DEVICE AND METHOD FOR 3D ULTRASOUND-BASED REFLECTION AND TRANSMISSION TOMOGRAPHY
20230218274 · 2023-07-13
Inventors
- Nicole Ruiter (Durmersheim, DE)
- Hartmut Gemmeke (Stutensee, DE)
- Michael Zapf (Karlsruhe, DE)
- Torsten Hopp (Speyer, DE)
- Nima Rashvand (Karlsruhe, DE)
Cpc classification
A61B8/40
HUMAN NECESSITIES
A61B8/483
HUMAN NECESSITIES
A61B8/4281
HUMAN NECESSITIES
A61B8/4494
HUMAN NECESSITIES
International classification
A61B8/00
HUMAN NECESSITIES
Abstract
A device (10) is provided for ultrasound-based reflection and transmission tomography. The device (10) comprises: a transducer holder (14) configured to hold a plurality of ultrasonic transducers around an imaging volume (30) to be filled with an ultrasonic coupling medium, the transducer holder (14) having an opening for inserting, into the imaging volume (30), at least one part of a body to be imaged, wherein the transducer holder (14) is configured to move, during imaging of the at least one part of the body to be imaged, with respect to the body to be imaged; a support member (11) configured to support, during imaging, the body to be imaged, the support member (11) having a support-member-opening allowing access to the transducer holder (14) by the at least one part of the body to be imaged; a diaphragm (12) having a diaphragm-opening (13), the diaphragm (12) being arranged across the support-member-opening such that a center of the diaphragm-opening (13) is placed substantially at a predetermined position, wherein the diaphragm (12) comprises a material that has a higher transmissivity of ultrasound than a material of the support member (11); an outlet (15) for the ultrasonic coupling medium to flow out of the imaging volume (30) when the at least one part of the body to be imaged is inserted into the imaging volume (30) filled with the ultrasonic coupling medium and/or during imaging; and an elastic membrane (16) comprising a fluidtight material connecting the transducer holder (14) and the outlet (15) in order to guide the ultrasonic coupling medium flowing out of the imaging volume (30) towards the outlet (15).
Claims
1. A device (10) for ultrasound-based reflection and transmission tomography, comprising: a transducer holder (14) configured to hold a plurality of ultrasonic transducers around an imaging volume (30) to be filled with an ultrasonic coupling medium, the transducer holder (14) having an opening for inserting, into the imaging volume (30), at least one part of a body to be imaged, wherein the transducer holder (14) is configured to move, during imaging of the at least one part of the body to be imaged, with respect to the body to be imaged; a support member (11) configured to support, during imaging, the body to be imaged, the support member (11) having a support-member-opening allowing access to the transducer holder (14) by the at least one part of the body to be imaged; a diaphragm (12) having a diaphragm-opening (13), the diaphragm (12) being arranged across the support-member-opening such that a center of the diaphragm-opening (13) is places substantially at a predetermined position, wherein the diaphragm (12) comprises a material that has a higher transmissivity of ultrasound than a material of the support member (11); an outlet (15) for the ultrasonic coupling medium to flow out of the imaging volume (30) when the least one part of the body to be imaged is inserted into the imaging volume (30) filled with the ultrasonic coupling medium and/or during imaging; and an elastic membrane (16) comprising a fluid-tight material connecting the transducer holder (14) and the outlet (1 in order to guide the ultrasonic coupling medium flowing out of the imaging volume (30) towards the outlet (15).
2. The device (10) according to claim 1, wherein the predetermined position is a center of an opening of the transducer holder (14).
3. The device (10) according to claim 1, further comprising: a fixing member (17) that is configured to fix the elastic membrane (16) to the outlet (15) and that is configured to keep, during imaging, a level of the ultrasonic coupling medium constant relative to the at least one part of the body to be imaged.
4. The device (10) according to claim 1, wherein the diaphragm (12) is made of the material that has the higher transmissivity of ultrasound than the material of the support member (11).
5. The device (10) according to claim 1, wherein the elastic membrane (16) is configured to allow the transducer holder (14) to move while preventing the ultrasonic coupling medium outside the imaging volume (30) from coming into contact with the plurality of ultrasonic transducers.
6. The device (10) according to claim 1, wherein the transducer holder (14) is configured to rotate, during imaging of the at least one part of the body to be imaged, with respect to the body to be imaged; and/or wherein the transducer holder (14) is configured to move, during imaging of the at least one part of the body to be imaged, in a direction substantially perpendicular to the opening of the transducer holder (14).
7. The device (10) according to claim 1, wherein a distance from an upper transducer to a lower edge of the support-member-opening is up to 3 mm when the transducer holder (14) is placed in a position closest to the support member (11) during movement of the transducer holder (14) and particularly when the diaphragm (12) sags towards the transducer holder (14), wherein the upper transducer is one of the plurality of ultrasonic transducers that is held closest, among the plurality of ultrasonic transducers, to the opening of the transducer holder (14), wherein the lower edge is an edge of the support-member-opening on a side facing the transducer holder (14), and wherein the diaphragm (12) may be placed at the lower edge of the support-member-opening.
