US20070167821A1 - Rotatable transducer array for volumetric ultrasound - Google Patents

Rotatable transducer array for volumetric ultrasound Download PDF

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Publication number
US20070167821A1
US20070167821A1 US11/289,926 US28992605A US2007167821A1 US 20070167821 A1 US20070167821 A1 US 20070167821A1 US 28992605 A US28992605 A US 28992605A US 2007167821 A1 US2007167821 A1 US 2007167821A1
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United States
Prior art keywords
transducer array
transducer
rotating
assembly
catheter
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Abandoned
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US11/289,926
Inventor
Warren Lee
Douglas Wildes
Abdulrahman Al-Khalidy
Weston Griffin
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General Electric Co
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General Electric Co
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Filing date
Publication date
Application filed by General Electric Co filed Critical General Electric Co
Priority to US11/289,926 priority Critical patent/US20070167821A1/en
Priority to US11/330,378 priority patent/US20070167826A1/en
Priority to US11/330,377 priority patent/US20070167825A1/en
Priority to US11/329,815 priority patent/US20070167824A1/en
Assigned to GENERAL ELECTRIC COMPANY reassignment GENERAL ELECTRIC COMPANY ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: AL-KHALIDY, ABDULRAHMAN ABDALLAH, GRIFFIN, WESTON BLAINE, LEE, WARREN, WILDES, DOUGLAS GLENN
Priority to NL1032968A priority patent/NL1032968C2/en
Priority to DE102006056993A priority patent/DE102006056993A1/en
Priority to JP2006324048A priority patent/JP5073276B2/en
Priority to US11/624,344 priority patent/US8727993B2/en
Publication of US20070167821A1 publication Critical patent/US20070167821A1/en
Abandoned legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/44Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
    • A61B8/4444Constructional features of the ultrasonic, sonic or infrasonic diagnostic device related to the probe
    • A61B8/4461Features of the scanning mechanism, e.g. for moving the transducer within the housing of the probe
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/12Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/44Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
    • A61B8/4444Constructional features of the ultrasonic, sonic or infrasonic diagnostic device related to the probe
    • A61B8/445Details of catheter construction
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/44Constructional features of the ultrasonic, sonic or infrasonic diagnostic device
    • A61B8/4483Constructional features of the ultrasonic, sonic or infrasonic diagnostic device characterised by features of the ultrasound transducer
    • A61B8/4488Constructional features of the ultrasonic, sonic or infrasonic diagnostic device characterised by features of the ultrasound transducer the transducer being a phased array
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/48Diagnostic techniques
    • A61B8/483Diagnostic techniques involving the acquisition of a 3D volume of data

Definitions

  • the invention relates generally to a rotating transducer array system, and more particularly to a rotatable transducer array assembly for use in volumetric ultrasound imaging and catheter-guided treatment such as cardiac interventional procedures.
  • Intracardiac echocardiography has recently gained interest as a potential method to visualize interventional devices as well as cardiac anatomy in real-time.
  • Current commercially available catheter-based intracardiac probes used for clinical ultrasound B-scan imaging have limitations associated with the monoplanar nature of the B-scan images.
  • Real-time three-dimensional (RT3D) imaging may overcome these limitations.
  • Existing one-dimensional (1D) catheter transducers have been used to make 3D ICE images by rotating the entire catheter, but the resulting images are not real-time.
  • RT3D ICE catheters use a two-dimensional (2D) array transducer to steer and focus the ultrasound beam over a pyramidal-shaped volume.
  • 2D array transducers require prohibitively large numbers of interconnections in order to adequately sample the acoustic aperture space to achieve sufficient spatial resolution and image quality.
  • other challenges exist with 2D arrays such as low sensitivity due to the small element size, and increases in system cost and complexity.
  • 2D arrays have fewer elements than desirable as well as small apertures thereby contributing to poor resolution and contrast and ultimately poor image quality.
  • a rotating transducer assembly for use in volumetric ultrasound imaging and catheter-guided procedures.
  • the rotating transducer assembly comprises a transducer array mounted on a drive shaft, a motion controller coupled to the transducer array and the drive shaft for rotating the transducer, and at least one interconnect assembly coupled to the transducer for transmitting signals between the transducer and an imaging device, wherein the interconnection assembly is configured to reduce its respective torque load on the transducer and motion controller due to a rotating motion of the transducer.
  • a method for volumetric imaging and catheter-guided procedures comprises obtaining imaging data for at least one region of interest using an imaging catheter and displaying the imaging data for use in at least one of imaging and treatment of a selected region of interest.
  • the imaging catheter comprises a transducer array mounted on a drive shaft, the transducer array rotatable with the drive shaft, a motion controller coupled to the transducer array and the drive shaft for rotating the transducer, and at least one interconnect assembly coupled to the transducer for transmitting signals between the transducer and an imaging device, wherein the interconnection assembly is configured to reduce its respective torque load on the transducer and motion controller due to a rotating motion of the transducer.
  • FIG. 1 is a block diagram of an exemplary ultrasound imaging and therapy system, in accordance with aspects of the present technique
  • FIG. 2 is a side and internal view of an exemplary embodiment of a rotating transducer array assembly for use in the imaging system of FIG. 1 ;
  • FIG. 3 is an illustration of components of a rotating transducer array that are applicable to embodiments of the present invention.
  • FIG. 4 is another illustration of a catheter for use in the imaging system of FIG. 1 ;
  • FIG. 5 is an illustration of an interconnect assembly to which embodiments of the present invention are applicable.
  • FIG. 6 is an illustration of an interconnect assembly to which embodiments of the present invention are applicable.
  • FIG. 7 is an illustration of an interconnect assembly to which embodiments of the present invention are applicable.
  • FIG. 8 is an illustration of an alternative embodiment of a motion controller to which embodiments of the present invention are applicable.
  • FIG. 9 is an illustration of an alternative embodiment of a motion controller to which embodiments of the present invention are applicable.
  • FIG. 10 is an illustration of an alternative embodiment of a motion controller to which embodiments of the present invention are applicable.
  • FIG. 11 is an illustration of an alternative embodiment of a motion controller to which embodiments of the present invention are applicable.
  • FIG. 12 is an illustration of an alternative embodiment of a motion controller to which embodiments of the present invention are applicable.
  • FIG. 13 is an illustration of an alternative embodiment of a motion controller to which embodiments of the present invention are applicable.
  • FIG. 14 is an illustration of an alternative embodiment of a motion controller to which embodiments of the present invention are applicable.
  • FIG. 15 is an illustration of an alternative embodiment of a motion controller to which embodiments of the present invention are applicable.
  • FIG. 16 is an illustration of an alternative embodiment of a motion controller to which embodiments of the present invention are applicable.
  • a rotating transducer array assembly in accordance with exemplary aspects of the present technique is presented. Based on image data acquired by the rotating transducer array via an imaging and therapy catheter, diagnostic information and/or the need for therapy in an anatomical region may be obtained.
  • the aforementioned limitations are overcome by using a mechanically rotating, one-dimensional transducer array that sweeps out a three-dimensional volume.
  • the elements of the transducer array are electronically phased in order to acquire a sector image parallel to the long axis of the catheter, and the array is mechanically rotated around the catheter axis in order to acquire the three-dimensional volume through assembly of two-dimensional images.
  • This method results in a spatial resolution and contrast resolution far superior to what may be achieved using a two-dimensional array transducer and current interconnection technology.
  • problems associated with 2D arrays such as sensitivity and system cost and complexity are avoided using this method. It is to be appreciated that transducer arrays other than 1D arrays may be used, but then complexity is added
  • FIG. 1 is a block diagram of an exemplary system 10 for use in imaging and providing therapy to one or more regions of interest in accordance with aspects of the present technique.
  • the system 10 may be configured to acquire image data from a patient 12 via a catheter 14 .
