Automated positioning of a patient table relative to a medical installation

• US 10,213,169 B2
• Filed: 09/08/2015
• Issued: 02/26/2019
• Est. Priority Date: 09/16/2014
• Status: Active Grant

• Current Assignee: Siemens Healthineers AG (Siemens AG)
• Original Assignee: Siemens AG
• Inventors: Braun, Christoph, Uebler, Johann
• Primary Examiner(s): Kurilla, Eric J
• Application Number:
  US14/847,437
• Publication Number:
  US 20160073979A1
• Time in Patent Office: 1,267 Days
• CPC Class Codes: A61B 6/032 Transmission computed tomography [CT]
• CPC Class Codes: A61B 6/0487 Motor-assisted positioning
• CPC Class Codes: A61B 6/0492 using markers or indicia for aiding patient positioning
• CPC Class Codes: A61B 6/461 Displaying means of special interest
• CPC Class Codes: A61B 6/467 characterised by special input means
• CPC Class Codes: G06F 3/0482 Interaction with lists of selectable items, e.g. menus
• CPC Class Codes: G16H 30/00 ICT specially adapted for the handling or processing of medical images computed tomography A61B6/03
• CPC Class Codes: G16H 30/20 for handling medical images, e.g. DICOM, HL7 or PACS
• CPC Class Codes: G16H 30/40 for processing medical images, e.g. editing
• CPC Class Codes: G16H 40/63 for local operation

Abstract

Embodiments are described herein for determining anatomical landmarks on a patient by virtue of anatomical landmarks being called up from a database with an anatomical model and being converted into individual body dimensions and an individual position of the patient. As a result, anatomical landmarks may be called up from a database, calculated individually for the patient and used as an item of reference location information. The positioning of the patient table is thus considerably accelerated, wherein the accuracy is also improved. Thus, the item of reference location information may be calculated individually for the same patient in a different position or a different patient with different body dimensions by virtue of this item of reference location information being recalculated by the conversion rule for the respective patient.

Claims

1. A user interface for automated positioning of a patient table relative to a medical installation, the user interface comprising:

a display and operating unit configured to output a patient image; and

a microprocessor configured to;

define at least one item of reference location information on the patient table, wherein the at least one item of reference location information is a fixed reference point configured to be used as a marker for table positioning for moving and re-moving the patient table;

represent the at least one item of reference location information in the patient image;

move the patient table or the medical installation with aid of a positioning system, wherein the at least one item of reference location information is brought into alignment with a zero point of a working area of the medical installation;

store, in an electronic memory, the at least one item of reference location information independently of a present position of a patient in an electronic patient file or independently of individual body dimensions of the patient in a scan log,

call up the at least one item of reference location information from the electronic memory at a later time, and

re-move the patient table or the medical installation with the aid of the positioning system, wherein the at least one item of reference location information is again brought into alignment with the zero point of the working area of the medical installation.

2. The user interface as claimed in claim 1, wherein the microprocessor is further configured to define the at least one item of reference location information with the display and operating unit based on at least one user interaction suitable for positioning the at least one item of reference location information in the patient image.

3. The user interface as claimed in claim 1, wherein the microprocessor is further configured to call up a representation of an avatar from the electronic memory and output the representation of the avatar as the patient image on the display and operating unit.

4. The user interface as claimed in claim 1, further comprising:

at least one camera oriented onto the patient table and configured to capture the patient image.

5. The user interface as claimed in claim 4, wherein the microprocessor is further configured to:

determine the individual body dimensions, an individual position of limbs, or the individual body dimensions and the individual position of the limbs of a body of the patient on the patient table by evaluation of the patient image;

calculate a conversion rule based on one or more of (1) a difference between the individual body dimensions of the patient and body dimensions in an anatomical model or (2) a difference between the individual position of the limbs of the body of the patient and a position of body limbs in the anatomical model; and

convert coordinates between items of location information based on the anatomical model and items of patient-specific location information with aid of the conversion rule.

6. The user interface as claimed in claim 5, wherein the microprocessor is further configured to:

call up a plurality of items of anatomical location information, wherein each item of anatomical location information specifies a position of an organ or a section of an organ in the anatomical model from an anatomical database;

convert each item of anatomical location information into an item of patient-specific anatomical location information with the aid of the conversion rule; and

store each item of patient-specific anatomical location information as an item of reference location information in the electronic memory.

7. The user interface as claimed in claim 5, wherein the microprocessor is further configured to:

define the at least one item of reference location information with the display and operating unit based on at least one user interaction suitable for positioning the at least one item of reference location information in the patient image;

convert the at least one item of reference location information into a transformed item of location information based on the anatomical model by the conversion rule;

call up an adjacent item of anatomical location information, which specifies a position of an organ or a section of an organ in the anatomical model from the anatomical database, wherein the adjacent item of anatomical location information, among all items of location information in the anatomical database, has a shortest distance from the transformed item of location information;

link the at least one item of reference location information with a name of the adjacent item of anatomical location information; and

output the name on the display and operation unit.

8. The user interface as claimed in claim 5, wherein the microprocessor is further configured to:

detect an anatomical name with the display and operating unit based on at least one user interaction suitable for inputting or selecting the anatomical name;

call up an item of anatomical location information from the anatomical database based on the anatomical name;

convert the item of anatomical location information into an item of patient-specific location information by the conversion rule; and

store the item of patient-specific anatomical location information as an item of reference location information in the electronic memory.

