Method of detecting abnormality along portion of dental arch

Abstract

To provide a method of detecting an abnormality along a portion of a dental arch.SOLUTION: At least one embodiment of a method of detecting an abnormality along a portion of a dental arch by means of scanning a material comprises an ultrasonic periodontal probe configured for emitting ultrasound signals within at least one emitting cone and for receiving corresponding echoed ultrasound signals. In the embodiment, the method comprises moving the probe along a portion of the dental arch, and, while moving the probe along the portion of the dental arch: emitting an ultrasound signal within the emitting cone; measuring echoed ultrasound signals; detecting at least one anatomical structure to be investigated; measuring at least one predetermined feature of the at least one detected anatomical structure to obtain a value of the measurement of the at least one predetermined feature characterizing the detected anatomical structure; and detecting an abnormality as a function of a threshold and the value of the measurement of the predetermined feature of the at least one detected anatomical structure.SELECTED DRAWING: Figure 8

Description

[Technical field]

[0001] The present invention relates to the technical field of ultrasonic probes and ultrasonic dental probes for screening areas of interest such as the periodontal tissue or gum area in a patient's mouth. [Background technology]

[0002] Ultrasound imaging has been adapted for intraoral use in many implementations and has proven particularly useful for tasks such as measuring periodontal pocket depth. Periodontal disease, such as gingivitis, can be detected, for example, by sensing the acoustic response of tissue. Ultrasound can also provide precise information regarding the pathological nature of the lesion.

[0003] Compared to traditional methods used to evaluate periodontal pockets, ultrasonic probing can be relatively comfortable and more accurate. Because it uses only ultrasound signals, ultrasonic probing is inherently safer than methods that use ionizing radiation. Ultrasound imaging can be used as an alternative or supplement to various types of radiography (cone beam computed tomography or CBCT, panoramic x-ray, or intraoral x-ray imaging), magnetic resonance imaging (MRI), or nuclear medicine.

[0004] To observe structures, ultrasound imaging may use high frequency sound waves of 1-100 MHz, preferably between 20-50 MHz for the investigation of periodontal pockets.

[0005] An ultrasound imaging device typically includes one or more transducers, which function as ultrasound beam emitters and / or ultrasound beam receivers, and receive echoes from the emitted signals. Additionally, an ultrasound imaging device may include various processing and display components that are used to generate and present images from the acquired signals. Ultrasound beam emitters generate ultrasound signals from electrical signals, and conversely, ultrasound receivers generate electrical pulses from mechanical ultrasound signals.

[0006] Objects in the path of the emitted ultrasound signal return a portion of the ultrasound energy back to the transducer, which generates an electrical signal indicative of the detected structure. The electrical signal generated from the received ultrasound signal can be delayed a selected time that is unique to each transducer, so that ultrasound energy scattered from a selected region adds coherently while ultrasound energy from another region has no perceptible effect. Additionally, the emission of the ultrasound signal can be delayed to allow adaptive focusing. Electronic adaptive focusing allows for improved resolution depending on the depth of the organ being imaged.

[0007] The array processing technique used to generate and process received signals in this manner is called "beamforming."

[0008] A particular challenge of intraoral ultrasound imaging relates to the design of a probe that can be used to image a sufficient set of intraoral structures, i.e., to position an ultrasonic fan beam along the vertical axis of each tooth in the mouth on both the buccal and lingual surfaces during a periodontal examination, without the need to significantly modify, reconfigure, or change the probe tip or other components. Indeed, to be efficient, the ultrasonic probe window must face the area to be imaged. An acoustic path between the transducer and the area to be imaged is ensured with minimal attenuation via a coupling material, such as a water-based gel.

[0009] A periodontal examination or screening test consists of measuring existing periodontal pockets to track periodontal disease. Figure 1 shows an example of a dental structure 100 containing a periodontal pocket 105. Teeth 110 are mineralized structures with a crown surface covered by enamel 115 and a root attached to the maxillary or mandibular bone. Each tooth 110 is surrounded and supported by periodontal tissue, which holds them to the maxillary and mandibular bones.

[0010] The periodontal tissues include the gums (gingiva) 125, which surround the teeth 110 and provide a seal around them. The periodontal tissues also include the periodontal ligament (not shown), cementum (mineralized material covering the roots of the teeth, not shown), and alveolar bone proper (portion of the bone in the jaw, maxilla, and mandible, which includes the alveolus). The cementoenamel junction (CEJ) 130 is the anatomical boundary between the enamel 115 covering the crown of the tooth and the cementum covering the root of the tooth 110. The CEJ 130 is also the area where the gums 125 are normally attached to the healthy tooth by gingival fibers.

[0011] A potential abnormality of the periodontal tissue is the development of a periodontal pocket 105, which refers to the space between the gums 125 and the tooth 110. The pocket 105 is characterized by a pocket base 170 and a cementoenamel junction (CEJ) 130, as shown in FIG. 1. The pocket depth is the distance 140 between the pocket base 170 and the cementoenamel junction (CEJ) 130. If the top of the gums 145 is vertically above the location of the CEJ 130, the distance 140 cannot be detected by standard periodontal probing and only the distance 135 is measurable and therefore considered the pocket depth. At the base 170 of the periodontal pocket 105, the gums 125 are attached to the tooth 110 and form the bottom of the periodontal pocket.

[0012] To measure the depth 135, 140 of the periodontal pocket 105, a periodontal probe may be used and inserted at least partially inside the periodontal pocket 105 along the tooth 110 (as indicated by arrow 150). Ideally, it may be related to finding the CEJ 130 (fixed reference) below the gums, as the distance 140 (attachment level) is most relevant to quantify the evolution of the pocket depth. As shown in FIG. 2, to correctly assess the periodontal pocket depth 135 of a given tooth 110, the periodontal pocket 105 of one tooth 110 needs to be measured in several locations, for example six locations, around the circumference of the evaluated tooth. In other words, using current probing systems (such as the illustrated manual probe 160) to properly inspect the periodontal pocket 105 of a given tooth 110, different locations 155a, 155b, 155c, 155d, 155e, 155f (e.g., six) are required to check a single tooth 110.

[0013] Periodontal pockets 105 should be examined periodically to check for infection of the gums 125. Further periodontal evaluation may involve measurement of gingival recession 165 between the CEJ 130 and the top of the gums 145 (shown in FIG. 1).

[0014] For young adults without a periodontal predisposition, dentists have the choice between performing a complete periodontal examination, which is time consuming and often involves at least two operators, or a partial periodontal examination, which runs the risk of missing periodontal problems near unexamined teeth.

[0015] Other abnormalities may occur in the periodontal tissue or gum area of ​​a patient, such as tumors and / or abscesses. Currently, dentists can detect such abnormalities by visually examining the periodontal tissue or by biopsy. However, such methods are time-consuming and do not allow for nearly instantaneous detection of abnormalities. The present invention is directed to overcoming these drawbacks. The technical solution provided simplifies and speeds up periodontal screening tests or regular periodontal or gum check-ups. Summary of the Invention [Problem to be solved by the invention]

[0016] The present invention has been devised to address one or more of the above-mentioned concerns. [Means for solving the problem]

[0017] In this regard, a method of detecting abnormalities along a portion of a dental arch using scanning material is provided that includes an ultrasonic periodontal probe configured to emit ultrasonic signals in at least one emission cone and receive corresponding echo ultrasonic signals, the method comprising: Move the probe along a portion of the dental arch, and while moving the probe along a portion of the dental arch, Emitting an ultrasonic signal within an emission cone, Measure the echo ultrasound signal; Detecting at least one anatomical structure to be investigated; measuring at least one predetermined feature of the at least one detected anatomical structure to obtain a measurement of the at least one predetermined feature characterizing the detected anatomical structure; Detecting the abnormality as a function of a threshold and a measurement of a predetermined characteristic of the at least one detected anatomical structure.