  • catheter is broadly used to include conventional catheters, endoscopes, laparoscopes, transducers, probes or devices adapted for imaging as well as adapted for applying therapy.
  • imaging is broadly used to include two-dimensional imaging, three-dimensional imaging, or preferably, real-time three-dimensional imaging.
  • Reference numeral 16 is representative of a portion of the catheter 14 disposed inside the body of the patient 12 .
  • an imaging orientation of the imaging and therapy catheter 14 may include a forward viewing catheter or a side viewing catheter. However, a combination of forward viewing and side viewing catheters may also be employed as the catheter 14 .
  • Catheter 14 may include a real-time imaging and therapy transducer (not shown).
  • the imaging and therapy transducer may include integrated imaging and therapy components. Alternatively, the imaging and therapy transducer may include separate imaging and therapy components.
  • the transducer in an exemplary embodiment is a one-dimensional (1D) transducer array and will be described further with reference to FIG. 2 . It should be noted that although the embodiments illustrated are described in the context of a catheter-based transducer, other types of transducers such as transesophageal transducers or transthoracic transducers are also contemplated.
  • the catheter 14 may be configured to image an anatomical region to facilitate assessing need for therapy in one or more regions of interest within the anatomical region of the patient 12 being imaged. Additionally, the catheter 14 may also be configured to deliver therapy to the identified one or more regions of interest.
  • “therapy” is representative of ablation, percutaneous ethanol injection (PEI), cryotherapy, and laser-induced thermotherapy. Additionally, “therapy” may also include delivery of tools, such as needles for delivering gene therapy, for example. Additionally, as used herein, “delivering” may include various means of guiding and/or providing therapy to the one or more regions of interest, such as conveying therapy to the one or more regions of interest or directing therapy towards the one or more regions of interest.
  • the delivery of therapy may necessitate physical contact with the one or more regions of interest requiring therapy.
  • the delivery of therapy such as high intensity focused ultrasound (HIFU) energy, may not require physical contact with the one or more regions of interest requiring therapy.
  • HIFU high intensity focused ultrasound
  • the system 10 may also include a medical imaging system 18 that is in operative association with the catheter 14 and configured to image one or more regions of interest.
  • the imaging system 10 may also be configured to provide feedback for therapy delivered by the catheter or separate therapy device (not shown).
  • the medical imaging system 18 may be configured to provide control signals to the catheter 14 to excite a therapy component of the imaging and therapy transducer and deliver therapy to the one or more regions of interest.
  • the medical imaging system 18 may be configured to acquire image data representative of the anatomical region of the patient 12 via the catheter 14 .
  • adapted to”, “configured” and the like refer to mechanical, electrical or structural connections between elements to allow the elements to cooperate to provide a described effect; these terms also refer to operation capabilities of electrical elements such as analog or digital computers or application specific devices (such as an application specific integrated circuit (ASIC)) that are programmed to perform a sequel to provide an output in response to given input signals.
  • ASIC application specific integrated circuit
  • the imaging system 18 may include a display area 20 and a user interface area 22 .
  • the display area 20 and the user interface area 22 may overlap.
  • the display area 20 and the user interface area 22 may include a common area.
  • the display area 20 of the medical imaging system 18 may be configured to display an image generated by the medical imaging system 18 based on the image data acquired via the catheter 14 .
  • the display area 20 may be configured to aid the user in defining and visualizing a user-defined therapy pathway. It should be noted that the display area 20 may include a three-dimensional display area.
  • the three-dimensional display may be configured to aid in identifying and visualizing three-dimensional shapes.
  • the display area 20 and respective controls could be remote from the patient, for example a control station and a boom display disposed over the patient and/or a control station and display in a separate room, e.g. the control area for an EP suite or catheterization lab.
  • the user interface area 22 of the medical imaging system 18 may include a human interface device (not shown) configured to facilitate the identification of one or more regions of interest for delivering therapy using the image of the anatomical region displayed on the display area 20 .
  • the human interface device may include a mouse-type device, a trackball, a joystick, a stylus, or a touch screen configured to assist the user to identify the one or more regions of interest requiring therapy for display on the display area 20 .
  • the system 10 may include an optional catheter positioning system 24 configured to reposition the catheter 14 within the patient 12 in response to input from the user.
  • the system 10 may also include an optional feedback system 26 that is in operative association with the catheter positioning system 24 and the medical imaging system 18 .
  • the feedback system 26 may be configured to facilitate communication between the catheter positioning system 24 and the medical imaging system 18 .
  • FIG. 2 is an illustration of an exemplary embodiment of a rotating transducer array assembly 100 for use in the imaging system of FIG. 1 .
  • the transducer array assembly 100 comprises a transducer array 110 , a micromotor 120 , which may be internal or external to the space-critical environment, a drive shaft 130 or other mechanical connections between motor controller 140 and the transducer array 110 .
  • the assembly further includes interconnect 150 , which will be described in greater detail with reference to FIG. 3 .
  • the assembly 100 further includes a catheter housing 160 for enclosing the transducer array 110 , micromotor 120 , interconnect 150 and drive shaft 130 .
  • the transducer array 110 is mounted on drive shaft 130 and the transducer array 110 is rotatable with the drive shaft 130 .
  • the rotation motion of the transducer array 110 is controlled by motor controller 140 and micromotor 120 .
  • Motor controller 140 and micromotor 120 control the motion of transducer array 100 for rotating the transducer.
  • the micromotor is placed in proximity to the transducer array for rotating the transducer and drive shaft and the motor controller is used to control and send signals to the micromotor 120 .
  • Interconnect 150 refers to, for example, cables and other connections coupled between the transducer array 110 and the imaging system shown in FIG. 1 for use in receiving/transmitting signals between the transducer and the imaging system.
  • interconnect 150 is configured to reduce its respective torque load on the transducer and motion controller due to a rotating motion of the transducer which will be described in greater detail with reference to FIG.
  • Catheter housing 160 is of a material, size and shape adaptable for internal imaging applications and insertion into regions of interest.
  • the catheter further includes a fluid-filled acoustic window 170 shown in FIG. 4 .
  • Fluid-filled acoustic window 170 is provided to allow coupling of acoustic energy from the rotating transducer array to the region or medium of interest.
  • catheter housing 160 is acoustically transparent, e.g. low attenuation and scattering, acoustic impedance near that of blood and tissue (Z ⁇ 1.5M Rayl) in the acoustic window region.
  • the space between the transducer and the housing is filled with an acoustic coupling fluid, e.g., water, with acoustic impedance and sound velocity near those of blood and tissue (Z ⁇ 1.5 M Rayl, V ⁇ 1540 m/sec).
  • an acoustic coupling fluid e.g., water
  • the motor controller is external to the catheter housing as shown in FIG. 2 .
  • the motor controller is internal to the cathether housing.
  • Micromotor and motor controller dimensions are selected to be compatible with the desired application, for example to fit within the catheter for a particular intracavity or intravascular clinical application.
  • the catheter housing and components contained therein may be in the range of about 1 mm to about 4 mm in diameter.
  • most catheters include a disposable and non-disposable component if there is an opportunity to re-use a portion of the catheter.
  • Motion controller and/or motor may be enclosed in the disposable or non-disposable portion of the probe in embodiments.
  • transducer array 110 is a 64-element 1D array having .110 mm azimuth pitch, 2.5 mm elevation and 6.5 MHz frequency.
  • a cylindrical transducer assembly 210 is adapted to fit and rotate effectively within a cylinder of about 2.8 mm inner diameter which would be an appropriate inner dimension of catheter housing 160 (shown in FIG. 2 ) for intracardiac applications such as ICE.
  • Interconnect 150 is coupled to the transducer 110 and comprises the necessary cables and conductors for transmitting image information between the transducer 110 and imaging system 18 ( FIG. 1 ).
