System and method for lung visualization using ultrasound

• US 10,098,565 B2
• Filed: 08/27/2014
• Issued: 10/16/2018
• Est. Priority Date: 09/06/2013
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Brannan, Joseph D., Dickhans, William J., Ladtkow, Casey M., Peterson, Darion R.
• Primary Examiner(s): Turchen, Rochelle
• Assistant Examiner(s): HOFFMAN, JOANNE M
• Application Number:
  US14/469,718
• Publication Number:
  US 20150073266A1
• Time in Patent Office: 1,511 Days
• CPC Class Codes: A61B 1/267 for the respiratory tract, e.g. laryngoscopes, bronchoscopes
• CPC Class Codes: A61B 5/062 using magnetic field
• CPC Class Codes: A61B 5/113 occurring during breathing
• CPC Class Codes: A61B 5/7207 of noise induced by motion artifacts
• CPC Class Codes: A61B 8/08 Detecting organic movements or changes, e.g. tumours, cysts, swellings A61B8/02 - A61B8/06 take precedence
• CPC Class Codes: A61B 8/12 in body cavities or body tracts, e.g. by using catheters catheters per se A61M25/00
• CPC Class Codes: A61B 8/4254 using sensors mounted on the probe
• CPC Class Codes: A61B 8/463 characterised by displaying multiple images or images and diagnostic data on one display composite display in devices for short-range imaging with acoustic waves G01S7/52074
• CPC Class Codes: A61B 8/467 characterised by special input means
• CPC Class Codes: A61B 8/5238 for combining image data of patient, e.g. merging several images from different acquisition modes into one image for image registration algorithms G06T7/30
• CPC Class Codes: A61B 8/5261 combining images from different diagnostic modalities, e.g. ultrasound and X-ray

Abstract

A system for ultrasound interrogation of a lung includes a memory, an electromagnetic (EM) board, an extended working channel (EWC), an EM sensor, a US transducer, and a processor. The memory stores a three dimensional (3D) model, a pathway plan for navigating a luminal network. An EM board generates an EM field. The EWC is configured to navigate the luminal network of a patient toward a target following the pathway plan and the EM sensor extends distally from the EWC and senses the EM field. The US transducer extends distally from a distal end of the EWC and generates US waves and receives US waves reflected from the luminal network and the processor processes the sensed EM field to synchronize a location of the EM sensor in the 3D model, to process the reflected US waves to generate images, or to integrate the generated images with the 3D model.

Claims

1. A system for ultrasound (US) interrogation comprising:

a memory storing a three dimensional (3D) model of a luminal network and a pathway plan illustrating a pathway toward a target in the luminal network of the 3D model, wherein the 3D model is made of a plurality of two dimensional (2D) images, which are from computed tomography scanning, magnetic resonance imaging (MRI), fluoroscopic imaging, or X-ray imaging;

an electromagnetic (EM) board configured to generate an EM field;

a first catheter configured to navigate the luminal network toward a target by following the pathway plan;

a second catheter configured to extend through the first catheter;

an EM sensor configured to sense the EM field;

a US transducer configured to generate US waves and receive US waves reflected from the luminal network, wherein the EM sensor is positioned at a distal portion of one of the first catheter and the second catheter, and the US transducer is positioned at a distal portion of the other one of the first catheter and the second catheter;

a processor configured to process the sensed EM field to synchronize a location of the EM sensor in the 3D model, to process the reflected US waves to generate US images, and to integrate the generated US images with the 3D model at a location of the US transducer by replacing at least one of the plurality of 2D images of the 3D model at a location of the US transducer, which corresponds to a location of the EM sensor, with the generated US images to create an intra-procedural 3D model; and

a display device configured to display the integrated 3D model and US images.

2. The system according to claim 1, wherein the display device is further configured to display a status related to the location of the EM sensor.

3. The system according to claim 2, wherein the status indicates whether the EM sensor is located at a not-in-target location, the target, or a location adjacent to healthy tissue.

4. The system according to claim 2, wherein the status indicates whether treatment of the target is complete.

5. The system according to claim 1, wherein a resolution of the generated images is finer than a resolution of the 3D model.

6. The system according to claim 1, wherein the EM sensor is located at the distal portion of the first catheter.

7. The system according to claim 1, further comprising a plurality of reference sensors located on a patient and configured to recognize a breathing pattern of the patient.

8. The system according to claim 7, further comprising a tracking device coupled to the plurality of reference sensors and the EM sensor, and configured to identify the location of the EM sensor by compensating for patient'"'"'s breathing according to the breathing pattern.

9. The system according to claim 1, wherein the generated images is integrated near the location of the EM sensor in the 3D model.

10. The system according to claim 1, wherein the processor is further configured to identify tissue density according to the reflected US waves.

11. The system according to claim 1, wherein the processor is further configured to determine whether a treatment device is at a center of the target.

12. The system according to claim 1, wherein the processor is further configured to determine a sufficiency of treatment in consideration of a density of the target according to the reflected US waves.

13. The system according to claim 1, wherein the processor is further configured to detect a size of the target.

14. The system according to claim 1, wherein the processor is further configured to determine shrinkage of the target real-time during and after a treatment of the target.

15. The system according to claim 1, wherein the generated images show tissue outside of the luminal network.

16. The system according to claim 1, wherein the US transducer is positioned at the distal portion of the first catheter.

17. The system according to claim 1, wherein the processor is further configured to determine an offset between the EM sensor and the US transducer.

18. The system according to claim 17, wherein a location of integration of the generated images with the 3D model is determined by the offset.

19. The system according to claim 1, wherein the US transducer is positioned in a forward looking manner before the EM sensor.