[0018] Such a method allows for the detection of abnormalities in the periodontal tissue and / or gums using an ultrasonic periodontal probe during a rapid scan of the patient's gums or periodontal tissues. This method thus helps to simplify and speed up periodontal examinations and also allows for the detection of abnormalities such as tumors. Thus, abnormalities of different natures may be detected during the same examination.

[0019] According to some embodiments, detecting at least one anatomical structure to be investigated comprises: continuously constructing an image based on the measured echo signals; and analyzing the constructed image to detect at least one anatomical structure.

[0020] According to some embodiments, the physical quantity associated with the at least one detected anatomical structure may be one of a dimension, an echogenicity indicator, texture inhomogeneity, texture complexity.

[0021] According to some embodiments, analyzing the constructed image may include segmenting the constructed image to detect at least one anatomical structure within the constructed image.

[0022] According to some embodiments, the at least one anatomical structure may include teeth and / or gums and / or periodontal pockets and / or cortical bone, alone or in combination.

[0023] According to some embodiments, the physical quantity associated with the detected periodontal pocket may be a dimension, such as a depth.

[0024] According to some embodiments, the probe may be moved along portions of the dental arch while each measurement is reported to the operator.

[0025] According to some embodiments, the probe may be moved along a portion of the dental arch while simultaneously informing the operator of the maximum and / or minimum measurements.

[0026] According to some embodiments, the method may include recording the angle of the probe and / or recording the position of the probe.

[0027] According to some embodiments, the ultrasonic periodontal probe may be configured to emit ultrasonic signals in at least one of several emission cones extending in different directions.

[0028] According to some embodiments, emitting the ultrasonic signal may include selecting at least one of several emission cones and emitting the ultrasonic signal within the at least one selected emission cone.

[0029] According to some embodiments, the probe may include at least an indicator configured to provide an item of information regarding the identified anomaly, wherein the method comprises: The method further includes energizing an indicator to indicate the detected anomaly.

[0030] According to some embodiments, the indicator may include one or more light emitting devices and / or an LCD screen and / or vibration means and / or sound effects.

[0031] Further features and advantages of the invention will become apparent from the following description of non-limiting exemplary embodiments, with reference to the accompanying drawings, in which: [Brief description of the drawings]

[0032] [Figure 1] 1 is an example of a dental structure that includes a periodontal pocket. [Diagram 2] 1 is an example of a location for evaluating periodontal pockets according to the prior art. [Figure 3a] 1 illustrates an example use of an ultrasound imaging probe according to some embodiments of the present invention. [Figure 3b] 1 illustrates an example use of an ultrasound imaging probe according to some embodiments of the present invention. [Figure 3c] 1 illustrates an example use of an ultrasound imaging probe according to some embodiments of the present invention. [Figure 4] FIG. 2 is a schematic diagram illustrating an example of an electronic system of an ultrasound imaging probe. [Figure 5a] 1 is an example of a probe movement for performing periodontal screening. [Figure 5b] 1 is an example of a probe movement for performing periodontal screening. [Figure 6a] 1 is an example of a protocol for screening periodontal pockets. [Figure 6b] 1 is an example of a protocol for screening periodontal pockets. [Figure 6c]1 is an example of a protocol for screening periodontal pockets. [Figure 7a] 1 is an example of a protocol for screening periodontal pockets. [Figure 7b] 1 is an example of a protocol for screening periodontal pockets. [Figure 7c] 1 is an example of a protocol for screening periodontal pockets. [Figure 8] 1A-1C are diagrams of example methods of scanning material to detect abnormalities along a portion of a dental arch, according to some embodiments of the present invention. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0033] Some embodiments of the present invention aim to provide a method of using an ultrasound probe to screen periodontal tissues and / or gums, for example for the development of periodontal pockets and / or follow-up of tumor masses. The method according to the invention aims to perform a rapid scan of an area of ​​interest and to calculate and register in real time predetermined features of detected anatomical abnormalities. The scan may be performed on the dental arch or quadrant. For example, in the case of periodontal pocket investigation of periodontal tissues, the scan may obtain the maximum value of the periodontal pocket depth of the evaluated area. In that example, the scan is easily performed by the operator since the movement of the probe does not follow the gum line but follows the dental arch curve down to the level of the periodontal area.

[0034] Following is a detailed description of certain embodiments of the present invention, reference is made to the drawings in which like reference numbers identify like elements of structure in each figure.

[0035] In the following drawings and text, similar components are designated by similar reference numerals, and similar descriptions of components and arrangements or interactions of components already described are omitted. When used, terms such as "first", "second", etc. do not necessarily indicate any order relationship or priority relationship, and may be used simply to more clearly distinguish one element from another element, unless otherwise specified.

[0036] When referring to the shape of the device, the term "rigid" should be understood as the substantially non-deformable nature of the device in normal use, which means that the relative positions of the main elements of the device are substantially constant (i.e., there is no significant shape deformation during use). For example, the relative positions of the grip portion, support member, and ultrasound device of a rigid ultrasound imaging probe are substantially constant when the imaging probe is used to image intra-oral structures. This does not prevent the device from being deformable during the configuration step, for example, when two elements of the device are fixed using a lockable hinge. In addition, this does not prevent the device from including slightly deformable parts. For example, the grip portion of a rigid ultrasound imaging probe may include a deformable hand grip, such as a hand grip including elastic foam.

[0037] In the context of this disclosure, the terms "viewer," "operator," and "user" are considered equivalent and refer to the observing practitioner, technician, or other person acquiring, viewing, and manipulating ultrasound images, such as dental images, on a display monitor. "Operator instructions," "user instructions," or "viewer instructions" result from explicit commands entered by the viewer, for example, by clicking a button on the ultrasound probe or system hardware, or by using a computer mouse, or by using a touch screen or keyboard input.

[0038] In the context of this disclosure, the phrase "in signal communication" indicates that two or more devices and / or components can communicate with each other by signals traveling along some type of signal path. The signal communication may be wired or wireless. The signals may be communication signals, power signals, data signals, or energy signals. The signal path may include physical, electrical, magnetic, electromagnetic, optical, wired, and / or wireless connections between a first device and / or component and a second device and / or component. The signal path may also include additional devices and / or components between the first device and / or component and the second device and / or component.

[0039] The term "subject" refers to a patient's tooth or another part being imaged, and in optical terms may be considered equivalent to the "object" of a corresponding imaging system.

