body, and a positional locating device for determining position and orientation of the ultrasound scanning head to thereby position and orient the plurality of ultrasound images. The locating device has a plurality of electromagnetic wave emitting devices located on the ultrasound scanning head, a plurality of electromagnetic wave sensor arrays for detecting the electromagnetic waves of the emitting devices, and an evaluation unit for computing the position and orientation of the ultrasound scanning head relative to a spatial base by linear measurements based on the eletromagnetic waves. 
     In one implementation of the concept of this invention, the means provided on the ultrasound scanning head to emit electromagnetic waves for positional and orientational determinations are in the form of optical light sources. 
     In another implementation of the concept of this invention, the means provided on the ultrasound scanning head to emit electromagnetic waves for positional and orientational determinations are in the form of infrared light emitting diodes (IRLEDs). 
     In a different implementation of the concept of this invention, the means provided on the ultrasound scanning head to emit electromagnetic waves for positional and orientational determinations are in the form of reflectors or electrofluorescent reflectors. 
     In another implementation of the concept of this invention, the means provided on the ultrasound scanning head to emit electromagnetic waves for positional and orientational determinations are in the form of fiber optics connected to a light source. 
     In yet another implementation of the concept of this invention, the sensor systems serving to detect the electromagnetic waves within the measuring region are in the form of spatially fixed, unidimensional (linear-array) cameras, allowing an evaluation unit to determine the position and orientation of the ultrasound scanning head and thus the spatial position and orientation of the tomographic ultrasound images. 
     In another implementation of the concept of this invention, the sensor systems serving to detect the electromagnetic waves within the measuring region are cameras which are not spatially fixed, the position of the cameras being detectable by the acquisition and evaluation of a spatially fixed control-point reference field which in turn allows the evaluation unit to determine the spatial position and orientation of the tomographic ultrasound images. The acquisition and evaluation of the spatially fixed control-point reference field thus permits real-time measurements even under unstable environmental conditions. Every time the cameras acquire an image, the control-point reference field is used to recalculate the current camera positions, fully compensating for any positional changes of the cameras. 
     In another implementation of the concept of this invention, the sensor systems serving to detect the electromagnetic waves within the measuring region are spatially fixed, permitting the positional and orientational determination of a spatially variable control-point reference field for instance on a patient. 
     In yet another implementation of the concept of this invention, at least two of the sensors serving to detect the electromagnetic waves within the measuring region are spatially fixed cameras, allowing an evaluation unit to videogrammetrically determine the position and orientation of the ultrasound scanning head and thus the spatial position and orientation of the tomographic ultrasound images. 
     In a different implementation of the concept of this invention, the said minimum of two sensors serving to detect the electromagnetic waves within the measuring region are cameras which are not spatially fixed, the position of the cameras being determined by the acquisition and evaluation of a spatially fixed control-point reference field, allowing the evaluation unit to videogrammetrically determine the position and orientation of the ultrasound scanning head and thus the spatial position and orientation of the tomographic ultrasound images. The acquisition and evaluation of the spatially fixed control-point reference field thus permits real-time measurements even under unstable environmental conditions. Every time the cameras acquire an image, the control-point reference field is used to recalculate the current camera positions, fully compensating for any positional changes of the cameras. 
     In yet another implementation of the concept of this invention, the freely movable, manually guided ultrasound scanning head, the ultrasound acquisition device, the image processing unit and the positional locating device are connected to a computer-assisted surgery system (CAS). 
     One application of the procedure according to this invention is based on the design implementation in which the means provided on the ultrasound scanning head to emit electromagnetic waves for positional and orientational determinations are in the form of optical light sources. 
     Another application of the procedure according to this invention is based on the design implementation in which the means provided on the ultrasound scanning head to emit electromagnetic waves for positional and orientational determinations are in the form of infrared light emitting diodes (IRLEDs). 
     Another application of the procedure according to this invention is based on the design implementation in which the means provided on the ultrasound scanning head to emit electromagnetic waves for positional and orientational determinations are in the form of reflectors or electrofluorescent reflectors. 
