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CN103099622B - A kind of body steadiness evaluation methodology based on image - Google Patents

A kind of body steadiness evaluation methodology based on image Download PDF

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CN103099622B
CN103099622B CN201310013995.0A CN201310013995A CN103099622B CN 103099622 B CN103099622 B CN 103099622B CN 201310013995 A CN201310013995 A CN 201310013995A CN 103099622 B CN103099622 B CN 103099622B
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body stability
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CN103099622A (en
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夏灵林
苏海
黄强辉
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Nanchang University
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Abstract

The present invention is a kind of body steadiness evaluation methodology based on image and device, and it comprises the following steps: 1) set labelling: carry out flag settings to patient position to be measured; 2) image acquisition: to the collection of patient's specific part kinestate consecutive image; 3) image procossing: the position of the characteristic point reflecting kinestate in each image is extracted; 4) data analysis: characteristic point is processed and analyzes; Image acquisition units, for the image sequence of continuous record patient labelling position kinestate; Image Acquisition and control unit, for dynamic acquisition view data and realize the preservation of view data; Graphics processing unit, extracts for the position realizing the characteristic point reflecting kinestate in consecutive image data; Data analysis unit, for analyzing the kinestate of patient's specific part, the present invention has non-invasive measurement, easy to use, and cost is low, advantages of simple structure and simple, can be used for the early stage auxiliary diagnosis of nervous system disease.

Description

一种基于图像的身体稳定性评价方法An image-based method for evaluating body stability

技术领域 technical field

本发明涉及一种基于图像的身体稳定性评价方法及装置。 The invention relates to an image-based body stability evaluation method and device.

背景技术 Background technique

身体稳定性:正常人体具有维持躯体或肢体平稳的能力。躯体或肢体平稳性受神经系统的控制和调节。而在多种病理状态下,机体控制躯体或肢体平稳的能力下降,表现为躯体晃动、肢体震颤,严重者手不能持物,甚至不能站立。既往评价躯体晃动和肢体震颤依靠肉眼的观察。这一方法的主观性太强,因而明显影响到评价的精确性和客观性。至今缺乏一种简便和可靠的检查方法。 Body stability: The normal human body has the ability to maintain stability of the body or limbs. Body or limb stability is controlled and regulated by the nervous system. In various pathological states, the ability of the body to control the stability of the body or limbs decreases, manifested as body shaking, limb tremors, and in severe cases, the hands cannot hold objects, or even stand. Previous assessments of body shaking and limb tremors relied on visual inspection. The subjectivity of this method is too strong, which obviously affects the accuracy and objectivity of the evaluation. So far, there is a lack of a simple and reliable inspection method.

导致身体稳定性降低的疾病: Diseases that cause a decrease in body stability:

1.帕金森症:帕金森症的早期表现为肢体和躯体的震颤。是中老年人最常见的中枢神经系统变性疾病。早期典型表现之一为出静止性震颤,如帕金森患者表现出频率5Hz(3~8Hz),的静止性震颤,并多出现在手,下肢,口及头部; 1. Parkinson's disease: The early manifestations of Parkinson's disease are tremors of limbs and body. It is the most common degenerative disease of the central nervous system in middle-aged and elderly people. One of the early typical manifestations is resting tremor. For example, Parkinson's patients show resting tremor with a frequency of 5Hz (3~8Hz), and it mostly occurs in the hands, lower limbs, mouth and head;

2.小脑疾病:主要表现为平衡失调,导致肢体和躯体稳定性降低; 2. Cerebellar disease: mainly manifested as imbalance, resulting in decreased limb and body stability;

3.甲状腺机能亢进:可以表现为肢体和躯体的细微震颤; 3. Hyperthyroidism: It can be manifested as subtle tremors in limbs and body;

4.瘫痪肢体:肢体和躯体的细微震颤的功能缺陷; 4. Paralyzed limbs: functional defects of fine tremors of limbs and body;