[0040] Periodontal Probe Figures 3a, 3b and 3c are schematic diagrams of a rigid ultrasound imaging probe that may be used in conjunction with certain embodiments of the method of the present invention. Figure 3a is a side view of a rigid ultrasound imaging probe in a measurement configuration, while Figures 3b and 3c respectively represent a top view and a front view of the same rigid ultrasound imaging probe in an initial configuration. For the sake of explanation, the initial configuration is distinguished from the alternative measurement configurations, but this does not exclude that measurements are performed with the probe in an initial position.

[0041] The probe provides an ultrasonic pulse signal emission and / or mechanical components to generate an ultrasonic beam within an emission cone. The ultrasonic beam may be a cone-shaped beam or a fan-shaped beam contained within the emission cone. The cone-shaped ultrasonic beam may correspond to or be smaller than the emission cone. The fan-shaped beam is a planar surface.

[0042] The probe also provides acquisition logic for the beamforming function. The probe or a remote computer (not shown) acquires acquired signal data, processed or not, corresponding to the received pulse echoes and renders an image of the inspected object on a display, which may be an LCD display on the probe or a display on the remote computer. The image content may be stored for subsequent use or transmitted to another system or data storage device.

[0043] As shown, the ultrasound imaging probe 300 includes a grip portion 305, a support member 310, and an ultrasound device 315 (also referred to as an ultrasound sensor). According to the illustrated example, the support member 310 includes two main parts, denoted 310-1 and 310-2, the longitudinal axis of the part 310-2 being different from the longitudinal axis of the grip portion 305. It is noted that according to another example, the part 310-2 is fixed directly to the grip portion 305 (i.e. without using the part 310-1). Thus, according to the illustrated example, the ultrasound device 315 is rigidly fixed to the grip portion 305 such that it is offset from the grip portion with respect to its longitudinal axis. As is evident from FIG. 3a, the ultrasound device 315 is located at a distance d from the longitudinal axis (a) of the grip portion 305. The distance d may be selected between 0 and 5 cm. For the sake of illustration, it may be equal to 2 cm. The distance D between the ultrasonic device 315 and the grip portion 305 may be chosen between 4 and 25 cm. For illustrative purposes, it may be equated to 10 cm.

[0044] According to certain embodiments, the support member 310 may include two tubular members forming an angle δ between their longitudinal axes, may include one or more tubular members and a portion of an annular member, or may include any member component that allows the ultrasonic device to be axially offset from the grip portion.

[0045] As shown, grip portion 305 may include elements that allow a user to interface with the functionality of ultrasound imaging probe 300 and / or with a computer system that processes signals acquired by ultrasound imaging probe 300. Such elements may include a display (e.g., a standard display or a touch screen), generally referenced at 320, and buttons, generally referenced at 325. According to certain embodiments, all of these elements or a subset of these elements may be duplicated (320-1 / 320-2 and 325-1 / 325-2), such that a user may interact with ultrasound imaging probe 300 and / or with a computer system that processes signals acquired by ultrasound imaging probe 300 in the same manner no matter what the position of ultrasound imaging probe 300 is between a first position and a second position (the second position being disposed on the opposite side of the horizontal plane relative to the first position).

[0046] Additionally, grip portion 305 may include a set of LEDs (an acronym for light emitting device), such as a ring of LEDs 330. As described below, these LEDs may indicate a selected emission cone.

[0047] According to some embodiments, an LED or ring of LEDs is positioned on the ultrasound device or on the support member near the ultrasound sensor.

[0048] As shown in Figure 3b, the ultrasonic device 315 may be configured to perform measurements according to two opposite directions, referenced to a vertical plane perpendicular to the horizontal plane containing the longitudinal axis (a) of the grip portion 305. The ultrasonic fan beam is oriented along an angle cone α, as shown in Figures 3b and 3c. 1 and α 2 and the angle cone β 1 and β 2 and which may be in the range of 20° to 160°. Hereinafter, the expression "emission cone" relates to the two angled cones that make up the emission cone as described above.

[0049] The transducer of the ultrasound imaging probe 300 may be of A-mode, B-mode (or 2D mode), C-mode, M-mode, Doppler mode, color Doppler mode, continuous Doppler mode, pulsed wave Doppler mode, dual mode, pulse inversion mode, or harmonic mode type, each of which are well known to those skilled in the art.

[0050] According to some embodiments, each emission cone is associated with a given transducer.

[0051] According to certain embodiments, the ultrasound imaging probe 300 includes a single transducer, two or more transducers, or two or more arrays of transducers with moving elements (e.g., moving transducer and / or moving reflector), which are arranged around an axis of the ultrasound device parallel to the longitudinal axis of the grip portion, at least on either side of the ultrasound device (when considering the measurement position of the probe 300). Each position of the moving element (transducer or reflector) is therefore associated with an emission cone. In general, the moving element is rotatably mounted in a cavity of the ultrasound device 315. The moving element is characterized by its acquisition scan direction, which is the rotation direction of the moving element. The acquisition scan direction defines the orientation of the acquired image.

[0052] The transducers not only function as ultrasound beam emitters, but also as ultrasound beam receivers configured to measure echo ultrasound. In the remainder of the document, the transducers are both ultrasound beam emitters and receivers. In alternative embodiments, some transducers may be considered to function only as ultrasound beam emitters or ultrasound beam receivers.

[0053] When functioning as an emitter, a transducer is associated with an emission cone, which defines a volume from which the associated transducer can emit ultrasound signals.

[0054] When functioning as a receiver, the transducer is passive and is configured to function as a sensor to detect and measure received echo ultrasound signals, in other words, the transducer detects and measures incident waves.

[0055] According to some embodiments, each transducer may include several emitting elements and / or several receiving elements. Having multiple receiving elements helps to improve reception of the ultrasound beam and at the same time reduce the effect of noise on the received ultrasound signal.

[0056] It should be noted that the directions of the two emission cones (i.e., the cones from which the ultrasonic fan beam can be emitted) shown in Figures 3b and 3a are perpendicular to the longitudinal axis of the grip portion 305 and to a vertical plane, but these directions may be different. These directions are oriented at an angle θ 1 and θ 2 is at an angle γ 1 and γ 2 may be formed with angles varying from about 20° to 160°, respectively, where these directions are opposite each other with respect to a plane containing the longitudinal axis of grip portion 305.

[0057] According to some embodiments, the probe may be configured to emit ultrasound signals within one emission cone, such that the ultrasound signal is emitted along one direction, which is contained within one emission cone of the ultrasound device 315.

[0058] Electronic elements of an ultrasound imaging probe FIG. 4 is a schematic diagram illustrating an example of the electronic system of an ultrasound imaging probe 300.

