Needle with calibrated aperture
US-2024423581-A1 · Dec 26, 2024 · US
US2020245974A1 · US · A1
| Field | Value |
|---|---|
| Publication number | US-2020245974-A1 |
| Application number | US-201816490397-A |
| Country | US |
| Kind code | A1 |
| Filing date | Mar 7, 2018 |
| Priority date | Mar 7, 2017 |
| Publication date | Aug 6, 2020 |
| Grant date | — |
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There is provided a tissue elasticity measurement device 100 and a measurement method that allow for quantitative evaluation of biological changes related to tissue elasticity such as liver fibrosis. The tissue elasticity measurement device 100 has a supersonic wave measuring instrument 100 a that measures a pulse waveform corresponding to a blood flow velocity by a pulse wave Doppler method, and an information processor 100 b that calculates a deviation index value corresponding to a coefficient of variation from a pulse waveform obtained by the supersonic wave measuring instrument 100 a.
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1 . A tissue elasticity measurement device comprising: a supersonic wave measuring instrument that measures a pulse waveform corresponding to a blood flow velocity by a pulse wave Doppler method; and an information processor that calculates a deviation index value corresponding to a coefficient of variation from a pulse waveform obtained by the supersonic wave measuring instrument. 2 . The tissue elasticity measurement device according to claim 1 , wherein the information processor has a waveform processor that determines at least one of: an absolute maximum flow velocity, a maximum value, a minimum value, and a mean value at each time phase of a pulse waveform, and calculates a coefficient of variation from at least one of the absolute maximum flow velocity, the maximum value, the minimum value, and the mean value. 3 . The tissue elasticity measurement device according to claim 2 , wherein the waveform processor extracts an envelope so as to conform to a standard three-phase pulse waveform having a retrograde first waveform part with an ascending peak of a flow velocity, an antegrade second waveform part with a descending peak of a flow velocity, and an antegrade third waveform part with a descending peak of a flow velocity during a heartbeat period, and calculates a coefficient of variation therefrom. 4 . The tissue elasticity measurement device according to claim 3 , wherein an envelope is extracted at a high-velocity side of the absolute value of the first waveform part in the case where there exists the first waveform part, an envelope is extracted at a high-velocity side of the absolute value of the second waveform part in the case where there exists the second waveform part, and an envelope is extracted at a high-velocity side of the absolute value of the third waveform part in the case where there exists the third waveform part. 5 . The tissue elasticity measurement device according to claim 1 , wherein a CV value standing for the coefficient of variation, is given by the following expression: CV = 1 n Σ i = 1 n ( V i - V m _ peak ) 2 V m _ peak where, n is the number of samples of a pulse waveform, V i is a blood flow velocity, and V m_peak is a mean value of the blood flow velocity. 6 . The tissue elasticity measurement device according to claim 1 , wherein the information processor measures the deviation index value from a vein waveform corresponding to a plurality of heartbeat periods. 7 . The tissue elasticity measurement device according to claim 1 , wherein the supersonic wave measuring instrument uses fast Fourier transform to generate, from a Doppler component, a measurement value of a flow velocity for each time resolution. 8 . The tissue elasticity measurement device according to claim 1 , wherein the supersonic wave measuring instrument measures a vein waveform of liver. 9 . A measurement method for obtaining a pulse waveform corresponding to a blood flow velocity by pulse wave Doppler method, the method comprising calculating a deviation index value corresponding to a coefficient of variation from a pulse waveform obtained by measurement.
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