9. The user interface as claimed in claim 1, wherein a plurality of items of reference location information is stored in the electronic memory, and

wherein the microprocessor is further configured to represent the plurality of items of reference location information in the patient image and select one item of reference location information of the plurality of items of reference location information depending on a user interaction on the display and operating unit.

10. The user interface as claimed in claim 9, wherein the microprocessor is further configured to move the patient table or the medical installation after selection of the item of reference location information with the aid of the positioning system, wherein the selected item of reference location information is brought into alignment with the zero point of the working area of the medical installation.

11. A method for automated positioning of a patient table relative to a medical installation, the method comprising:

outputting a patient image using a display and operating unit of a user interface;

defining, using a microprocessor of the user interface, at least one item of reference location information on the patient table and representing the at least one item of reference location information in the patient image, wherein the at least one item of reference location information is a fixed reference point configured to be used as a marker for table positioning for moving and re-moving the patient table;

moving the patient table or the medical installation, using the microprocessor, with aid of a positioning system, wherein the at least one item of reference location information is brought into alignment with a zero point of a working area of the medical installation;

storing, in an electronic memory using the microprocessor, the at least one item of reference location information independently of a present position of a patient in an electronic patient file or independently of individual body dimensions of the patient in a scan log;

calling up the at least one item of reference location information, using the microprocessor, at a later time from the electronic memory; and

moving the patient table or the medical installation again, using the microprocessor, with the aid of the positioning system, wherein the at least one item of reference location information is again brought into alignment with the zero point of the working area of the medical installation.

12. The method as claimed in claim 11, further comprising:

defining the at least one item of reference location information, using the microprocessor, with the display and operating unit based on at least one user interaction that positions the at least one item of reference location information in the patient image.

13. The method as claimed in claim 11, further comprising:

calling up a representation of an avatar, using the microprocessor, from the electronic memory; and

outputting the representation of the avatar as the patient image on the display and operating unit.

14. The method as claimed in claim 11, further comprising:

orienting at least one camera onto the patient table and capturing the patient image.

15. The method as claimed in claim 14, further comprising:

determining, using the microprocessor, individual body dimensions, an individual position of limbs, or the individual body dimensions and the individual position of the limbs of a body of the patient on the patient table by evaluation of the patient image;

calculating a conversion rule, using the microprocessor, based on one or more of;

(1) a difference between the individual body dimensions of the patient and body dimensions in an anatomical model or (2) a difference between the individual position of the limbs of the body of the patient and a position of body limbs in the anatomical model; and

converting coordinates, using the microprocessor, between items of location information based on the anatomical model and items of patient-specific location information with aid of the conversion rule.

16. The method as claimed in claim 15, further comprising:

calling up a plurality of items of anatomical location information, using the microprocessor, wherein each item specifies a position of an organ or a section of an organ in the anatomical model from an anatomical database;

converting each item of anatomical location information, using the microprocessor, into an item of patient-specific anatomical location information with the aid of the conversion rule; and

storing each item of patient-specific anatomical location information, using the microprocessor, as an item of reference location information in the electronic memory.

17. The method as claimed in claim 15, further comprising:

defining the at least one item of reference location information, using the microprocessor, with the display and operating unit based on at least one user interaction that positions the at least one item of reference location information in the patient image;

converting the at least one item of reference location information, using the microprocessor, into a transformed item of location information based on the anatomical model by the conversion rule;

calling up an adjacent item of anatomical location information, using the microprocessor, wherein the adjacent item of anatomical location information specifies a position of an organ or a section of an organ in the anatomical model from the anatomical database, and wherein the adjacent item of anatomical location information, among all the items of location information in the anatomical database, has a shortest distance from the transformed item of location information;

linking the at least one item of reference location information, using the microprocessor, with a name of the adjacent item of anatomical location information; and

outputting the name on the display and operating unit.

18. The method as claimed in claim 15, further comprising:

acquiring an anatomical name, using the microprocessor, with the display and operating unit based on at least one user interaction with which the anatomical name is input or selected;

calling up an item of anatomical location information, using the microprocessor, from the anatomical database based on the anatomical name;

converting the item of anatomical location information, using the microprocessor, into an item of patient-specific location information by the conversion rule; and

storing the item of patient-specific anatomical location information, using the microprocessor, as an item of reference location information in the electronic memory.

19. The method as claimed in claim 15, further comprising:

converting the at least one item of reference location information, using the microprocessor, into a transformed item of location information based on the anatomical model by the conversion rule; and

storing the transformed item of location information, using the microprocessor, in an electronic patient file or in a scan log.

20. The method as claimed in claim 11, further comprising:

storing a plurality of items of reference location information in the electronic memory; and

representing the plurality of items of reference location information, using the microprocessor, in the patient image; and

selecting, using the microprocessor, one item of reference location information of the plurality of items of reference location information depending on a user interaction on the display and operating unit.

21. The method as claimed in claim 20, further comprising:

moving the patient table or the medical installation, using the microprocessor, after the selection of the item of reference location information with the aid of the positioning system, wherein the selected item of reference location information is brought into alignment with the zero point of the working area of the medical installation.

22. The method as claimed in claim 11, further comprising:

storing the at least one item of reference location information, using the microprocessor, in an electronic patient file or in a scan log.