  • the terms “cables” and “conductors” are used interchangeably to refer to the cables and conductor assemblies within the catheter.
  • the catheter may include one or more wires 114 that may be used at the insertion end of the catheter and pass by the transducer 110 to the tip of the cathether and these wires 114 may be used for, including but not limited to motor control power, position sensing, thermistors, catheter position sensors (e.g. electromagnetic coils), transducer rotation sensors (optical or magnetic encoder), EP sensor or ablation electrodes, and so forth.
  • catheter position sensors e.g. electromagnetic coils
  • transducer rotation sensors optical or magnetic encoder
  • EP sensor or ablation electrodes e.g. EP sensor or ablation electrodes
  • the length of the flexible region 116 is desirably selected such that during rotation or oscillation of transducer 110 the conductors 180 exert torque that will not interfere or hamper rotation of the transducer, drive shaft or motor.
  • the term “rotate” will refer to oscillatory or rotary motion or movement between a selected +/ ⁇ degrees of angular range. Oscillatory or rotary motion includes but is not limited to full or partial motion in a clock-wise or counter-clockwise direction or motion between a positive and negative range of angular degrees. Further embodiments for interconnect 150 will be described with reference to FIG. 5-7 .
  • transducer array 110 is a one-dimensional (1D) transducer array.
  • Rotation of a 1D transducer array provides improved three-dimensional (3D) image resolution for the following reasons: the ultrasound beam profile and image resolution depend on the active aperture size; relative to 2D arrays, the active aperture for a 1D array is not as restricted by available system channels, nor by interconnect requirements.
  • Using a 1D transducer array in the rotating configuration enables generation of high-quality real-time three-dimensional ultrasound images.
  • limitations associated with the monoplanar nature of the current commercially available ICE catheters are overcome, and the guidance of cardiac interventional procedures may be substantially simplified.
  • interconnect 150 is further illustrated.
  • the signal and ground electrical connections from the transducer array through a catheter to the imaging system may be implemented with either 1) flex circuits, 2) coax cables (one coax per signal), or 3) ribbon cable (e.g., Gore microFlat).
  • the bundle of electrical connections can be quite stiff in torsion and will create a substantial spring or drag force opposing rotation of the transducer array.
  • interconnect 150 is configured to reduce the torque or drag force exerted by the interconnect against the rotation of the transducer and/or drive shaft. Referring to FIG. 5 , in one embodiment, a section of the interconnect (conductors 180 ) is coiled to reduce torque.
  • a region of conductors near the transducer may be de-ribbonized (use, e.g. a laser, to remove any common substrate, ground plane, or other connection between adjacent conducers; perhaps reduce the dielectric or shield layers around individual conductors or coaxes) to create a loose group of conductors 190 .
  • this group of loose conductors 190 should be left slack, not taut, to further facilitate movement of the conductors relative to each other and rotation of the transducer array 110 .
  • a section of conductors 200 and 202 adjacent to the loose section 190 may be left ribbonized as a ribbonized section, to facilitate termination of the conductors on ribbonized section 202 to the transducer 110 or to the transducer flex circuit(s) and the conductors on ribbonized section 200 to a non-rotating cable through the catheter.
  • the majority of the length of the conductors in the catheter, beyond the loose section, may be ribbonized, for ease of assembly, or may be loose insulated wires, for maximum flexibility of the catheter, or the conductors may be coaxial conductors for control of impedance and crosstalk.
  • the conductors may be coaxial conductors for control of impedance and crosstalk.
  • a rotating section 202 of conductors terminated at the transducer array 110 may be constructed or modified to ease the torque requirements necessary for rotation.
  • the rotational stiffness may be reduced by cutting slits 230 into the ribbon or flex circuit and by making this section of the interconnect thinner relative to the non-rotating section 200 coupled to the cable end of the catheter.
  • the substrate on which the conductors lie may be thinned or removed in the rotating section of the interconnect 150 .
  • the ground planes may be thinned or removed in the rotating section. It is to be appreciated that combinations of the techniques described above may be used to reduce the torque requirements of the interconnect 150 under rotating conditions.
  • an alternative embodiment for a rotating transducer array assembly comprises an external motor 320 used to rotate the drive shaft 130 and an external motor controller 330 for driving motor 320 .
  • a rotary encoder or position sensor 340 provides feedback to compensate for any wind-up in the drive shaft.
  • the drive shaft 130 would desirably be made of torsionally rigid material, e.g. steel wire, to minimize wind-up or twisting of the drive shaft due to torque applied by the motor and friction of components rotating within the catheter and to further enable effective rotation of the transducer.
  • the motion controller converts internal or external linear motion to oscillatory rotary motion of the transducer array instead of using the micromotor 120 and motor controller 140 of FIG. 2 . Similar components common to FIG. 2 and subsequent figures will have the same reference numbers.
  • an embodiment for the motion controller comprises an actuator 400 , which can be internal or external to the catheter, used to effect oscillation and/or rotation of the transducer array.
  • the actuator 400 creates a linear motion of the drive shaft 130 which is converted to an oscillatory rotary motion.
  • a sleeve 410 is slidable over transducer cylinder 210 which encloses transducer array 110 .
  • the sleeve 410 includes small pins 420 which engage in spiral guide tracks 430 . In operation, as the sleeve 420 moves along the length of the cylinder/encapsulation, the cylinder/encapsulation rotates a given amount determined by the spiral guide tracks 430 .
  • the reciprocating linear motion of the sleeve creates an oscillatory motion of the cylinder/encapsulation housing the transducer array 110 , allowing the transducer array to rotate and acquire a 3D pyramidal volume.
  • the linear motion part that engages the spiral guide track 430 may be partially constrained for one degree of freedom along the axis of the catheter.
  • a rotary encoder or position sensor 340 may provide feedback to compensate for flexibilities in the system, e.g. the drive shaft, linear-rotary converter, and the like.
  • FIG. 10 another exemplary embodiment for the motion controller comprises an actuator, either external or internal (not shown), for driving a cable 440 for effecting rotation of transducer array 110 .
  • Cable 440 is a beaded or studded cable including beads 450 placed along the length of cable 440 to engage in spiral guide track 430 .
  • the cylinder 210 rotates 90 degrees.
  • another bead 450 engages the spiral guide track on the opposite side of the cylinder (shown by dashed lines) and causes the cylinder to rotate 90 degrees in the opposite direction.
  • the cylinder 210 containing the transducer array 110 oscillates 90 degrees total or +/ ⁇ 45 degrees.
  • the oscillation described herein is for exemplary purposes. It is to be appreciated that other angles may be used to effect oscillation in the manners described in this embodiment.
  • a rotary encoder or position sensor (not shown) such as one described with reference to FIG. 9 may be included to provide feedback to compensate for flexibilities and errors in the system.
  • Alternative embodiments are also contemplated. For example, in another embodiment, only two beads are needed and spaced to allow motion of cable the full length of cylinder 210 .
  • the cable is driven in the opposite direction and pulled back, thereby allowing the cylinder housing containing the transducer array to oscillate +/ ⁇ 90 degrees.
  • a variety of angular ranges could be used.
  • various alternative embodiments for motion control comprise cable and pulley systems for effecting oscillatory rotary motion of the transducer array.
  • cables 440 engage with drive pulley 460 .
  • An actuator (not shown) drives a cable and pulley 460 in a fixed direction with a continuous motion.
  • Attached to the drive pulley 460 which is rotating, is an extension or flapper 470 which impacts a catch 480 attached to the transducer array 110 once per revolution.
  • the flapper 470 forces the rotation of the array cylinder 210 along the long axis.
  • the cylinder 210 returns to a nominal position with the aid of a torsion spring 490 and the velocity is limited by a rotary vane damper 500 .
  • the cylinder 210 containing the transducer array 110 will undergo an oscillatory motion.