虽然上述疾病有各自的诊断方法,如影像学检测方法:脑CT、MRI,可以发现一些解剖学的变化,从而得出诊断。也可以检测一些化学物质来评价,如帕金森症可通过脑脊液中DA的最终代谢产物高香草酸(HVA)检测。但是,一些患者不存在脑的影像学改变。尤其是在早期病变阶段。因此,身体稳定性评价系统的应用可以早期发现疾病的线索,也利于对早期身体稳定性失常患者的辅助诊断。 Although the above-mentioned diseases have their own diagnostic methods, such as imaging detection methods: brain CT, MRI, some anatomical changes can be found, and thus the diagnosis can be made. Some chemical substances can also be detected for evaluation. For example, Parkinson's disease can be detected by homovanillic acid (HVA), the final metabolite of DA in cerebrospinal fluid. However, brain imaging changes are absent in some patients. especially in early disease stages. Therefore, the application of the body stability evaluation system can detect the clues of the disease early, and is also conducive to the auxiliary diagnosis of patients with early body stability disorders.

身体稳定性评价系统的应用范围:1.神经系统疾病的早期辅助诊断方法;2.肢体稳定性评价:一些工种和职业需要高度的肢体的稳定性,如精细手术者,射击等。该系统可以用以评价有关从业人员的肢体稳定性;也可以用以评价训练效果。 The scope of application of the body stability evaluation system: 1. Early auxiliary diagnosis methods for nervous system diseases; 2. Limb stability evaluation: Some types of work and occupations require a high degree of limb stability, such as fine surgery, shooting, etc. The system can be used to evaluate the limb stability of relevant practitioners; it can also be used to evaluate the training effect.

发明内容 Contents of the invention

本发明的目的在于提供了一种基于图像的身体稳定性评价方法及装置,它具有实现身体稳定性评价的非接触式测量及辅助诊断,尤其适用于对早期身体稳定性失常患者的辅助诊断的优点。 The object of the present invention is to provide an image-based body stability evaluation method and device, which has non-contact measurement and auxiliary diagnosis for body stability evaluation, and is especially suitable for auxiliary diagnosis of patients with early body stability disorders. advantage.

本发明是这样来实现的,一种基于图像的身体稳定性评价方法及装置,通过固定一个标记在患者被测量部位,被测量部位的运动将带动标记发生运动,固定图像采集单元,并由与图像采集单元相连的计算机采集并保存标记的动态图像。由图像处理单元实现图像序列的数据处理,得出标记在各图中的坐标位置,以连续的坐标点位置作为关键节点,将其插值成一条曲线,并以此还原被测部位的运动轨迹。该方法的主要步骤包括: The present invention is realized in this way, an image-based body stability evaluation method and device, by fixing a mark on the measured part of the patient, the movement of the measured part will drive the mark to move, the image acquisition unit is fixed, and the The computer connected to the image acquisition unit collects and saves the marked dynamic images. The data processing of the image sequence is realized by the image processing unit, and the coordinate positions marked in each figure are obtained, and the continuous coordinate point positions are taken as key nodes, which are interpolated into a curve, and the motion track of the measured part is restored. The main steps of the method include:

设定标记:对患者待测量部位进行标记设定,并保证标记的运动和被测量部位的运动一致,同时标记的形状、颜色、位置应便于进行图像的采集和数据的处理。如标记可以为一个与测量部位颜色差异明显的圆点也可为其他类似图案或结构,使得成像后标记图案明显; Set the mark: set the mark on the part of the patient to be measured, and ensure that the movement of the mark is consistent with the movement of the measured part. At the same time, the shape, color and position of the mark should be convenient for image collection and data processing. For example, the mark can be a dot that is obviously different from the color of the measurement site, or it can be other similar patterns or structures, so that the mark pattern is obvious after imaging;

图像采集:对患者特定部位运动状态连续图像的采集,图像的采集由数据采集单元完成,采集单元按照统一的时间间隔对标记进行图像采集,并按照顺序保存图像;数据采集单元与被测量部位之间的距离、角度满足如下关系:1)标记在相机中的成像清晰;2)标记始终在视场以内; Image Acquisition: Acquisition of continuous images of the movement state of specific parts of the patient. The image acquisition is completed by the data acquisition unit. The acquisition unit collects the images of the markers at a uniform time interval and saves the images in order; the data acquisition unit and the measured parts The distance and angle between them satisfy the following relationship: 1) The imaging of the marker in the camera is clear; 2) The marker is always within the field of view;

