Creation of standardised protocols for analysis of three-dimensional echogram data

FIELD: medicine.

SUBSTANCE: invention relates to medical systems of ultrasonic diagnostics with application of three-dimensional echogram data. System of ultrasonic diagnostic visualisation contains three-dimensional ultrasonic probe, tract of ultrasonic signal passage, connected to it display and unit of analytical processing of images, made with possibility of determining location of reference image in the set of data of three-dimensional images, manipulation with the set of data of three-dimensional images from projection of reference image, registration of manipulations with the set and reproduction of registered manipulations from projection of reference image. In the second version of system implementation display is made with possibility of displaying images of three different planes of visualisation of the set of data of three-dimensional images, with display being used for displaying images for unit of analytical image processing, which additionally includes possibility of performing one or several manipulations aimed at changing image plane, transfer of target centre of visualisation plane into other anatomical location, rotation of visualisation plane around the axis and transfer of visualisation plane on specified distance. Method of registration of analysis protocol for data of three-dimensional ultrasonic image in system of ultrasonic diagnostic visualisation consists in obtaining the set of data of three-dimensional images of specified anatomical structure, identification of reference image, registration of manipulations with image projection, provision of manipulation with projections of images of data of three-dimensional images, starting with projection of reference image and finishing with desired final projection of image, and termination of registration. After that, second set of data of three-dimensional images of anatomical structure of the same type is obtained, reference image of second set of data of three-dimensional images is identified; registration is reproduced to perform manipulation with projections of images of second set of data of three-dimensional images with termination with desired final projection of image.

EFFECT: application of invention makes it possible to give standardised protocol of three-dimensional analysis for submitting to analyst of any qualification level, possibility of automation for improvement of flow of three-dimensional analysis operations and reduce time for analysis.

11 cl, 7 dwg

DESCRIPTION

The present invention relates to medical ultrasound systems and, in particular, to ultrasound systems which provide effective analysis and diagnosis using data from a three-dimensional echogram.

Because ultrasound is becoming more complex as technology improved system for ultrasonic imaging are becoming more specialized and configured to render a specific anatomic structures during some specific types of research, for example, in obstetrics, cardiology, phlebology and radiology. When such specialization ultrasound practice of diagnostic ultrasound is becoming more standardized, to produce images of patients with specific symptoms or characteristics create specific protocols for image acquisition. For example, the minutes of the General studies of the abdominal cavity may include obtaining specific projections of the liver, kidneys, gall bladder and pancreas. General survey vessels may include obtaining specific projections of the carotid artery and the vascular network of the limbs. Manufacturers of systems ultrasound imaging, according to this tendency, provide your system with the pre is varicella programmed research protocols, to guide sonographists in the process of collecting these specific sequences of images. These pre-programmed research protocols also allow systems ultrasound imaging to automatically create reports that are tailored to specific information. Such pre-programmed protocols and reports has increased the efficiency of ultrasound.

Pre-programmed protocols, in particular the protocols for the study of the General state, usually designed to gradually direct sonographist through a series of projections, calculations and measurements in specific areas of the body to determine whether anatomical structures visualized normal or they are suspicious characteristics. In addition to these pre-programmed protocols, more complex systems ultrasound imaging, as a rule, allow sonographist to develop custom protocols that include custom order get echograms, system setup, measurements, and calculations, not provided by the default Protocol in the system ultrasound imaging. This useful feature frees sonographists from the restriction in use only what those protocols, which are provided in the system, ultrasonic imaging, and their variants and provides sonographical and researchers the opportunity to develop their own new and more effective protocols and system configuration.

