US20140128740A1 - Portable ultrasound imaging system - Google Patents

Abstract

A portable ultrasound imaging system includes a scan head coupled by a cable to a portable battery-powered data processor and display unit. The scan head enclosure houses an array of ultrasonic transducers and the circuitry associated therewith, including pulse synchronizer circuitry used in the transmit mode for transmission of ultrasonic pulses and beam forming circuitry used in the receive mode to dynamically focus reflected ultrasonic signals returning from the region of interest being imaged.

Description

CROSS REFERENCE TO RELATED APPLICATIONS
• This application claims the priority of U.S. application Ser. No. 08/496,804 filed Jun. 29, 1995, U.S. application Ser. No. 08/599,816 filed Feb. 12, 1996, PCT Application No. US1996/11166 filed Jun. 28, 1996, U.S. application Ser. No. 09/123,991 filed Jul. 28, 1998, U.S. application Ser. No. 08/981,427 filed Oct. 9, 1998, U.S. application Ser. No. 08/971,938 filed Nov. 17, 1997 and U.S. application Ser. No. 09/619,123 filed Jul. 19, 2000. The entire content of the above applications are being incorporated herein by reference.
BACKGROUND OF THE INVENTION
• Typical conventional ultrasound systems can have transducer arrays which consist of 128 ultrasonic transducers. Each of the transducers is associated with its own processing circuitry located in the console processing unit. The processing circuitry typically includes driver circuits which, in the transmit mode, send precisely timed drive pulses to the transducer to initiate transmission of the ultrasonic signal. These transmit timing pulses are forwarded from the console processing unit along the cable to the scan head. In the receive mode, beam forming circuits of the processing circuitry introduce the appropriate delay into each low-level electrical signal from the transducers to dynamically focus the signals such that an accurate image can subsequently be generated.
• A schematic block diagram of animaging array18 of N piezoelectric ultrasonic transducers18(1)-18(N) as used in an ultrasound imaging system is shown inFIG. 1A. The array of piezoelectric transducer elements18(1)-18(N) generate acoustic pulses which propagate into the image target (typically a region of human tissue) or transmitting media with a narrow beam. The pulses propagate as a spherical wave with a constant velocity. Acoustic echoes in the form of returning signals from image points P or reflectors are detected by thesame array18 of transducer elements or another receiving array and can be displayed in a fashion to indicate the location of the reflecting structure P.
• The acoustic echo from the point P in the transmitting media reaches each transducer element18(1)-18(N) of the receiving array after various propagation times. The propagation time for each transducer element is different and depends on the distance between each transducer element and the point P. This holds true for typical ultrasound transmitting media, i.e. soft bodily tissue, where the velocity of sound is assumed (or relatively) constant. Thereafter, the received information is displayed in a manner to indicate the location of the reflecting structure.
• In two-dimensional B-mode scanning, the pulses can be transmitted along a number of lines-of-sight as shown inFIG. 1A. If the echoes are sampled and their amplitudes are coded as brightness, a grey scale image can be displayed on a CRT. An image typically contains 128 such scanned lines at 0.75° angular spacing, forming a 900 sector image. Since the velocity of sound in water is 1.54×10⁵cm/sec, the round-trip time to a depth of 16 cm will be 208/μs. Thus, the total time required to acquire data along 128 lines of sight (for one image) is 26.6 ms. If other signal processors in the system are fast enough to keep up with this data acquisition rate, two-dimensional images can be produced at rates corresponding to standard television video. For example, if the ultrasound imager is used to view reflected or back scattered sound waves through the chest wall between a pair of ribs, the heart pumping can be imaged in real time.
• The ultrasonic transmitter is typically a linear array of piezoelectric transducers18(1)-18(N) (typically spaced half-wavelength apart) for steered arrays whose elevation pattern is fixed and whose azimuth pattern is controlled primarily by delay steering. The radiating (azimuth) beam pattern of a conventional array is controlled primarily by applying delayed transmitting pulses to each transducer element18(1)-18(N) in such a manner that the energy from all the transmitters summed together at the image point P produce a desired beam shape. Therefore, a time delay circuit is needed in association with each transducer element18(1)-18(N) for producing the desired transmitted radiation pattern along the predetermined direction.
• For a given azimuth angle, as can be seen inFIG. 1B, there can be two different transmitting patterns: a “single-focus” and a “zone-focus” pattern. The single-focus method employs a single pulse focused at mid-range of the image line along a particular line of sight. In a single pulse mode, the azimuth focus depth can be electronically varied, but remains constant for any predetermined direction. In zone-focus operation, multiple pulses, each focused at a different depth (zone), are transmitted along each line of sight or direction. For multiple pulse operation, the array of transmitters is focused at M focal zones along each scan direction, i.e., a series of M pulses is generated P₀, P₁, . . . , P_M-1, each pulse being focused at its corresponding range R₀, R₁, . . . , R_M-1, respectively.
• The pulses are generated in a repeated sequence so that, after start up, every Mth pulse either begins a look down a new direction or corresponds to the initial pulse P₀to repeat the series of looks down the present direction. For the zone-focused mode, a programmable time-delay circuit is needed in association with each transducer element to produce beam patterns focused at different focal zones.
• As previously described, thesame array18 of transducer elements18(1)-18(N) can be used for receiving the return signals. The reflected or echoed beam energy waveform originating at the image point reaches each transducer element after a time delay equal to the distance from the image point to the transducer element divided by the assumed constant speed of the waveform of signals in the media. Similar to the transmitting mode, this time delay is different for each transducer element. At each receiving transducer element, these differences in path length should be compensated for by focusing the reflected energy at each receiver from the particular image point for any given depth. The delay at each receiving element is a function of the distance measured from the element to the center of the array and the viewing angular direction measured normal to the array. It should be noted that in ultrasound, acoustic pulses generated by each transducer are not wideband signals and should be represented in terms of both magnitude and phase.
• The beam forming and focusing operations involve forming a sum of the scattered waveforms as observed by all the transducers, but in this sum, the waveforms must be differentially delayed so that they will all arrive in phase and in amplitude in the summation. Hence, a beam forming circuit is required which can apply a different delay on each channel, and vary that delay with time. Along a given direction, as echoes return from deeper tissue, the receiving array varies its focus continually with depth. This process is known as dynamic focusing.
• FIGS. 2A-2C show schematic block diagrams of three different conventional imaging or beam focusing techniques. A non-programmable physical lensacoustic system50 using anacoustic lens51 is shown inFIG. 2A. In turn, dynamic focusing systems where associated signal processing electronics are employed to perform real-time time delay and phase delay focusing functions are respectively shown inFIGS. 2B and 2C.FIG. 2B shows atime delay system52 usingtime delay elements53, andFIG. 2C shows aphase delay system54 usingphase delay elements55.
• In the lensless systems ofFIGS. 2B and 2C, thesignal processing elements53,55 are needed in association with each receiving transducer element, thus defining processing channels, to provide time delay and focus incident energy from a field point to form an image. Accordingly, a beam forming circuit is required which can provide a different delay on each processing channel, and to further vary that delay with time. Along a predetermined direction, as echoes return from distances further away from the array of transducer elements, the receiving array varies its focus continually with depth to perform dynamic focusing.
• After the received beam is formed, it is digitized in a conventional manner. The digital representation of each received pulse is a time sequence corresponding to a scattering cross section of ultrasonic energy returning from a field point as a function of range at the azimuth formed by the beam. Successive pulses are pointed in different directions, covering a field of view from −45° to +450. In some systems, time averaging of data from successive observations of the same point (referred to as persistence weighting) is used to improve image quality.
• For example, in an ultrasound imaging system operating at a 2-5 MHz frequency range, an electronic circuit capable of providing up to 10 to 20 j·ls delay with sub-microsecond time resolution is needed for the desired exact path compensation. As shown inFIG. 2B, a delay line is inherently matched to the time-delay function needed for dynamic focusing in a lensless ultrasound system.
• More specifically, in an exemplary ultrasound imaging system with a 5 MHz operating frequency and an array of 128 transducer elements on half-wavelength centers, a straightforward delay implementation requires each processing channel/transducer element to include either a 480-stage delay line with a clock period programmable with a 25 ns resolution or a 480-stage tapped delay line clocked at 40 MHz in conjunction with a programmable 480-to-one time-select switch to set the appropriate delay. There are two problems associated with these conventional techniques. First, a simple variable-speed clock generator has not been developed to date. Secondly, for an N-stage tapped delay line, the area associated with the tap select circuit is proportional to N², thus such a circuit would require a large amount of microchip area to realize an integrated tap architecture.
• Due to the difficulty and complexity associated with the generation of the control circuits of the conventional approach, only a few time-delay structures could be integrated on one microchip, and therefore a large number of chips would be needed to perform a multi-element dynamic beam forming function. For these reasons, none of the prior art ultrasound imaging systems utilize the straightforward time-delay implementation. Instead, a plane-wave mixer approximation is used. In this approximation process, the total delay is separated into two parts: an analog plane-wave mixer technique is used to approximate the required fine delay time and a true coarsely spaced delay line is used to achieve the coarse delay time.
• In accordance with the plane-wave approximation, the fine delay can be achieved by modifying the phase of AC waves received by each receiving processing channel and implemented by heterodyning the received waves from each receiving transducer element with different phases of a local oscillator, i.e., creating analog phase shifting at each processing channel. Specifically, by selecting a local oscillator with a proper phase angle of the form cos(ω_ot+Ω_n(t)), where Ω_nis chosen to satisfy the expression Ω_n(t)=ω_o(T′_n(t)−T′_n(t)), T_n(t) is the ideal compensating delay and T′_n(t) is a coarsely quantized approximation of T_a. It will be appreciated that when the mixer output is delayed by T_nthe phase of one of its intermediate frequency (IF) sidebands provides phase coherence among all the processing channels.
• In the conventional implementation of the aforementioned technique, a tap select is used which connects any received down-conversion mixer output to any tap on a coarsely spaced, serially connected delay line. The tap select is essentially a multiposition switch that connects its input to one of a number of output leads. One output lead is provided for each tap on the delay line. Therefore, each mixer output can be connected to a few coarsely spaced taps on a delay line, and all the tap outputs can be summed together coherently. However, for an exemplary 5 MHz operation, if a single mixer arrangement as described above is used, a delay line with delay resolution less than one microsecond is needed.
• In summary, the conventional technique described heretofore involves heterodyning the received signals with an oscillator output by selecting a local oscillator frequency so as to down convert the output to an IF frequency. This down converted signal is then applied to another mixer. By selecting the proper phase angle of the second oscillator, the phase of the intermediate frequency waves produced by the second heterodyning is controlled. The output of the second mixer is then connected through a tap select to only one, or at most a few, coarsely spaced taps on a delay line during the focal scanning along each direction.
• The aforementioned approximation technique is used due to the fact that given an image that is somewhat out of focus, the image can be focused in an economically feasible manner by utilizing readily available techniques such as analog mixers and RC networks. Unfortunately, the mixer approximation method suffers from image misregistration errors as well as signal loss relative to the ideally-focused (perfect delay) case.
• Modem ultrasound systems require extensive complex signal processing circuitry in order to function. For example, hundreds of delay-and-sum circuits are needed for dynamic beam forming. Also, pulsed or continuous Doppler processors are needed for providing two-dimensional depth and Doppler information in color flow images, and adaptive filters are needed for clutter cancellation. Each of these applications requires more than 10,000 MOPS (million operations per second) to be implemented. Even state-of-the-art CMOS chips only offer several hundred MOPS per chip, and each chip requires a few watts of electric power. Thus, an ultrasound machine with a conventional implementation requires hundreds of chips and dissipates hundreds of watts of power. As a result, conventional systems are implemented in the standard large rack-mounted cabinets.
• Another drawback in conventional ultrasound systems is that the cable connecting the scan head to the processing and display unit is required to be extremely sophisticated and, hence, expensive. Since all the beam forming circuitry is located in the console, all of the low-level electrical signals from the ultrasonic transducers must be coupled from the scan head to the processing circuitry. Because the signals are of such a low level, they are extremely susceptible to noise, crosstalk and loss. With a typical transducer array of 128 transducers, the cable between the scan head and the processing and display console is required to contain 128 low-noise, low-crosstalk and low-loss coaxial cables. Such a cable requires expensive materials and extensive assembly time and is therefore very expensive.
SUMMARY OF THE INVENTION
• The present invention is directed to a portable ultrasound imaging system and method. The imaging system of the invention includes a hand-held scan head coupled to portable processing circuitry by a cable. The scan head includes a housing which houses the array of ultrasonic transducers which transmit the ultrasonic signals into the region of interest being imaged and which receive reflected ultrasonic signals from the region of interest and which convert the received ultrasonic signals into electrical signals. The housing of the scan head also contains the beam forming circuitry used in the imaging system of the invention to combine the electrical signals from the ultrasonic transducers into an electronic representation of the region of interest. The electronic representation of the region of interest is forwarded over an interface via the system cable to data processing and display circuitry which uses the representation to generate an image of the region of interest.
• In one embodiment, the portable processing circuitry is implemented in the form of a lap-top computer which can include an integrated keyboard, a PCMCIA standard modem card for transferring image data and a flip-top flat panel display, such as an active matrix LCD. The lap-top computer, and, therefore the entire system, can be powered by a small lightweight battery. The entire system, including scan head, cable and computer is therefore very lightweight and portable. The total weight of the system preferably does not exceed ten pounds. The interior of the scan head can also include a Faraday shield to shield the electronics of the scan head from interference from extraneous RF sources.
• In one embodiment, the system also includes an interface unit between the scan head and the lap-top computer. Instead of being connected directly to the computer, the system cable is connected to the interface unit. Another cable couples the interface unit to the computer. The interface unit performs control and signal/data processing functions not performed by the computer. This reduces the overall processing load on the computer.