[0059] As shown, electronic system 400 includes a bus and / or electrical connections. Microcontroller 405, a random access memory 410, denoted RAM, for storing executable code for operating the ultrasound imaging probe 300 and registers adapted to record variables and parameters; a read-only memory 415, denoted ROM, for storing computer programs for operating the ultrasound imaging probe 300 and / or configuration parameters; an input / output interface 420 for placing the ultrasound imaging probe 300 in signal communication with a remote computer and interfacing the ultrasound imaging probe 300 with the remote computer, e.g., to transmit measured signals and / or to receive commands for controlling some of the operations of the ultrasound imaging probe 300, the input / output interface being a wired or wireless interface, e.g., a wireless interface conforming to the WiFi and / or Bluetooth standards (WiFi and Bluetooth are trademarks); A display and / or LEDs 425 that indicate to the user, for example, the state of the ultrasound imaging probe 300, the step or steps to be taken, and / or the direction in which a measurement is or will be taken, or a measurement, or whether a measurement is greater than a threshold value; motion, position and / or orientation sensors 430, including, for example, accelerometers and gyroscopes, that allow for determining the position, orientation, velocity and / or acceleration of the ultrasound imaging probe 300, and that may be used, for example, to identify commands by gesture type (e.g., a particular gesture may be used to select a direction in which to perform a measurement); an ultrasound device 435 including one or more transducers or an array of transducers as described above; a motor 440 for moving a component of the ultrasonic sensor, such as a transducer, an array of transducers, or a reflecting element; A battery 445, rechargeable or not, for powering the components of the electronic system; one or more tachometers 450 for indicating, for example, a current value and / or a maximum and / or a minimum measurement value, a measured depth and / or a measured dimension of a periodontal pocket, and / or a texture complexity and / or a texture heterogeneity of a tumor mass, and A speaker (loudspeaker) 455 is connected to indicate the detectability of anomalies along the screened portion.

[0060] It is noted that the ultrasound imaging device may include other electronic elements, so that some of the above electronic components may not be required. For example, a motor may not be required if the ultrasound imaging probe 300 includes multiple fixed transducers or an array of transducers. Similarly, internal power may not be required if the ultrasound imaging probe 300 is connected by wire to a remote computer.

[0061] According to some embodiments, the executable code may be stored either in the read-only memory 415 or on a removable digital medium, such as for example a micro memory card. According to a variant, the executable code of the program may be received from a remote computer via an input / output interface and stored in one of the storage means of the communication device 400.

[0062] The microcontroller 405 is adapted to control and direct the execution of instructions or portions of software code of a program or programs for operating the ultrasound imaging probe 300 according to certain embodiments of the present invention, the instructions being stored in one of the aforementioned storage means. After powering on, the microcontroller 405 can execute instructions from the main RAM memory 410 associated with a software application, for example after they have been loaded from the ROM 415 or from a remote computer.

[0063] The microcontroller 405, RAM 410, and / or ROM 415 may be implemented in hardware by machines or dedicated components, such as an FPGA (Field Programmable Gate Array) or an ASIC (Application Specific Integrated Circuit).

[0064] Upon reception, the acquired ultrasound signals may be processed, e.g., filtered, by electronic system 400, e.g., by microcontroller 405, and then transmitted via input / output interface 420 to a remote computer. According to certain embodiments, the acquired ultrasound signals may be processed to generate an image that is transmitted to the remote computer. Alternatively, the acquired ultrasound signals may be transmitted directly to the remote computer as raw data. The processing power and capabilities of electronic system 400 may depend on the processing applied to the acquired ultrasound signals.

[0065] The motion sensor and / or the orientation sensor may be used to detect certain commands. For example, a movement of the ultrasound imaging probe 300 to the right may indicate that a measurement is to be taken on the right side of the ultrasound imaging probe 300. Similarly, a movement of the ultrasound imaging probe 300 to the left may indicate that a measurement is to be taken on the left side of the ultrasound imaging probe 300.

[0066] A motion sensor and / or an orientation sensor may also be used to determine the position of the ultrasound imaging probe 300 relative to a default position. The determined position of the ultrasound imaging probe 300 may be used to properly orient images generated from received ultrasound signals.

[0067] As mentioned above, an indication may be displayed on the display or as a subset of one or more LEDs to provide an indication as to the direction in which the measurement is being taken. According to some embodiments, a piezoelectric element surrounding the receiving area is used to generate energy to energize a local indicator (e.g., a small LED) near the probe tip 315.

[0068] For that purpose, piezoelectric elements are used, which have the ability to both generate mechanical waves by electrical excitation and, conversely, generate electrical pulses when placed under mechanical stress, as used in transducers. When using the ultrasound imaging probe 300, the transducer generates a number of ultrasonic waves that are reflected and deflected by the observed tissue. During signal acquisition, to generate an image, the incident waves not only impact the transducer, but also areas outside the transducer surface, which contain parts of piezoelectric material not used for signal capturing and are called piezoelectric wells for clarity. Thus, some of the excess energy that would otherwise be lost can be used by considering a number of piezoelectric sources for energy harvesting, close to the emitter and receiver actually used for the measurement. These piezoelectric wells can capture the excess energy that is not captured as part of the reflected acoustic signal and generate enough current to energize a small LED and associated capacitive element. As mentioned above, the illumination generated from this energy harvesting can provide information to the user to visually highlight the position or angular orientation of the emitted ultrasound beam. The generated illumination can even be strong enough to illuminate the scanned area.

[0069] According to some embodiments, the probe may be autonomous. In other words, the probe may be usable without another system, such as a remote computer. In this case, the probe may be configured to emit ultrasound signals, acquire echo ultrasound signals, construct an ultrasound image, perform measurements, and then display notifications on the LCD display of the ultrasound probe. As a result, the probe may include a microcontroller associated with a memory (such as RAM and ROM) configured to process the acquired echo ultrasound signals. The microcontroller of the probe is thus configured to execute instructions of a software application recorded in the built-in memory of the probe. Such a probe is autonomous for reconstructing ultrasound images, measuring echo ultrasound, and notifying the measurements and / or reconstructions to the operator.

[0070] Initialization and placement of probes to screen regions of interest 5a and 5b illustrate the use of an ultrasonic imaging probe in accordance with certain embodiments of the present invention to screen a portion of a dental arch including soft and hard tissue.

[0071] 5a illustrates the movement of the probe 300 when it is used to screen an area of ​​interest in a patient's mouth. An operator manipulates the grip portion 305 of the probe 300 to position the ultrasound device 315 of the probe 300 to view the area of ​​interest.

[0072] An example of a region of interest for detecting anomalies is the gum region 515 shown in FIG. 5a. The gum region 515 may be defined as the visible portion covering the periodontal tissue. This region also corresponds to a sector in the mouth where periodontal pockets are likely to occur. As previously described with reference to FIG. 1, periodontal pockets 105 may occur between the tooth 110 and the gums 125 in a circumferential region of the tooth 110, which usually surrounds the tooth 110 in an annular manner. The gum region 515 is a sector that extends along both dental arches 500, 505. The dental arches 500, 505 are two dental arches that contain the teeth 110, one on each jaw, and together make up the dentition 510. The upper dental arch 505 of the maxilla (or upper jaw) and the lower dental arch 500 of the mandible (or lower jaw) contain the periodontal tissue that supports the teeth of the maxilla and mandible, respectively.

[0073] The same gum area also corresponds to a sector in the mouth where tumor masses are likely to occur. In fact, tumor masses may appear in the gum epithelium. They can be detected when moving along this area with an ultrasound probe. In fact, changes in the echogenicity response of the raw echo ultrasound signal or the detection of specific masses visible in the reconstructed image may make it possible to detect tumor masses.

[0074] As can be seen in FIG. 5a, each dental arch 500, 505 is arcuate, that is, has a curve.

[0075] To view a portion of the gum area 515, the ultrasound device 315 is positioned such that a cone-shaped or fan-shaped beam emitted within the emission cone is reflected off the portion of the area of ​​interest that is to be viewed.