图像处理:首先对图像进行二值化,得到标记所对应的图像并去除标记之外的数据部分,通过中心计算法 Image processing: first binarize the image, get the image corresponding to the mark and remove the data part other than the mark, through the central calculation method

(1) (1)

(2) (2)

其中,threshold为二值化时设定的阈值,p(i,j)为图中各点的像素值,m、n分别为行和列的最大值,得到标记在图片中的坐标位置。记录标记在图片中的坐标位置点和对应图片的序号K,即得到了反映被测量部位运动特征的关键点序列; Among them, threshold is the threshold set during binarization, p(i,j) is the pixel value of each point in the picture, m and n are the maximum values of the row and column respectively, and the coordinate position marked in the picture is obtained. Record the coordinate position point marked in the picture And the sequence number K of the corresponding picture, that is, the key point sequence reflecting the motion characteristics of the measured part is obtained;

数据分析:对离散的关键点序列进行曲线插值,得到被测部位在测量过程中持续运动的连续曲线。提取轨迹曲线的幅、频及分布参数,通过对参数进行分类和比较,得出用于表征身体稳定性的评价结果。 Data analysis: Carry out curve interpolation on the discrete key point sequence to obtain the continuous curve of the continuous movement of the measured part during the measurement process. The amplitude, frequency and distribution parameters of the trajectory curve are extracted, and the evaluation results used to characterize the body stability are obtained by classifying and comparing the parameters.

本发明的技术效果是:本发明提供一种基于图像的身体稳定性评价方法和系统,特点是非接触式、自动测量,通过对患者特定部位动作进行图像采集及图像处理,进一步得出其运动特征的结果参数。因此结果客观,可靠,并可以定量评价。 The technical effect of the present invention is: the present invention provides an image-based body stability evaluation method and system, which is characterized by non-contact and automatic measurement, and further obtains its motion characteristics through image acquisition and image processing of specific parts of the patient. The result parameter. Therefore, the results are objective, reliable, and can be evaluated quantitatively.

附图说明 Description of drawings

图1为本发明的主要步骤流程图。 Fig. 1 is a flowchart of main steps of the present invention.

图2为本发明的一种具体实施方式的结构示意图。 Fig. 2 is a structural schematic diagram of a specific embodiment of the present invention.

图3为本发明的一种用于头部运动特征标记的示意图。 Fig. 3 is a schematic diagram of a characteristic marker for head movement according to the present invention.

图4为一组头部运动测量后标记点插值所得连续曲线图。 Fig. 4 is a continuous graph obtained by interpolating marker points after a group of head movement measurements.

图中,1、摄像机2、镜头3、测量距离4、计算机5、待测部位6、标记。 In the figure, 1, a camera 2, a lens 3, a measuring distance 4, a computer 5, a part to be measured 6, and a mark.

具体实施方式 Detailed ways

本发明提供的基于图像的身体稳定性评价方法和系统,采用图像采集单元+图像获取和控制单元+图像处理单元+数据分析单元的技术方案。实现身体稳定性评价,具体过程如下:将对比度较为明显的标记6固定在被辅助诊断对象的待测部位5,由图像采集单元实现标记6的成像和模数转换,通过图像获取和控制单元按照设定的时间连续采集并保存标记6的多幅图像,图像处理单元实现对图像序列的二值化处理和标记点的中心坐标的计算,并记录相应的图片序号和标记的坐标值,数据分析单元将所有的标记点插值成一条连续曲线,并对插值后的连续曲线的幅、频特性进行计算和对曲线的分布情况进行分析,得出表征身体稳定性的的运动特征的结果参数,并根据参数对特征进行分类,从而实现身体稳定性的评价。 The image-based body stability evaluation method and system provided by the present invention adopt the technical scheme of image acquisition unit + image acquisition and control unit + image processing unit + data analysis unit. Realize the evaluation of body stability, the specific process is as follows: the marker 6 with relatively obvious contrast is fixed on the part 5 to be tested of the object to be diagnosed, the imaging and analog-to-digital conversion of the marker 6 are realized by the image acquisition unit, and the image acquisition and control unit according to The set time continuously collects and saves multiple images marked with 6, and the image processing unit realizes the binarization processing of the image sequence and the calculation of the center coordinates of the marked points, and records the corresponding picture serial number and marked coordinate value, data analysis The unit interpolates all the marker points into a continuous curve, and calculates the amplitude and frequency characteristics of the interpolated continuous curve and analyzes the distribution of the curve to obtain the result parameters representing the motion characteristics of the body stability, and Classification of features according to parameters enables evaluation of body stability.