• In another embodiment, higher quality images are displayed on a cathode ray tube (CRT) display. In that embodiment, signals from the scan head are transferred over the cable to a processor such as a personal computer or lap-top which is in turn interfaced to the CRT display. Signals received from the scan head are received by the processor, which processes the signals and generates appropriate display signals and forwards them to the CRT.
• To allow implementation of the functions of the ultrasound imaging system of the invention in the scan head, much of the signal processing circuitry associated with the ultrasonic transducers is integrated on small CMOS chips. For example, the beam forming circuitry used to introduce individual delays into the received ultrasonic signals can be implemented on a single chip for a 64-element array. Thus, two chips are used for 128-element systems. The pulse synchronizing circuitry used to generate transducer driving pulses can also be implemented on a chip. In addition, high voltage driver circuits used in the transmit mode to drive the transducers and preamplifying circuits and gain control circuits used in a receive mode to condition the electrical signals from the transducers can also be integrated on single chips. Also, control circuits such as multiplexer circuits for selecting signals from the transducers and other such control circuits can be formed on single chips.
• In one preferred embodiment of the invention, the signal processing circuitry in the scan head is implemented in low-power, high-speed CMOS technology. The integrated circuitry can also be adapted to be operated at lower voltages than conventional circuitry. As a result, the power dissipated in the integrated circuitry and, consequently, the thermal effects caused thereby, are substantially lower than those of conventional circuits. In one embodiment, the total power dissipated in the scan head is less than two watts. This allows the temperature of the scan head to be maintained below 41° C. With such low power dissipation and temperature, the circuits can be implemented in the relatively small volume of the scan head housing without suffering any degradation in performance due to thermal effects. The patient being examined also suffers no harmful thermal effects. Also, because the system requires comparatively little power, it can be powered by a battery located in the data processor and display unit.
• As discussed above, in ultrasound systems, individual delays are typically introduced into each individual transmitted ultrasonic pulse and into each signal from each transducer indicative of received reflected ultrasonic energy. These individual delays are used to ensure that the image of the region of interest is properly focused.
• The form or pattern of delays introduced into each transducer element are affected by the shape of the array and the desired region scan pattern. For example, in phased arrays, different individual beam steering delays are introduced into each pulse and/or each returning signal for every scan line to produce a properly focused image of a curved region.
• Linear and curve linear arrays are typically flat or curved. The arrays can be used to perform linear scanning in which a uniform pattern of delays is introduced to all the transducers. The delays are the same for each scan line. Curved arrays have different delay patterns for each scan line. The present invention is also capable of performing trapezoidal region scans.
• In one embodiment, a linear array is used in a sub-aperture scanning process. For example, in this embodiment, the transducer array can include 192 adjacent transducers arranged in a line. During the sub-aperture scanning, only a small portion of the transducers, e.g., 64, are used to generate and receive signals. The transducers at opposite ends of the linear array are used to perform the phased-array scanning process to produce a curved image region at opposite ends of the overall trapezoidal-shaped scan region. Since the phased-array approach is used at the ends of the array, different delay patterns must be introduced for each individual scan line. Between the phased array portions, linear scanning is used. Consequently, during the linear scanning portion of the process, one set of delays can be used for all scan lines. Hence, the trapezoidal scanning embodiment of the invention involves a combination of phased array scanning at both ends of the region and linear scanning in the middle of the region.
• In a typical ultrasound imaging system, electronic circuitry capable of providing up to 10-20-s delay with sub-microsecond time resolution is needed to provide precise signal path compensation. In one preferred embodiment of the present invention, this wide range of delays with fine resolution is provided by a dual-stage programmable tapped delay line using CCD technology. The first stage introduces a fine delay and the second stage introduces a coarse delay. The delays are controlled by tapping clock frequencies, the fine delay being controlled by a higher clock frequency than the coarse delay. In one embodiment, the fine delay clock frequency is set at eight times the ultrasound signal frequency, and the coarse delay clock frequency is set at one-tenth the fine delay clock frequency. The clock frequencies are separately controllable to facilitate varying the ultrasound signal frequency to vary imaging depth.
• Such devices are described in copending U.S. patent application Ser. No. 08/496,915, entitled, “Integrated Beam Forming and Focussing Processing Circuit for Use in an Ultrasound System,” by Alice M. Chiang and copending U.S. patent application Ser. No. 08/496,463, entitled, “Integrated Delay Processing Circuit,” by Alice M. Chiang, both of which were filed on Jun. 29, 1995. Both patent applications are incorporated herein by reference.
• In one embodiment, the frequency of the ultrasound signals is variable to allow for imaging at varying depths. This can be accomplished by internal or external adjustment of transducer signal driving frequency. Alternatively, for wider variations in frequency, the system of the invention accommodates different scan heads having arrays which operate at different frequencies. Also, the scan head of the invention can be provided with a facility for changing arrays based on the desired operating frequency.
• In an alternative preferred embodiment of the present invention, the delay processing circuits utilize a single charge-coupled device delay line with a programmable input sampling selection circuit. The programmable input sampling selection circuit allows nonuniformly sampled imaging signals to be loaded into the programmable delay line to provide the required variable delay.
• In this embodiment, each delay processing circuit includes a programmable input sampling circuit and a programmable delay unit. According to a user specified selection pattern, the programmable sampling circuit converts a continuous-time input waveform into a sequence of discrete-time analog sample data, which can be uniformly or nonuniformly spaced, and which are loaded into the programmable delay unit. A control circuit is included to provide programmable delay to each selected sampled data. A summation circuit is incorporated for summing the sampled, delayed data from each of the delay units to produce a focused image.
• In one embodiment, the control circuit used to control the delay of each sample includes a counter and a storage circuit, which can be a shift register or a memory circuit. The shift register can be formed using CCD technology or other logic circuit technology. Before each scan line is generated, the storage circuit is loaded with a series of data values which define the delays used for each focus point along a scan line. Under control of a sampling clock, counter outputs are compared one at a time to values stored in the shift register. A matched value results in a sample being taken of the signal. Hence, by storing appropriate values in the memory circuit (shift register), sample delay can be controlled.
• In one embodiment, the shift register also stores a value that addresses the appropriate stage of the programmable delay line depending upon the predetermined delay for the sample. Preferably, this delay tap value is stored as a series of data bits with the corresponding value used to provide sampling delay as described above. In one embodiment, the two values are combined into a single data word comprising nine data bits, three for the sample delay selection and six for the delay tap selection in the delay line. In one embodiment of the invention, each scan line includes 512 focus points. Thus, the shift register is a 512-stage 9-bit shift register. Alternatively, four bits can be used for sample delay selection and seven for the delay top selection, resulting in a 512-stage II-bit shift register being used.
• In another embodiment, the 9-bit data words are compressed to permit more efficient storage of the data. In this embodiment, instead of storing each individual delay, only the differences in delay between adjacent focus points are stored. Each first difference requires fewer bits to store than does the actual absolute delay value. In another embodiment, second differences, Le., the difference between adjacent first differences, is stored at each register location. This requires even fewer bits. To process each delay, a processor of the invention reads each difference and integrates it to generate an actual delay value which is used to control both the sampling and tapping of the delay line. In the first difference embodiment, a single summing stage is used to perform the integration. In the case of second difference storage, a two-stage adder is used.
• In one embodiment of the invention, a process referred to as sub-aperture scanning can be implemented. Under this process, processing circuits are shared by the transducers such that the total number of processing circuits is fewer than the number of transducer elements. For example, the array can include 128 transducer elements but only 64 processing channels. In this embodiment, a multiplexing process is used whereby only a portion of the 128 transducers, i.e., a “sub-aperture,” is used at one time. A multiplexing circuit is used to route signals from the active transducers to the processing circuitry. In one embodiment, 64 transducers are used at once, and they are serviced by the 64 channels of processing circuitry. After image data is obtained for a first group of 64 transducers, a next group of transducers is activated to collect more data. Typically, a sliding scanning process is used in which each successive group of 64 elements slides over one element, resulting in overlapping sub-aperture scanning regions. During sub-aperture scanning, a spatial windowing process is used to reduce image clutter, i.e., energy in the image obtained through the side lobes rather than the main lobe of the array response. Either a dynamically varying spatial window or a truncated non-varying spatial window can be used. However, it has been found that the truncated window is easier to implement.
• In this embodiment, to set the delays for each group of active elements, in the linear scanning mode, the same set of delays is downloaded to memory for the sets of elements. As the sub-aperture moves to successive groups, the digital words representing the individual delays are effectively rotated through the memory and control circuits of each processing channel. That is, for the first, group of elements, delay sets numbered 1-64 are loaded into processing channels 1-64, respectively. For the next set, delay sets 1-64 are loaded into processing channels 2-64, 1, respectively. For the next set, delays 1-64 are loaded into channels 3-64, 1-2, respectively, and so forth. This rotational multiplexing of delay data values substantially enhances the efficiency of the invention since the amount of memory required to store all the delays is substantially reduced. The amount of hardware required is also reduced.
• In another, alternative preferred embodiment, an adaptive beam forming circuit is used instead of the dual-stage delay line to provide the required delays at the required resolution. In the adaptive beam forming technique, a feedback circuit senses summed received signals from a tapped delay line and generates correction signals. The correction signals control individual multiplier weights in the beam forming circuitry to adjust the summed signal and eliminate the effects of clutter and interference from the Image.
• As described above, after the beam forming circuits dynamically focus and sum the signals from the ultrasonic transducers, the summed signal is forwarded over the system cable to the data processing and display subsystem of the imaging system. The data processing subsystem includes, among other things, demodulation, log compression and scan conversion circuitry for converting the polar coordinates of received ultrasonic signals to rectangular coordinates suitable for further processing such as display. The scan conversion process of the present invention provides a higher quality image and requires far less complex circuitry than that of prior systems.
• In the scan conversion of conventional systems, the value of each point on the (x,y) coordinate system is computed from the values of the four nearest neighbors on the polar (r,8) array by simple linear interpolation. This is accomplished by use of a finite state machine to generate the (x,y) traversal pattern, a bi-directional shift register to hold the (r,8) data samples and a large number of digital logic and memory units to control the process and ensure that the correct samples of (r,8) data arrive for interpolation at the right time for each (x,y) point since the (x,y) data points are received asynchronously.
• In the present invention, hardware complexity and cost are reduced by using a number-theoretic scheme for reliably generating the (x,y) grid traversal path in natural order, i.e., using the (r,8) samples as they are acquired. This provides greater flexibility and better fidelity to the actual medical data since it permits the array traversals to be designed so that they do not impose an unnatural image reconstruction scheme. The approach taken in the present invention provides greater flexibility in that multiple effective paths through the (x,y) array are possible. As a result, full advantage is taken of different ultrasound scan frequencies and, hence, imaging depth.
• After the image data is scan converted, it is post processed in accordance with its eventual intended presentation format. For example, the data can be digitized and formatted for presentation on a display. Alternatively, the (x,y) data values can be presented to a video compression subsystem which compresses the data to allow for data transmission to remote sites by modem or other known communication means.
• The ultrasound imaging system of the invention also allows for imaging of moving objects by including a pulsed Doppler processing subsystem. Data from the beam forming circuitry is forwarded to the pulsed Doppler processor to generate data used to image the moving object. For example, the pulsed Doppler processor can be used to produce color flow map images of blood flowing through tissue.
• In another preferred embodiment, the data processing and display unit can be a single small battery-operated unit. It can be hand-held or worn clipped to the user or in the user's pocket. This, in conjunction with the hand-held scan head of the invention, makes the ultrasound system of the invention completely portable.
• The ultrasound imaging system of the invention has several advantages over prior conventional systems. Because much of the signal processing circuitry is integrated on small chips, the signal processing can be carried out in the scan head. Because of the proximity of the transducers to the processing circuitry, signal loss is substantially reduced. This results in greatly improved system performance in the form of high-resolution high-quality images. Also, since the signal summing is also performed in the scan head, only a single or very few cable conductor lines are required to transmit image signals to the data processing circuitry. The required cable is far less complex and expensive than that used in conventional systems.
• The portability of the imaging system of the invention is also a very important asset. As described above, the system includes a small hand-held scan head, a small cable and a portable data processing and display unit such as a lap-top computer or hand-held computer with integrated liquid crystal or other flat panel display and keypad. It can be battery powered and hence can easily be carried to persons needing immediate attention at remote locations to perform quick diagnostic evaluation. By using the video data compression of the invention, the image data gathered at a remote site can be transferred by modem or wireless cellular link or other known means to a hospital for evaluation. Treatment instructions can then be relayed back to the operator where the patient can be administered treatment immediately.