There are many clinical applications, in which it is more profitable to receive ultrasonic volumetric image instead of the standard two-dimensional images. Examples include clinical applications that require multiple key images of the same body where the information outside of the plane provides important context for the analysis of the obtained data or where the key image, it is difficult to get in two dimensions because of the orientation relative to the acoustic window. In these cases, three-dimensional study provides the opportunity to reduce the necessary amount of data. This is because all diagnosed organ or tissue can be placed in the center of the field of visualization of three-dimensional probe and clicking on "data Collection", you can get volume of all diagnosed anatomical structures. However, the diagnosis on the volume image can be problematic. This is because the surrounding tissue can obscure the anatomical landmarks, the blood vessels can intertwine and walk the winding paths, and anatomic the ski structure can take unusual or unexpected form. But mainly the difficulty in diagnosis in three-dimensional images based on the fact that sonographist and doctors used to diagnose on a flat two-dimensional echogram, not three-dimensional volumetric images. Thus, the majority of viewers a three-dimensional echogram provides the ability to see three-dimensional volume in different planes. One usual approach is to show the user three mutually perpendicular intersecting "clipping plane"passing through the volume. The user is granted the ability to change the position of the clipping planes in the volume. Changing the coordinates x, y, z these three planes, the doctor can get familiar with him or her flat images that are required for the diagnosis. Thus, the diagnostic problem was replaced with obtaining the necessary two-dimensional images on a moving three-dimensional image to find the plane of visualization required for the diagnosis. The problem of three-dimensional ultrasound imaging is the ability to consistently move through the volume all the images that are relevant for the study of the patient.

To help the physician to navigate through a three-dimensional echogram taken many attempts and developed the techniques of image processing, One approach is to provide automated image analysis, which is designed to automatically search planes visualization using pre-defined anatomical landmarks. These plane visualization obtained from the volumetric image data, referred to as the standard projection". One approach to search for the standard projections are described, for example, in international patent publication no WO 2006/105071. However, approaches to image analysis is difficult because of the anatomical landmarks and the standard projection can be manifested in different anatomical structures in different individuals. Another approach is a method of obtaining statistical data of the installed manually spatial relationships between specific two-dimensional images, as described in the publications U.S. patent No. 2005/0004465 and 2005/0251036. These approaches can be time-consuming, and can also detect anatomical structures with high statistical variability. Within the three-dimensional ultrasonic imaging one of the most difficult tasks is the user moves from one location in the volume of interest to another. Thus, it is desirable to provide your doctor with the ability to quickly and confidently navigate a three-dimensional echogram to find the plane of visualization needed for diagnosis. Preferably, this opportunity should be presented in the form of a diagnostic Protocol designed to give the doctor the ability to quickly obtain the necessary three-dimensional volumetric data, and navigate to the desired flat images.

In accordance with the principles of the present invention described diagnostic ultrasound system and method, which allow to record the expert analysis of a dataset of three-dimensional images, including three-dimensional manipulation, annotation, measurement and image capture, with the purpose of the standard analysis protocols for collecting three-dimensional ultrasound data. Recorded manipulation of three-dimensional data, you can re-play to move on to other three-dimensional volumes, in particular, in the case of periodic studies of the same patient. This feature allows the analyst of any skill level through the necessary stages to highlight the key image and the measurement of three-dimensional data that enables automation to improve three-dimensional analytical workflow and reduce the time of analysis and growth monitoring or treatment of the target anatomical structure for easy comparison with the data of the previous image. The record function you can also use the to use to obtain statistical data to determine the relationship between anatomical features.

On the picture:

Figure 1 in the form of a block diagram, system ultrasonic diagnostic imaging created in accordance with the principles of the present invention.

On figa and 2b are examples of a user interface of the ultrasonic system used in conjunction with the management and use of protocols ultrasonic imaging.

Figure 3 presents the block diagram of the sequence of stages for the development of the automated process of data analysis three-dimensional image according to the present invention.

In Fig. 4-7 presents the sequence of echo sounder data from the three-dimensional image, which explains the development and use of automated Protocol analysis data of the three-dimensional image according to the present invention.

As shown in figure 1, the ultrasound system 10, created in accordance with the principles of the present invention in the form of a block diagram. Probe the three-dimensional ultrasonic imaging 20 is connected by a cable 22 path of the ultrasonic signal 40, which processes the data of the three-dimensional ultrasonic image. The path of the ultrasonic signal 40 includes a transmitting device that transmits electrical signals to the probe 20, the unit of data collection, which receives from the 20 electrical signals, the corresponding reflected ultrasonic waves, a signal processing unit that processes the signals from the unit of data collection to perform various functions, such as allocating the reflected signals from specific depths or the allocation of the reflected signals from blood flowing through the vessels, and the scan Converter, which converts the signals from the signal processing unit so that they were suitable for use by the display 16. In this example, the processing unit is able to process signals B-mode (structural signals), and Doppler signals (alarms) for various three-dimensional images in B-mode or Doppler mode, including spectral Doppler image. The path of the ultrasonic signal 4C contains a control unit 44, which communicates with the processing unit 50 to control the operation of the above components. Of course, the path of the ultrasonic signal 40 may contain components in addition to the above-described components and, where appropriate, some of the above components can be omitted.