  • the transducer array 110 will oscillate such that the acquisition of a 3D pyramidal volume can be obtained.
  • the torsion spring 490 and rotary vane damper 500 may be adjusted for appropriate timing of the motion of the cylinder 210 .
  • a rotary encoder or position sensor may also be used in further embodiments to provide feedback to compensate for flexibilities and errors in the system.
  • the cylinder 210 further comprises a gear interface 510 to engage with a gear portion of drive pulley 460 .
  • the pulley 460 and cylinder housing 210 are connected using a bevel gear interface or approximation thereof.
  • pulley 460 and cylinder 210 are connected using a bevel gear interface and pulley 460 further comprises two different gear sections, one on an upper section of pulley 460 and one on a lower section, such that the gear sections of the pulley alternately interface with the cylinder housing and drive motion in a fixed direction.
  • the drive and pulley motion effects rotation of the transducer array 110 in order to acquire a 3D pyramidal imaging volume.
  • FIG. 14A a side view shows one or more actuators 600 are attached to each side of the transducer array 110 at a first end and fixed to the catheter tube at the other end.
  • Actuator control lines 610 are used to control activation of the actuator.
  • the actuators on either side of the array are alternatively activated, which causes the array to oscillate about pivot point 620 .
  • Actuators 600 may include electroactive polymers.
  • a rotary encoder 340 may provide positional information as has been described in previous embodiments.
  • FIG. 14B -D are end views of this embodiment in operation to effect rotation of transducer 110 . In FIG.
  • a first actuator A is fully activated and actuator B is fully deactivated.
  • actuator A is partially activated and actuator B is partially activated.
  • actuator A is fully deactivated and actuator B is fully activated.
  • one actuator 600 is provided and attached to the transducer array 110 at one end and a spring 630 is attached at the other end and to the catheter cylinder 210 . Movement of the actuator extends or contracts the spring as shown in FIG. 15A -C to effect rotation of transducer array 110 .
  • the actuator and/or spring may also be torsional, as well as linear.
  • a further embodiment for motion control is provided.
  • two bladders 640 are in contact with the transducer array 110 .
  • the bladders may be filled with a gas or liquid.
  • the inflation and deflation of the bladders is controlled in such a way as to oscillate the transducer 110 about pivot point 620 . In this manner, a 3D volume may be acquired.
  • a miniature transducer array with elements along an azimuth dimension (long axis of catheter), preferably capable of operating at high frequencies for improved resolution is coupled to a mechanical system that rotates the array along its elevation dimension.
  • the ultrasound beam is electronically scanned in the azimuth dimension, creating a two-dimensional image, and mechanically scanned in the elevation dimension.
  • the two-dimensional images may then be assembled into a full three-dimensional volume by the ultrasound system.
  • the transducer may take on a variety of shapes, including (but not limited to): (1) linear sector phased arrays which would result in two-dimensional image in the shape of a sector, and a three-dimensional volume in the shape of a pyramidal volume; (2) linear sequential arrays which would result in a two-dimensional image in the shape of a rectangle or trapezoid, and a three-dimensional volume in the shape of an angular portion of a cylinder; and, (3) multi-row arrays.
  • a motion control system is provided to accurately control the array rotation, and to enable more accurate reconstruction of 3D images from the 2D image planes.
  • the acoustic energy is coupled between the transducer array and the imaging medium (patient) through an acoustic window.
  • the acoustic window comprises a section of the catheter wall and may comprise a coupling fluid between the array and the catheter wall.
  • the catheter wall preferably has an acoustic impedance and sound velocity similar to that of the body (1.5 MRayl), to minimize reflections.
  • the coupling fluid preferably has an acoustic impedance similar to that of the body and low viscosity, to minimize drag on the array and motor.
  • Portions of the transducer array may be cylindrical in cross-section (the ends of the array; the sides and back; the entire array assembly) to keep the array centered and rotating smoothly within the catheter and/or to control the fluid flow and viscous drag between the array and the catheter wall.
  • the transducer itself may be made of a variety of materials, including, but not limited to, PZT, micromachined ultrasound transducers (MUTs), PVDF.
  • MUTs micromachined ultrasound transducers
  • PVDF micromachined ultrasound transducers
  • other components acoustic matching layers; acoustic absorber/backing; electrical interconnect; acoustic focusing lens
  • acoustic matching layers may be included in the array assembly.

Abstract

A rotating transducer assembly and method for use in volumetric ultrasound imaging and catheter-guided procedures are provided. The rotating transducer assembly comprises a transducer array mounted on a drive shaft and the transducer array is rotatable with the drive shaft, a motion controller coupled to the transducer array and the drive shaft for rotating the transducer, and at least one interconnect assembly coupled to the transducer for transmitting signals between the transducer and an imaging device, wherein the interconnection assembly is configured to reduce its respective torque load on the transducer and motion controller due to a rotating motion of the transducer.

Description

    BACKGROUND
  • The invention relates generally to a rotating transducer array system, and more particularly to a rotatable transducer array assembly for use in volumetric ultrasound imaging and catheter-guided treatment such as cardiac interventional procedures.
  • Cardiac interventional procedures such as the ablation of atrial fibrillation are complicated due to the lack of an efficient method to visualize the cardiac anatomy in real-time. Intracardiac echocardiography (ICE) has recently gained interest as a potential method to visualize interventional devices as well as cardiac anatomy in real-time. Current commercially available catheter-based intracardiac probes used for clinical ultrasound B-scan imaging have limitations associated with the monoplanar nature of the B-scan images. Real-time three-dimensional (RT3D) imaging may overcome these limitations. Existing one-dimensional (1D) catheter transducers have been used to make 3D ICE images by rotating the entire catheter, but the resulting images are not real-time. Other available RT3D ICE catheters use a two-dimensional (2D) array transducer to steer and focus the ultrasound beam over a pyramidal-shaped volume. Unfortunately, 2D array transducers require prohibitively large numbers of interconnections in order to adequately sample the acoustic aperture space to achieve sufficient spatial resolution and image quality. In addition, other challenges exist with 2D arrays, such as low sensitivity due to the small element size, and increases in system cost and complexity. Additionally, due to catheter size constraints, 2D arrays have fewer elements than desirable as well as small apertures thereby contributing to poor resolution and contrast and ultimately poor image quality.
  • The issue of acquiring three-dimensional volumes has been addressed with the advent of 2D array transducers (e.g., Philips X4 or GE 3V probes), however, their applicability to space-constrained applications such as intracardiac echocardiography is limited due to the unachievable number of signal conductors and/or beamforming electronics that are required in order to adequately sample the aperture space and generate images with sufficient resolution. Further, there are rotating single-element or annular array transducers in catheters (e.g., Boston Scientific), however images are 2D or cone images, not 3D volumes. Mechanically scanning one-dimensional transducer arrays currently exist (e.g., GE Kretz “4D” probes), but have only been applied to much larger abdominal probes, where space constraints do not exist.
  • As intracardiac interventional procedures are more commonly used, there is a need to overcome the problems described above. Further, there is a need to enable improved intracardiac imaging and interventional procedures, particularly where there are space constraints.
  • BRIEF DESCRIPTION
  • In a first aspect of the invention, a rotating transducer assembly for use in volumetric ultrasound imaging and catheter-guided procedures is provided. The rotating transducer assembly comprises a transducer array mounted on a drive shaft, a motion controller coupled to the transducer array and the drive shaft for rotating the transducer, and at least one interconnect assembly coupled to the transducer for transmitting signals between the transducer and an imaging device, wherein the interconnection assembly is configured to reduce its respective torque load on the transducer and motion controller due to a rotating motion of the transducer.