[0076] To do so, the ultrasound device 315 may be positioned such that a portion of the region of interest is included in the emission cone and / or intersects with the plane of the emission cone that includes the fan beam, as will be further described in relation to FIG. 5b.

[0077] Furthermore, because the gum region 515 extends along the dental arches 500, 505, to perform a comprehensive survey of the gum region 515, the operator may move the ultrasound device 315 along the dental arches 500, 505 to acquire several ultrasound signals and / or reconstructed images.

[0078] In other words, while holding the probe 300, the operator moves the probe 300 along the portion of the gum area 515 being observed.

[0079] An example of probe movement to obtain an image of the lower gum area of ​​the mandible is shown in Figure 5a by arrow 520. As seen in Figure 5a, the ultrasound device 315 is positioned so that the transducer 525 faces the gum area 515 and moves along the dental arch according to arrow 520.

[0080] FIG. 5 b illustrates the positioning of the ultrasound device 315 of the probe 300 to measure the anatomy of the gum area 515 along the dental arches 500 , 505 .

[0081] During the acquisition process, to ensure that measurements of the anatomical structures are performed correctly, the probe 300, and in particular the emission cone of the probe 300, is positioned relative to the dental arch 500, 505 where the gum area 515 to be observed is located.

[0082] To do so, as seen in Fig. 5b, the angular position of the probe 300 may be monitored with respect to the tooth axis 535. Thus, to obtain a correct measurement of a given periodontal pocket 105, the operator holds the probe 300 such that the ultrasound beam for viewing the gum area 515 follows the tooth axis 535 as orthogonal as possible to the tangent vector 530 of the dental arch curve. To ensure a usable measurement, a threshold value may be specified corresponding to a maximum deviation angle 540 of the ultrasound device 315.

[0083] During screening for the detection of tumor masses, angle monitoring is not necessary. Indeed, the benefit of monitoring the probe position appears to be limited, since tumor masses have no preferred direction of interrogation.

[0084] According to some embodiments, the maximum deviation angle threshold may be provided by a software application, which may be hosted on a remote computer connected to the probe 300 (via an input / output interface) or may be hosted on the probe itself.

[0085] The maximum deviation angle threshold can be a deviation angle relative to the initial position of the probe. For example, the software application includes an initialization procedure that instructs the operator to place at least one emission cone of the probe in a correct position in front of the most accessible tooth of the patient (e.g., one of the incisors). The angle of the initial position of the probe is then aligned.

[0086] The deflection angle of the probe is then monitored by the software application during the acquisition process, so that as soon as the angle of the probe 300 becomes greater than the maximum deflection value, the software application notifies the operator. The maximum deflection value may be set to 15° or less, preferably 10° or less, more preferably 5° or less to ensure accurate measurements along the axis of the periodontal pocket. According to some embodiments, the live deflection angle of the probe may be recorded, transferred or displayed on the LCD screen of the probe or on the screen of a computer (at a remote workstation) during the patient examination.

[0087] According to some embodiments, the software application may include a feature that allows for automatic or semi-automatic discarding of acquired images within the patient's mouth that are associated with angular deviations greater than a maximum deviation value.

[0088] According to some embodiments, the angle of the probe 300 is monitored by a sensor 430 mentioned with reference to FIG.

[0089] Screening of dental arches for areas of concern As detailed herein, a probe 300 adapted to screen the dental arch advantageously includes an ultrasonic periodontal probe 300 configured to emit ultrasonic signals in an emission cone and receive corresponding echo ultrasonic signals, and is shown in Figures 3a, 3b, 3c, 4, 5a and 5b.

[0090] When using a probe 300 having two or more emission cones extending in different directions, it is advantageous to select the emission cone(s) to be used in order to reduce power consumption and improve the quality of the results by avoiding parasitic signals. The selection can be manual or automatic.

[0091] However, in order to shorten the time of a periodontal or tumor examination, it is advantageous to propose detection of abnormalities in the periodontal tissue or gingival epithelium while moving the probe continuously along parts of the dental arch in the gingival area.

[0092] FIG. 8 is a diagram illustrating example steps of a general method for scanning material to detect abnormalities along a portion of a dental arch, according to some embodiments of the present invention.

[0093] As shown, the general method 800 is performed during step 805 in which the probe 300 moves along a portion of a dental arch that includes a number of teeth, such as the one illustrated in FIG. 5a.

[0094] As described with reference to FIG. 5b, according to some embodiments, the method may be performed after a user has performed an initialization procedure as described above to align the initial position of the probe.

[0095] The method 800 includes a step 810 of emitting an ultrasound signal in at least one of the emission cones facing the tissue to be observed.

[0096] According to some embodiments, the releasing step is performed as part of an acquisition process, which may be optional, semi-automated, or automated, as described in more detail below.

[0097] When using the probe shown in FIG. 3a having two emission cones, the emitting step may include selecting at least one of the two emission cones and then emitting the ultrasound signal within the selected emission cone.

[0098] The same applies when using a probe with multiple emission cones extending in different directions.

[0099] To avoid interference between ultrasound signals emitted in two different emission cones, the probe may be configured to select only one emission cone at a time in both emission and reception modes. An acquisition cycle (i.e., emission of ultrasound signals and reception of echo ultrasound signals) must be completed before starting another acquisition cycle involving either the same or a different emission cone. The probe may be configured to ensure that an acquisition cycle is completed before starting another acquisition cycle.

[0100] Thus, ultrasonic signals are continuously emitted in step 810 and echo ultrasonic signals are continuously measured in step 815 by the transducer in the probe as the probe moves from region to region, tooth by tooth.

[0101] Steps 810 and 815 together form an acquisition cycle. During the acquisition process, several acquisition cycles may occur.

[0102] Next, the method includes a step 820 of detecting at least one anatomical structure to be investigated.

[0103] According to some embodiments, to do so, images of the scanned areas (tooth after tooth) are successively constructed based on the measured echo signals and then analyzed, which allows the detection of abnormalities in areas of interest in the gum area, such as periodontal pockets in the periodontal tissue or masses with echogenicity different from the gum epithelium.

[0104] According to some embodiments, the analysis of the constructed image may include two successive steps: the first step is to filter the constructed image to identify anatomical structures in the constructed image, this step aims to identify objects seen in the constructed image, meaning anatomical structures, e.g. teeth, gingiva, gingival epithelium, cortical bone, periodontal pockets.

[0105] According to some embodiments, depending on the anatomical structures that the operator wants to observe, a filtering step may be used to identify meaningful images. For example, when screening for periodontal pockets, only images in which periodontal pockets are detected will continue to be used in this method. The same applies to ultrasound images that do not show tumor tissue in the case of tumor examination. Images that are not of interest to the operator may therefore be automatically discarded without notifying the operator.

[0106] Next, the method includes step 825, measuring a predetermined feature of the at least one detected anatomical structure to obtain a measured predetermined feature value that characterizes the structure.

[0107] The predetermined feature may depend on the detected anatomical structure. Indeed, whether the detected anatomical structure is a periodontal pocket or not, the predetermined feature may be the depth or any other dimension of the detected periodontal pocket feature. Whether the detected anatomical structure is a gingiva and gingival epithelium or not, the predetermined feature may be echogenicity, textural complexity and heterogeneity. Indeed, a tumor mass likely to appear in the gingival epithelium has a different echogenicity and a different textural complexity and heterogeneity than healthy gingival epithelium.