The processing unit 50 contains many components, including, for example, the Central processing unit (CPU) 54, a random access memory ("RAM") 56 and permanent memory ("ROM") 58. As you know this is blasti, in the ROM 58 stores program instructions, which takes the CPU 54, and the initialization data for use in the CPU 54. RAM 56 provides temporary memory for data and instructions used by the CPU 54, and may also store a program that executes the CPU. The processing unit 50 is connected with the storage device of large capacity, such as hard drive disks 60 for non-volatile data storage, such as data that matches the echograms obtained through system 10. First, however, such image data stored in the image storage 64, which is connected with the signal path 66, which extends between the path of the ultrasonic signal 40 and the processing unit 50. Also on the drive disks 60 are preferably stored protocols that can be invoked and initialized to direct sonographists in a variety of ultrasound applications.

The processing unit 50 is also connected to the keyboard and the control device 28. Also sonographist can control the keyboard and the control device 28 to instruct the system ultrasonic imaging 10 to create automatically generated reports at the end of the study. The processing unit 50 is preferably connected to the printer reports 80, which prints reports that contain text and one or bore is only images. The type of report provided by the printer 80, depends on the type of ultrasound examination, which was conducted through the implementation of a specific Protocol. The data corresponding to the images can be downloaded via a suitable data link, such as network 74 or modem 76, clinical information system 70 or other device.

A typical user interface for management protocols ultrasonic visualization presented on figa and 2b. On the left of both Figo and 2b presents a tree Protocol 80. Tree protocols 80 reflects the hierarchical structural representation of the Protocol typical cardiac research. This study consists of two stages. The first step includes obtaining echograms and measurements during the state of rest or before exercise, while the second stage usually consists of obtaining the same echograms and measurements directly after exercise. The person skilled in the art it is clear that these stages are usually referred to as the stages of "rest" and "transom", respectively. Stage Protocol consists of all images and measurements obtained during the phase. Each image or measurement, commonly referred to as "projection".

As shown in figa, Protocol exercises 81 consists of two stages: stage rest 82 and phase impost is 84. Using a hierarchical tree that is selected and opened the stage of rest 82 and is visible to all projections of this stage. Projection presents text labels "LAX A", "A SAX", "AP4", and "AP2". Such labels denote the image in the projection of the long axis, short axis, apical four-chamber and apical two-chamber projection, as will be understood by the average professional in this field. Because the selected phase relaxation 82, in the right part figa presents the properties dialog of the stage 86, which displays properties of the selected stage and provides sonographist buttons to operate at this stage. More specifically, the button "Delete step" 88, the button "Make a copy of the phase 90 and the button "Rename stage 92 allow sonographist delete, copy or rename stage.

Fig.2b differs from figa fact that instead of the phase relaxation 82 selected projection LAX A 94. In the left fig.2b presents tree Protocol 80, and the right side presents the properties window projection 96, because the projection of A LAX 94. In addition to the display properties of the projection of A LAX 94, properties window projection 96 provides sonographist delete a selected projection by clicking "Remove the projection 98. Using the buttons shown in these figures, the user of the ultrasound system can add, delete and edit various stages and projections about the next, which is stored in the system. Also, the user can create a completely new protocols for new diagnostic procedures. After the Protocol is defined, it can be re-trigger and run, directing sonographists through the receipt of echograms necessary to establish a specific diagnosis. Usually the Protocol is largely automates the data collection, for example, by automatically setting the operating parameters of the ultrasound system, required to obtain a particular image or image sequence. In the example on figa and 2b illustrated Protocol sends sonographists through images that should be obtained during stress echocardiography, including the initial rest phase, the phase relaxation 82 and the subsequent phase of the exercise, step transom 84. After receiving the images, usually sent in the form of a report echocardiographic study cardiologist, who will read the image and set the appropriate diagnosis of the health of the patient's heart.