8. The device (10) according to claim 1, wherein the diaphragm (12) is placed at a lower edge of the support-member-opening, the lower edge being an edge of the support-member-opening on a side facing the transducer holder (14).
9. The device (10) according to claim 1, wherein the diaphragm (12) is placed on top of the support member (11) across the support-member-opening such that a center of the diaphragm-opening (13) is placed substantially at the predetermined position.
10. The device (10) according to claim 9, wherein the support member (11) comprises a groove around the support-member-opening; wherein the diaphragm (12) is attached to at least one diaphragm support (20, 21) that is configured to fit in the groove; and wherein the diaphragm (12) is placed (11) on top of the support member (11) across the support-member-opening by fitting the at least one diaphragm support (20, 21) in the groove.
11. The device (10) according to claim 1, wherein the diaphragm (12) is exchangeable for adapting to different sizes of the at least one part of the body to be imaged.
12. The device (10) according to claim 1, wherein the material of the diaphragm (12) is hemp.
13. The device (10) according to claim 1, wherein the support-member-opening corresponds to the opening of the transducer holder (14), wherein the support-member-opening may be smaller than the opening of the transducer holder (14).
14. A method for imaging at least one part of a body with ultrasound-based reflection and transmission tomography, the method comprising: providing the device (10) according to claim 1; providing the plurality of ultrasonic transducers on the transducer holder (14); filling the imaging volume (30) with the ultrasonic coupling medium; inserting the at least one part of the body into the imaging volume (30); and imaging the at least one part of the body by moving the transducer holder (14) with respect to the body to be imaged.
15. The method according to claim 14, wherein the transducer holder (14) is rotated, during the imaging, with respect to the body to be imaged; and/or wherein the transducer holder (14) is moved, during the imaging, in a direction substantially perpendicular to the opening of transducer holder.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0065] Details of one or more implementations are set forth in the exemplary drawings and description below. Other features will be apparent from the description, the drawings, and from the claims. It should be understood, however, that even though embodiments are separately described, single features of different embodiments may be combined to further embodiments.
[0066]
[0067]
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[0069]
[0070]
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[0074]
DETAILED DESCRIPTION OF EMBODIMENTS
[0075] In the following text, a detailed description of examples will be given with reference to the drawings. It should be understood that various modifications to the examples may be made. In particular, one or more elements of one example may be combined and used in other examples to form new examples.
[0076] In the following, exemplary embodiments of the present disclosure will be described with respect to a case where a human breast is imaged as the at least one part of the body using a device according to any one of the exemplary embodiments. It should be understood, however, the device according to any one of the aspects and various embodiments described herein may also be applied for imaging one or more parts of a body other than a human breast, for example, one or more parts of a human body other than a breast, or one or more parts of a body of a technical structure (e.g., mechanical pieces) in case of non-destructive testing.
[0077] Every year, over 1.6 million women worldwide fall ill with breast cancer. About 500,000 women die of the disease every year. This makes the mamma carcinoma the most common malignant tumor in women. A device according to the present disclosure may provide an innovative imaging method for improving early detection of breast cancer, which may allow early diagnosis and thus a higher survival probability.
[0078]
[0079] The patient support 11 may support a patient during imaging with the device 10. The patient support 11 may be made of POM. The patient support may be considered as an example of a “support member” in the present disclosure and may have an opening allowing access to a transducer holder (not shown in
[0080] The diaphragm 12 having the diaphragm-opening 13 may be arranged across the opening of the patient support 11 such that a center of the diaphragm-opening 13 is placed substantially at a center of an opening of the transducer holder 14 (as shown in
[0081] In some exemplary embodiments, the diaphragm 12 may be provided below a lower edge of the opening of the patient support 11. The lower edge of the opening of the patient support 11 may be an edge of the opening of the patient support 11 on a side facing the transducer holder. Further, the diaphragm 12 may bend below the lower edge of the opening of the patient support 11, in other words, bend towards the transducer holder 14 away from the patient support 11, as the at least one part of the body is inserted into the diaphragm-opening 13. Providing the diaphragm 12 below the lower edge of the opening of the patient support 11 and/or allowing the diaphragm 12 to bend below the lower edge of the patient support 11 may facilitate, for example, imaging not only a breast but also one or more parts of a chest, in case of imaging a breast. An image including both the breast and the breast base on the chest may be advantageous for later diagnosis.