[0108] In other words, step 825 aims at measuring the characteristics of previously detected anatomical structures (i.e., for example, measuring the depth of an identified periodontal pocket or the complexity of the texture of the gingival epithelium). To do so, measurements are performed on the constructed image (in step 820) in which the structures to be characterized are detected.

[0109] Next, the method 800 includes detecting 830 an anomaly as a function of a threshold and a measurement of a predetermined characteristic of the at least one detected anatomical structure.

[0110] This threshold may be predetermined or set by an operator via an input / output interface of a software application hosted on a remote computer connected to the probe, or directly via the device human interface displayed on the LCD of the probe. The threshold may also be dynamically determined during a screening test.

[0111] When multiple types of anatomical structures are investigated during the same screening test, several thresholds can be defined and modified by the operator, with each threshold associated with a particular type of anatomical structure (maximum periodontal pocket depth, maximum / minimum soft tissue texture heterogeneity).

[0112] Thus, each measurement of a predetermined feature of the detected anatomical structure may be compared to a threshold. An indicator on the probe may be configured to provide an item of information about the identified abnormality. For example, if a portion of the gums is detected with echogenicity above a threshold, an indicator may be activated to signal the possible presence of a tumor. The same applies to periodontal pockets with abnormal depth.

[0113] Next, according to some embodiments, the method further comprises a step 835 of energizing an indicator to indicate an anomaly in the area of ​​interest in case of detection. The indicator may be one of the light emitting device 425, the LCD screen 425, the vibration means or the speaker 455 of the probe as described with reference to FIG.

[0114] For example, the operator may be notified by the system using a warning message displayed on the computer display and / or the LCD display of the probe, vibration of the probe, illumination of at least one LED (continuous or discontinuous, with color changes), or sound effects diffused through a speaker.

[0115] Once the steps of the general method 800 have been performed, a software application hosted on a remote computer or on a microcontroller embedded in the probe may be instructed to record the acquired data. According to some embodiments, all acquired data may be recorded, or only acquired data of interest. For example, only data related to periodontal pockets having a periodontal pocket depth exceeding a threshold value, or detection of tumor masses having texture heterogeneity and / or complexity exceeding a threshold value may be recorded. According to some embodiments, both the anatomical structure measurements and the associated image(s) (used for the measurements) may be stored in the computer, including optional operator and / or system notes (such as number of teeth, probe position, probe angular orientation, etc.).

[0116] According to some embodiments, while moving the probe tooth by tooth, the angle of the probe is monitored and continuously compared to the initial position to ensure that the measurement is performed correctly. As a result, during the acquisition process, the angle deviation of the probe is monitored and may also be recorded as an optional note on the saved images.

[0117] In this manner, the probe continuously and uninterruptedly collects images of the gum area as it is moved along a portion of the dental arch, resulting in a significant reduction in the time to perform a periodontal evaluation in the case of a periodontal examination.

[0118] Manual screening of areas of interest in the dental arch In manual mode, the operator is free to move the probe along one or more portions of the dental arch that he or she selects. In other words, during evaluation of the gum area, the operator is free to select the area to be evaluated and may complete the evaluation of periodontal pockets and / or tumor masses. In this case, the operator is free to explore the gum area in the patient's mouth.

[0119] First, an operator selects and activates a transducer that emits an ultrasound signal to view the anatomy of a patient's area of ​​interest.

[0120] According to some embodiments, when using a probe with one emission cone, an operator may activate the transducer to emit an ultrasonic signal. Method 800 may then be performed, allowing the probe to sequentially acquire several images of a portion of the dental arch.

[0121] In other words, when investigating a portion of the gum region of a patient's dental arch, an operator may acquire images of several portions which are automatically analyzed and interpreted by steps 820, 825, and 830 of method 800 (e.g., to assess the depth of detected periodontal pockets or to detect the presence of a tumor mass).

[0122] According to some embodiments, the operator may power off the probe when moving the probe between separate anatomical regions within the patient's mouth.

[0123] According to some embodiments, the method may be performed continuously as the probe is moved between separate anatomical regions, and images in which no anatomical structures of interest are detected during the filtering step may be automatically or semi-automatically discarded.

[0124] According to some embodiments, when using a probe as shown in Figures 3a, 3b and 3c, the operator may optionally select one emission cone from several emission cones of the probe and then activate the transducer to emit an ultrasound signal in the associated emission cone. The operator may select the emission cone depending on the area of ​​interest to be observed. Thus, when investigating the patient's oral cavity, the operator may change the activated transducer to another transducer having a more suitable arrangement for observing the area of ​​interest.

[0125] According to some embodiments, actuation of the transducer(s) results from actuation of a physical button disposed on the ultrasound imaging probe 300. As described in relation to Figures 3a, 3b and 3c, each button 325-1, 325-2 may be configured to be linked to a transducer associated with an emission cone.

[0126] In the case of a touch-sensitive screen, the user may use a finger to select one transducer to indicate which transducer to use.

[0127] According to some embodiments, an operator may actuate the transducer(s) by selecting an item displayed either on the probe's LCD screen or in a software graphic interface hosted on a computer connected to the ultrasound imaging probe 300. As shown in Figure 4, the electronic system of the imaging probe 300 may be interfaced with a remote computer (contained in a remote workstation) via an input / output interface. In this case, the computer hosts a program configured to operate the probe 300, and in particular to indicate the direction in which the user wishes to make a measurement, as previously described for the touch screen.

[0128] According to some embodiments, the activated transducer associated with the selected emission cone may be indicated to the operator, for example, with the aid of an LED on the probe 300 and / or an acquisition interface of a remote computer.

[0129] Once one of the transducers is activated, the operator moves the probe along the dental arch and method 800 is performed to screen the patient's dental arch for areas of interest. As previously described, after detecting an anomaly, an indicator on the probe may be energized to indicate the anomaly identified in the investigated area of ​​interest. The indicator may be one of the light emitter 425, LCD screen 425, vibration means or speaker 455 on the probe as described with reference to FIG.

[0130] For example, the operator may be notified by the system using a warning message displayed on the computer display and / or the LCD display of the probe, vibration of the probe, illumination of one of the LEDs (continuous or discontinuous, or with color changes), or a sound effect diffused through a speaker.

[0131] Semi-automated or automatic screening of areas of interest in the dental arch In semi-automatic and automatic screening of areas of interest (such as the gum area), the operator is guided by the software through the acquisition process. The software application contains the acquisition sequence (scenario), indicating the order in which areas are scanned, and implies the positions in the dental arch where the acquisition may start and end (e.g., a given tooth for periodontal evaluation).

[0132] Several acquisition processes may be available to the user and may provide for complete screening of portions of the dental arch, such as the gum region, or a half-arch or arch quadrant. Of course, the software application may allow the operator to customize and / or create the acquisition processes.

[0133] Depending on the anatomy being evaluated, several acquisition processes may be available. The software application may guide the user to scan the anticipated area.

[0134] Therefore, the acquisition process for periodontal and oncological examinations may be different.