  • In a second aspect of the invention, a method for volumetric imaging and catheter-guided procedures is provided. The method comprises obtaining imaging data for at least one region of interest using an imaging catheter and displaying the imaging data for use in at least one of imaging and treatment of a selected region of interest. The imaging catheter comprises a transducer array mounted on a drive shaft, the transducer array rotatable with the drive shaft, a motion controller coupled to the transducer array and the drive shaft for rotating the transducer, and at least one interconnect assembly coupled to the transducer for transmitting signals between the transducer and an imaging device, wherein the interconnection assembly is configured to reduce its respective torque load on the transducer and motion controller due to a rotating motion of the transducer.
  • DRAWINGS
  • These and other features, aspects, and advantages of the present invention will become better understood when the following detailed description is read with reference to the accompanying drawings in which like characters represent like parts throughout the drawings, wherein:
  • FIG. 1 is a block diagram of an exemplary ultrasound imaging and therapy system, in accordance with aspects of the present technique;
  • FIG. 2 is a side and internal view of an exemplary embodiment of a rotating transducer array assembly for use in the imaging system of FIG. 1;
  • FIG. 3 is an illustration of components of a rotating transducer array that are applicable to embodiments of the present invention;
  • FIG. 4 is another illustration of a catheter for use in the imaging system of FIG. 1;
  • FIG. 5 is an illustration of an interconnect assembly to which embodiments of the present invention are applicable;
  • FIG. 6 is an illustration of an interconnect assembly to which embodiments of the present invention are applicable;
  • FIG. 7 is an illustration of an interconnect assembly to which embodiments of the present invention are applicable;
  • FIG. 8 is an illustration of an alternative embodiment of a motion controller to which embodiments of the present invention are applicable;
  • FIG. 9 is an illustration of an alternative embodiment of a motion controller to which embodiments of the present invention are applicable;
  • FIG. 10 is an illustration of an alternative embodiment of a motion controller to which embodiments of the present invention are applicable;
  • FIG. 11 is an illustration of an alternative embodiment of a motion controller to which embodiments of the present invention are applicable;
  • FIG. 12 is an illustration of an alternative embodiment of a motion controller to which embodiments of the present invention are applicable;
  • FIG. 13 is an illustration of an alternative embodiment of a motion controller to which embodiments of the present invention are applicable;
  • FIG. 14 is an illustration of an alternative embodiment of a motion controller to which embodiments of the present invention are applicable;
  • FIG. 15 is an illustration of an alternative embodiment of a motion controller to which embodiments of the present invention are applicable; and,
  • FIG. 16 is an illustration of an alternative embodiment of a motion controller to which embodiments of the present invention are applicable.
  • DETAILED DESCRIPTION
  • As will be described in detail hereinafter, a rotating transducer array assembly in accordance with exemplary aspects of the present technique is presented. Based on image data acquired by the rotating transducer array via an imaging and therapy catheter, diagnostic information and/or the need for therapy in an anatomical region may be obtained.
  • In accordance with aspects of the present invention, the aforementioned limitations are overcome by using a mechanically rotating, one-dimensional transducer array that sweeps out a three-dimensional volume. The elements of the transducer array are electronically phased in order to acquire a sector image parallel to the long axis of the catheter, and the array is mechanically rotated around the catheter axis in order to acquire the three-dimensional volume through assembly of two-dimensional images. This method results in a spatial resolution and contrast resolution far superior to what may be achieved using a two-dimensional array transducer and current interconnection technology. In addition, problems associated with 2D arrays such as sensitivity and system cost and complexity are avoided using this method. It is to be appreciated that transducer arrays other than 1D arrays may be used, but then complexity is added
  • FIG. 1 is a block diagram of an exemplary system 10 for use in imaging and providing therapy to one or more regions of interest in accordance with aspects of the present technique. The system 10 may be configured to acquire image data from a patient 12 via a catheter 14. As used herein, “catheter” is broadly used to include conventional catheters, endoscopes, laparoscopes, transducers, probes or devices adapted for imaging as well as adapted for applying therapy. Further, as used herein, “imaging” is broadly used to include two-dimensional imaging, three-dimensional imaging, or preferably, real-time three-dimensional imaging. Reference numeral 16 is representative of a portion of the catheter 14 disposed inside the body of the patient 12.
  • In certain embodiments, an imaging orientation of the imaging and therapy catheter 14 may include a forward viewing catheter or a side viewing catheter. However, a combination of forward viewing and side viewing catheters may also be employed as the catheter 14. Catheter 14 may include a real-time imaging and therapy transducer (not shown). According to aspects of the present technique, the imaging and therapy transducer may include integrated imaging and therapy components. Alternatively, the imaging and therapy transducer may include separate imaging and therapy components. The transducer in an exemplary embodiment is a one-dimensional (1D) transducer array and will be described further with reference to FIG. 2. It should be noted that although the embodiments illustrated are described in the context of a catheter-based transducer, other types of transducers such as transesophageal transducers or transthoracic transducers are also contemplated.
  • In accordance with aspects of the present technique, the catheter 14 may be configured to image an anatomical region to facilitate assessing need for therapy in one or more regions of interest within the anatomical region of the patient 12 being imaged. Additionally, the catheter 14 may also be configured to deliver therapy to the identified one or more regions of interest. As used herein, “therapy” is representative of ablation, percutaneous ethanol injection (PEI), cryotherapy, and laser-induced thermotherapy. Additionally, “therapy” may also include delivery of tools, such as needles for delivering gene therapy, for example. Additionally, as used herein, “delivering” may include various means of guiding and/or providing therapy to the one or more regions of interest, such as conveying therapy to the one or more regions of interest or directing therapy towards the one or more regions of interest. As will be appreciated, in certain embodiments the delivery of therapy, such as RF ablation, may necessitate physical contact with the one or more regions of interest requiring therapy. However, in certain other embodiments, the delivery of therapy, such as high intensity focused ultrasound (HIFU) energy, may not require physical contact with the one or more regions of interest requiring therapy.
  • The system 10 may also include a medical imaging system 18 that is in operative association with the catheter 14 and configured to image one or more regions of interest. The imaging system 10 may also be configured to provide feedback for therapy delivered by the catheter or separate therapy device (not shown). Accordingly, in one embodiment, the medical imaging system 18 may be configured to provide control signals to the catheter 14 to excite a therapy component of the imaging and therapy transducer and deliver therapy to the one or more regions of interest. In addition, the medical imaging system 18 may be configured to acquire image data representative of the anatomical region of the patient 12 via the catheter 14. As used herein, “adapted to”, “configured” and the like refer to mechanical, electrical or structural connections between elements to allow the elements to cooperate to provide a described effect; these terms also refer to operation capabilities of electrical elements such as analog or digital computers or application specific devices (such as an application specific integrated circuit (ASIC)) that are programmed to perform a sequel to provide an output in response to given input signals.
  • As illustrated in FIG. 1, the imaging system 18 may include a display area 20 and a user interface area 22. However, in certain embodiments, such as in a touch screen, the display area 20 and the user interface area 22 may overlap. Also, in some embodiments, the display area 20 and the user interface area 22 may include a common area. In accordance with aspects of the present technique, the display area 20 of the medical imaging system 18 may be configured to display an image generated by the medical imaging system 18 based on the image data acquired via the catheter 14. Additionally, the display area 20 may be configured to aid the user in defining and visualizing a user-defined therapy pathway. It should be noted that the display area 20 may include a three-dimensional display area. In one embodiment, the three-dimensional display may be configured to aid in identifying and visualizing three-dimensional shapes. It should be noted that the display area 20 and respective controls could be remote from the patient, for example a control station and a boom display disposed over the patient and/or a control station and display in a separate room, e.g. the control area for an EP suite or catheterization lab.
  • Further, the user interface area 22 of the medical imaging system 18 may include a human interface device (not shown) configured to facilitate the identification of one or more regions of interest for delivering therapy using the image of the anatomical region displayed on the display area 20. The human interface device may include a mouse-type device, a trackball, a joystick, a stylus, or a touch screen configured to assist the user to identify the one or more regions of interest requiring therapy for display on the display area 20.