[0082] The diaphragm 12 may comprise a textile made of a material that has a higher transmissivity for ultrasound than a material of the patient support 11. The textile may provide flexible support for the breast while preventing one or more parts of the body other than the part of interest for the imaging from accessing the transducer holder 14. In some exemplary embodiments, the diaphragm 12 may comprise a hemp textile which was found to be a very weakly ultrasound reflecting and absorbing textile. Further, because of its high strength, hemp may be considered as being particularly suitable for keeping parts of the body other than the part(s) of interest for imaging away from the imaging volume. Moreover, employing a hemp textile for the diaphragm 12 may further facilitate the diaphragm 12 to bend below the lower edge of the opening of the patient support 11 as stated above, thereby facilitating imaging not only a breast but also one or more parts of a chest, in case of imaging a breast.
[0083]
[0084] Referring to
[0085] The water outlet 15 may be provided for the water to flow out of the imaging volume when the at least one part of the body (e.g., human breast) to be imaged is inserted into the imaging volume filled with the water and/or during imaging. Specifically, for example, when the imaging volume is moved towards the body as the transducer holder 14 is moved during imaging, the at least one part of the body may be immersed in the water and displace the water. The displaced water can flow into the water outlet 15 without being spilt out of or inside into the device 10.
[0086] Further, the transducer holder 14 and the water outlet 15 may be connected by the elastic membrane 16 comprising a fluid-tight (e.g., watertight) material in order to guide the water flowing out of the imaging volume towards the water outlet 15. The elastic membrane 16 may be made of silicon. The elastic membrane 16 may be fixed to the transducer holder 14 and to the water outlet 15 by the mounting rings 17 and 18. Further details of the elastic membrane 16 will be described later below with reference to
[0087] As mentioned above, the imaging principle of 3D USCT in the exemplary embodiment may also be based on several thousand ultrasonic transducers (e.g., transmitters and receivers, or transducers having both functions of a transmitter and a receiver) that enclose the human breast in the imaging volume (e.g. a water bath) defined by the transducer holder 14. In some examples, the number of the ultrasonic transducers employed may be more than 1000. In some preferred examples, the number of the ultrasonic transducers may exceed 2000 and up to 10000. In further preferred examples, the number of ultrasonic transducers may be 5000, 3000 or 2000. During imaging, the patient may lie on his/her stomach on the patient support 11 and bring one breast into the imaging volume.
[0088]
[0089] In the exemplary embodiment, the transducer holder 14 (see e.g.,
[0090] Details of exemplary configuration of the device 10 shown in
[0091] A screw 52 may screw the top clamp ring 20, the diaphragm 12 and the bottom clamp ring 21 together so that the diaphragm 12 can be held tightly between the top clamp ring 20 and the bottom clamp ring 21, as can be seen from
[0092] Further, in some exemplary embodiments, the diaphragm 12 may be glued to the bottom clamp ring 21 and both the diaphragm 12 and the bottom clamp ring 21 may be screwed together to the bottom of the patient support 11 without a top clamp ring 20.
[0093] Further, the membrane support ring 22 may be provided on an edge of the water outlet 15 and screwed to the mounting ring 17 and the elastic membrane 16, so that one side of the elastic membrane 16 can be fixed to the water outlet. The other side of the elastic membrane 16 can be fixed to the transducer holder 14 by the mounting ring 18. The details on how the elastic membrane 16 may be fixed to the transducer holder 14 and the water outlet 15 will be described later below with reference to
[0094] Further, referring to
[0095] Although
[0096] As also stated above, in various aspects and embodiments as described herein, the transducer holder 14 (see e.g.,
[0097] As also stated above, in case imaging of the breast base is desired, the top transducers may be required to come as close as possible to the chest wall in the maximum translation of the transducer holder 14. In some exemplary embodiments, in the uppermost position of the transducer holder 14, the suspension mechanism of the elastic membrane 16 (see e.g.,
[0098] When imaging the at least one part of the body (e.g., human breast), it may be preferable that the at least one part of the body is centered in the imaging volume. Further, in case the one part of the body is of interest for imaging, it may be preferable that other parts of the body do not enter the imaging volume. The diaphragm 12 having the diaphragm-opening 13 (see e.g.,
[0099] The diaphragm 12 may comprise a textile made of a material that has a higher transmissivity of ultrasound than a material of the patient support 11, as also stated above. For example, the material of the patient support 11 may be POM and a material having a higher transmissivity of ultrasound than POM may be chosen as the material of the diaphragm 12. Further, in some circumstances, the material of the diaphragm 12 may be selected such that its reflectivity and attenuation for ultrasound is minimal in order not to interfere with the imaging process. In other words, an ultrasound transmissive material may be chosen as the material of the diaphragm 12. In some exemplary embodiments, the diaphragm 12 may be made of hemp textile, as also mentioned above with reference to
[0100] The bodies or parts of the bodies to be imaged may have different sizes depending on the individuals. For example, breasts with different sizes may be imaged with the device according to the exemplary embodiment. In some exemplary embodiments, the diaphragm 12 with the diaphragm-opening 13 (see e.g.,
[0101] According to the exemplary configuration as described above with reference to
[0102]
[0103] Further, the support ring 22 may be directly connected to a rotating table (not shown) which has a constant distance to the patient support 11. On the rotating table, a device (not shown) to drive the transducer holder 14 to be lifted (and/or lowered) may also be provided. The rotating table may allow the rotation of the transducer holder 14 together with the water outlet 15, the elastic membrane, the mounting rings 17 and 18 as well as the support ring 22 around the rotation axis 60 (see e.g.,
[0104] In some further exemplary embodiments, the elastic membrane 16 may be fixed to the transducer holder 14 and the water outlet 15 by a glue or by a screw, for example. In case the elastic membrane 16 is glued or screwed to the transducer holder 14 and the water outlet 15, the fixing rings 17 and 18 as shown in
[0105] According to the exemplary configuration as described above with reference to
[0106]
[0107] Referring to
[0108] Further, in some exemplary embodiments, the diaphragm 12 may be glued to the bottom clamp ring 21 and both the diaphragm 12 and the bottom clamp ring 21 may be screwed together to the bottom of the patient support 11 without a top clamp ring 20.