以下结合附图和具体实施例对本发明作进一步详细说明,但不作为对本发明的限定; The present invention will be described in further detail below in conjunction with accompanying drawing and specific embodiment, but not as limiting the present invention;

如图2、图3所示,第一步,设定标记,采用对比度较明显的标记6,将标记6固定在被测量部位5,标记6通过镜头2成像到摄像机1,可以调节测量距离3使得成像清晰,数据采集单元包含镜头2和摄像机1;第二步,采集图像,通过与采集单元连接的计算机4完成图像数据的自动采集和保存;第三步,处理图像,由计算机3完成图像的二值化和标记中心的坐标位置计算,记录当前图片的序号和对应图片中标记中心的坐标位置;第四步,分析图像,对各图中标记点的位置坐标进行曲线插值,并对插值后的曲线的幅、频特性进行计算以及对曲线的分布情况进行分析,对参数进行分类和比较,得出用于表征身体稳定性的评价结果;在实际测量时,可以把待测部位5做成帽子,如通过将黑色圆点标记6在帽子顶部,再将帽子固定在被测量患者头顶,实现头部运动特征的标记。 As shown in Figure 2 and Figure 3, the first step is to set the mark, using a mark 6 with a relatively obvious contrast, and fixing the mark 6 on the measured part 5, the mark 6 is imaged to the camera 1 through the lens 2, and the measurement distance can be adjusted 3 To make the imaging clear, the data acquisition unit includes a lens 2 and a camera 1; the second step is to collect images, and the computer 4 connected to the acquisition unit completes the automatic collection and preservation of image data; the third step is to process the images, and the computer 3 completes the images The binarization and coordinate position calculation of the mark center, record the serial number of the current picture and the coordinate position of the mark center in the corresponding picture; the fourth step is to analyze the image, perform curve interpolation on the position coordinates of the mark points in each figure, and interpolate Calculate the amplitude and frequency characteristics of the final curve and analyze the distribution of the curves, classify and compare the parameters, and obtain the evaluation results used to characterize the stability of the body; in actual measurement, the part 5 to be measured can be made Make a hat, such as by marking the black dot 6 on the top of the hat, and then fix the hat on the top of the measured patient's head, so as to realize the marking of the head movement characteristics.

图1为本发明基于图像的身体稳定性评价方法的主要工作步骤,第一步,设定标记;第二步,采集图像;第三步,处理图像;第四步,分析图像。除第一步需要测量前设定外,其它步骤都由辅助诊断系统的软件自动实现。 Fig. 1 is the main working steps of the image-based body stability evaluation method of the present invention, the first step is to set the mark; the second step is to collect the image; the third step is to process the image; the fourth step is to analyze the image. Except that the first step needs to be set before measurement, other steps are automatically realized by the software of the auxiliary diagnosis system.

图4为一组头部运动测量后标记点插值所得连续曲线,曲线反映了患者头部运动的连续轨迹。分析轨迹曲线,得出被测部位运动时的幅度、频率以及分布特征,对参数进行分类和比较,得出用于表征身体稳定性的评价结果。 Fig. 4 is a group of continuous curves obtained by interpolation of marker points after head movement measurement, and the curve reflects the continuous trajectory of the patient's head movement. Analyze the trajectory curve to obtain the amplitude, frequency and distribution characteristics of the measured part during movement, classify and compare the parameters, and obtain the evaluation results used to characterize the body stability.