In accordance with the principles of the present invention, these ideas of standardization and automation of Protocol data collection expanded on the diagnostic phase of patient management, which comes after data collection. In fact, in the present invention is described "FR is the number of analysis", which helps the physician in navigating a previously acquired three-dimensional image, in order to find the flat image on the basis of which a diagnosis can be made. This analysis of three-dimensional data may be performed by the expert manipulation of which record and re-play move on subsequently obtained data sets of three-dimensional images of the same anatomical structure of the same or another patient. A particularly suitable application of the present invention consists in recording movements of the doctor on the first set of three-dimensional data of the patient with subsequent playback of the recorded manipulations to navigate received after a data set of three-dimensional images of the same anatomical structure of the patient at periodic studies. In addition to the automatic movement according to the three-dimensional image, the Protocol analysis according to the present invention can also perform the usual steps of logging, such as the installation visualization and annotation, automatic start measuring tools and step-by-step user moves from one standard or reference plane image to the next. In this embodiment, in the same Protocol can be automated as information gathering and analysis.

For example, the operator may need to move to multiple planes in three-dimensional volumetric data and evaluate them appropriately to measure and/or annotate them, as he would perform similar steps in the research process in real time using two-dimensional images. When the user moves the volume, record all manipulations, including as non-limiting examples of moving the center of interest in the anatomical position, the rotation of the MPR (multiplanar reconstructed) projection around an axis at a specific angle, moving MPR projection at a distance. The Protocol records the information in the representation, such as user-entered annotations that identify the captured image, render settings and the display format selected for capture. Both during and after completion of the survey analysis, the user can edit the stage and add instructions to guide users or automated system from one stage to another. For example, you can enter an instruction to Move the center of interest in A MPR of the junctions of the walls of the four chambers of the heart into the aorta". The Protocol can record the specific relationship between images for use in gaining the statistical data or to replicate the image capture in a subsequent study of the same patient.

Figure 3 presents the block diagram of the stages of development of three-dimensional Protocol analysis according to the present invention. At stage 30, the physician receives a three-dimensional image of the anatomical structure of interest. For example, if the anatomical structure of interest is a heart, the three-dimensional volume may contain the patient's heart. For example, if the anatomical structure of interest, represents the skull of the fetus, the three-dimensional volume of interest, will contain the head of the fetus. At stage 32, the doctor identifies the reference image in the three-dimensional volumetric image. This stage assumes that the doctor uses a three-dimensional viewer, which displays one or more clipping planes going through the volume of the image data. Preferably the three-dimensional viewer simultaneously displays three mutually perpendicular clipping plane passing through the volume. Such clipping plane is designated as multiplanar reconstructed (MPR) plane visualization, because the flat image reconstructed from the planes of the three-dimensional data volume. For example, the voxels of the volume data of a three-dimensional image can be viewed in the coordinates x, y and z. Plane visualization can rekonstruirovat is, showing all voxels x and y at a constant z-coordinate. Changing the z coordinate, it is possible to reconstruct and display the other parallel to the plane. Perpendicular to the plane of visualization can be reconstructed, for example, displaying all the voxels in y and z at a constant x coordinate. At stage 32, the doctor adjusts the MPR coordinates to display the reference image, two-dimensional image to be identification of the reference points on it. For example, the reference image of the heart may represent the image plane of the mitral valve. The reference image of the fetus can be an image passing through the center of the spine of the fetus. The choice of the reference image is preferably performed with the use of graphical tools that allow the physician to select the plane by dragging and dropping or moving through the image or graphic markers that can be moved, such as line placement of one plane relative to another or relative to the volume. The reference image provides a known starting point from which to continue the subsequent manipulation of three-dimensional image.

