# US 12,594,060 B2 · Ultrasound diagnostic apparatus, control method of ultrasound diagnostic apparatus, and processor for ultrasound diagnostic apparatus

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- Number: US 12,594,060 B2
- Document ID: US12594060B2
- Status: Granted
- Kind: B2
- Application number: 17/499,539
- Filed: 2021-10-12
- Published: 2022-02-03
- Granted: 2026-04-07
- Earliest claimed: 2019-04-26
- Assignees: FUJIFILM Corporation
- Applicants: FUJIFILM Corporation
- Inventors: Katsuya Yamamoto
- Web page: https://patentgrep.com/patent/US12594060B2

## CPC

- A61B 8/54: {Control of the diagnostic device}
- A61B 8/06: Measuring blood flow
- A61B 8/085: {for locating body or organic structures, e.g. tumours, calculi, blood vessels, nodules}
- A61B 8/0891: {for diagnosis of blood vessels}
- A61B 8/463: {characterised by displaying multiple images or images and diagnostic data on one display}
- A61B 8/467: {characterised by special input means}
- A61B 8/488: {involving Doppler signals}
- A61B 8/5223: {for extracting a diagnostic or physiological parameter from medical diagnostic data (for algorithms to analyse biomedical images G06T7/0012)}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

An ultrasound diagnostic apparatus (1) includes a B-mode processing unit (6) that generates a B-mode image in which at least a blood vessel is imaged based on a reception signal obtained by transmitting and receiving ultrasonic waves to and from a subject; a display device (9) that displays the B-mode image; a vascular wall detection unit (10) that detects a vascular wall based on the B-mode image; a gate setting unit (11) that sets a Doppler gate in the blood vessel on the B-mode image; a Doppler processing unit (7) that acquires Doppler data in the Doppler gate; a blood flow velocity calculation unit (13) that calculates a blood flow velocity based on the Doppler data; and a blood flow rate measurement unit (12) that measures a blood flow rate based on the detected vascular wall and the calculated blood flow velocity, in which the blood flow rate is automatically measured based on a fixed start trigger.

## Claims

### Claim 1

An ultrasound diagnostic apparatus comprising:
a display device;
a transducer configured to obtain a reception signal by transmitting and receiving ultrasonic waves to and from a subject and converting the received ultrasonic waves to the reception signal; and
a processor configured to
sequentially generate a plurality of B-mode images in which at least a blood vessel is imaged based on the reception signal obtained by the transducer, where the plurality of B-mode images represent a longitudinal cross section along a traveling direction of the blood vessel,
calculate a change amount of a position of the blood vessel within a predetermined time on the plurality of B-mode images, and
upon determining that the position of the blood vessel is stable due to the change amount being equal to or less than a fixed value, automatically perform a process including:
detecting a vascular wall by analyzing at least one of the plurality of B-mode images;
setting a Doppler gate in the blood vessel on the plurality of B-mode images;
acquiring Doppler data in the Doppler gate;
calculating a blood flow velocity based on the Doppler data; and
measuring a blood flow rate based on the vascular wall and the blood flow velocity,
wherein the processor is further configured to
search for an anterior vascular wall in a shallow direction and search for a posterior vascular wall in a deep direction, at a plurality of positions separated in an orientation direction from a center position decided based on coordinates of the anterior vascular wall and the posterior vascular wall,
estimate a blood vessel traveling angle, and
set a Doppler steer angle such that an angle correction value for the blood vessel traveling angle is within 60 degrees.

### Claim 2 (depends on 1)

The ultrasound diagnostic apparatus according to claim 1,
wherein the processor is further configured to
calculate a cross-sectional area of the blood vessel based on the detected vascular wall, and
measure the blood flow rate by the product of the cross-sectional area and the blood flow velocity.

### Claim 3 (depends on 1)

The ultrasound diagnostic apparatus according to claim 1,
wherein the processor is further configured to generate a Doppler waveform image based on the Doppler data, and
the display device is configured to display both the B-mode image and the Doppler waveform image.