  • As depicted in FIG. 1, the system 10 may include an optional catheter positioning system 24 configured to reposition the catheter 14 within the patient 12 in response to input from the user. Moreover, the system 10 may also include an optional feedback system 26 that is in operative association with the catheter positioning system 24 and the medical imaging system 18. The feedback system 26 may be configured to facilitate communication between the catheter positioning system 24 and the medical imaging system 18.
  • FIG. 2 is an illustration of an exemplary embodiment of a rotating transducer array assembly 100 for use in the imaging system of FIG. 1. As shown, the transducer array assembly 100 comprises a transducer array 110, a micromotor 120, which may be internal or external to the space-critical environment, a drive shaft 130 or other mechanical connections between motor controller 140 and the transducer array 110. The assembly further includes interconnect 150, which will be described in greater detail with reference to FIG. 3. The assembly 100 further includes a catheter housing 160 for enclosing the transducer array 110, micromotor 120, interconnect 150 and drive shaft 130. In this embodiment, the transducer array 110 is mounted on drive shaft 130 and the transducer array 110 is rotatable with the drive shaft 130. Further in this embodiment, the rotation motion of the transducer array 110 is controlled by motor controller 140 and micromotor 120. Motor controller 140 and micromotor 120 control the motion of transducer array 100 for rotating the transducer. In an embodiment, the micromotor is placed in proximity to the transducer array for rotating the transducer and drive shaft and the motor controller is used to control and send signals to the micromotor 120. Interconnect 150 refers to, for example, cables and other connections coupled between the transducer array 110 and the imaging system shown in FIG. 1 for use in receiving/transmitting signals between the transducer and the imaging system. In an embodiment, interconnect 150 is configured to reduce its respective torque load on the transducer and motion controller due to a rotating motion of the transducer which will be described in greater detail with reference to FIG. 3 below. Catheter housing 160 is of a material, size and shape adaptable for internal imaging applications and insertion into regions of interest. The catheter further includes a fluid-filled acoustic window 170 shown in FIG. 4. Fluid-filled acoustic window 170 is provided to allow coupling of acoustic energy from the rotating transducer array to the region or medium of interest. In embodiments, catheter housing 160 is acoustically transparent, e.g. low attenuation and scattering, acoustic impedance near that of blood and tissue (Z˜1.5M Rayl) in the acoustic window region. Further, in embodiments, the space between the transducer and the housing is filled with an acoustic coupling fluid, e.g., water, with acoustic impedance and sound velocity near those of blood and tissue (Z˜1.5 M Rayl, V˜1540 m/sec).
  • In an embodiment, the motor controller is external to the catheter housing as shown in FIG. 2. In another embodiment, the motor controller is internal to the cathether housing. It is to be appreciated that as micromotors and motor controllers are becoming available in miniaturized configurations that may be applicable to embodiments of the present invention. Micromotor and motor controller dimensions are selected to be compatible with the desired application, for example to fit within the catheter for a particular intracavity or intravascular clinical application. For example, in ICE applications, the catheter housing and components contained therein may be in the range of about 1 mm to about 4 mm in diameter. As is well-known, most catheters include a disposable and non-disposable component if there is an opportunity to re-use a portion of the catheter. Motion controller and/or motor may be enclosed in the disposable or non-disposable portion of the probe in embodiments.
  • Referring to FIG. 3, an internal view of the catheter assembly 14 of FIG. 1 is illustrated showing the internal components and arrangement of transducer 110 and interconnect 150. In an exemplary embodiment, transducer array 110 is a 64-element 1D array having .110 mm azimuth pitch, 2.5 mm elevation and 6.5 MHz frequency. A cylindrical transducer assembly 210 is adapted to fit and rotate effectively within a cylinder of about 2.8 mm inner diameter which would be an appropriate inner dimension of catheter housing 160 (shown in FIG. 2) for intracardiac applications such as ICE. Interconnect 150 is coupled to the transducer 110 and comprises the necessary cables and conductors for transmitting image information between the transducer 110 and imaging system 18 (FIG. 1). As used herein, the terms “cables” and “conductors” are used interchangeably to refer to the cables and conductor assemblies within the catheter. Additionally, the catheter may include one or more wires 114 that may be used at the insertion end of the catheter and pass by the transducer 110 to the tip of the cathether and these wires 114 may be used for, including but not limited to motor control power, position sensing, thermistors, catheter position sensors (e.g. electromagnetic coils), transducer rotation sensors (optical or magnetic encoder), EP sensor or ablation electrodes, and so forth. Further in this embodiment, within the catheter 14 of FIG. 1, there is a flexible region 116 of the interconnect 150. The length of the flexible region 116 is desirably selected such that during rotation or oscillation of transducer 110 the conductors 180 exert torque that will not interfere or hamper rotation of the transducer, drive shaft or motor. As used herein, the term “rotate” will refer to oscillatory or rotary motion or movement between a selected +/− degrees of angular range. Oscillatory or rotary motion includes but is not limited to full or partial motion in a clock-wise or counter-clockwise direction or motion between a positive and negative range of angular degrees. Further embodiments for interconnect 150 will be described with reference to FIG. 5-7.
  • In an embodiment, transducer array 110 is a one-dimensional (1D) transducer array. Rotation of a 1D transducer array provides improved three-dimensional (3D) image resolution for the following reasons: the ultrasound beam profile and image resolution depend on the active aperture size; relative to 2D arrays, the active aperture for a 1D array is not as restricted by available system channels, nor by interconnect requirements. Using a 1D transducer array in the rotating configuration enables generation of high-quality real-time three-dimensional ultrasound images. Thus, limitations associated with the monoplanar nature of the current commercially available ICE catheters are overcome, and the guidance of cardiac interventional procedures may be substantially simplified.
  • Referring to FIG. 5-7, embodiments for interconnect 150 are further illustrated. The signal and ground electrical connections from the transducer array through a catheter to the imaging system may be implemented with either 1) flex circuits, 2) coax cables (one coax per signal), or 3) ribbon cable (e.g., Gore microFlat). The bundle of electrical connections can be quite stiff in torsion and will create a substantial spring or drag force opposing rotation of the transducer array. In accordance with embodiments of the present invention, interconnect 150 is configured to reduce the torque or drag force exerted by the interconnect against the rotation of the transducer and/or drive shaft. Referring to FIG. 5, in one embodiment, a section of the interconnect (conductors 180) is coiled to reduce torque. Referring to FIG. 6, in one embodiment, in order to reduce the stiffness of the connections, a region of conductors near the transducer may be de-ribbonized (use, e.g. a laser, to remove any common substrate, ground plane, or other connection between adjacent conducers; perhaps reduce the dielectric or shield layers around individual conductors or coaxes) to create a loose group of conductors 190. During assembly of the catheter, this group of loose conductors 190 should be left slack, not taut, to further facilitate movement of the conductors relative to each other and rotation of the transducer array 110. Referring to FIG. 6, a section of conductors 200 and 202 adjacent to the loose section 190 may be left ribbonized as a ribbonized section, to facilitate termination of the conductors on ribbonized section 202 to the transducer 110 or to the transducer flex circuit(s) and the conductors on ribbonized section 200 to a non-rotating cable through the catheter. The majority of the length of the conductors in the catheter, beyond the loose section, may be ribbonized, for ease of assembly, or may be loose insulated wires, for maximum flexibility of the catheter, or the conductors may be coaxial conductors for control of impedance and crosstalk. Alternatively, referring to FIG. 7, a rotating section 202 of conductors terminated at the transducer array 110 may be constructed or modified to ease the torque requirements necessary for rotation. For example, the rotational stiffness may be reduced by cutting slits 230 into the ribbon or flex circuit and by making this section of the interconnect thinner relative to the non-rotating section 200 coupled to the cable end of the catheter. In additional embodiments utilizing ribbon-based cables, the substrate on which the conductors lie may be thinned or removed in the rotating section of the interconnect 150. In further embodiments utilizing ribbon-based cables having ground planes, the ground planes may be thinned or removed in the rotating section. It is to be appreciated that combinations of the techniques described above may be used to reduce the torque requirements of the interconnect 150 under rotating conditions.
