Method and device for displaying predicted volume of influence

• US 10,322,285 B2
• Filed: 08/01/2017
• Issued: 06/18/2019
• Est. Priority Date: 07/07/2004
• Status: Active Grant

• Current Assignee: Cleveland Clinic Foundation
• Original Assignee: Cleveland Clinic Foundation
• Inventors: McIntyre, Cameron C., Butson, Christopher R., Hall, John D., Henderson, Jaimie M.
• Primary Examiner(s): Patel, Jayesh A
• Application Number:
  US15/666,364
• Publication Number:
  US 20170344721A1
• Time in Patent Office: 686 Days
• Field of Search: None
• CPC Class Codes: A61B 2090/364 Correlation of different images or relation of image positions in respect to the body
• CPC Class Codes: A61B 5/24 Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
• CPC Class Codes: A61B 90/37 Surgical systems with images on a monitor during operation
• CPC Class Codes: A61N 1/0529 Electrodes for brain stimulation
• CPC Class Codes: A61N 1/0531 Brain cortex electrodes
• CPC Class Codes: A61N 1/0534 Electrodes for deep brain stimulation
• CPC Class Codes: A61N 1/0539 Anchoring of brain electrode systems, e.g. within burr hole
• CPC Class Codes: A61N 1/36082 Cognitive or psychiatric applications, e.g. dementia or Alzheimer's disease
• CPC Class Codes: A61N 1/36135 using physiological parameters
• CPC Class Codes: A61N 1/36146 specified by the stimulation parameters
• CPC Class Codes: G16H 20/30 relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
• CPC Class Codes: G16H 30/20 for handling medical images, e.g. DICOM, HL7 or PACS
• CPC Class Codes: G16H 50/50 for simulation or modelling of medical disorders

Abstract

This document discusses, among other things, brain stimulation models, systems, devices, and methods, such as for deep brain stimulation (DBS) or other electrical stimulation. In an example, volumetric imaging data representing an anatomical volume of a brain of a patient can be obtained and transformed to brain atlas data. A patient-specific brain atlas can be created using the inverse of the transformation to map the brain atlas data onto the volumetric imaging data and a volume of influence can be calculated using the patient-specific brain atlas. In certain examples, the volume of influence can include a predicted volume of tissue affected by an electrical stimulation delivered by an electrode at a corresponding at least one candidate electrode target location.

Claims

1. A system for determining an estimated volume of tissue activated by at least one electrode implanted in an anatomical region of a patient, the system comprising:

a display device; and

a processor coupled to the display device and configured to perform steps comprising;

calculating, using an anatomical model that characterizes a location of the at least one electrode in the anatomical region and an electrical model that characterizes an electric field generated in the anatomical region, a spatial distribution of electrical values to be generated by the at least one electrode using a first set of settings over a plurality of positions in the patient'"'"'s tissue;

determining at least one threshold value for tissue activation;

determining, by applying the at least one threshold value to the spatial distribution of the electrical values, an estimated volume of tissue activated by the at least one electrode using the first set of settings; and

outputting, on the display device, a graphical representation of the determined estimated volume.

2. The system of claim 1, wherein the outputting comprises displaying the graphical representation relative to an anatomical atlas.

3. The system of claim 1, wherein the calculating of the spatial distribution of the electrical values and the determining of the estimated volume of tissue activated is performed for each of a plurality of different sets of settings for the at least one electrode with different estimated volumes of tissue activated being determined for the different sets of settings.

4. The system of claim 1, wherein the estimated volume is a combination of, and is determined by the processor by combining, regions at which those of the electrical values that satisfy the at least one threshold value are located.

5. The system of claim 1, wherein determining, by applying the at least one threshold value to the spatial distribution of the electrical values, the estimated volume of tissue activated by the at least one electrode using the first set of settings further comprises:

determining, by applying the at least one threshold value to the electrical values, an estimated volume of tissue activated by the at least one electrode using the first set of settings, wherein the anatomical region in which the spatial distribution of the electrical values was determined exceeds the estimated volume of tissue activated.