[0135] According to some embodiments, when a user selects an acquisition process in the software graphic interface, the software application may activate one of the transducers of the probe to emit an ultrasound signal within an associated emission cone. The activated transducer is then displayed in the software's graphic interface to assist the operator in correctly positioning the probe.

[0136] According to some embodiments, the active transducer associated with the selected emission cone may be indicated to the operator, for example with the aid of an LED on the probe 300 and / or on the acquisition interface of a remote computer.

[0137] The operator, holding the probe 300 accordingly, is then guided by the software application through the acquisition process. The software application may provide a protocol that ensures the scanning of the patient's intraoral cavity in the most efficient manner by limiting switching from one emission cone to another. Method 800 is executed while the operator moves the probe according to the selected protocol.

[0138] According to some embodiments, after anatomical structure assessment in manual or automatic mode, for each given feature, the maximum and / or minimum measured feature value of the screened region is displayed either on a computer screen or on the LCD screen of the probe.

[0139] Example of a protocol for automated screening of abnormal periodontal pockets When method 800 is performed to detect abnormal periodontal pockets, the predetermined characteristic may be, for example, the depth of the periodontal pocket, as described in the description associated with Figure 1. Of course, other dimensions of the periodontal pocket may be used as the predetermined characteristic.

[0140] Examples of protocols for optimizing the duration of periodontal pocket assessment are shown in Figures 6a, 6b, 6c and 7a, 7b, 7c using a probe 300 configured to emit two emission cones extending in opposite directions, as described in Figures 3a, 3b, and 3c.

[0141] The probe thus includes an ultrasound device 315 including two transducers 340, 345 that can be operated by a software application configured to operate the probe 300 and cause the transducers to emit ultrasound signals.

[0142] The illustrated protocol is carried out in two phases, shown in Figures 6a, 6b, 6c and 7a, 7b, 7c, respectively, corresponding to the actuation of transducers 340 and 345, respectively.

[0143] First, the transducer 340 is activated by the software application and the operator begins to move the probe. The protocol instructs the operator to first move the probe 300 along the gum area located on the left lingual mandible 600, and then along the gum area located on the right vestibular mandible 605. For each dental arch quadrant 600, 605, the operator may start with the bottom tooth of the quadrant and move the probe 300 one tooth at a time to completely scan these two regions 600, 605.

[0144] As the probe 300 is moved along these two regions 600, 605, the method 800 is performed such that several images of the regions are acquired successively to measure any periodontal pockets or tumor masses present. Figure 6b shows the positioning of an emitted ultrasonic fan beam 620 with respect to a given tooth 635 of either the left lingual mandible 600 or the right vestibule 605 to obtain a workable image that is used to measure the biological structures.

[0145] In the context of high speed periodontal examination, in this example, the probe 300 emits an ultrasonic fan beam 620 that extends in a plane parallel to the tooth axis 630. The ultrasonic fan beam 620 is therefore fairly orthogonal to the tangent vector of the considered dental arch curve. Vector 625 represents the acquisition scan direction in the case of the fan beam ultrasonic signal generated by the moving element (transducer or deflector).

[0146] The resulting image 640 is an example of an image in which the periodontal region of a given tooth 635 may be viewed. As can be seen, the acquired image 640 shows the area where the gums surround the tooth 635, an area where a periodontal pocket is likely to form.

[0147] The operator then begins to move the probe 300 according to a protocol that instructs the operator to move the probe 300 first along the gum area of ​​the right lingual maxilla 610 and then along the gum area of ​​the left vestibular maxilla 615. The movements of the probe 300 are the same as those described in connection with the scanning of the dental arch quadrants 600, 605.

[0148] The transducer 340 emits an ultrasonic fan beam 650 oriented similarly to the fan beam 620 with respect to the tooth axis 655, and is shown in FIG. 6c for a tooth 660 of either the right lingual maxilla 610 or the left vestibular maxilla 615. The ultrasonic fan beam 650 is substantially orthogonal to the tangent vector of the considered dental arch curve. The vector 665 represents the acquisition scan direction in case of the fan beam ultrasonic signal generated by the moving element (transducer or deflector).

[0149] An example of a resulting image 670 shows the periodontal region of the scanned tooth 660 .

[0150] The second phase of the protocol is aimed at measuring the remainder of the dental arch with a second transducer 345 .

[0151] First, the transducer 345 is activated by the software application and the operator begins to move the probe 300. The protocol instructs the operator to first move the probe 300 along the gum area of ​​the left vestibular mandible 700 and then along the gum area of ​​the right lingual mandible 705. Similarly, as described with reference to Figures 6a, 6b, and 6c, the operator starts with the bottom tooth in each quadrant and moves the probe 300 tooth by tooth while maintaining the probe 300 in the correct position to obtain a workable image. The correct position of the probe for periodontal pocket investigation is shown in Figure 7b, which shows the ultrasonic device 315 of the probe 300 emitting an ultrasonic fan beam 720, positioned so that the ultrasonic fan beam is parallel to the axis 730 of the tooth 735 and perpendicular to the tangent vector of the dental arch curve.

[0152] The protocol then instructs the operator to move the probe 300 along the gum area of ​​the right vestibular maxilla 715 and then along the gum area of ​​the left lingual maxilla 710.

[0153] The operator moves the probe along these regions using ultrasonic signals provided by the transducers 345, respectively.

[0154] The example images 740 and 770 obtained show the periodontal region, specifically the area where the gums surround the teeth 735,760.

[0155] This illustrated protocol allows the software application to limit the number of times it needs to switch between the transducers 340, 345.

[0156] During the evaluation protocol, the software graphic interface may include indications regarding the probe movements that the operator should perform. Furthermore, the software application may inform the user if the probe positioning, and in particular the probe angle, does not allow accurate measurement of biological structures that may be detected in the acquired images. Probe deviation monitoring may be performed during the evaluation of the anatomical structures, as previously described with reference to FIG. 5b.

[0157] Thus, the scanning process is optimized and the amount of time to perform a complete examination of a patient's mouth is reduced.

[0158] According to some embodiments, a protocol may specify to perform measurements of the vestibular portions of the upper and lower dental arches, then the lingual portions of the upper and lower dental arches.

[0159] According to some embodiments, the software application may allow additional protocols to be established by the operator.

[0160] As previously described, after detecting an abnormality in the surveyed area of ​​interest, an indicator on the probe may be energized to indicate the identified anomaly in the anatomical structure. The indicator may be one of the light emitting device 425, LCD screen 425, vibration means and speaker 455 on the probe as described with reference to FIG.

[0161] For example, the operator may be notified by the system using a warning message displayed on the computer display and / or the LCD display of the probe, vibration of the probe, or illumination of at least one LED (continuous or discontinuous, or with color changes), or a specific sound effect diffused through a speaker.

[0162] Of course, with the aid of physical buttons and / or on a graphical interface of a software application that operates the probe 300, an operator can switch between manual, semi-automatic, and automatic modes.

[0163] Screening patients for tumor masses in their mouths During screening of the tumor mass, several predetermined characteristics may be measured.

[0164] As mentioned above, when the method is performed to detect a tumor mass during a screening examination, certain characteristics of the detected soft tissue, ie the gingiva, the detected gingival epithelium are measured.

[0165] The predetermined feature may be, for example, an echogenicity indicator, texture heterogeneity, texture complexity.