     Another application of the procedure according to this invention is based on the design implementation in which the devices provided on the ultrasound scanning head to emit electromagnetic waves for positional and orientational determinations are in the form of fiber optics connected to a light source. 
     Yet another application of the procedure according to this invention is based on the design implementation in which the sensor systems serving to detect the electromagnetic waves within the measuring region are in the form of spatially fixed, unidimensional cameras, allowing an evaluation unit to determine the position and orientation of the ultrasound scanning head and thus the spatial position and orientation of the tomographic ultrasound images. 
     Another application of the procedure according to this invention is based on the design implementation in which the sensor systems serving to detect the electromagnetic waves within the measuring region are cameras which are not spatially fixed, the position of the cameras being detectable by the acquisition and evaluation of a spatially fixed control-point reference field which in turn allows the evaluation unit to determine the spatial position and orientation of the tomographic ultrasound images. The acquisition and evaluation of the spatially fixed control-point reference field thus permit real-time measurements even under unstable environmental conditions. Every time the cameras acquire an image, the control-point reference field is used to recalculate the current camera positions, fully compensating for any positional changes of the cameras. 
     Another application of the procedure according to this invention is based on the design implementation in which the sensor systems serving to detect the electromagnetic waves within the measuring region are spatially fixed, permitting the positional and orientational determination of a spatially variable control-point reference field for instance on a patient. 
     Yet another application of the procedure according to this invention is based on the design implementation in which at least two sensors serving to detect the electromagnetic waves within the measuring region are spatially fixed cameras, allowing an evaluation unit to videogrammetrically determine the position and orientation of the ultrasound scanning head and thus the spatial position and orientation of the tomographic ultrasound images. 
     Another application of the procedure according to this invention is based on the design implementation in which the said minimum of two sensors serving, to detect the electromagnetic waves within the measuring region are cameras which are not spatially fixed, the position of the cameras being determined by the acquisition and evaluation of a spatially fixed control-point reference field, allowing the evaluation unit to videogrammetrically determine the position and orientation of the ultrasound scanning, head and thus the spatial position and orientation of the tomographic ultrasound images. The acquisition and evaluation of the spatially fixed control-point reference field thus permits real-time measurements even under unstable environmental conditions. Every time the cameras acquire an image, the control-point reference field is used to recalculate the current camera positions, fully compensating for any positional changes of the cameras. 
     A different application of the procedure according, to this invention is based on the design implementation in which the freely movable, manually guided ultrasound scanning, head, the ultrasound acquisition device, the image processing unit and the positional locating device are connected to a computer-assisted surgery system (CAS). 
     The principles of optical and photogrammetric positional determination employed in this invention are described, inter alia, in the following textbook: 
     Jordan/Eggert/Kneissl 
     Handbuch der Vermessungskunde (manual of geodetic surveying) 
     10th edition, completely revised 
     Vol. IIIa/3 
     Photogrammetry 
     J. B. Metzlersche Verlagsbuchhandlung, Stuttgart, 1972 
     (see in particular paragraphs 144, 145, 146, 147). 
     As used herein, the terms ‘interference measurements’ and ‘linear measurements’ refer not only to the kind of interference measurements employed for instance in laser ranging but also, and especially, to the interference effects by virtue of which optical systems can produce images (for instance central perspectives) along an image plane or line. 
     Moreover, the term linear measurements is intended to express longitudinal measurements along an image plane (or line) (for instance on a CCD chip), such as the linear measurement of the distance z 1 , z 2 , in FIG. 4 (par. 146.2, FIG. 5 in the geodetic surveying manual), as well as absolute measurements of the length of the object of interest, as employed for instance in run-length measuring methodology (for example in a GPS system). 
     In lieu of the method shown in FIG. 4, employing two projection planes, it is also possible to use a measuring method which is likewise based on the array principle but employs at least 3 non-colinear, unidimensional CCD chips. One such product is commercially available, by the name of Optotrak™. 