• Another preferred embodiment of the invention involves the above described circuits and methods for a two-dimensional transducer array device. The transducer device provides focusing in a second dimension and can employ a coarser spacing between the rows of a multi-linear array, for example.
• Another preferred embodiment of the invention involves the use of an ultrasound transducer device in an electronic stethoscope. This system provides both audio information to the user as well as an ultrasound imaging capability.
• Another preferred embodiment of the invention involves the use of an ultrasound transducer device in a skinpatch. This can be used for cardiac monitoring by positioning the transducer device to transmit and receive between the ribs of a patient.
• Another preferred embodiment of the invention incorporates the processing and control circuitry described herein in a distal end of an ultrasound internal probe or imaging catheter. This provides a more flexible and less expensive imaging probe that is useful for both diagnosis and treatment.
BRIEF DESCRIPTION OF THE DRAWINGS
• The foregoing and other objects, features and advantages of the invention will be apparent from the following more particular description of preferred embodiments of the invention, as illustrated in the accompanying drawings in which like reference characters refer to the same parts throughout the different views. The drawings are not necessarily to scale, emphasis instead being placed upon illustrating the principles of the invention.
• FIGS. 1A and 1B respectively show a block diagram of a conventional imaging array as used in an ultrasound imaging system and associated transmitting pulse patterns of a single pulse and multiple pulses in a zone-focused mode.
• FIGS. 2A-2C respectively show block diagrams of three different conventional imaging or beam focusing techniques involving optical lens, time delay and phase delay operations.
• FIG. 3 is a schematic pictorial view of a preferred embodiment of the ultrasound imaging system of the present invention.
• FIG. 4 is a schematic functional block diagram of a preferred embodiment of the ultrasound imaging system of the invention.
• FIG. 5 is a schematic functional block diagram of a preferred embodiment of the ultrasound scan head of the present invention.
• FIG. 6 shows an operational block diagram of an array of the beam forming and focusing circuits in accordance with the present invention.
• FIG. 7 shows a more detailed operational block diagram of an array of the beam forming and focusing circuits in accordance with the present invention.
• FIG. 8 shows an operational block diagram of an alternative embodiment of the present invention in which each of the beam forming and focusing circuits incorporates a latching circuit.
• FIG. 9 shows a schematic block diagram of an exemplary embodiment of the latching circuit used in accordance with the present invention.
• FIG. 10 shows an operational block diagram of an alternative embodiment of the present invention in which the selected outputs of each beam forming and focusing circuit are applied to respective multiplier circuits.
• FIG. 11 shows an operational block diagram of an alternative embodiment of the present invention in which a plurality of beam forming and focusing circuits of the present invention are arranged for operation in a transmission mode.
• FIG. 12 is a schematic functional block diagram of one preferred embodiment of adaptive beam forming circuitry in accordance with the present invention.
• FIG. 13 shows a schematic block diagram of an alternative embodiment of an array of beam forming and focusing circuits in accordance with the present invention using a programmable sample selection circuit and a programmable delay unit.
• FIG. 14A shows a schematic diagram of an exemplary embodiment of a memory controlled programmable sample selection circuit used in accordance with the present invention.
• FIG. 14B contains timing diagrams for the sample selection circuit ofFIG. 14A.
• FIG. 15 is a schematic detailed block diagram of an alternative preferred embodiment of memory and control circuitry in accordance with the invention.
• FIG. 16 shows a schematic block diagram of an embodiment of the beam forming circuits ofFIG. 13, in which CCD programmable delay lines are employed.
• FIG. 17 is a schematic detailed block diagram of another alternative preferred embodiment of memory and control circuitry in accordance with the invention.
• FIG. 18 is a schematic detailed block diagram of another alternative preferred embodiment of memory and control circuitry in accordance with the invention.
• FIG. 19 shows a block diagram of an alternative embodiment of the present invention in which the selected outputs of each of the beam forming and focusing circuits are applied to respective multiplier weighting circuits.
• FIG. 20 shows a block diagram of an alternative embodiment of the present invention in which the multiplier weighting circuit is placed to the input of the delay unit.
• FIG. 21 shows a block diagram of an alternative implementation of the present invention, in which a finite-impulse response (FIR) filter for time-domain interpolation is placed following the delay units.
• FIG. 22 shows a block diagram of a FIR filter implementation in which fixed weight multipliers are used for input sample interpolation.
• FIG. 23 shows a block diagram of an alternative FIR filter implementation in which programmable multipliers are used for input sample interpolation.
• FIG. 24 is a schematic diagram showing the scan conversion process of the invention.
• FIG. 25 is a schematic functional block diagram of a pulsed Doppler processing unit in accordance with the present invention.
• FIG. 26 is a schematic block diagram of a color flow map chip implementation using dual pulsed Doppler processors in accordance with the present invention.
• FIG. 27 is a schematic functional block diagram of an alternative preferred embodiment of the ultrasound imaging system of the invention.
• FIG. 28 is a plot comparing truncated non-varying spatial windows and dynamic spatial windows used during sub-aperture scanning in accordance with the present invention.
• FIGS. 29A and 29B are schematic pictorial views of two user-selectable display presentation formats used in the ultrasound imaging system of the invention.
• FIG. 30A is a schematic illustration of the relationship between a linear ultrasound transducer array and a rectangular scan region in accordance with the present invention.
• FIG. 30B is a schematic illustration of the relationship between a curved ultrasound transducer array and a curved scan region in accordance with the present invention.
• FIG. 30C is a schematic illustration of the relationship between a linear ultrasound transducer array and a trapezoidal scan region in accordance with the present invention.
• FIG. 30D is a schematic illustration of a phased array scan region.
• FIG. 31 is a schematic functional block diagram of a circuit board in accordance with the present invention.
• FIG. 32 is a schematic partial cross-sectional diagram of one embodiment of a linear scan head in accordance with the present invention.
• FIG. 33 is a schematic side cross-sectional view of the scan head ofFIG. 31.
• FIG. 34 is a schematic partial cross-sectional view of a scan head using a curve transducer array in accordance with the present invention.
• FIG. 35 is a schematic cross-sectional diagram of an internal ultrasonic probe in accordance with the present invention.
• FIG. 36 is a top-level flow diagram illustrating the logical flow of the software used to control the operation of the present invention.
• FIG. 37 is a perspective view of a two dimensional transducer array in accordance with the invention.
• FIG. 38 is a schematic illustration of an electronic ultrasound stethoscope in accordance with the invention.
• FIGS. 39A and 39B illustrate an ultrasound transducer patch system in accordance with the invention.
• FIGS. 40A and 40B illustrate an ultrasound probe or catheter in accordance with the invention.
• The foregoing and other objects, features and advantages of the invention will be apparent from the following more particular description of preferred embodiments of the invention, as illustrated in the accompanying drawings in which like reference characters refer to the same parts throughout the different views. The drawings are not necessarily to scale, emphasis instead being placed upon illustrating the principles of the invention.
DETAILED DESCRIPTION OF THE INVENTION
• A description of preferred embodiments of the invention follows.
• FIG. 3 is a schematic pictorial view of theultrasound imaging system10 of the present invention. The system includes a hand-heldscan head12 coupled to a portable data processing anddisplay unit14 which can be a lap-top computer. Alternatively, the data processing anddisplay unit14 can include a personal computer or other computer interfaced to a cathode ray tube (CRT) for providing display of ultrasound images. The dataprocessor display unit14 can also be a small, lightweight, single-piece unit small enough to be hand-held or worm or carried by the user. The hand-held display is less than 1000 cm³in volume and preferably less than 500 cm³. AlthoughFIG. 3 shows an external scan head, the scan head of the invention can also be an internal scan head adapted to be inserted through a lumen into the body for internal imaging. For example, the head can be a transesophogeal probe used for cardiac imaging.
• Thescan head12 is connected to thedata processor14 by acable16. In an alternative embodiment, thesystem10 includes an interface unit13 (shown in phantom) coupled between thescan head12 and the data processing anddisplay unit14. Theinterface unit13 preferably contains controller and processing circuitry including a digital signal processor (DSP). Theinterface unit13 performs required signal processing tasks and provides signal outputs to thedata processing unit14 and/or scanhead12.
• The hand-heldhousing12 includes a transducer section15A and a handle section15B. The transducer section15A is maintained at a temperature below 41° C. so that the portion of the housing that is in contact with the skin of the patient does not exceed this temperature. The handle section15B does not exceed a second higher temperature preferably 50° C. The hand-held scan-head occupies a volume of less than 1000 cm³and preferably less than 500 cm³, and is less than twenty centimeters in length along it's major axis.
• FIG. 4 is a schematic functional block diagram of one embodiment of theultrasound imaging system10 of the invention. As shown inFIG. 4, thescan head12 includes anultrasonic transducer array18 which transmits ultrasonic signals into a region of interest orimage target11, such as a region of human tissue, and receives reflected ultrasonic signals returning from the image target. Thescan head12 also includestransducer driver circuitry20 andpulse synchronization circuitry22. Thepulse synchronizer22 forwards a series of precisely timed and delayed pulses to high voltage driver circuits in thedrivers20. As each pulse is received by thedrivers20, the high-voltage driver circuits are activated to forward a high-voltage drive signal to each transducer in thetransducer array18 to activate the transducer to transmit an ultrasonic signal into theimage target11.
• Ultrasonic echoes reflected by theimage target11 are detected by the ultrasonic transducers in thearray18. Each transducer converts the received ultrasonic signal into a representative electrical signal which is forwarded topreamplification circuits24 and time-varying gain control (TGC)circuitry25. Thepreamp circuitry24 sets the level of the electrical signals from thetransducer array18 at a level suitable for subsequent processing, and theTGC circuitry25 is used to compensate for attenuation of the sound pulse as it penetrates through human tissue and also drives the beam forming circuits26 (described below) to produce a line image. The conditioned electrical signals are forwarded to thebeam forming circuitry26 which introduces appropriate differential delay into each of the received signals to dynamically focus the signals such that an accurate image can be created. The signals delayed by thebeam forming circuitry26 are summed to generate a single signal which is forwarded over thecable16 to the data processor anddisplay unit14. The details of thebeam forming circuitry26 and the delay circuits used to introduce differential delay into received signals and the pulses generated by thepulse synchronizer22 will be described below in detail.
• In one preferred embodiment, the dynamically focused and summed signal is forwarded to an A/D converter27 which digitizes the summed signal. Digital signal data is then forwarded from the A/D27 over thecable16 to buffermemories29 and31. It should be noted that the A/D converter27 is not used in an alternative embodiment in which the analog summed signal is sent directly over thesystem cable16. TheAID converter27 is omitted from further illustrations for simplicity.
• Data frombuffer memory31 is forwarded through demodulation andlog compression circuitry40A to scanconversion circuitry28 in thedata processing unit14. Thescan conversion circuitry28 converts the digitized signal data from thebeam forming circuitry26 from polar coordinates (r,8) to rectangular coordinates (x,y). After the conversion, the rectangular coordinate data is forwarded to postsignal processing stage30 where it is formatted for display on thedisplay32 and/or for compression in thevideo compression circuitry34. Thevideo compression circuitry34 will be described below in detail.
• Digital signal data is forwarded frombuffer memory29 to a pulsed orcontinuous Doppler processor36 in thedata processor unit14. The pulsed orcontinuous Doppler processor36 generates data used to image movingtarget tissue11 such as flowing blood. In the preferred embodiment, with pulsed Doppler processing, a color flow map is generated. Thepulsed Doppler processor36 forwards its processed data to thescan conversion circuitry28 where the polar coordinates of the data are translated to rectangular coordinates suitable for display or video compression.
• A control circuit preferably in the form of amicroprocessor38 controls the operation of theultrasound imaging system10. Thecontrol circuit38 controls the differential delays introduced in both thepulsed synchronizer22 and thebeam forming circuitry26 via amemory42 and acontrol line33. In one embodiment, the differential delays are introduced by programmable tapped CCD delay lines to be described below in detail. The delay lines are tapped as dictated by data stored in thememory42. Themicroprocessor38 controls downloading the coarse and fine delay line tap data frommemory42 to on-chip memories in both thepulsed synchronizer22 and thebeam forming circuitry26. In another embodiment, the delays are controlled by delay processing circuitry which includes programmable input sampling circuits coupled to programmable delay units as described in detail below.
• Themicroprocessor38 also controls amemory40 which stores data used by the pulsedDoppler processor36 and thescan conversion circuitry28. It will be understood thatmemories40 and42 can be a single memory or can be multiple memory circuits. Themicroprocessor38 also interfaces with the postsignal processing circuitry30 and thevideo compression circuitry34 to control their individual functions. Thevideo compression circuitry34 as described below in detail compresses data to permit transmission of the image data to remote stations for display and analysis via a transmission channel. The transmission channel can be a modem or wireless cellular communication channel or other known communication means.
• The portableultrasound imaging system10 of the invention can preferably be powered by abattery44. The raw battery voltage out of thebattery44 drives aregulated power supply46 which provides regulated power to all of the subsystems in theimaging system10 including those subsystems located in thescan head12. Thus, power to the scan head is provided from the data processing anddisplay unit14 over thecable16.
• FIG. 5 is a detailed schematic functional block diagram of one embodiment of thescan head12 used in theultrasound imaging system10 of the invention. As described above, thescan head12 includes an array of ultrasonic transducers labeled inFIG. 3 as18-(1),18-(2), . . . ,18-(N), where N is the total number of transducers in the array, typically 128. Each transducer18(1)-18(N) is coupled to a respective processing channel17(1)-17(N).
• Each processing channel17(1)-17(N) includes a respective pulse synchronizer22(1)-22(N) which provides timed activation pulses to a respective high voltage driver circuit20(1)-20(N) which in turn provides a driving signal to a respective transducer18(1)-18(N) in the transmit mode. Each processing channel17(1)-17(N) also includes respective filtered preamplification circuits24(1)-24(N) which include voltage clamping circuits which, in the receive mode, amplify and clamp signals from the transducers18(1)-18(N) at an appropriate voltage level. The time varying gain control circuitry (TGC)25(1)-25(N) controls the level of the signals, and the beam forming circuitry26(1)-26(N) performs dynamic focusing of the signals by introducing differential delays into each of the signals as described below in detail. The outputs from beam forming circuits26(1)-26(N) are summed at a summingnode19 to generate the final focused signal which is transmitted over thecable16 to the data processor anddisplay unit14 for subsequent processing.