At stage 34, the physician includes a record of these manipulations and other related information, such as display settings and format. At stage 36, the doctor begins to manipulate dynamicrange image, since the display of the reference image. These manipulations are designed to last from a known starting point to the desired end point, where two-dimensional display image, which can be used for the intended diagnosis. These manipulations may include changing the clipping planes passing through the volume of the image data, moving the center of the image in a specific anatomical location of the manipulation in the plane with other anatomical landmarks, the rotation of the flat projection around an axis at a specific angle or optimization changes by changing the thickness of the presented slice, the algorithm projection or some other optimization settings of the image. Also, your doctor may enter data, such as the designation of certain anatomical structures with annotations, which are also recorded. When the doctor finished the manipulation of image data needed to achieve the desired diagnostic image, the doctor stops recording at the stage 38. Then at stage 42, the doctor can save the recorded three-dimensional analytical manipulation. At stage 46, the doctor may not necessarily reproduce the recorded actions and edit them. For example, your doctor may want to add instructions for determining the position of the PBO is the main image or the details concerning signs, which should appear in the initial reference image and, thus, to identify it. The user may want to add annotations that denote a specific anatomical structure in the sequence of planes visualization. The user may want to insert approximate image in the Protocol, which shows the user examples of what should appear on the images of the sequence. The user may want to remove the interim manipulation, so that the recorded manipulations will be passed directly from the projection "A" projection "C" without the intermediate stage of the detection projection "B". When written Protocol analysis edited according to the preference of the doctor, it remains at the stage 42.

Figs.4, 5, 6 and 7 presents the sequence of the MPR projections of three-dimensional images that illustrate the sequence of recorded image manipulation Protocol analysis according to the present invention. In this example, the physician has received a three-dimensional image data containing the heart of the fetus, and wants to explore the left ventricle (LV) and the path of the outflow from the left ventricle (LVOT). The data obtained three-dimensional image viewing using three-dimensional MPR viewer, which displays the three mutually perpendicular MPR plane is ti. After initialization, the three-dimensional MPR viewer, the three mutually perpendicular planes are placed in the center of the three-dimensional image data so that each plane crossing the center of the three-dimensional data and the three planes intersect with each other at this point. Figure 4 shows such a display at the time of initialization of the viewer. Three plane visualization labeled 1, 2 and 3 in the lower right corner, respectively. Horizontal and vertical lines on each image illustrate the position of the planes of the other two images. For example, a horizontal line 13 in figure 1 indicates the relative position of the plane of imaging 3, and the vertical line 15 in figure 1 indicates the relative position of the plane of visualization 2. The horizontal line 13 in figure 2 indicates the relative position of the plane of imaging 3, and the vertical line 17 in figure 2 indicates the relative position of the plane of visualization 1. In the generated embodiment, each image is limited differently colored border and the line of intersection of the planes are color-coded according to the color of the frame of the plane of visualization, which it limits. Thus, the user can see based on color-coding, relative usaimi the original memory location of the displayed images and their planes visualization. As shown in figure 4, at the time of initialization, all three lines 13, 15 and 17, indicating the intersecting plane placed at the centers of the images.

Figure 5 shows the MPR projection after the doctor has determined the position of the reference image, from which to begin the necessary manipulations to determine the position of the end of the diagnostic image. In this example, the reference image is clipping plane three-dimensional volumetric image, which presents the 4-chamber view of the fetal heart and bisaccia descending aorta. In this example, this is performed by moving the line 17 to the clipping plane 1 forward and backward until then, until the desired projection does not appear in the plane 1. In the generated embodiment, the doctor has done this, pointing to one of the lines denoted by 17, and dragging it through the image on which it is visible. You may also need to rotate or tilt the volume so that you can see non-parallel plane. In the illustrated example, this can be done by clicking on the button 122, which replaces the cursor on the tilt. The doctor indicates one of the images and moves the cursor in one direction or the other to tilt the tilt of the volume relative to the display plane. After these manipulations on the image plane 1 depict Alena 4-chamber (LV, RV, LA and RA) projection of the fetal heart, as well as the image below shows bisaccia descending aorta 12, as shown in plane 1 figure 5.