    
    
     BRIEF DESCRIPTION OF THE DRAWINGS 
     The following will describe this invention and its conceptual enhancements in more detail, with the aid of partly schematic illustrations of several design examples in which: 
     FIG. 1 is a schematic representation of one design version of the system according to this invention; 
     FIG. 2 is a schematic representation of another design version of the system according to this invention; 
     FIG. 3 is a schematic representation of yet another design version of the system according to this invention; and 
     FIG. 4 is a schematic illustration serving to explain the photogrammetric procedure. 
    
    
     DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS 
     The design version of the system according to this invention as shown in FIG. 1 includes a freely movable, manually operated ultrasound scanning head  2 , an ultrasound recording i.e. acquisition device  9 , an image processing unit  8  and a positional locating device  10 , serving to acquire three-dimensional ultrasound images of the body  1 . The locating device  10  permits positional and orientational determination of the ultrasound scanning head  2  and thus the determination of the spatial position and orientation of the tomographic ultrasound images. Mounted on the ultrasound head  2  are transmitters  4  which emit electromagnetic waves. Spatially fixed cameras  6 , for example digital cameras, are provided and serve to capture the said electromagnetic waves emitted by the transmitters  4 . The transmitters  4  are imaged on the ultrasound scanning head  2 . The evaluation unit  7  then computes from these images the position and orientation of the ultrasound scanning head  2 . With the aid of a handle  5 , the operator can freely move the ultrasound scanning head  2  and is thus able to assemble a complete three-dimensional tomographic image of the body  1  as derived from the three-dimensional data record defined in the image processing unit. 
     FIG. 2 shows a design version of the system according to this invention, which includes a freely movable, manually guided ultrasound scanning head  2 , an ultrasound acquisition device  9 , an image processing unit  8 , a positional locating device  10  and a control-point reference field  12  consisting of light-emitting diodes (LEDs), serving to acquire three-dimensional ultrasonographic images of the body  1 . The locating device  10  permits positional and orientational determination of the ultrasound scanning head  2  and thus the determination of the spatial position and orientation of the tomographic ultrasound images. Attached to the ultrasound scanning head  2  are transmitters  4  which emit electromagnetic waves. Cameras  6 , for example digital cameras, serve to capture the said electromagnetic waves emitted by the transmitters  4 . In this implementation of the invention, the cameras  6  are not spatially fixed, their position  11  being determined by the acquisition and evaluation of the images produced by a spatially fixed control-point reference field  12 . As the two cameras  6  capture the electromagnetic waves emitted by the transmitters  4 , these transmitters  4  are imaged on individual image planes. The evaluation unit  7  then computes from the distorted perspectives of the two images the position and orientation of the ultrasound scanning head  2 . With the aid of a handle  5 , the operator can freely move the ultrasound scanning head  2  and is thus able to assemble a complete three-dimensional tomographic image of the body  1  as derived from the three-dimensional data record defined in the image processing unit. 
     FIG. 3 shows a design version of the system according to this invention, which includes a freely movable, manually guided ultrasound scanning head b, an ultrasound acquisition device  9 , an image processing unit  8  and a positional locating device  10  for the acquisition of ultrasound images a. The positional locating device  10  permits positional and orientational determination of the ultrasound scanning head b and thus the determination of the spatial position and orientation of the tomographic ultrasound images a. Connected to the ultrasound scanning head b are fixed transmitters f;g;h which emit electromagnetic waves. Spatially fixed cameras  6 , for instance digital cameras, are provided for recording the electromagnetic waves emitted by the transmitters f;g;h. The cameras  6  capture these electromagnetic waves emitted by the transmitters f;g;h and from the images thus acquired the evaluation unit  7  then calculates the position and orientation of the ultrasound scanning head b. With the aid of a handle  5 , the operator can freely move the ultrasound scanning head b and is thus able to assemble a complete three-dimensional tomographic image of the body as derived from the three-dimensional data record defined in the image processing unit. 