• In the present invention, one embodiment of the beam forming and focusingcircuit26 can be integrated on a single microchip and utilizes cascaded charge-coupled device (CCD) tapped delay lines to provide individual coarse and fine delays resulting in a wide range of delays with fine time resolution. This embodiment of the beam forming system of the invention, referred to herein as charge domain processing (CDP) circuitry, includes a plurality of processing circuits which, in a receiving mode, differentially delay signals representative of image waveforms received as reflected ultrasonic energy from the target object in order to generate a focused image. In a transmitting mode, the processing circuits differentially delay signals, which are to be transmitted as ultrasonic energy to a target object by thearray18 of transducers18(1)18(N), in order to generate a focused directional beam.
• Each of the processing circuits includes a first delay line having a plurality of delay units operable in the receiving mode for receiving an image waveform and converting same into sampled data such as charge packets. In the transmitting mode, the first delay line receives the imaging signals and converts them into sampled data such as charge packets. A selection control circuit is operable for reading the sampled data from a selected first delay unit of the first delay line so as to correspond to a selected first time delay to accommodate fine delay resolution of the image waveform or imaging signals. A second delay line having a plurality of delay units is operable for sensing the sampled data from the selected first delay unit. The control circuit is further operable for reading the sampled data from a selected second delay unit of said second delay line so as to correspond to a selected second delay time to accommodate coarse delay resolution of the image waveform or imaging signals.
• In the receiving mode, a summation circuit is provided for summing the sampled data from each of the selected second delay units in each of the processing circuits in order to produce a focused image. In the transmitting mode, an output circuit is provided for converting the sampled data from each of the selected second delay units in each of the processing circuits into signals representative of the focused directional beam.
• The beam forming and focusing operations involve forming a summation of the waveforms as observed by all of the transducer elements. However, in this summation, the waveforms must be differentially delayed so that they all arrive in phase at a summation circuit19 (seeFIG. 5). Accordingly, eachbeam forming circuit26 in accordance with the present invention provides a different time delay on each processing channel, and further varies that delay with time. The signals which are added in phase to produce a focused signal are then forwarded to the data processor anddisplay unit14.
• For each nominal scanning direction, the differential delay required for information received by a transducer element18(k) in the array, relative to the first element18(1), varies predominantly with k, with a small correction as a function of time to correct focus for depth. The overall control of delay can involve very fine time resolution as well as a large range of delays. However, for a selected beam forming direction, this set of delays is achieved by a combination of a coarse delay in each channel to approximately compensate for direction, and a fine delay for each channel which combines the functions of focusing and refining the original coarse correction.
• According to one preferred embodiment of thebeam forming circuitry26 shown in operational block diagram form inFIG. 6, each of thebeam forming circuits26 is respectively arranged in a predetermined one of the N-parallel processing channels17(1)-17(N), one for each of the array of transducer elements18(1)-18(N). Eachbeam forming circuit26 includes two cascading tapped delay lines56(1)-56(N),58(1)-58(N). Eachcircuit26 receives as an input a signal from a TGC circuit25 (seeFIG. 3). Thefirst delay line56 in each channel provides a fine time delay for its received signal, while the cascadedsecond delay line58 provides a coarse time delay. Each fine delay line has an associated programmable tap-select circuit57(1)-57(N), and each coarse delay line has a programmable tap-select circuit59(1)-59(N), both of which will be described in more detail hereinafter. The tap-select circuits are operable for effecting a variable delay time as a function of tap location.
• During the operation of thecircuits26, signals which are received by eachtransducer element18 are applied continuously to the input of itscorresponding processing channel17. The input signals to each processing channel are converted into a sequence of sampled data for initial propagation through the respective fine tappeddelay lines56. In accordance with a preferred embodiment of the present invention, both the fine56 and coarse58 tapped delay lines are charge-coupled device (CCD) tapped delay lines. Exemplary programmable CCD tapped delay lines are described in, for example, Beynon et al., Charge-coupled Devices and Their Applications, McGraw Hill (1980), incorporated herein by reference. Accordingly, in the exemplary configuration of theprocessing circuit26 using CCD delay lines, the input signals to each of the processing channels are converted to a sequence of charge packets for subsequent propagation through the fine and coarse delay lines.
• At a predetermined time, which is dependent on the tap location selected by thesystem10, a delayed sample is either destructively or nondestructively sensed from the selected tap of thefine delay line56. The delayed sample is in turn input to the front end of the correspondingcoarse delay line58. The selected delay samples thereafter propagate through the coarse delay line, and are again destructively or nondestructively sensed at a properly selected tap location corresponding to a predetermined time delay designated in accordance with the operation of theultrasound imaging system10. The sensed sampled data from the coarse delay line of each processing channel is simultaneously summed by asummation circuit19 to form the output beam.
• With reference now toFIG. 7, a more detailed operational block diagram of the beam forming circuits26(1)-26(N) ofFIGS. 5 and 6 is shown. As illustrated, the programmable tap-select circuits57(1)-57(N) for the fine delay lines each include respective fine tap select circuits60(1)-60(N) and fine tap select memory units62(1)62(N). In turn, the programmable tap-select circuits59(1)-59(N) for the coarse delay lines each include respective coarse tap select circuits64(1)-64(N) and coarse tap select memory units66(1)-66(N).
• In accordance with a preferred embodiment of the beam forming circuits, the fine and coarse delay lines have differing clock rates. The fine delay line is clocked at a higher rate than the coarse delay line and is therefore capable of providing a much finer delay time than that of the coarse delay line. For instance, in an exemplary configuration, eachcircuit26 has a 32-stage fine tapped delay line clocked at 40 MHz and a 32-stage coarse-tapped delay line clocked at 2 MHz. Such a configured circuit can provide up to a 161 μs delay with a programmable 25 ns delay resolution. In contrast, it will be appreciated that if a single delay line were used, it would require approximately 640 stages of delays. Furthermore, due to the cascaded delay line structure of the beam forming circuits of the present invention, a local memory of 5-bit wide by 64-stage is adequate for providing the dynamic focusing function for a depth up to 15 cm. However, if a single delay structure were used, it would require a local memory of 640 bit wide by 1280-stage long.
• During operation of an individualbeam forming circuit26, the fine delay line taps are changed continuously by themicroprocessor38 via the memory42 (seeFIG. 4) during each echo receiving time to provide dynamic focusing. The fine tapselect circuit60, in the form of a digital decoder, and the local fine tapselect memory62 are used to select the desired tap position of thefine delay line56. For example, the microprocessor instructs thememory42 to download a data word tomemory62 to provide a digital address representative of the selected tap position to theselect circuit60 for decoding. In turn, theselect circuit60 effects the sampling of data from the selected tap. In an exemplary embodiment, a 5-bit decoder is used to provide a 32-tap selection.
• The tap position of thecoarse delay line58 is set once before each echo return and is not changed during each azimuth view direction. As with the operation of the fine delay line, the coarse tapselect circuit64, in the form of a digital decoder, is used in conjunction with the local coarse tapselect memory66 to select the desired tap position of the coarse delay line.
• FIG. 8 shows an operational block diagram of an alternative embodiment of thebeam forming circuitry26 of the present invention in which eachcircuit26 includes a respective latching circuit70(1)-70(N) that generates a tap setting signal to each of the fine tap select circuits60(1)-60(N). When the tap setting signal is provided to the fine tap select circuits, the tap selection will be fixed at the last tap of the fine tap delay lines (i.e. focusing point), thus the dynamic focusing function is not operable. This operation is controlled by the imaging system in situations where, for example, the imaging point is at a distance from the transducer elements which does not require a precise fine delay time. In this manner, the size of the fine tapselect memory62 is reduced.
• An exemplary embodiment of the latchingcircuit70 in accordance with the present invention is shown inFIG. 9. In operation, when the latch is set high by themicroprocessor38, digital data from thememory62 will pass through the CMOS passing transistors, and the defined transistor inverter provides an input to the appropriate tap select circuit (decoder)60 so as to implement the dynamic focusing function. In contrast, when the latch is set low, the passing transistors are disabled, and thus the inverter output will be latched to the last data address in the memory, i.e., the last tap select position.
• Using a 1.2-μm CCD/CMOS fabrication process provided by a conventionally known silicon foundry, Orbit Semiconductor, Inc., a prototype 10-channel beam forming microchip based on the fine/coarse delay architecture described above has been designed and fabricated. Due to the compactness of each fine and coarse delay line, and the simplification of its corresponding control circuits, this approach accommodates configuring the beam forming electronics of a 64-element receiver array to be integrated on one single microchip.
• In the prototypical beam forming microchip of the present embodiment, each processing circuit includes two cascaded programmable tapped delay lines (each 16 stages long), two 4-bit CMOS decoders and a 4×64-bit local memory for storing the tap locations. The prototype is configured with 10 processing channels, each of which includes the processing circuit of the present invention fabricated on a single silicon microchip. Each processing circuit can provide up to 10 μs of programmable delay with a 25 ns delay resolution. The beam forming chip operates such that at each azimuth viewing angle, echo return signals from an image point at a given range resolution received by a transducer element are sampled by the corresponding processing channel. Each processing circuit provides ideally compensated delays to each received return signal. All of the delayed outputs are then summed together to form a single beam or a focused image point. The chip area associated with each processing channel is only 500×2000 μm², It follows that the dynamic beam forming electronics for a 64-element receiver array can be integrated in a single microchip with chip area as small as 64 mm², which corresponds to at least three to four order of magnitude size reduction compared to conventional devices.
• The fine/coarse tapping architecture of the present invention accommodates a 12 μs delay with a 25 ns resolution with the two cascaded CCD tapped delay lines. Specifically, the architecture includes a first 16-stage long delay line clocked at 40 MHz and a second 32-stage long delay line clocked at 2 MHz. The shorter delay lines and the simplicity of the tapping circuit associated with these shorter delay lines allows all of the image-generating electronics to be integrated on a single chip. A single chip performs the electronic focus function for a 128-element array with more than two orders of magnitude reduction in chip area, power consumption and weight when compared with conventional implementations.
• An operational block diagram of another alternative embodiment of thebeam forming circuitry26 of the present invention is shown inFIG. 10, in which the selected outputs of each coarse delay line58(1)-58(N) are applied to respective multiplier circuits80(1)-80(N) prior to being provided to thesummation circuit19. An exemplary multiplier for use in the aforementioned embodiment of the beam forming circuits is described in co-pending U.S. patent application Ser. No. 08/388,170, entitled “Single-Chip Adaptive Filter Utilizing Updatable Weighting Techniques,” filed Feb. 10, 1995 by Alice M. Chiang, which is incorporated herein by reference.
• The configuration of themultipliers80 will accommodate the use of apodization techniques, such as incorporating a conventionally known Hamming weighting or code at the receiving array to reduce the sidelobe level and generate better quality imagery. Similar to the embodiment shown inFIG. 8, latch circuits70(1)-70(N) may be included in association with each of the beam forming circuits26(1)-26(N) in order to control the latching of the tap select position for the fine delay lines56(1)-56(N). Conventional apodization and Hamming weighting techniques are described in, for example, Gordon S. Kino, Acoustic Waves: Devices, Imaging, and Analog Signal Processing, Prentice Hall, Inc. (1987), which is incorporated herein by reference.
• FIG. 11 shows an operational block diagram of the cascaded dual tapped CCD delay lines used in pulse synchronizers22(1)-22(N) to introduce delay into individual transmitted signals in the transmit mode of theultrasound system10 of the present invention. Each pulse synchronizer circuit22(1)-22(N) includes two cascading tapped delay lines56(1)′-56(N)′ and58(1)′-58(N)′. Thefirst delay line56′ in each processing channel provides a fine time delay for the signals to be transmitted, while the cascadedsecond delay line58′ provides a coarse time delay. Each fine delay line has an associated programmable fine tap select circuit60(1)′-60(N)′, which receive tap select addresses from respective fine tap select memory units62(1)′-62(N)′. Each coarse delay line has an associated programmable coarse tap select circuit64(1)′-64(N)′, which receive tap select addresses from respective fine tap select memory units66(1)′-66(N)′. The tap-select circuits are operable for effecting a variable delay time as a function of tap location.
• During the operation of thepulse synchronizers22 in the transmission mode, signals which are provided from themicroprocessor38 via the memory42 (seeFIG. 4), are applied continuously to the inputs of each processing channel17(1)-17(N). The input signals to each processing channel are converted into a sequence of sampled data for initial propagation through the respective fine tappeddelay line56. In an exemplary configuration of the pulse synchronizer circuits22(1)-22(N) using CCD delay lines, the input signals to each of the processing channels are converted to a sequence of charge packets for subsequent propagation through the fine and coarse delay lines.
• At a predetermined time which is dependent on the tap location selected by the imaging system, a delayed sample is either destructively or nondestructively sensed from the selected tap of thefine delay line56. The delayed sample is in turn input to the front end of the correspondingcoarse delay line58. The selected delay samples thereafter propagate through the coarse delay line, and are again sensed at a properly selected tap location corresponding to a predetermined time delay designated in accordance with the operation of themicroprocessor38 of theultrasound imaging system10. The sensed sampled data from each of the coarse delay lines58(1)-58(N) are then converted and transmitted as ultrasonic pulse signals by the corresponding transducer elements18(1)-18(N). In accordance with a preferred embodiment of the present invention, the fine and coarse delay lines of each pulse synchronizer circuit have differing clock rates. In the transmission mode, the fine delay line can be clocked at either a higher or lower rate than that of the coarse delay line in order to accomplish the desired beam forming and focusing.
• In another embodiment of the invention, an adaptive beam forming imaging (ABI) technique is used in both thebeam forming circuits26 and thepulse synchronizer circuits22 to introduce the appropriate delays to produce a focused image. The adaptive beam forming technique improves image quality and spatial resolution by suppressing artifacts due to scattering sources and clutter in the sidelobes of the transducer array response. This adaptive beam forming circuitry can also be implemented on a single chip.