对某患者进行头部测量,第一步:通过将黑色圆点标记在白色帽子顶部,圆点直径约2mm,被测量患者头戴该黑色标记的帽子,自然坐立在座位上,并确保帽子与头部相对固定。调节支架,将摄像机调节到距头顶上方约100mm处,摄像机选择CMOS成像传感器,调节摄像机镜头,使得黑色标记在摄像机中清晰成像。保持摄像机位置及镜头固定。第二步:由操作人员启动图像采集过程,通过数据获取及控制单元设定一分钟后采集结束,采样频率设定为10Hz,并由数据获取程序自动完成数据在指定文件夹下的保存。第三步:从第一幅图像至最后一幅图像开始,对图像进行二值化操作,并计算各图中标记的中心坐标,保存至数组中。第四步:将数组中离散的坐标点插值成一条连续的曲线,即得到测量的一分钟内该患者头部运动的轨迹,通过对曲线的数值进行计算和分析,得到曲线的幅度、频率及分布等特征参数,对参数进行分类和比较,得出用于表征身体稳定性的评价结果;表1几种常见的身体稳定性类型和参数的对应关系表, To measure the head of a patient, the first step is to mark a black dot on the top of the white cap with a diameter of about 2mm. The measured patient wears the cap with the black mark, sits on the seat naturally, and ensures that the cap relatively fixed to the head. Adjust the bracket, adjust the camera to about 100mm from the top of the head, select the CMOS imaging sensor for the camera, and adjust the camera lens so that the black mark is clearly imaged in the camera. Keep the camera position and lens fixed. Step 2: The operator starts the image acquisition process, and the acquisition ends after one minute through the data acquisition and control unit. The sampling frequency is set to 10Hz, and the data acquisition program automatically completes the data storage in the designated folder. Step 3: From the first image to the last image, binarize the image and calculate the center coordinates of the marks in each image , saved to the array. Step 4: Interpolate the discrete coordinate points in the array into a continuous curve, that is, get the trajectory of the patient’s head movement within one minute of measurement, and calculate and analyze the value of the curve to obtain the amplitude, frequency and Distribution and other characteristic parameters, classify and compare the parameters, and obtain the evaluation results used to characterize the body stability; Table 1 Correspondence table of several common types of body stability and parameters,

.

对于上述实施例对摄像机参数的要求:连续采集速度不小于10帧每秒,为保证对微小运动的测量能达到0.1mm,并适用于对运动幅度较大的患者测量,传感器的分辨率应大于1000*1000像素。 Requirements for camera parameters in the above embodiments: the continuous acquisition speed is not less than 10 frames per second. In order to ensure that the measurement of small movements can reach 0.1mm, and it is suitable for the measurement of patients with large movement ranges, the resolution of the sensor should be greater than 1000*1000 pixels.

当然,本发明还可有它多种实施例,在不背离发明精神及其实质的情况下,熟悉本领域的技术人员可根据本发明做出各种相应的改变和变形,但这些相应的改变和变形都应属于本发明所附的权利要求和保护范围。 Certainly, the present invention also can have its multiple embodiment, under the situation of not departing from the spirit and essence of the invention, those skilled in the art can make various corresponding changes and distortions according to the present invention, but these corresponding changes All changes and modifications should belong to the appended claims and protection scope of the present invention.

Claims (8)