  • Referring now to FIG. 8, an alternative embodiment for a rotating transducer array assembly comprises an external motor 320 used to rotate the drive shaft 130 and an external motor controller 330 for driving motor 320. A rotary encoder or position sensor 340 provides feedback to compensate for any wind-up in the drive shaft. In this embodiment the drive shaft 130 would desirably be made of torsionally rigid material, e.g. steel wire, to minimize wind-up or twisting of the drive shaft due to torque applied by the motor and friction of components rotating within the catheter and to further enable effective rotation of the transducer.
  • Referring now to FIG. 9-13, various alternative embodiments for the motion controller for rotating the transducer array assembly are provided. In these embodiments, the motion controller converts internal or external linear motion to oscillatory rotary motion of the transducer array instead of using the micromotor 120 and motor controller 140 of FIG. 2. Similar components common to FIG. 2 and subsequent figures will have the same reference numbers.
  • Referring first to FIG. 9, an embodiment for the motion controller comprises an actuator 400, which can be internal or external to the catheter, used to effect oscillation and/or rotation of the transducer array. The actuator 400 creates a linear motion of the drive shaft 130 which is converted to an oscillatory rotary motion. A sleeve 410 is slidable over transducer cylinder 210 which encloses transducer array 110. The sleeve 410 includes small pins 420 which engage in spiral guide tracks 430. In operation, as the sleeve 420 moves along the length of the cylinder/encapsulation, the cylinder/encapsulation rotates a given amount determined by the spiral guide tracks 430. The reciprocating linear motion of the sleeve creates an oscillatory motion of the cylinder/encapsulation housing the transducer array 110, allowing the transducer array to rotate and acquire a 3D pyramidal volume. The linear motion part that engages the spiral guide track 430 may be partially constrained for one degree of freedom along the axis of the catheter. A rotary encoder or position sensor 340 may provide feedback to compensate for flexibilities in the system, e.g. the drive shaft, linear-rotary converter, and the like.
  • Referring now to FIG. 10, another exemplary embodiment for the motion controller comprises an actuator, either external or internal (not shown), for driving a cable 440 for effecting rotation of transducer array 110. Cable 440 is a beaded or studded cable including beads 450 placed along the length of cable 440 to engage in spiral guide track 430. In one embodiment, as bead 450 engages the spiral guide track 430 and travels the length of cylinder 210 terminating at drive pulley 460, the cylinder 210 rotates 90 degrees. After a quarter revolution, another bead 450 engages the spiral guide track on the opposite side of the cylinder (shown by dashed lines) and causes the cylinder to rotate 90 degrees in the opposite direction. Thus the cylinder 210 containing the transducer array 110 oscillates 90 degrees total or +/− 45 degrees. The oscillation described herein is for exemplary purposes. It is to be appreciated that other angles may be used to effect oscillation in the manners described in this embodiment. In a further embodiment, a rotary encoder or position sensor (not shown) such as one described with reference to FIG. 9 may be included to provide feedback to compensate for flexibilities and errors in the system. Alternative embodiments are also contemplated. For example, in another embodiment, only two beads are needed and spaced to allow motion of cable the full length of cylinder 210. After one bead moves the length of the cylinder, the cable is driven in the opposite direction and pulled back, thereby allowing the cylinder housing containing the transducer array to oscillate +/− 90 degrees. In a further embodiment, a variety of angular ranges could be used.
  • Referring to FIG. 11-13, various alternative embodiments for motion control comprise cable and pulley systems for effecting oscillatory rotary motion of the transducer array. In FIG. 11, cables 440 engage with drive pulley 460. An actuator (not shown) drives a cable and pulley 460 in a fixed direction with a continuous motion. Attached to the drive pulley 460, which is rotating, is an extension or flapper 470 which impacts a catch 480 attached to the transducer array 110 once per revolution. The flapper 470 forces the rotation of the array cylinder 210 along the long axis. Once the flapper 470 clears the catch 480, the cylinder 210 returns to a nominal position with the aid of a torsion spring 490 and the velocity is limited by a rotary vane damper 500. By driving the pulley 460 with flapper 470 at a constant rate, the cylinder 210 containing the transducer array 110 will undergo an oscillatory motion. Thus the transducer array 110 will oscillate such that the acquisition of a 3D pyramidal volume can be obtained. The torsion spring 490 and rotary vane damper 500 may be adjusted for appropriate timing of the motion of the cylinder 210. A rotary encoder or position sensor (not shown) may also be used in further embodiments to provide feedback to compensate for flexibilities and errors in the system.
  • Referring to FIG. 12 and 13, alternative embodiments to FIG. 11 are provided wherein the cylinder 210 further comprises a gear interface 510 to engage with a gear portion of drive pulley 460. In FIG. 12, the pulley 460 and cylinder housing 210 are connected using a bevel gear interface or approximation thereof. In FIG. 13, pulley 460 and cylinder 210 are connected using a bevel gear interface and pulley 460 further comprises two different gear sections, one on an upper section of pulley 460 and one on a lower section, such that the gear sections of the pulley alternately interface with the cylinder housing and drive motion in a fixed direction. In both embodiments, the drive and pulley motion effects rotation of the transducer array 110 in order to acquire a 3D pyramidal imaging volume.
  • Referring now to FIG. 14-16, additional embodiments for the motion controller are provided. Referring to FIG. 14A, a side view shows one or more actuators 600 are attached to each side of the transducer array 110 at a first end and fixed to the catheter tube at the other end. Actuator control lines 610 are used to control activation of the actuator. The actuators on either side of the array are alternatively activated, which causes the array to oscillate about pivot point 620. Actuators 600 may include electroactive polymers. A rotary encoder 340 may provide positional information as has been described in previous embodiments. FIG. 14B-D are end views of this embodiment in operation to effect rotation of transducer 110. In FIG. 14B, a first actuator A is fully activated and actuator B is fully deactivated. In FIG. 14B, actuator A is partially activated and actuator B is partially activated. In FIG. 14D, actuator A is fully deactivated and actuator B is fully activated.
  • Referring to FIG. 15, a similar embodiment is shown but rather than using two actuators, one actuator 600 is provided and attached to the transducer array 110 at one end and a spring 630 is attached at the other end and to the catheter cylinder 210. Movement of the actuator extends or contracts the spring as shown in FIG. 15A-C to effect rotation of transducer array 110. The actuator and/or spring may also be torsional, as well as linear.
  • Referring to FIG. 16, a further embodiment for motion control is provided. In this embodiment, two bladders 640 are in contact with the transducer array 110. The bladders may be filled with a gas or liquid. The inflation and deflation of the bladders is controlled in such a way as to oscillate the transducer 110 about pivot point 620. In this manner, a 3D volume may be acquired.