• ABI is a model-based approach to image reconstruction derived from super resolution techniques. ABI offers improvements in resolution and reduction in sidelobes, clutter, and speckle. Super resolution algorithms modified for imaging include the two-dimensional maximum likelihood method (MLM) and two-dimensional multiple-signal classification (MUSIC). ABI incorporates models for the desired backscatter (amplitude and phase), providing better detection performance than conventional imaging methods.
• FIG. 12 is a schematic functional block diagram depicting one embodiment of adaptivebeam forming circuits426 located in thescan head412 in accordance with the present invention. In the adaptivebeam forming circuits426, individual multiplier weights of the finite impulse response (FIR) filter are controlled by a feedback loop, in such a way as to reduce clutter and interference or finite impulse response (FIR) filters. In either case, the adaptive circuits are used to remove clutter and interference such as that caused by ultrasonic signal in the sidelobes of the array pattern to produce an image with much higher accuracy and resolution.
• Each processing channel428(1)-428(N) of thebeam forming circuits426 receives a signal from a respective time-varying gain control (TGC)circuit25 at a respective tappeddelay line430. Thebeam forming circuits426 includesN processing channels428, one for each transducer in thearray18. Signals tapped off of each tappeddelay line430 are received by a set of weighted multiplying D/A converters432. Each processing channel k includes M weighted multipliers432, labelled432_k1-432_kM. The weights of the multipliers432 are set to generate an output signal from each processing channel which is summed at a summing node419. The summed signal is forwarded over thesystem cable416 to the system control circuit such as themicroprocessor438 in the data processing anddisplay unit414. Themicroprocessor438 analyzes the signal for known characteristics of such effects as clutter, sidelobes and interference. In response to detecting such effects, themicroprocessor438 generates control signals used to drive the multiplier weights432 to adjust the signals to eliminate these effects from the output signal and forwards the control signals to the multipliers via thesystem cable416 on lines440. Thus, the adaptive beam forming circuitry comprises a feedback circuit which alters received signals from a tapped delay line of each channel prior to summation of the signals. The summed signal is sensed and correction signals based on the sensing are forwarded in the feedback loop to the multipliers to correct the summed signal.
• The ABI results in an image of much higher resolution and overall quality than is obtainable in prior systems. The ABI technique results in at least two to three times better resolution than that provided by conventional imaging techniques. As an example, in conventional ultrasound, at a frequency of 5 MHz, a resolution of about 1 mm can be obtained. Using ABI techniques, a lateral resolution of approximately 300 μm is obtained.
• FIG. 13 is a detailed block diagram of an alternative embodiment of the beam forming circuits of the invention to those ofFIGS. 6 and 12. Referring toFIG. 13, thebeam forming circuits226 can be used for dynamic beam forming and scanning in the receive mode.
• As shown inFIG. 13, thebeam forming circuits226 include N parallel processing channels217(1)-217(N), one for eachelement18 in the ultrasound transducer array (seeFIG. 5). Each channel217(1)-217(N) includes a respective delay unit202(1)-202(N), a respective programmable input sampling circuit204(1)-204(N), respective local memory and control circuitry206(1)-206(N) for storing and generating proper timing for the sampling circuit204(1)-204(N) and for storing and selecting the proper delay in the delay circuit202(1)-202(N) for the sampled image data from the sampling circuit204(1)-204(N).
• Thebeam forming circuits226 also include acentral memory203 which stores all of the delay values needed for all of the processing channels217(1)-217(N). In one embodiment, for each scan line, thecentral memory203 downloads delay data values to the memory and control circuits206(1)-206(N) for all of the processing channels217(1)-217(N). The delay values stored in each local memory206(1)-206(N) are used to control the sample selection performed by each respective sample selection circuit204(1)-204(N) and the sample delay effected by each respective programmable delay unit202(1)-202(N). In one preferred embodiment, each imaging scan line requires a specific set of delays for all of the processing channels, such as in the case of phased array beam forming. In that embodiment, new delay value sets are downloaded to the local memories206(1)-206(N) before each scan line is executed. Due to the compactness of each delay unit202(1)-202(N) and the simplification of its corresponding sample and control circuits204(1)-204(N) and206(1)-206(N), this approach allows the beam forming electronics of a 128-element receiver array to all be integrated on a single chip.
• The operation of thebeam forming circuits226 will now be described. Returned echoes received by a transducer18(1)-18(N) are first amplified in a preamplification circuit24(1)-24(N) and a TGC circuit25(1)-25(N) (seeFIG. 5) and then applied to the input of a corresponding respective sampling circuit204(1)-204(N). The sampling rate, f_s, of this circuit204(1)-204(N) is chosen to be higher than the clock rate f_c, of the corresponding delay unit202(1)-202(N), i.e., in one clock period of the delay unit202(1)-202(N), there are fife possible samples. In the present invention, one of these fife possible samples is selected and then loaded into the delay unit202(1)-202(N). Thus, it will be recognized that uniformly or nonuniformly sampled data can be selected from the returned echoes and loaded into the delay unit202(1)-202(N).
• For example, if a sampling rate is eight times faster than that of the delay clock rate, f_s=8f_c, is chosen, eight sample data points are generated during each period of the delay line clock. The selection circuit204(1)-204(N) is used to select one of the eight possible samples and to load it into the respective delay unit202(1)-202(N). In addition, a control circuit is incorporated within each delay unit202(1)-202(N) such that a programmable delay with a maximum delay of M/f₀can be provided to each sampled data loaded into the delay unit, where M is the number of delay stages in a delay line of the delay unit202(1)-202(N), as described below in connection withFIG. 15.
• At each clock period of the delay unit clock, outputs from each processing channel217(1)-217(N) are summed together in summingcircuit219 to provide a focused image point. The summed signal produced by the summingcircuit219 is forwarded to an A/D converter where it is digitized for transmission to the data processing anddisplay device14, or it can be forwarded in analog form directly to the processing anddisplay device14.
• FIG. 14A is a schematic block diagram of an exemplary embodiment of a memory controlled programmablesample selection circuit204 of the present invention, andFIG. 14B illustrates timing diagrams for the sampling process. In this example, the sampling rate f_sis assumed to be eight times faster than the clock rate f_cof thedelay time202, i.e., eight sample data items can be taken from the input waveform during a given clock period life of thedelay line202. In this configuration, eight evenly spaced timing windows are defined by the sampling frequency f_swithin the period of the delay clock life. Under control of the memory andcontrol circuit206, during each cycle of f_c, a single sample is taken during one of the timing windows.
• The memory andcontrol circuitry206 includes a three-bit BCD counter216 which is clocked to count at the sampling frequency f_a. The threeoutputs218 from thecounter216 provide inputs to a 3-to-8decoder220, which provides a high-level output on one of its eightoutput lines222 when enabled to indicate the decoded decimal value of the BCD inputs. An 8-to-1 MUX selects one of the decoder outputs to provide the sample select signal online1126 to thesampling NMOS transistor214.
• The line selected by theMUX224 is controlled at its select lines by the three data outputs228 of amemory210. As shown inFIG. 14B, if the memory output word is (0,0,0), a single pulse is provided in the sample select signal online226 at the first sampling window. If the memory word is (0,0,1), the single pulse is provided at the second sampling window, and so forth. The gate of theNMOS transistor214 is connected to the sample select signal. The drain is connected to the input waveform (returned echoes), and the source is connected to thedelay line202 to provide the sampled signal data.
• The eight 3-bit selecting memory words are stored in addressable locations in thememory210. During each cycle of the delay line clock, a location of thememory210 is addressed viaaddress lines232 to output the selected 3-bit selection word on lines228 according to the desired sampling window. Thecontrol circuitry230 sets the address lines to the appropriate address according to the required sampling window location. Upon setting the address lines, thecontrol circuitry230 also sends out an enable signal online234 for every period of the delay clock to enable the outputs of thedecoder220,MUX224 andmemory210 such that the pulse of the sample selection signal online1126 is located at the appropriate window. Since thecontrol circuits230 can select a memory address for every cycle of the delay, the spacing between samples can be precisely controlled to be uniform or nonuniform or have any desired pattern.
• In one embodiment, thecontrol circuits230 include their own internal storage circuits which holds the sequence of addresses output by thecontrol circuits230 to generate the sample pulse during the appropriate timing windows. The address sequence is downloaded to the storage circuit from thecentral memory230 of thebeam forming circuits226 before each scan line is executed. The storage circuit can be a memory such as a RAM, or it can be a shift register. In either case, the storage circuit is clocked at the delay line clock rate f_cto output the address required to sample data during the correct timing window.
• FIG. 15 is a detailed schematic block diagram of an alternative preferred form of the memory andcontrol circuitry206A to that shown inFIG. 14A. This alternative form of the memory andcontrol circuit206A includes a storage circuit such asshift register205. In this embodiment, theshift register205 shifts out a 3-bit pre-stored word on every cycle of the clock of thedelay unit202 at the delay unit clock rate f_c. The output words shifted out of theshift register205 onoutput lines209 are stored in theregister205 before each scan line is executed. The words are downloaded from thecentral memory203 according to the delays which are to be used for the scan line. In one embodiment, the number of words stored in theshift register205 for each scan line is equal to the number of focus points along each scan line. In one preferred embodiment, there are 512 focus points and, hence, 512 3-bit words. That is, theshift register205 is a 512-stage 3-bit register.
• The memory andcontrol circuitry206A also includes a 3-bit BCD counter207 which is clocked at the selection sampling rate f₈. Thecounter207 outputs 3-bit BCD words in sequence as it is clocked by the clock signal at the f_srate. In the example described above, the sampling rate f_sis eight times the delay clock rate f_c; therefore, for each word on theoutput lines209 of theshift register205, the eight 3-bit BCD words 0₁₀through 7₁₀are output on the output lines211.
• Theoutputs209 from theshift register205 and theoutputs211 from thecounter207 are forwarded to acomparison circuit213 which compares the two 3-bit words to determine if they are identical. When they are identical, a match is indicated by thecomparison circuit213 outputting a positive pulse on output line1115. The pulse is applied to thesampling NMOS transistor214 to sample the returned echo signals from the appropriateacoustic transducer18. The discrete-time sampled analog data is forwarded to the appropriatecorresponding delay unit202.
• The positive pulse on line1115 occurs when one of the 3-bit BCD words from thecounter207 matches the 3-bit word from theshift register205. This will occur during one of the eight possible timing windows into which the delay line clock rate f_cis divided. Hence, the 3-bit word stored in theshift register205 determines the window during which the returning echo data will be sampled. Therefore, to control the delays, a predetermined pattern of 3-bit words is stored in theshift register205 before execution of the particular scan line by downloading from thecentral memory203.
• FIG. 16 is a detailed schematic block diagram of a preferred embodiment of the processing channels217(1)-217(N) of thebeam forming circuits226 ofFIGS. 13-15, which shows the details one preferred embodiment of the programmable delay units202(1)-202(N). In this embodiment, each delay unit202(1)-202(N) includes an M-stage programmable tapped CCD delay line221(1)-221(N). At each stage of delay, an output is provided; therefore, for each delay line221(1)-221(N), there are M-parallel outputs.
• In this embodiment, the tapping of each delay line221(1)-221(N) is controlled by a digital parallel decoder237(1)-237(N) with M outputs. One of the M selectable outputs is selected according to the decoded decimal value on theBCD input lines239 from the memory andcontrol circuit206. For example, a 6-to-64 decoder237(1)-237(N) can be used to provide an output selection for a 64-stage CCD delay line221(1)-221(N). At every clock of the delay clock f_c, a discrete-time analog sample from the sample select circuit204(1)-204(N) is delayed by the delay line221(1)-221(N) and, hence, provided at the output of the stage selected by the decoder237(1)-237(N). The delay time for each sampled data loaded into the delay line can be continuously changed to provide dynamic focusing. The sampled and delayed data from all channels217(1)-217(N) is summed in summingcircuit219.
• InFIG. 16, theinput lines239 to thedecoder237 are shown coming from the memory andcontrol circuit206.FIG. 17 is a detailed schematic block diagram of an embodiment of the memory andcontrol circuit206B which generates the decoder input lines239. The circuit ofFIG. 17 is identical to that ofFIG. 15 except for the generation of the decoder input line signals239. InFIG. 17, a preferred 512-stage 9-bitparallel shift register205A is used in a fashion identical to that of theregister205 inFIG. 15 to generate the 3-bit word onlines209 used in thecomparison circuit213 to generate the sampling pulse in the desired timing window. Preferably, a 6-bit word is also output simultaneously onlines239 and forwarded to thedelay unit202. As described above, this 6-bit word is used as an input to thedecoder237 described above to select an appropriate stage of the tappedCCD delay line221 to introduce the appropriate delay into the sampled signal.
• As in the memory andcontrol circuit206A ofFIG. 15, the sampling and delay control words are downloaded to theshift register205A from thecentral memory203 prior to the execution of each scan line. In the case ofFIG. 17, where512 focus points are implemented, 512 9-bit digital words are downloaded before the execution of each scan line. As theregister205A is clocked at the delay unit clock rate f_c, 9-bit digital words are output in succession onlines239 and209, one 9-bit word at a time. The 3-bit word onlines209 controls the timing window during which the returned echoes are sampled, and the 6-bit word onlines239 controls the amount of delay introduced into the sample by theprogrammable delay unit202.
• FIG. 18 is a detailed block diagram of a variation on the circuit shown inFIG. 17. The alternative memory and control circuit206C ofFIG. 18 reduces the amount of memory space needed in the circuit206C. Instead of storing 512 9-bit words, 2-bit words can be used. In this embodiment, instead of storing the actual absolute delays for each focus point, the difference between adjacent delays and/or the second difference between the first differences is stored. In the case where the second difference is stored, only two bits are required to store the required delay information. Hence, only 2-bit words need be downloaded from thecentral memory203 and stored by the shift register205B. In this case, the 512-stage shift register is only two bits wide.
• Once again, the register205B is clocked at the rate of the delay clock f_c. The 2 bit word is output by the register205B to anintegration circuit225 which can include a dual-stage adder circuit used to recover the actual delays from the stored first and second difference. The integration step generates a 6-bit word onlines239A, which is used as the control inputs to thedecoder237 in theprogrammable delay unit202. The three additional bits generated onlines209A are used as described above in thecomparison circuit213 to generate a sampling pulse at the appropriate timing window.
