Image display device and its control method, x-ray opaque marker detection method

Patent metadata

Field	Value
Publication number	US-10733753-B2
Application number	US-201715412550-A
Country	US
Kind code	B2
Filing date	Jan 23, 2017
Priority date	Jan 26, 2016
Publication date	Aug 4, 2020
Grant date	Aug 4, 2020

Abstract

A radiopaque marker detection method of detecting the radiopaque marker disposed in a probe on multiple X-ray images captured while the probe for acquiring the tomographic image moves in an axial direction of a catheter, a position of the radiopaque marker disposed in the probe on each of the multiple X-ray images captured during the movement of the probe is detected from the X-ray images captured during a predetermined period before the probe starts to move, by extracting a line extending along the probe and using the extracted line.

First claim

What is claimed is:

1. An image display device that displays multiple tomographic images acquired while moving a probe in an axial direction of a catheter and multiple X-ray images captured during the movement of the probe, comprising:
a processor configured to:
extract a line extending along the probe from the X-ray image captured during a pre-pullback period before the probe starts to move; and
detect a position of a radiopaque marker disposed in the probe on each of the multiple X-ray images captured during the movement of the probe following the pre-pullback period, by using the line extracted; and
a display for synchronously displaying the multiple X-ray images and the multiple tomographic images so as to specify the position of the detected radiopaque marker on the X-ray image.

2. The image display device according to claim 1 , wherein the processor is configured:
estimate a position of the radiopaque marker on the X-ray image captured during the movement, based on the line extracted; and
search for an image of the radiopaque marker in a vicinity of the position estimated, on the X-ray image captured during the movement.

3. The image display device according to claim 2 , wherein the processor is configured:
select a line which most closely matches a blood vessel image on the X-ray image captured during the movement, from multiple lines extracted from the multiple X-ray images captured during the pre-pullback period; and
estimate the position of the radiopaque marker, based on the line selected.

4. The image display device according to claim 3 , wherein the processor is configured:
change a selection result of the line selected, in accordance with a user's operation.

5. The image display device according to claim 2 , wherein the processor is configured:
extract a line corresponding to a portion of the probe which is present from the position of the radiopaque marker to an end portion of a guiding catheter.

6. The image display device according to claim 5 , wherein the processor is configured:
move the line extracted line corresponding to the portion of the probe which is present from the position of the radiopaque maker to the end portion of the guiding catheter so that a position of the end portion of the guiding catheter on the X-ray image captured during the movement of the probe is coincident with a position of the line which corresponds to the end portion of the guiding catheter the line moved.

7. The image display device according to claim 1 , wherein the pre-pullback period is set to include a period corresponding to at least one heartbeat, during a period from when X-ray radiography starts until a flash starts.

8. The image display device according to claim 1 , wherein the processor is configured:
collect the X-ray images captured from before the multiple tomographic images start to be acquired until after the multiple tomographic images are acquired; and
determine timing to start acquiring X-ray images, based on the X-ray images collected, and acquire the X-ray images during the pre-pullback period, from the determined timing.

9. The image display device according to claim 1 , wherein the processor is configured:
correct the position of the radiopaque marker detected, in accordance with a user's operation.

10. The image display device according to claim 1 , wherein the processor is configured:
set whether or not to perform a process for specifying the position of the radiopaque marker.

11. An optical coherence tomography apparatus comprising:
tomographic image acquisition unit for acquiring a tomographic image by emitting measurement light and receiving the reflected light incident thereon via the probe;
X-ray image acquisition unit for acquiring an X-ray image captured by an X-ray radiographing apparatus; and
the image display device according to claim 1 .

12. An intravascular ultrasound apparatus comprising:
tomographic image acquisition unit for acquiring a tomographic image by outputting an ultrasound wave signal and inputting the reflected signal via the probe;
X-ray image acquisition unit for acquiring an X-ray image captured by an X-ray radiographing apparatus; and
the image display device according to claim 1 .

13. A control method of an image display device that displays multiple tomographic images acquired while moving a probe in an axial direction of a catheter and multiple X-ray images captured during the movement of the probe, the control method comprising:
extracting a line extending along the probe from an X-ray image captured during a pre-pullback period before the probe starts to move;
detecting a position of a radiopaque marker disposed in the probe on each of the multiple X-ray images captured during the movement of the probe following the pre-pullback period, by using the line extracted; and
synchronously displaying the multiple X-ray images and the multiple tomographic images to specify the position of the detected radiopaque marker on the X-ray image.

14. The control method according to claim 13 , comprising:
estimating a position of the radiopaque marker on the X-ray image captured during the movement, based on the line extracted; and
searching for an image of the radiopaque marker in a vicinity of the position estimated, on the X-ray image captured during the movement.

15. The control method according to claim 14 , comprising:
selecting the line which most closely matches a blood vessel image on the X-ray image captured during the movement, from multiple lines extracted from the multiple X-ray images captured during the pre-pullback period; and
estimating the position of the radiopaque marker, based on the line selected.

16. The control method according to claim 15 , comprising:
changing a selection result of the line selected, in accordance with a user's operation.

17. The control method according to claim 13 , comprising:
setting the pre-pullback period so as to include a period corresponding to at least one heartbeat, during a period from when X-ray radiography starts until a flash starts.

18. A non-transitory computer readable storage medium that causes a processor to execute each process for the control method of the image display device according to claim 13 .

19. A radiopaque marker detection method of detecting a radiopaque marker disposed in a probe on multiple X-ray images captured while the probe for acquiring a tomographic image moves in an axial direction of a catheter, the method comprising:
extracting a line extending along the probe from an X-ray image captured during a pre-pullback period before the probe starts to move; and
detecting a position of a radiopaque marker disposed in the probe on each of the multiple X-ray images captured during the movement of the probe following the pre-pullback period, by using the line extracted.

20. A non-transitory computer readable storage medium that causes a processor to execute each process for the radiopaque marker detection method according to claim 19 .

Assignees

• Terumo Corp

Inventors

• Furuichi Junya
• Mori Isao

Classifications

• A61B6/12 Primary

  Arrangements for detecting or locating foreign bodies · CPC title

• A61B5/0084

  for introduction into the body, e.g. by catheters (A61B5/1459 takes precedence) · CPC title

• A61B8/0891

  for diagnosis of blood vessels · CPC title

• A61B5/0035

  adapted for acquisition of images from more than one imaging mode, e.g. combining MRI and optical tomography · CPC title

• A61B5/064

  using markers (A61B5/062 takes precedence) · CPC title