1.一种基于图像的身体稳定性评价方法,其特征在于包括如下步骤: 1. An image-based body stability evaluation method, characterized in that it comprises the steps: 设定标记:对神经系统病变患者待测量部位进行标记设定; Set markers: set markers for the parts to be measured in patients with neurological lesions; 图像采集:对神经系统病变患者待测量部位运动状态连续图像的采集; Image acquisition: Acquisition of continuous images of the movement state of the parts to be measured in patients with neurological lesions; 图像处理:对各图像中反映运动状态的特征点的位置提取; Image processing: extract the position of the feature points reflecting the motion state in each image; 数据分析:对特征点进行处理和分析,得出用于表征身体稳定性的评价结果。 Data analysis: process and analyze the feature points to obtain the evaluation results used to represent the stability of the body. 2.根据权利要求1所述的一种基于图像的身体稳定性评价方法,其特征在于所述的标记为固定于待测部位的斑点,用于使得标记最终成像后形成对比度明显的图片。 2 . The image-based body stability evaluation method according to claim 1 , wherein the mark is a spot fixed on the site to be tested, so as to form a picture with obvious contrast after the final imaging of the mark. 3 . 3.根据权利要求1所述的一种基于图像的身体稳定性评价方法,其特征在于所述的图像采集,在采集过程中,采集单元按照统一的时间间隔和统一的工作距离对患者标记部位进行图像的自动连续采集。 3. a kind of body stability evaluation method based on image according to claim 1, it is characterized in that described image acquisition, in acquisition process, acquisition unit marks the position of patient according to unified time interval and unified working distance Carry out automatic continuous acquisition of images. 4.根据权利要求1所述的一种基于图像的身体稳定性评价方法,其特征在于所述的图像处理,包括图像的二值化处理、特征点在图片中坐标位置以及图片的顺序序列的提取; 4. a kind of image-based body stability evaluation method according to claim 1, is characterized in that described image processing, comprises the binarization processing of image, feature point coordinate position in picture and the order sequence of picture extract; 其中,图像二值化后并去除标记之外的数据得到特征点图像,特征点的中心坐标位置(X,Y)可通过公式(1)和公式(2)实现, Among them, after the image is binarized and the data other than the marker is removed to obtain the feature point image, the central coordinate position (X, Y) of the feature point can be realized by formula (1) and formula (2), ,(1) ,(1) ,(2) ,(2) 其中,threshold为二值化时设定的阈值,p(i,j)为图中各点的像素值,m、n分别为行和列的最大值,ni,nj分别为图像行、列方向大于阈值的灰度值积分,N为图像中大于阈值的像素个数; Among them, threshold is the threshold set during binarization, p(i,j) is the pixel value of each point in the figure, m and n are the maximum values of row and column respectively, ni and nj are the row and column directions of the image respectively The integral of the gray value greater than the threshold, N is the number of pixels greater than the threshold in the image; 记录标记在图片中的坐标位置点和对应图片的序号K,即得到了反映被测量部位运动特征的关键点序列号。 Record the coordinate position point marked in the picture And the serial number K of the corresponding picture, that is, the serial number of the key point reflecting the movement characteristics of the measured part is obtained. 5.根据权利要求1所述的一种基于图像的身体稳定性评价方法,其特征在于所述的数据分析,对各图中标记点的位置坐标进行曲线插值,并对插值后的曲线,提取轨迹曲线的幅、频特性及曲线分布参数,通过对参数进行分类和比较,得出用于表征身体稳定性的评价结果。 5. A kind of body stability evaluation method based on image according to claim 1, it is characterized in that described data analysis, carry out curve interpolation to the position coordinate of mark point in each figure, and to the curve after interpolation, extract The amplitude and frequency characteristics of the trajectory curve and the curve distribution parameters are classified and compared to obtain the evaluation results used to characterize the body stability. 6.根据权利要求1所述的一种基于图像的身体稳定性评价方法,其特征在于包括:图像采集单元,用于连续记录患者标记部位运动状态的图像序列;图像获取和控制单元,与图像采集单元相连接,用于动态采集图像数据并实现图像数据的保存;图像处理单元,用于实现连续图像数据中反映运动状态的特征点的位置提取;数据分析单元,用于通过分析诸多特征点数据,分析患者标记部位的运动状态,从而得出用于表征身体稳定性的评价结果。 6. A kind of body stability evaluation method based on image according to claim 1, it is characterized in that comprising: image acquisition unit, is used for continuously recording the image sequence of patient's mark position motion state; Image acquisition and control unit, and image The acquisition unit is connected to be used to dynamically collect image data and realize the preservation of image data; the image processing unit is used to realize the position extraction of feature points reflecting the motion state in continuous image data; the data analysis unit is used to analyze many feature points The data is analyzed to analyze the movement state of the marked parts of the patient, so as to obtain the evaluation results used to characterize the stability of the body. 7.根据权利要求6所述的一种基于图像的身体稳定性评价方法,其特征在于所述图像采集单元包含摄像机和镜头两部分。 7. A method for evaluating body stability based on images according to claim 6, characterized in that said image acquisition unit comprises two parts, a camera and a lens. 8.根据权利要求6所述的一种基于图像的身体稳定性评价方法,其特征在于所述图像处理单元,实现图像数据中反映待测量部位运动状态的特征点位置信息的计算提取。 8. A method for evaluating body stability based on images according to claim 6, characterized in that said image processing unit realizes the calculation and extraction of feature point position information reflecting the motion state of the parts to be measured in the image data.
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