• Another embodiment of the delay processing circuitry is shown inFIG. 19.FIG. 19 is a schematic block diagram of a modification of the circuitry ofFIG. 13 in which a multiplier250(1)-250(N) is included at the output of each programmable delay unit202(1)-202(N). This implementation allows the use of apodization, such as by incorporating a Hamming weighting at the receiver array to reduce the sidelobe level and generate better quality imagery. The weighting function of the multiplicand of each multiplier is provided by an on-chip buffer memory contained in memory and control circuits206(1)-206(N). The outputs of all the multipliers250(1)-250(N) are summed together at summingcircuit219 to form a beam output. It is important to note the apodization can be performed either at the input or at the output of the delay unit202(1)-202(N). InFIG. 20, an input weighted delay structure is shown.
• In all the implementations described above in connection withFIGS. 13-20, the minimum delay resolution is determined by the sampling rate f_s. Another implementation which provides an effective delay time smaller than t_cis shown inFIG. 21. As can be seen inFIG. 21, a finite-impulse-response (FIR) filter252(1)-252(N) is added to the output of the programmable delay circuit202(1)-202(N). The FIR filter252(1)-252(N) can be used to generate time-domain interpolated image samples and effectively achieve delay resolution smaller than t_c. For example, if four interpolated samples are generated by the FIR filter252(1)-252(N), the delay resolution is then t/4.
• FIG. 22 contains a detailed schematic block diagram of one exemplary embodiment of aninterpolation FIR filter252 in accordance with the invention with fixed-weighted multipliers254. In general, a multiplier requires two inputs, and the output of a multiplier is the product of the two inputs. In a fixed-weight multiplier254, however, the multiplicand is fixed and only one input is needed. Its output is the input multiplied by the same multiplicand.
• An M-stage delay line202 is used to hold and shift sampled and delayed returned echoes. At each stage of delay, there is a bank of Q fixed-weight multipliers254, i.e., there are M×Q multipliers254. Thus, as shown inFIG. 22, the multipliers254 can be viewed as forming a two-dimensional array having Q rows and M columns. Each multiplier254_ijcan be identified by a coordinate i,j, where i is the row of multipliers and j is the delay stage of thedelay line202, or column of the array.
• As can be seen inFIG. 22, all the multipliers254 on the same column share a common input, which corresponds to one of the input samples. All the multipliers254 on the same row share a common output, which corresponds to one of the interpolated samples. It follows then, at every clock, there are Q interpolated samples. A sampleselect circuit256 can be placed at the parallel output ports to select one of the interpolated samples arid then applies it to the summingunit219.
• FIG. 23 shows the schematic block diagram of another exemplary embodiment of theinterpolation FIR filter352 withprogrammable multipliers354. Again, an Mstage delay line202 is used to hold and shift sampled and delayed returned echoes. At each stage of delay, there is a programmable multiplier354bwhere k=1, 2, . . . , M. As can be seen inFIG. 20, all themultipliers354_kshare a common output which corresponds to the interpolated sample of the inputs. Time-domain interpolated samples can be generated based on the programmed weights.
• As described above, the ultrasound signal is received and digitized in its natural polar (r,θ) form. For display, this representation is inconvenient, so it is converted into a rectangular (x,y) representation for further processing. The rectangular representation is digitally corrected for the dynamic range and brightness of various displays and hardcopy devices. The data can also be stored and retrieved for redisplay. In making the conversion between polar and rectangular coordinates, the (x,y) values must be computed from the (r,θ) values since the points on the (r,θ) array and the rectangular (x,y) grid are not coincident.
• In prior scan conversion systems, each point on the (x,y) grid is visited and its value is computed from the values of the four nearest neighbors on the (r,θ) array by simple linear interpolation. This is accomplished by use of a finite state machine to generate the (x,y) traversal pattern, a bidirectional shift register to hold the (r,θ) data samples in a large number of digital logic and memory units to control the process and ensure that the correct asynchronously received samples of (r,θ) data arrive for interpolation at the right time for each (x,y) point. This prior implementation can be both inflexible and unnecessarily complex. Despite the extensive control hardware, only a single path through the (x,y) array is possible. This means that full advantage of different ultrasound scan frequencies and, hence, imaging depths, cannot be taken. That is, different data are forced into the same format regardless of physical reality.
• In thescan conversion circuitry28 of the present invention (seeFIG. 4), hardware complexity and cost are drastically reduced through the use of a number theoretic scheme for reliably generating the (x,y) grid traversal path in natural order, i.e., using the (r,θ) samples as they are acquired. This approach provides greater flexibility and better fidelity to the actual medical data, as it permits the array traversals to be designed so that they do not impose an unnatural image reconstruction scheme. Thisscan conversion circuitry28 of the present invention uses a Farey-sequence generator process, which generates the (x,y) coordinates in the order in which they are encountered in the scanning.
• Assume that the system received the first two scan rays; it is desired to identify all the (x,y) integer pairs situated within the wedge for 0<y≦L. A process which uses a Farey sequences to generate all (x,y) pairs within two successive arrays with 0<y≦L in the order of increasing angle is described here. The process exploits the fact that certain (x,y) pairs lie along the same angle, so it generates only (a,b) pairs which are mutually prime and then sets the rest of (x,y) pairs by (x,y)=n(a,b) for n=1, 2, . . . until (n+1) b>L. To better understand how this is accomplished, let us define a Farey sequence.
• • Definition: The sequence of rational numbers whose denominator does not exceed L, arranged in increasing numerical order, is called the Farey sequence of order L.
    If u/v is a fraction in lowest terms and v≦L, we will call u/v a Farey fraction of order L. Therefore, Farey fraction is in lowest terms; thus, its numerator and denominator are mutually prime. The theory of Farey series is described in detail in G. H. Hardy and E. M. Wright,An Introduction to the Theory of Numbers, Oxford University Press, London 1938, pp. 23-24, which is incorporated herein by reference.
  • Of relevance to the present invention is the following relationship. Let a/b, c/d, e/f be three successive Farey fractions of order L and let
• $\begin{array}{cc}Z=\lfloor \frac{L+b}{d}\rfloor ,\mathrm{where}\left[\right]=\mathrm{greatest}\mathrm{integer}\mathrm{function}& \left(1\right)\\ e=\mathrm{Zc}-a,f=\mathrm{Cd}-b.& \left(2\right)\end{array}$
• Equations 1 and 2 permit us to begin with any two successive Farey fractions and iterate through all the rest within the slice.
• A simple example of using Farey fractions oforder 10 to generate all the (x,y) display points within the 46°-54° arc on a 10×10 grid is shown inFIG. 24. Substituting the values for the first two successive Farey fractions of the order L=10, a=1, b=1, and c=L−1=9, d=L=10 intoEquations 1 and 2, one obtains the next Farey fraction with e=8, f=9. Now, repeating the same calculation with a=9, b=10, and c=8, d=9, yields the next Farey fractions with e=7, f=8. It is straightforward to generate all the (x,y) pairs within the given arc. If the user wants to map the same rays into a finer display grid (for example, onto a 20×20 display points), we use the same routine but with L=20 i.e., use the Farey function oforder 20 to generate all the (x,y) display points. Simple arithmetic will show that the (x,y)-pairs are (19,20), (18,19), (17,18), . . . . As can be seen inFIG. 21, all the grid points within the two successive scan lines are generated in natural order of increasing angle, i.e.,
• $a\tan \frac{10}{9}<a\tan \frac{9}{8}<a\tan \frac{8}{7}<a\tan \frac{7}{6}<a\tan \frac{6}{5}<a\tan \frac{5}{4}<a\tan \frac{9}{7}<a\tan \frac{4}{3}$
• This characteristic allows a scan conversion system that automatically adapts to variation in scan angle Φo. Systems with programmable, non-uniformly spaced scan arrays are possible with the Farey sequence implementation. In one embodiment of the invention, the data processing anddisplay unit14 is programmed to carry out the scan conversion process.
• As mentioned above, theultrasound imaging system10 of the present invention also includes a continuous or pulsedDoppler processor36 which allows for generation of color flow maps. Thus, moving targets (particularly flowing blood) can be displayed, letting physicians see the body's inner functions without surgery.
• The generic waveform111 for pulsed Doppler ultrasound imaging is shown inFIG. 25. The waveform consists of a burst of N pulses with as many as J depth samples collected for each pulse in the burst.FIG. 25 also shows a block diagram of the pulsedDoppler signal processor36 for this imaging technique, where the returned echoes received by each transducer are sampled and coherently summed prior to in-phase and quadrature demodulation at113. The demodulated returns are converted to a digital representation at sample-and-hold circuits115 and A/D converters117, and then stored in a buffer memory119 until all the pulse returns comprising a coherent interval are received. The N pulse returns collected for each depth are then read from memory, a weighting sequence, v(n), is applied to control Doppler sidelobes, and a N-point FFT is computed at121. During the time the depth samples from one coherent interval are being processed through the Doppler filter, returns from the next coherent interval are arriving and are stored in a second input buffer.
• The integrated Doppler processing device described herein performs all of the functions indicated in the dotted box ofFIG. 25, except for A/D conversion, which is not necessary because the device provides the analog sampled data function. The remaining circuitry and the operation thereof is described in U.S. Pat. No. 4,464,726 to Alice M. Chiang, issued Aug. 7, 1984, entitled “Charge Domain Parallel Processing Network,” which is incorporated herein by reference. This pulsed-Doppler processor (PDP) device has the capability to compute a matrix-matrix product, and therefore has a broad range of capabilities. The device computes the product of two real valued matrices by summing the outer products formed by pairing columns of the first matrix with corresponding rows of the second matrix.
• In order to describe the application of the PDP to the Doppler filtering problem, we first cast the Doppler filtering equation into a sum of real-valued matrix operations. The Doppler filtering is accomplished by computing a Discrete Fourier Transform (DFT) of the weighted pulse returns for each depth of interest. If we denote the depth Doppler samples g(k,j), where k is the Doppler index, 0≦k≦N−1, and j is the depth index, then
• $\begin{array}{cc}g\left(k,j\right)=\sum _{n=0}^{N-1}v\left(n\right)f\left(n,j\right)\exp \left(-j2\pi kn/N\right)& \left(3\right)\end{array}$
• The weighting function can be combined with the DFT kernel to obtain a matrix of Doppler filter transform coefficients with elements given by
• 
  w(k,n)=w,n=v(n)exp(−j2πkn/N)  (4)
• The real and imaginary components of the Doppler filtered signal can now be written as
• $\begin{array}{cc}{g}_{r,\mathrm{kj}}=\sum _{n=0}^{N-1}\left(w_{r,\mathrm{kn}}f_{r,\mathrm{nj}}-w_{i,\mathrm{kn}}f_{i,\mathrm{ng}}\right)& \left(5\right)\\ g_{r,\mathrm{kj}}=\sum _{n=0}^{N-1}\left(w_{r,\mathrm{kn}}f_{r,\mathrm{nj}}+w_{i,\mathrm{kn}}f_{i,\mathrm{ng}}\right)& \left(6\right)\end{array}$
• Inequations 5 and 6, the indices of the double-indexed variables may all be viewed as matrix indices. Therefore, in matrix representation, the Doppler filtering can be expressed as matrix product operation. It can be seen that the PDP device can be used to perform each of the four matrix multiplications thereby implementing the Doppler filtering operation.
• ThePDP device36 of the invention includes a J-stage CCD tappeddelay line110, J CCD multiplying D/A converters (MDACs)112, J×K accumulators114, J×KDoppler sample buffer517, and a parallel-in-serial out (PISO)output shift register118. The MDACs share a common 8-bit digital input on which elements from the coefficient matrix are supplied. The tappeddelay line110 performs the function of a sample-and-hold converting the continuous-time analog input signal to a sampled analog signal.
• In operation, thedevice36 functions as follows: either the real or imaginary component of the returned echo is applied to the input of the tappeddelay line110. At the start of the depth window, the video is sampled at the appropriate rate and the successive depth samples are shifted into the tappeddelay line110. Once the depth samples from the first pulse return interval (PRI) are loaded, each element in the first column of the transform coefficient matrix W is sequentially applied to the common input of theMDACs112. The products formed at the output of eachMDAC112 are loaded into a serial-in-parallel-out (SIPO)shift register521. The collection of J×K products computed in this fashion represent an outer product matrix. These products are transferred from the SIPOs to CCD summing wells which will accumulate the outer product elements from subsequent PRIs. The process is repeated until all pulse returns (rows of F) have been processed.
• At this point, each group ofK accumulators114 holds the K Doppler samples for a specific depth cell. The Doppler samples are simultaneously clocked into the accumulator output PISO shift registers519. These registers act as a buffer to hold the J×K depth-Doppler samples, so processing can immediately begin on the next coherent interval of data. Finally, theaccumulator shift registers521 are clocked in parallel transferring all the depth samples for a given Doppler cell into the device outputPISO shift register118. Samples are serially read out of the PDP device in range order, which is the desired order for flow-map display.
• A prototype PDP-A device for 16-depth samples has been fabricated. The PDPA can be used to process returns of a burst waveform with as many as 16 range samples collected for each pulse in the burst. The capability of detecting weak moving targets in the presence of a strong DC clutter has been successfully demonstrated by the prototype PDP device.
• A two-PDP implementation for color flow mapping in an ultrasound imaging system is shown inFIG. 26. In this device, during one PRI thetop PDP component120 computes all the terms of the form w_rf_rand w_if_ras shown inequations 5 and 6, while thebottom component122 computes terms of the form −w_rf_rand w_if_r. The outputs of each component are then summed to alternately obtain g_rand g_j. As mentioned above, the imaging system of the invention also includesvideo compression circuitry34 which conditions the data and transforms it into a compressed format to permit it to be transferred to a remote location. In a preferred embodiment, the video data compression circuitry is of the type described in U.S. Pat. No. 5,126,962 to Alice M. Chiang, issued Jun. 30, 1992, entitled “Discrete Cosine Transform Processing System,” and U.S. Pat. No. 5,030,953 to Alice M. Chiang, issued Jul. 9, 1991, entitled “Charge Domain Block Matching Processor,” both of which are incorporated herein by reference.
• FIG. 27 is a schematic functional block diagram of an alternative preferred embodiment of the ultrasound imaging system of the invention. In the embodiment ofFIG. 27, amultiplexer319 is added to thescan head312 between theultrasonic transducer array318 and thedrivers20 andpreamplification circuitry24. In this embodiment, signals are processed from only a portion of thetransducer array318 at any given time. For example, with a 128-element array318, in one embodiment, only 64 elements will be processed at a time. Themultiplexer319 is used to route the 64 signals to thepreamplification24 and subsequent circuits. Themultiplexer319 is also used to route the driver pulses from thedrivers20 to the 64 elements of thearray318 currently being driven. In this embodiment, referred to herein as the sub-aperture scanning embodiment, circuit complexity is substantially reduced since processing channels need only be provided for the number of elements which are being processed, in this example, 64. Images are formed in this embodiment by scanning across thetransducer array318 and selectively activating groups of adjacent elements to transmit and receive ultrasonic signals.
• During sub-aperture scanning, image quality can be degraded by the introduction of image clutter caused by energy in the image obtained through the side lobes rather than the main lobe of the array response. To solve this problem, spatial windowing filters are applied to the array processing to eliminate or reduce the energy from the side lobes. One type of window varies dynamically in width according to the number of active elements. Another window is a non-varying truncated window.