     FIG. 4 is intended to explain the photogrammetric method employed using the specific example titled “reconstruction (of the coordinates) from two perspective views with known positions of the image planes relative to each other and with known internal orientation”, as per Jordan/Eggert/Kneissl, manual of geodetic surveying, 1972, page 2271: 
     146.2 Reconstruction from two perspective views with known positions of the image planes relative to each other and with known internal orientation: 
     Given the respective internal orientation, one knows the visual rays [O 1 ], [O 2 ] and their position relative to the image planes. Knowing the mutual position of the image planes thus means knowing the mutual position of the visual ray bundles. The known spatial position of Π 1 , Π 2 , O 1 , O 2  yields the core axis o, the straight line s=(Π 1  Π 2 ), the epipoles K 1 , K 2  and the perspective allocation of the epipolar ray bundles relative to s. For any image pair P 1 , P 2  tied to corresponding epipolar rays, this will ensure that the visual rays s 1 =[O 1 P 1 ] and s 2 =[O 2 P 2 ] will intersect at a spatial point P. One thus knows the position of P in the system of visual ray bundles. To determine the position of P in a given spatial reference system S one must know the position of  1 ,  2  within S. If the latter is not readily available, it must be determined per par. 145.3. As an example of an empirical, nonautomatic reconstruction, the following will address the so-called plane-table photogrammetry. 
     a) In plane-table photogrammetry (FIG. 4) &lt;(a), in its simplest representation, with CCD chips to be assigned to the image planes  1 ,  2 &gt; 
     Γ is assumed to be a horizontal plane (planimetric plane). The image planes Π 1 , Π 2  are assumed to be vertical, i.e. the main visual rays [O 1 , H 1 ], [O 2 , H 2 ] to be horizontal. h 1 , h 2  constitute the image horizontal in Π 1 , Π 2 . x 1 , z 1  and x 2 , z 2 , respectively, are the image coordinates in  1  and  2 , respectively. The point of origin of each image coordinate system is the main point, the x-axis points extend in the horizontal direction.  1 ,  2  are assumed to represent the height of the central points O 1 , O 2  above Γ. 
     It is also possible from the coordinates x 1 , x 2  of any given image points P 1 , P 2  to enter into the known planimetric planes Π′ 1 , Π′ 2  the planimetric planes P 1′ , P 2, , identifying the planimetric plane P′ of the spatial point P to be reconstructed as a cross section of the planimetric visual-ray planes s′ 1 =[O′ 1 P′ 1 ] and s′ 1 =[O′ 2 P′ 2 ] (forward section. While the base line O′ 1 O′ 2  is applied at the map scale, the image widths and x-coordinates will be multiplied by a suitable factor in a manner which will allow s′ 1 , s′ 2  to be traced with sufficient accuracy. 
     From the similar triangles O 2 PQ and O 2 P 2 Q 2  one can derive the height ζ 2  of P above the plane [O 2 h 2 ] via          ζ   2     =         Z   2          O   2   ′          P   ′           O   2   ′          P   2   ′                                
     This yields the height ζ of P above Γ by way of ζ= 2 +ζ 2 . By means of an analogous calculation of ζ= 1 +ζ 1  one can compensate for any errors. 
     As is shown in FIG. 4, the planimetric planes K′ 1 , K′ 2  of the epipoles K 1 , K 2  are determined as intersections i.e. crossover points of the baseline o′=[O′ 1 O′ 2 ] with Π′ 1 , Π′ 2 , their respective height above Γ, meaning their position in Π 1 , Π 2 , is found by inverting the trapezoid O′ 1 O′ 2 O 2 O 1 , dragging along the vertical carrier line for K 1  and K 2 . The epipolar rays are needed for identifying appropriate epipoles in the images of object characteristics. 
     If the image planes Π 1 *, Π 2 * were to be in some general spatial position, one could easily revert to the case, just discussed, of vertical image planes Π 1 , Π 2 . One would only have to reproject π 1 * from O 1  to Π 1  and π 2 * from O 2  to Π 2 . Without such reprojection, the total of the points P′ per FIG. 4 would make up the normal plane of the imaged object on a plane perpendicular to Π 1 * and Π 2 * and ζ would be the distance between point P and this plane.