[0109]
[0110] In the exemplary embodiments described above, the diaphragm 12 is provided below the patient support 11. In other exemplary embodiments, however, the diaphragm 12 may be provided on top of the patient support 11, across the opening of the patient support 11 such that the center of the diaphragm-opening 13 of the diaphragm is placed substantially at the center of the opening of the transducer holder 14. For example, the combination of the diaphragm 12 with the top clamp ring 20 and the bottom clamp ring 21 as shown in
[0111] Further, alternatively, for example, the patient support 11 may comprise a groove around the opening of the patient support 11 for accommodating the bottom clamp ring 21 and/or the top clamp ring 20 so that the diaphragm 12 with the top and bottom clamp rings 20, 21 may be fixed on top of the patient support 11, across the opening of the patient support 11. In this example, the diaphragm 12 held tightly between the top and bottom clamp rings 20, 21 as described above with reference to
[0112]
[0113] Providing the diaphragm 12 on top of the patient support 11 may make the structure of the device simpler (e.g., manufacturing the patient support 11 may be easier and cost less) and/or may enable a faster, easier exchange of the diaphragm 12.
LIST OF REFERENCE SIGNS
[0114] 10: device (e.g., 3D- USCT system)
[0115] 11: patient support 11 (an example of the support member in the present disclosure)
[0116] 12: diaphragm (e.g., for the vertical move of the transducer holder and/or for the support of the patient)
[0117] 13: diaphragm-opening (e.g., for positioning at least one part of the body to be imaged (e.g., human breast))
[0118] 14: transducer holder
[0119] 15: water outlet (an example of the outlet for the ultrasonic coupling medium in the present disclosure)
[0120] 16: elastic membrane (e.g., for allowing lifting of the transducer holder)
[0121] 17: mounting ring (e.g., for the elastic membrane at the water outlet; this part may be considered as an example of the fixing member of the present disclosure)
[0122] 18: mounting ring (e.g., for the elastic membrane at the transducer holder)
[0123] 20: top clamping ring (e.g., for the diaphragm; an example of the diaphragm support in the present disclosure)
[0124] 21: bottom clamping ring (e.g., for the diaphragm and support of the diaphragm up to the aperture of the patient bed; an example of the diaphragm support in the present disclosure)
[0125] 22: membrane support ring (e.g., an outer mounting ring for the elastic membrane 16)
[0126] 30: imaging volume (e.g., to be filled with an ultrasonic coupling medium)
[0127] 40: transducer arrays (which may also be considered as a body of a transducer array containing a group of transducers)
[0128] 42: ultrasonic waves
[0129] 50: human breast (an example of a part of the body to be imaged)
[0130] 51: rotational block screw (e.g., fixing the diaphragm 12 sandwiched between the clamping rings 20 and 21 to the patient support 11)
[0131] 52: screw (e.g., fixing the bottom clamp ring 21 to the top clamp ring 20 and the diaphragm 12 in between the clamp rings 20 and 21)
[0132] 60: rotation axis (which may also be a vertical axis for the lifting and/or lowering movement of the transducer holder 14)
[0133] 61: rotation directions of transducer holder
[0134] 62: possible vertical movement (e.g., lifting and/or lowering) of the transducer holder
[0135] 65: stainless-steel clamp ring (e.g., for the diaphragm 12)
[0136] 66: POM clamp ring (e.g., for the diaphragm 12)
[0137] 67: screw (e.g., fixing the stainless-steel clamp ring 65 to the POM clamp ring 66 and the diaphragm 12 in between the clamp rings 65 and 66)