• FIG. 28 is a plot showing the response of both types of windows. In the portable ultrasound system of the invention, the spatial window is designed to match the maximum number of sub-aperture array elements and is not dynamically varied with a change in the number of active elements. The rationale for this implementation is that the reduction in the received (or transmitted) energy using dynamic-spatial windowing produces poorer quality images compared with images obtained using a truncated, nonvarying spatial window. For both cases, the reduction in image clutter is nearly equal. Consequently, using a truncated, non-varying spatial window is advantageous because it is simpler to implement and produces better quality images. For the example shown inFIG. 28 (using a 64-element sub-aperture and a Blackman-Harris window), the dynamic window provides less than half the energy (42%) on transmit or receive of the nonvarying, truncated window.
• FIGS. 29A and 29B are schematic pictorial views of display formats which can be presented on thedisplay32 of the invention. Rather than storing a single display format as is done in prior ultrasound imaging systems, the system of the present invention has multiple window display formats which can be selected by the user.FIG. 29A shows a selectable multi-window display in which three information windows are presented simultaneously on the display. Window A shows the standard B-scan image, while window B shows an M-scan image of a Doppler two-dimensional color flow map. Window C is a user information window which communicates command selections to the user and facilitates the user's manual selections.FIG. 29B is a single-window optional display in which the entire display is used to present only a B-scan image. Optionally, the display can show both the B-mode and color doppler scans simultaneously by overlaying the two displays or by showing them side-by-side using a split screen feature.
• FIGS. 30A-30D are schematic diagrams illustrating the relationship between the various transducer array configurations used in the present invention and their corresponding scan image regions.FIG. 30A shows alinear array18A which produces a rectangular scanning image region307 A. Such an array typically includes 128 transducers. For each scan line, a set of delays is introduced which define the focus points for the image. Because the array is linear and the region is rectangular, the delays for each scan line are typically identical. Hence, in accordance with the present invention, delay values need only be downloaded from thecentral memory203 to the local memory and control circuits206(1)-206(N) once for the entire image. Alternatively, thelinear array18A can be used as a phased array in which different beam steering delay values are introduced for each scan line.
• FIG. 30B is a schematic diagram showing the relationship between a curved transducer array18B and the resulting sectional curvedimage scan region307B. Once again, the array18B typically includes 128 adjacent transducers. Once again, the delays introduced for each scan line can be identical or they can be varied to perform a phased array scanning process.
• FIG. 30C shows the relationship between a linear transducer array18C and atrapezoidal image region307C. In this embodiment, the array18C is typically formed from 192 adjacent transducers, instead of 128. The linear array is used to produce thetrapezoidal scan region307C by combining linear scanning as shown inFIG. 30A with phased array scanning. In one embodiment, the 64 transducers on opposite ends of the array18C are used in a phased array configuration to achieve the curved angular portions of theregion307C at its ends. The middle 64 transducers are used in the linear scanning mode to complete the rectangular portion of theregion307C. Thus, thetrapezoidal region307C is achieved using the sub-aperture scanning approach described above in which only 64 transducers are active at anyone time. In one embodiment, adjacent groups of 64 transducers are activated alternately. That is, first, transducers 164 become active. Next, transducers 64-128 become active. In the next step, transducers 2-65 are activated, and then transducers 65-129 are activated. This pattern continues until transducers 128-192 are activated. Next, the scanning process begins over again at transducers 1-64.
• FIG. 30D shows a short linear array of transducers18D used to perform phased array imaging in accordance with the invention. The linear array18D is used via phased array beam steering processing to produce theangular slice region307D shown inFIG. 30D.
• FIG. 31 is a schematic functional block diagram of a circuit board in accordance with the invention. Thecircuit board1000 is preferably a multi-layer circuit board about two-by-four inches in dimension. It is preferably double sided and is populated using surface-mount technology. The circuitry can functionally be divided into atransmission circuit1010 andreceiver circuit1020. Thetransmission circuit1010 includes apulse synchronizer circuit1022 coupled to a high voltage driver/pulser circuit1024. The driver/pulser1024 is connected through a transmit/receive (T/R)switch1016 to amultiplexer module1018.
• Thepulser1024 generates a series of high voltage pulses under the control of the delay processing circuitry of thepulse synchronizer circuit1022. The pulses are transferred to the array oftransducers18 via the T/R switch1016 andmultiplexer1018 to generate the ultrasonic signals. The T/R switch1016 operates to ensure that the high voltage pulses of thepulser1024 do not reach the sensitive receivecircuitry1020. It provides, via a diode protection structure, overvoltage protection to the pre-amp TGC circuits in the receivecircuit1020. The T/R switch1016 includes isolation electronics used during sub-aperture scanning to isolate unused transducer elements from used elements. The circuitry also prevents crosstalk between processing channels caused by spurious signals.
• Thereceiver circuit1020 includes a pre-amp andTGC circuit module1022, a beamformer module1026 and an optional analog-to-digital converter1027. As illustrated, the pre-amp andTGC1022 is represented by two chips1022-1,1022-2. Each of the pre-amp and TGC chips process half of the channels used at a given time. The number of actual chips representing the pre-amp andTGC circuit1022 is driven by the fabrication process. Preferably, the pre-amp andTGC circuit1022 is fabricated as a single chip.
• Thebeam forming module1026 can include the beam forming circuitry described above in connection with any of the embodiments. Themodule1026 preferably is formed on a single chip and contains all the circuitry necessary to perform the beam forming functions described above.
• Thetransmission circuit1010 and the lowvoltage receiving circuit1020 can each be fabricated as a single chip. By reducing the chip count in the circuit, the size of thecircuit board1000 can be reduced. Thecircuit board1000 also contains surface mount discrete components, such as resistors, capacitors, inductors, etc., or their integrated equivalents.
• FIG. 32 is a cross-sectional schematic diagram of one embodiment of a linear scan head shown partially in cross section. Thescan head1030 is enclosed by aplastic housing1032. As illustrated, acircuit board1000A is held in place within thehousing1032 by supportingmembers1034. Thecircuit board1000A connects to abus connector1036, which is connected by a flexible ribbon cable or printedflex cable1037 to a linear array oftransducers1038. Acoax cable connector1035 couples thescan head1030 to external electronics. Alternatively, a connector for twisted pair conductors can be used.
• FIG. 33 is another cross-sectional view of thescan head1030 ofFIG. 32. As illustrated, the supportingmembers1034 hold two doublesided circuit boards1000A,1000B. Two or more boards can be single or double sided, and stacked side-by-side or offset to maximize use of the available space, depending upon the specific application. The circuit boards are separated by aheat conducting layer1045 which acts as a heat sink for the circuitry. A heat conductor filler can also be inserted within the housing The supportingmembers1034 are preferably fabricated from a low friction material such as teflon to facilitate the insertion and removal of thecircuit boards1000A,1000B. Each side of the circuit boards can preferably process 64 channels of information from thetransducers1038. Therefore, as illustrated, two doublesided circuit boards1000A,1000B can support 256 transducers.
• FIG. 34 is a preferred embodiment of a curved transducer scan head shown partially in cross section. Thescan head1040 is formed by aplastic housing1042. Note that the handle section can have an external ribbing to provide a better gripping surface and optionally can be used to vent heat from the housing. Acircuit board1000A is held in place byteflon support members1044. Thecircuit board1000A is connected to a coax connector1035 (or a twisted pair connector) and abus connector1046. Thebus connector1046 is connected to a curved array oftransducers1048 by a printedflex cable1047.
• FIG. 35 is a schematic diagram of an insertable ultrasonic probe shown partially in cross section. Theprobe1060 is defined by aplastic housing1062 divided into an elongate probe for insertion into a lumen or body cavity and a handle section to be gripped by an operator. Acircuit board1064 is secured within the handle of theprobe1060 and is connected to acoax connector1065 and to an array oftransducers1068. Except for being smaller in size to fit with the handle, thecircuit board1064 is functionally identical to thecircuit board1000 ofFIG. 30. Preferably there are 128 transducers (N=128) in thearray1068. In that case, a double-sided circuit board1064 having 64 channels of processing on each side is sufficient to operate the probe.
• FIG. 36 is a block diagram of the software required to operate the ultrasonic devices described herein. Illustrated isultrasonic scanner1072 and auser display1078. Asignal processing module1074 provides hardware specific control such as control of digital signal processors, custom chips and system timing. Theuser display1078 is driven by a graphical user interface (Gill)1076, such as those compatible with windows operating systems. Avirtual control panel1075 provides an interface between thegraphical user interface1076 and thehardware interface1074.
• A typical display provides the user with the capability to freeze a frame of data, print a frame of data, or archive a frame of data to a disk. The user can also highlight a region for color doppler imaging and audio doppler processing. The user can also manually vary the received data as a function of depth. Preferably, there are eight depth zones. The user can also vary the number of transmission focal zones (from 1-8 zones), vary the image contract and the image brightness.
• More specifically, the user can select an imaging mode. A B-mode is provided to adjust brightness or conventional image display. A C-mode is provided to control color doppler flow either as an overlay or as a side-by-side image. An M-mode is provided to control time-varying doppler images in an independent image mode. An audio doppler mode can be set to either on or off to supplement the B-mode and C-mode displays.
• The user can also set up the transducer array to determine image display size and shape. Selections are based on whether the transducer array is a curved-linear, linear or phased array.
• The user can also enter and display patient information. The patient data is then is then used to label the displays. The computer used to provide display of the images can be programmed with a software module to display patient management and imaging data in a Windows format. The user is presented with a variety of pull down menus operated with a mouse.
• The user can also set up the imaging mode based on the particular application of the scanner. The user can adjust the image depth and transmission power automatically based on whether the imaging is for cardiac, radiologic, obstetric, gynecological, or for peripheral vascular applications. The user can also set the image depth and transmission manually for custom applications.
• Another preferred embodiment of the invention relates to an ultrasound imaging device having two or more adjacent rows of transducers to form a two dimensional transducer array. As illustrated in the hand-helddevice600 ofFIG. 37, thetransducer section606 of thehousing600 contains threerows608,610 and612 of transducers. Therows608,610 and612 can be of different lengths. For example,rows608 and612 can be shorter than the middle row610 (e.g. the middle row can be 1.5 times the length of the shorter row). The spacing between adjacent rows can also be the same or greater than the spacing between transducers within any given row. The coarser inter-row spacing can provide effective focusing of the ultrasound signal emitted by the transducer array. As described in connection with previous embodiments each row of transducers can be connected to the chip carrier or circuit board in the housing using one or more flex cables.
• Another preferred embodiment of the invention relates to a portableultrasound stethoscope system700 illustrated inFIG. 38. This system incorporates a transducer array, synchronizing and driver circuitry for the array and beam forming circuitry in theacoustic sensor housing704, or chestpiece, of the stethoscope.
• Thesensor housing704 of the stethoscope is connected to twoearpieces712 to provide audio information to the user. Acentral tube705 connectshousing704 to Y-connector707. Theearpieces712 are mounted ontubes706,708 that extend from Y-connector707. Aconnector housing702 connects the stethoscope to thecable710. Theconnector housing702 can be integrally formed or attached to Y-connector707 or it can be attached tohousing704. A transducer mounted in the V-connector707 can be used to generate audio that is delivered alongtubes706,708 toearpieces712. The stethoscope can be used to provide standard acoustic information, electronic audio information, and/or ultrasound information.
• The beam forming circuitry in thesensor housing704 of the stethoscope generates a spatial representation of a region of interest that is delivered alongcable710 to a hand-held display device714 such as a personal digital assistant. The display housing714 contains a processor for generating ultrasound images as described previously herein, preferably an M-mode display or a Doppler display. The user can generate simultaneous audio and image data of the region of interest which can be stored in memory or transferred by modem alongcable720 to a separate system.
• Power can be provided by a battery within the display housing714, within thesensor housing704, or within theconnector housing702. The housing714 can include a flat panel display716 such as a liquid crystal display and a user interface718 such as a keypad or mouse control.
• Another preferred embodiment of the invention is theultrasound system800 illustrated in connection withFIGS. 39A and 39B. In this embodiment a transducer element orarray802 is secured to a patient'sskin810 with apatch805. Thepatch805 can have anadhesive border806 to secure thepatch805 to the skin of the patient. Thearray802 is connected bycable808 or wireless connection to a body wornhousing804 which can record and/or transmit the data to another receiver location. The patch can have a single transducer element, or a single or multilinear array as described previously, or can have anannular array812 as depicted in thepatch814 ofFIG. 39B. The patch can include beam forming and focusing circuitry as described previously in the present application. Power to the transducer system and associated circuitry can be provided using a battery that can be located withinhousing804.
• Another preferred embodiment of the invention relates to a flexible ultrasound probe or catheter system for insertion into body lumens or cavities. Such asystem900 is illustrated in connection withFIGS. 40A and 40B.System900 includes aflexible shaft902 having aproximal end905 connected tohousing904 and adistal end907. Processing circuitry as described previously is located withinhousing904.Housing904 is connected to auser interface906 and adisplay908 withcable910. Thedistal end907 of the probe shaft includes adistal section912 in which the transducer array918 and a chip carrier or circuit board assembly916 are located. The chip carrier916 is connected to acable920 that delivers control signals to the pulse synchronizer, driver circuits, and beam forming and focusing circuits as described previously in the application and delivers the summed electrical representation of the region of interest to the processing circuitry in thehousing904. Theouter wall922 of the shaft is sealed to isolate internal components from the working environment. The transducer array can be radially directed, or alternatively, can be distally directed along the catheter axis. Alumen914 can be optionally included to provide for use with a fiber optic viewing system, a guidewire, or other treatment or surgical instruments.
• While this invention has been particularly shown and described with references to preferred embodiments thereof, it will be understood by those skilled in the art that various changes in form and details may be made therein without departing from the spirit and scope of the invention as defined by the appended claims.