When the display shows the reference image, the doctor presses the record button 124 to start the recording, manipulation of three-dimensional data of the image to achieve the desired image. The first manipulation is to place the line clipping planes 13 and 15 in the center plane 1 so that they overlap on the descending aorta. On the projection plane 1 figure 5 presents lines 13 and 15 after they moved so that they intersect the descending aorta 122. When this is the case, you can see that the secant plane of the projection plane 2 and plane 3 in the longitudinal direction intersect the descending aorta 122 on each image. Following manipulation in the projections presented in the present moment, is to drag a line clipping planes 13 and 17 on the plane 2 so that they crossed the aortic root 126. Figure 6 presents the MPR image in which lines 13 and 17 were manipulated in this way. This manipulation leads to the fact that the line intersecting plane 13 in plane 1 for crossing the LVOT is now visible on the image plane 1, as shown in Fig.6. The final manipulation is a rotation of the image plane 1 around its y-axis to display 5 camera is th projection of the heart. This is done in the generated embodiment, by clicking on the icon "Rotate" 128 in the left part of the display, to allow the cursor rotation function, as shown in Fig.7. Using this function, the physician indicates on the small arrow 14 in the upper part of the y-axis, the line of section 15 on the plane 1, and moves the cursor. Then clipping plane image plane 1 will rotate in three-dimensional data of the image around the y-axis 15. The effect of the rotation of the plane of imaging is needed as is desired 5-chamber projection plane visualization 1 figure 7, which presents the right atrium (RA), left atrium (LA), right ventricle (RV), LV and LVOT. When the line clipping plane 13 in the plane of visualization 1 passes through LV and LVOT, LV and LVOT also become visible in the orthogonal cross-section in the projection parasternal long-axis plane visualization 3. Now, when the desired diagnostic image(s) presented on the display, the physician presses the record button 124, to stop recording analytical manipulations. Now the sequence of manipulations you can give a name to recall and storage on a disk drive of the ultrasonic system.

Before saving the recorded analytical manipulation of the three-dimensional image doctor may want to view and edit them. For example, the doctor may want to write the instructions for the start of the Protocol analysis, which instruct the user when receiving the initial reference image. Your doctor may want to annotate anatomical features in the image, as shown in figure 5 and 7. Your doctor may want to side was showing images from this dataset to the next user Protocol as visual signposts that should appear on the images at each stage of the sequence. Your doctor may have Protocol compilation of measurements of the spatial relationships between the images and image elements for the development of a statistical database, which can be used for diagnosis. The results can be automatically transferred into the tool reporting system to report on the diagnostic study. Thus, the physician can not only edit the results of the current analysis procedures, but can also save the log analysis together with tips, guides and additional features that make it more convenient for the user during subsequent use of the Protocol.

When the same doctor or other user uses Protocol analysis for subsequent treatments of three-dimensional analysis, the user will receive three-dimensional image of the fetal heart and will cause the Protocol analysis. The user will be m napoliroma three-dimensional image data, to find the reference plane visualization, as stated at the beginning of the Protocol. After viewing the reference image, the user will play the recorded sequence to quickly navigate to the desired diagnostic image. The user can play back the entire sequence of manipulations to immediately switch to the desired diagnostic image. Alternative, the user can play only one manipulation at a time so that the user can visually confirm the correctness of the intermediate images obtained during each stage of the automatic analysis. If one of the intermediate image does not look as expected, the user may suspend automated analysis and to perform a manual adjustment of the displayed images using the above tools for manipulation. When found the desired image(s), the user can resume the Protocol at the next stage or directly go to the end of the analysis procedure. This step-by-step function can be used in periodic studies, when the anatomical structure is changing over time. For example, a later study of the fetal heart, as a rule, finds that anatomizes what their patterns of fruit has changed due to the development of the fetus. None of these images will not be identical to the images obtained for a few weeks or months earlier. Then the doctor may want to play Protocol analysis through a phased completion of the playback of the Protocol after each manipulation, performing manual adjustments necessary to account for changes due to the development of the fetus and validate each new set of images to obtain the desired diagnostic image(s).

Automated Protocol for three-dimensional analysis according to the present invention may find application as a separate function of the ultrasound system, or clinical information systems, or diagnostic workstation, or as a built-in function more universal Protocol. For example, it is possible to develop a Protocol for obtaining and analyzing for a generic study of the fetus. For example, the Protocol for data collection can guide the user through obtaining data sets of three-dimensional images of the head, face, spine, heart, abdomen and limbs of the fetus. After obtaining three-dimensional images of the heart described above Protocol is a three-dimensional analysis of the fetal heart can be included in the Protocol of data collection for the performance analysis of three-dimensional images of the fetal heart to wish the th diagnostic image(s). If the use of Protocol analysis indicates that the required image does not have the desired diagnostic quality, you can repeat the stage of obtaining images of the heart of the Protocol of data collection to obtain another data set of three-dimensional images of the fetal heart. This procedure can be performed until and unless confirmed by obtaining the necessary diagnostic image(s) desired diagnostic quality. Performing such analysis and confirmation in the research process, the image acquisition can be repeated until then, until it receives an acceptable data set of three-dimensional images, which avoids the need to call the patient for another study.