[0166] The echogenicity of a tissue is the ability of the tissue to return an echo. Thus, if the amplitude of the ultrasound signal reflected by the tissue is high, these tissues have a high echogenicity indicator (hyperechoic). These tissues are represented by a light color in the image constructed from the echo ultrasound signal. Conversely, a tissue is hypoechoic if the amplitude of the reflected ultrasound signal is low. For example, an abnormal contrast change in the constructed image may thus indicate the presence of a tumor mass. In pathological conditions, the echogenicity of an organ may be altered to become more or less echogenic (hyperechoic or hypoechoic).

[0167] The complexity and / or heterogeneity of the texture of the tissue can also characterize the internal structure of the tissues that make up the tumor mass. For example, the complexity of a tumor mass can be evaluated by the fractal dimension of the texture. These two features, individually or together, make it possible to evaluate the texture of the tissues that make up the tumor. Furthermore, these features allow the evolution of the tumor to be tracked over time.

[0168] Overall, certain features, echogenicity, texture complexity, and texture heterogeneity, can help characterize tumor masses when using a probe to screen regions of interest.

[0169] As a result, according to some embodiments, it may be possible to perform measurements of these three predetermined characteristics and compare the measurements respectively to three threshold values ​​associated with each predetermined characteristic.

[0170] Thus, tumor masses may be detected and characterized as a function of measurements and thresholds of these predetermined features.

[0171] Screening for some type of abnormal anatomical structure, which could be either periodontal pockets or the presence of a tumor mass The method may be performed while moving the ultrasound probe along the patient's dental arch to detect any abnormalities in the detected anatomical structures, either abnormal periodontal pockets or the presence of a tumor mass.

[0172] Next, during step 825 of method 800, several predefined features are measured in the constructed image, such as the depth of the detected periodontal pocket, hyperechogenic indicators, texture complexity and texture heterogeneity.

[0173] When multiple assessments are made during the same exam, all measurements are displayed on the same page simultaneously or one after the other in succession. These displays are displayed either directly on the LCD screen of the probe or on the acquisition interface of a remote workstation computer. If there is no operator intervention, this display lasts for a few seconds, e.g. 5 seconds.

[0174] According to some embodiments, measurements performed during an examination may be reported in a computer file. Such a computer file may be generated and stored on the acquisition workstation, either in the computer memory of a remote workstation or in the memory of the probe. <Additional Notes> [1] 1. A method for detecting abnormalities along a portion of a dental arch using scanning material, the method comprising: an ultrasonic periodontal probe (300) configured to emit ultrasonic signals in at least one emission cone and to receive corresponding echo ultrasonic signals; moving the probe (300) along a portion of the dental arch (500, 505); and while moving the probe (300) along the portion of the dental arch (500, 505), Emitting an ultrasonic signal within the emission cone; Measure the echo ultrasound signal; Detecting at least one anatomical structure to be investigated; measuring at least one predetermined feature of the at least one detected anatomical structure to obtain a measurement of the at least one predetermined feature characterizing the detected anatomical structure; detecting an anomaly as a function of a threshold and the measurement of the predetermined feature of the at least one detected anatomical structure. [2] Detecting at least one anatomical structure to be investigated includes: continuously constructing an image based on the measured echo signals; The method of claim 1, further comprising: analyzing the constructed image to detect at least one anatomical structure. [3] The method according to any one of claims 1 to 2, wherein the physical quantity associated with the at least one detected anatomical structure is one of a dimension, an echogenicity indicator, texture inhomogeneity, and texture complexity. [4] The method of any one of claims 2 to 6, wherein analyzing the constructed image includes segmenting the constructed image to detect at least one anatomical structure within the constructed image. [5] The method according to any one of [1] to [4] above, wherein the at least one anatomical structure may include teeth and / or gums and / or periodontal pockets and / or cortical bone, either alone or in combination. [6] The method according to [5] above, wherein the physical quantity associated with the detected periodontal pocket is a dimension such as depth. [7] The method according to any one of [1] to [6] above, further comprising moving the probe (300) along the portion of the dental arch (500, 505) while simultaneously reporting each measurement to the operator. [8] The method according to any one of the above [1] to [7], further comprising moving the probe (300) along the portion of the dental arch (500, 505) while informing the operator of the maximum and / or minimum measurement values. [9] The method according to any one of the above [1] to [8], wherein emitting an ultrasound signal includes recording the angulation of the probe (300) and / or recording the position of the probe (300).

[10] The method according to any one of [1] to [9] above, wherein the ultrasonic periodontal probe (300) is configured to emit ultrasonic signals within at least one of several emission cones extending in different directions.

[11] The method of claim 10, wherein emitting an ultrasonic signal comprises selecting at least one of the number of emission cones and emitting an ultrasonic signal within the at least one selected emission cone.

[12] and wherein the probe includes at least an indicator configured to provide an item of information regarding an identified anomaly, the method comprising: The method according to any one of the above [1] to

[11] , further comprising energizing the indicator to indicate the detected abnormality.

[13] The method according to

[12] above, wherein the indicator comprises one or more light emitting devices (330) and / or an LCD screen and / or vibration means and / or sound effects.

Claims

1. 1. A method of operating an ultrasonic periodontal probe for detecting abnormalities along a portion of a dental arch using scanning material, the ultrasonic periodontal probe being configured to emit ultrasonic signals in two emission cones and receive corresponding echo ultrasonic signals, the two emission cones extending away from each other, the method comprising: selecting one of the two emission cones and emitting an ultrasonic signal within the selected emission cone; Measuring an echo ultrasound signal; Detecting at least one anatomical structure to be investigated; measuring at least one predetermined feature of the at least one detected anatomical structure to obtain a measurement of the at least one predetermined feature characterizing the detected anatomical structure; detecting an abnormality as a function of a threshold and the measurement of the predetermined characteristic of the at least one detected anatomical structure.

2. Detecting at least one anatomical structure to be investigated includes: continuously constructing an image based on the measured echo ultrasound signals; and analyzing the constructed image to detect at least one anatomical structure.

3. 2. The method of claim 1, wherein the physical quantity associated with the at least one detected anatomical structure is one of a dimension, an echogenicity indicator, texture non-uniformity, or texture complexity.

4. The method of operating an ultrasonic periodontal probe of claim 2 , wherein analyzing the constructed image includes segmenting the constructed image to detect at least one anatomical structure within the constructed image.

5. The method of claim 1 , wherein the at least one anatomical structure may include a tooth, a gum, a periodontal pocket, or a cortical bone, either alone or in combination.

6. The method of claim 5, wherein the physical quantity associated with the detected periodontal pocket is depth.

7. 10. The method of claim 1, further comprising: reporting each measurement to an operator.

8. The method of claim 1 , further comprising notifying an operator of a maximum or minimum measurement value.

9. The method of operating an ultrasonic periodontal probe according to claim 1 , further comprising recording an angle of the probe or recording a position of the probe.

10. and wherein the probe includes at least an indicator configured to provide an item of information regarding an identified anomaly, the method comprising: The method of claim 1 further comprising energizing the indicator to indicate a detected abnormality.

11. The method of claim 10 , wherein the indicator comprises one or more of a light emitting device, an LCD screen, a vibrating device, or a sound effect.

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