Claims (24)

What is claimed is:

1. A method of ultrasound imaging comprising:

providing a hand-held probe housing having a transducer array, and interface unit connected to the probe housing and a personal computer connected to the interface unit;

receiving ultrasound signals with the transducer array from a region of interest and generating a continuous time input signal;

sampling the continuous time input signal and generating discrete time sampled signals;

delaying the discrete time sampled signals with a beamformer circuit;

generating an electronic representation of the region of interest with the delayed discrete time sampled signals; and

forwarding the electronic representation from the interface unit to the personal computer.

2. The method ofclaim 1 wherein the sampling step further comprises generating analog discrete time sampled signals.

3. The method ofclaim 1 wherein the hand-held housing is selected from the group comprising a linear array probe, a curved array probe, and a phased array probe.

4. The method ofclaim 1 further comprising providing an interface circuit having a digital signal processor.

5. The method ofclaim 1 further comprising providing a cable between the interface unit and personal computer and sending real-time data along the cable.

6. The method ofclaim 1 wherein the delaying step further comprises providing a charge coupled device (CCD) beamformer circuit.

7. The method ofclaim 5 wherein the step of sending real-time data further comprises sending digital data along the cable.

8. The method ofclaim 1 wherein the step of providing a personal computer further comprises providing a portable computer with a liquid crystal display.

9. The method ofclaim 1 wherein the step of providing a personal computer further comprises providing a laptop computer.

10. The method ofclaim 1 wherein the step of providing a personal computer further comprises providing a handheld computer.

11. The method ofclaim 5 further comprising filtering the real-time data with a filter.

12. The method ofclaim 5 further comprising demodulating the real-time data.

13. The method ofclaim 1 further comprising transmitting beamformer circuit control signals from the interface to the probe housing.

14. The method ofclaim 1 further comprising providing a wireless connection between the interface and a computer.

15. The method ofclaim 1 wherein the providing step further comprises providing a two dimensional transducer array.

16. The method ofclaim 5 further comprising a modem connected to the computer.

17. The method ofclaim 5 wherein the providing step further comprises providing a probe housing, an interface, a computer and a cable having a weight of ten pounds or less.

18. The method ofclaim 1 further comprising providing a computer housing and a cable connecting the interface to the computer housing.

19. The method ofclaim 18 further comprising providing a battery and scan conversion circuitry within the computer.

20. The method ofclaim 1 wherein the generating step further comprises generating a plurality of images of the region of interest and selecting one of the images on a display.

21. The method ofclaim 20 further comprising storing the selected image in an electronic memory.

22. The method ofclaim 20 wherein the generating step further comprises generating a real time series of images of the region of interest on a display, and freezing an image on the display, or alternatively, alter the image as a function of depth in the region of interest.

23. The method ofclaim 1 further comprising providing a window operating system on the personal computer.

24. The method ofclaim 1 further comprising a display connected to the personal computer and a graphical used interface.

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