Automated Protocol for three-dimensional analysis according to the present invention can be included in the actual ultrasound data acquisition system, such as ultrasonic system 10 in figure 1. The Protocol can be used in diagnostic workstations that are part of or connected with clinical information systems, such as clinical information system 70 in figure 1, where the data analysis of the three-dimensional image is offline after receiving the image data from the ultrasound system 1C.

1. System diagnostic ultrasound visualization is AI for data analysis three-dimensional echogram, which contains:
three-dimensional ultrasonic probe is made with the possibility of obtaining three-dimensional data of the image region of the subject;
the path of the ultrasonic signal, responsive to the data obtained three-dimensional images that create echogram;
a display, coupled to the path of the ultrasonic signal, which displays images; and
analytical image processing, responsive to a data set of three-dimensional image and configured to:
1) determine the location of the reference image data set of three-dimensional images;
2) manipulating data set of three-dimensional images from the projection of the reference image, to achieve the desired diagnostic image;
3) record manipulation data set of three-dimensional images; and
4) play back the recorded manipulations from the projection of the reference image, to achieve the desired diagnostic image.

2. System ultrasonic diagnostic imaging according to claim 1, in which the display is arranged to display images of three different planes visualization dataset of three-dimensional images,
moreover, the display is used to display images for analytical processing of images.

3. The ultrasonic system of the automotive technician is statistical visualization for data analysis three-dimensional echogram, which contains:
three-dimensional ultrasonic probe is made with the possibility of obtaining three-dimensional data of the image region of the subject;
the path of the ultrasonic signal, responsive to the data obtained three-dimensional images that create echogram;
a display, coupled to the path of the ultrasonic signal, which displays images; and
analytical image processing, responsive to a data set of three-dimensional image and configured to:
1) determine the location of the reference image data set of three-dimensional images;
2) manipulating data set of three-dimensional images from the projection of the reference image, to achieve the desired diagnostic image;
3) record manipulation data set of three-dimensional images; and
4) play back the recorded manipulations from the projection of the reference image, to achieve the desired diagnostic image,
moreover, the display configured to display images of three different planes visualization dataset of three-dimensional images,
moreover, the display is used to display images for analytical image processing,
moreover, stage 2) includes one or more manipulations to change the image plane, the displacement is of interest to the center plane of visualization in different anatomical locations, the rotation of the plane of imaging axis and the displacement of the plane of imaging at a distance.

4. System ultrasonic diagnostic imaging according to claim 1, in which step 4) further comprises a playback of the recorded manipulations in a continuous sequence of stages from the projection of the reference image to the desired diagnostic image.

5. System ultrasonic diagnostic imaging according to claim 1, in which step 4) further comprises a playback of the recorded manipulations in step-by-step sequence of stages from the projection of the reference image to the desired diagnostic image.

6. System ultrasonic diagnostic imaging according to claim 5, in which step 4) further comprises a manual manipulation of a data set of three-dimensional images on one or more stages of sequential stages.

7. The way you write Protocol analysis data for three-dimensional echogram in the system ultrasonic diagnostic imaging containing phases in which:
receive a dataset of three-dimensional images of a given anatomical structure;
identify the reference image data set of three-dimensional images;
start recording the manipulation of the image projection;
provide manipulation of projection data set is rehmannia images starting from the projection of the reference image and to the desired final image projection; and
produce record stop,
receive a second data set of three-dimensional images of anatomical structures of the same type; and
identify supporting a second image dataset of three-dimensional images;
play the recording for the implementation of the manipulation of projection images of the second data set of three-dimensional images and finish desired final image projection.

8. The method according to claim 7, in which the recording further comprises recording playback step by step, which is suspended after manipulation.

9. The method according to claim 7, in which the recording further comprises recording playback in continuous mode from the projection of the reference image to the desired final projection image.

10. The method according to claim 7, which further comprises viewing and editing entries.

11. The method according to claim 10, in which the editing further comprises at least one of the easier stages manipulate, annotate images, create instructions for Protocol analysis or inclusion of the estimated image in the Protocol analysis.