  • In operation, in accordance with embodiments of the present invention a miniature transducer array with elements along an azimuth dimension (long axis of catheter), preferably capable of operating at high frequencies for improved resolution is coupled to a mechanical system that rotates the array along its elevation dimension. The ultrasound beam is electronically scanned in the azimuth dimension, creating a two-dimensional image, and mechanically scanned in the elevation dimension. The two-dimensional images may then be assembled into a full three-dimensional volume by the ultrasound system. The transducer may take on a variety of shapes, including (but not limited to): (1) linear sector phased arrays which would result in two-dimensional image in the shape of a sector, and a three-dimensional volume in the shape of a pyramidal volume; (2) linear sequential arrays which would result in a two-dimensional image in the shape of a rectangle or trapezoid, and a three-dimensional volume in the shape of an angular portion of a cylinder; and, (3) multi-row arrays. A motion control system is provided to accurately control the array rotation, and to enable more accurate reconstruction of 3D images from the 2D image planes. The acoustic energy is coupled between the transducer array and the imaging medium (patient) through an acoustic window. The acoustic window comprises a section of the catheter wall and may comprise a coupling fluid between the array and the catheter wall. The catheter wall preferably has an acoustic impedance and sound velocity similar to that of the body (1.5 MRayl), to minimize reflections. The coupling fluid preferably has an acoustic impedance similar to that of the body and low viscosity, to minimize drag on the array and motor. Portions of the transducer array may be cylindrical in cross-section (the ends of the array; the sides and back; the entire array assembly) to keep the array centered and rotating smoothly within the catheter and/or to control the fluid flow and viscous drag between the array and the catheter wall. The transducer itself may be made of a variety of materials, including, but not limited to, PZT, micromachined ultrasound transducers (MUTs), PVDF. In addition to the transduction material, other components (acoustic matching layers; acoustic absorber/backing; electrical interconnect; acoustic focusing lens) may be included in the array assembly.
  • While only certain features of the invention have been illustrated and described herein, many modifications and changes will occur to those skilled in the art. It is, therefore, to be understood that the appended claims are intended to cover all such modifications and changes as fall within the true spirit of the invention.

Claims (26)

1. A rotating transducer array assembly for use in volumetric ultrasound imaging procedures, the assembly comprising:
a transducer array;
a motion controller coupled to the transducer array for rotating the transducer array;
at least one interconnect assembly coupled to the transducer array for transmitting signals between the transducer and an imaging device, wherein the interconnection assembly is configured to reduce its respective torque load on the transducer and motion controller due to a rotating motion of the transducer.
2. The rotating transducer array assembly of claim 1 wherein the transducer array is mounted on a drive shaft and the transducer array is rotatable with the drive shaft.
3. The rotating transducer array assembly of claim 1 further comprising a catheter housing for enclosing the rotating transducer assembly.
4. The rotating transducer array assembly of claim 3 wherein the catheter housing further comprises an acoustic window to allow for coupling of acoustic energy from the transducer array to a region of interest.
5. The rotating transducer array assembly of claim 3 wherein the motion controller comprises:
a micromotor coupled to the drive shaft for rotating the transducer; and,
a motor controller for controlling the micromotor.
6. The rotating transducer array assembly of claim 5 wherein the motor controller is contained internal to the catheter housing.
7. The rotating transducer array assembly of claim 5 wherein the motor controller is external to the catheter housing.
8. The rotating transducer array assembly of claim 1 wherein the interconnect comprises a plurality of conductors for transmitting image data acquired by the transducer to an imaging device.
9. The rotating transducer array assembly of claim 1 wherein the interconnect assembly is adapted to reduce rotational stiffness of at least a rotating portion of the interconnect assembly.
10. The rotating transducer array assembly of claim 9 wherein the interconnect assembly comprises flexible cable that is de-ribbonized in the rotating portion.
11. The rotating transducer array assembly of claim 10 wherein the flexible cable is de-ribbonized by at least one of the following methods: removal of any common substrate, ground plane, or other connection between adjacent conducers of the flexible cable or reducing dielectric or shield layers around individual conductors or coaxes of the flexible cable.
12. The rotating transducer array assembly of claim 9 wherein the interconnect cable comprises slits in non-conducting portions of the flexible cable.
13. The rotating transducer array assembly of claim 1 wherein the transducer array comprises a one-dimensional (1D) transducer array.
14. The rotating transducer array assembly of claim 1 wherein the motion controller comprises one or more actuators attached to the transducer array and used to effect rotation of the transducer array.
15. The rotating transducer array assembly of claim 1 wherein the motion controller comprises one or more actuators and springs attached to the transducer array and used to effect rotation of the transducer array
16. The rotating transducer array assembly of claim 1 wherein the motion controller comprises at least one bladder in contact with the transducer array wherein the bladders are controlled to effect rotation of the transducer array about a pivot point.
17. The rotating transducer array assembly of claim 16 wherein the bladders are filled with at least one of a gas and liquid and the bladders are controlled by inflation and deflation of the bladders.
18. The rotating transducer array assembly of claim 14 wherein the motion controller further comprises a cable and pulley assembly coupled to the transducer for effecting rotation of the transducer array.
19. The rotating transducer array assembly of claim 14 wherein the motion controller further comprises a gear interface coupled to the transducer for effecting rotation of the transducer array.
20. A method for performing volumetric ultrasound imaging, the method comprising:
obtaining imaging data for at least one region of interest using an imaging catheter, wherein the imaging catheter comprises:
a transducer array;
a motion controller coupled to the transducer array for rotating the transducer;
at least one interconnect assembly coupled to the transducer for transmitting signals between the transducer and an imaging device, wherein the interconnection assembly is configured to reduce its respective torque load on the transducer and motion controller due to a rotating motion of the transducer; and
displaying the imaging data for use in at least one of imaging and treatment of a selected region of interest.
21. The method of claim 20 wherein the transducer array is mounted on a drive shaft and the transducer array is rotatable with the drive shaft.
22. The method of claim 20 wherein the transducer array is used to scan an ultrasound beam in an azimuth direction and the motion controller is used to rotate the transducer array in an elevation dimension in order to obtain three-dimensional (3D) volumetric imaging data of the region of interest.
23. The method of claim 20 wherein the imaging catheter further comprises a fluid-filled acoustic window to allow for coupling of acoustic energy from the transducer array to the region of interest.
24. The method of claim 20 wherein the interconnect assembly is adapted to reduce rotational stiffness of at least a rotating portion of the interconnect assembly.
25. The method of claim 20 wherein the motion controller comprises at least one of motors, actuators and mechanical devices coupled to the transducer array for effecting at least one of oscillation and rotation of the transducer array for obtaining volumetric imaging data of the region of interest.
26. The method of claim 20 further comprising the step of delivering treatment to the selected regions of interest.
US11/289,926 2005-11-30 2005-11-30 Rotatable transducer array for volumetric ultrasound Abandoned US20070167821A1 (en)

Priority Applications (8)

Application Number Priority Date Filing Date Title
US11/289,926 US20070167821A1 (en) 2005-11-30 2005-11-30 Rotatable transducer array for volumetric ultrasound
US11/330,378 US20070167826A1 (en) 2005-11-30 2006-01-11 Apparatuses for thermal management of actuated probes, such as catheter distal ends
US11/330,377 US20070167825A1 (en) 2005-11-30 2006-01-11 Apparatus for catheter tips, including mechanically scanning ultrasound probe catheter tip
US11/329,815 US20070167824A1 (en) 2005-11-30 2006-01-11 Method of manufacture of catheter tips, including mechanically scanning ultrasound probe catheter tip, and apparatus made by the method
NL1032968A NL1032968C2 (en) 2005-11-30 2006-11-30 Rotatable transducer matrix for volumetric ultrasonic imaging.
DE102006056993A DE102006056993A1 (en) 2005-11-30 2006-11-30 Rotating transducer array arrangement for application during volumetric ultrasonic imaging method, has transducer array that is rotatable with shaft, and control device coupled with transducer array and shaft to rotate transducer array
JP2006324048A JP5073276B2 (en) 2005-11-30 2006-11-30 A rotatable transducer array for volumetric ultrasound
US11/624,344 US8727993B2 (en) 2005-11-30 2007-01-18 Apparatuses comprising catheter tips, including mechanically scanning ultrasound probe catheter tip

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US11/330,377 Continuation-In-Part US20070167825A1 (en) 2005-11-30 2006-01-11 Apparatus for catheter tips, including mechanically scanning ultrasound probe catheter tip
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