6. The system of claim 1, wherein the calculating of the spatial distribution of the electrical values to be generated by the at least one electrode using the first set of settings comprises:

determining at least one of one or more estimated inhomogeneous electrical properties of the patient'"'"'s tissue in the anatomical region surrounding the at least one electrode or one or more estimated anisotropic electrical properties of the patient'"'"'s tissue in the anatomical region surrounding the at least one electrode; and

calculating the spatial distribution of the electrical values based on the at least one of the one or more estimated inhomogeneous electrical properties or the one or more estimated anisotropic electrical properties.

7. The system of claim 1, wherein calculating the spatial distribution of the electrical values to be generated by the at least one electrode using the first set of settings comprises:

determining at least one of one or more geometries of the at least one electrode or one or more structures of the at least one electrode; and

calculating the spatial distribution of the electrical values based on the at least one of the one or more electrode geometries or the one or more electrode structures.

8. The system of claim 1, wherein calculating the spatial distribution of the electrical values to be generated by the at least one electrode using a first set of settings comprises:

determining at least one of one or more neuron geometries, one or more neuron positions relative to the at least one electrode, or one or more neuron membrane dynamics; and

calculating the spatial distribution of the electrical values based on the at least one of the one or more one or more neuron geometries, the one or more neuron positions relative to the at least one electrode, or the one or more neuron membrane dynamics.

9. The system of claim 1, wherein calculating the spatial distribution of the electrical values to be generated by the at least one electrode using the first set of settings comprises:

calculating an electrical potential distribution for the at least one electrode and first set of settings.

10. The system of claim 1, wherein calculating the spatial distribution of the electrical values to be generated by the at least one electrode using the first set of settings comprises:

determining a second difference of an electrical potential distribution for the at least one electrode and first set of settings.

11. The system of claim 10, wherein determining, by applying the at least one threshold value to the electrical values, the estimated volume of tissue comprises:

determining, by applying the at least one threshold value to the second difference of the electrical potential distribution, the estimated volume of tissue activated by the at least one electrode using the first set of settings.

12. A system for determining an estimated volume of tissue activated by at least one electrode implanted inside a patient, the system comprising:

a display device; and

a processor coupled to the display device and configured to perform steps comprising;

determining a distribution of electrical values to be generated by the at least one electrode using a first set of settings over a plurality of positions in the patient'"'"'s tissue by creating a finite element model of the at least one electrode and tissue around the at least one electrode;

determining at least one threshold value for tissue activation;

determining, by applying the at least one threshold value to the electrical values, an estimated volume of tissue activated by the at least one electrode using the first set of settings; and

outputting, on the display device, a graphical representation of the determined estimated volume.

13. The system of claim 12, wherein the steps further comprise determining conductivity at a plurality of tissue regions, wherein the determination of the distribution of the electrical values is based on the determined conductivity.

14. The system of claim 13, wherein the determined conductivity is patient specific.

15. A system for determining an estimated volume of tissue activated by at least one electrode implanted inside a patient, the system comprising:

a display device; and

a processor coupled to the display device and configured to perform steps comprising;

determining a distribution of electrical values to be generated by the at least one electrode using a first set of settings over a plurality of positions in the patient'"'"'s tissue;

determining at least one threshold value for tissue activation;

determining, by applying the at least one threshold value to the electrical values, an estimated volume of tissue activated by the at least one electrode using the first set of settings;

outputting, on the display device, a graphical representation of the determined estimated volume; and

determining a score for the estimated volume of tissue based on at least one criteria selected from a) one or more regions of tissue in which activation is desired or b) one or more regions of tissue in which activation should be avoided.

16. The system of claim 15, wherein determining the score comprises determining the score based on a) the one or more regions of tissue in which activation is desired and b) the one or more regions of tissue in which activation should be avoided.

17. The system of claim 15, further comprising a user input device, wherein the steps further comprise:

receiving, from the user input device, at least one of a) the one or more regions of tissue in which activation is desired or b) the one or more regions of tissue in which activation should be avoided.

18. The system of claim 15, wherein the determining of the distribution of the electrical values and the determining of the estimated volume of tissue activated is performed for each of a plurality of different sets of settings for the at least one electrode with different estimated volumes of tissue activated being determined for the different sets of settings, and

wherein determining the score comprises determining the score for each of the different estimated volumes of tissue activated.

19. The system of claim 18, wherein the steps further comprise identifying, on the display device, the set of settings corresponding to the estimated volume of tissue activated with a best score.

20. The system of claim 19, further comprising displaying, on the display device, the estimated volume of tissue activated with the best score.