### Claim 4 (depends on 1)

The ultrasound diagnostic apparatus according to claim 1,
wherein the processor is further configured to
generate a Doppler waveform image in parallel with the generation of the B-mode image, and
measure the blood flow rate with both the B-mode image and the Doppler waveform image being frozen.

### Claim 5 (depends on 1)

The ultrasound diagnostic apparatus according to claim 1,
wherein the processor is further configured to
acquire the Doppler data in the Doppler gate and generate a Doppler waveform image after the B-mode image is frozen, and
measure the blood flow rate with the Doppler waveform image being frozen.

### Claim 6 (depends on 1)

The ultrasound diagnostic apparatus according to claim 1,
wherein the processor is further configured to
set a search line for searching for the vascular wall on the B-mode image, and
detect the anterior vascular wall and the posterior vascular wall as the vascular wall based on a brightness profile of the B-mode image on the set search line.

### Claim 7 (depends on 6)

The ultrasound diagnostic apparatus according to claim 6,
wherein the processor is further configured to set the Doppler gate having a size and a center position decided based on coordinates of the anterior vascular wall and the posterior vascular wall.

### Claim 8 (depends on 6)

The ultrasound diagnostic apparatus according to claim 6,
wherein the processor is further configured to
calculate a cross-sectional area of the blood vessel based on the detected vascular wall, and
measure the blood flow rate by the product of the cross-sectional area and the blood flow velocity.

### Claim 9 (depends on 6)

The ultrasound diagnostic apparatus according to claim 6,
wherein the processor is further configured to
set a detection point marker on each of the detected anterior vascular wall and the detected posterior vascular wall, and
cause the display device to display the detection point marker.

### Claim 10 (depends on 9)

The ultrasound diagnostic apparatus according to claim 9,
wherein the processor is further configured to
calculate a cross-sectional area of the blood vessel based on the detected vascular wall, and
measure the blood flow rate by the product of the cross-sectional area and the blood flow velocity.

### Claim 11 (depends on 9)

The ultrasound diagnostic apparatus according to claim 9,
wherein the processor is further configured to set the Doppler gate having a size and a center position decided based on coordinates of the anterior vascular wall and the posterior vascular wall.

### Claim 12 (depends on 11)

The ultrasound diagnostic apparatus according to claim 11,
wherein the processor is further configured to generate the plurality of B-mode images based on a B-mode steer angle set according to a blood vessel traveling angle.

### Claim 13

A control method of an ultrasound diagnostic apparatus, the control method comprising:
obtaining a reception signal from a transducer configured to transmit and receive ultrasonic waves to and from a subject and convert the received ultrasonic waves to the reception signal;
sequentially generating a plurality of B-mode images in which at least a blood vessel is imaged based on the reception signal obtained by the transducer, where the plurality of B-mode images represent a longitudinal cross section along a traveling direction of the blood vessel;
sequentially displaying each of the plurality of B-mode images;
calculating a change amount of a position of the blood vessel within a predetermined time on the plurality of B-mode images; and
upon determining that the position of the blood vessel is stable due to the change amount being equal to or less than a fixed value, automatically perform a process including:
detecting a vascular wall by analyzing at least one of the plurality of B-mode images;
setting a Doppler gate in the blood vessel on the plurality of B-mode images;
acquiring Doppler data in the Doppler gate;
calculating a blood flow velocity based on the Doppler data; and
measuring a blood flow rate based on the detected vascular wall and the calculated blood flow velocity,
wherein the control method further comprises
searching for an anterior vascular wall in a shallow direction and searching for a posterior vascular wall in a deep direction, at a plurality of positions separated in an orientation direction from a center position decided based on coordinates of the anterior vascular wall and the posterior vascular wall,
estimating a blood vessel traveling angle, and
setting a Doppler steer angle such that an angle correction value for the blood vessel traveling angle is within 60 degrees.
