CARDIAC CT SYSTEM AND METHOD FOR PLANNING AND TREATMENT OF BIVENTRICULAR PACING USING EPICARDIAL LEAD
First Claim
Patent Images
1. A method for planning biventricular pacing lead placement for a patient, the method comprising:
- obtaining acquisition data from a medical imaging system;
generating a 3D model of the left ventricle and thoracic wall of the patient;
identifying one or more left ventricle anatomical landmarks on said 3D model;
registering saved views of said 3D model on an interventional system; and
visualizing one or more of said registered saved views with said interventional system; and
identifying at least one suitable region on the left ventricle wall for epicardial lead placement.
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Abstract
A method for planning biventricular pacing lead placement for a patient includes obtaining acquisition data from a medical imaging system and generating a 3D model of the left ventricle and thoracic wall of the patient. One or more left ventricle anatomical landmarks are identified on the 3D model, and saved views of the 3D model are registered on an interventional system. One or more of the registered saved views are visualized with the interventional system, and at least one suitable region on the left ventricle wall is identified for epicardial lead placement.
94 Citations
37 Claims
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1. A method for planning biventricular pacing lead placement for a patient, the method comprising:
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obtaining acquisition data from a medical imaging system;
generating a 3D model of the left ventricle and thoracic wall of the patient;
identifying one or more left ventricle anatomical landmarks on said 3D model;
registering saved views of said 3D model on an interventional system; and
visualizing one or more of said registered saved views with said interventional system; and
identifying at least one suitable region on the left ventricle wall for epicardial lead placement. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8)
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9. A method for planning biventricular pacing lead placement for a patient, the method comprising:
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obtaining acquisition data from a medical imaging system using a protocol directed toward the thoracic wall and left ventricle;
segmenting said acquisition data using a 3D protocol and short axis protocols so as to visualize the thoracic wall, LV walls and epicardial fat;
generating a 3D model of the left ventricle and thoracic wall of the patient;
identifying one or more left ventricle anatomical landmarks on said 3D model;
registering saved views of said 3D model on an interventional system; and
visualizing one or more of said registered saved views with said interventional system; and
identifying at least one suitable region on the left ventricle wall for epicardial lead placement. - View Dependent Claims (10, 11, 12, 13, 14, 15, 16, 17)
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18. A method for planning biventricular pacing lead placement for a patient, the method comprising:
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obtaining acquisition data from a cardiac computed tomography (CT) imaging system using a protocol directed toward the thoracic wall and left ventricle;
segmenting said acquisition data using a 3D protocol and short axis protocols so as to visualize the thoracic wall, LV walls and epicardial fat;
generating a 3D model of the left ventricle and thoracic wall of the patient;
obtaining a movement profile of the posterolateral wall relative to the external chest wall;
identifying one or more left ventricle anatomical landmarks on said 3D model;
registering saved views of said 3D model on a fluoroscopy system; and
visualizing one or more of said registered saved views with said fluoroscopy system; and
identifying at least one suitable region on the left ventricle wall for epicardial lead placement. - View Dependent Claims (19, 20, 21, 22, 23, 24)
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25. A system for planning biventricular pacing lead placement for a patient, comprising:
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a medical imaging system for generating acquisition data;
an image generation subsystem for receiving said acquisition data and generating one or more images of the left ventricle and thoracic wall of the patient;
an operator console for identifying one or more left ventricle anatomical landmarks on said one or more images;
a workstation including post processing software for registering saved views of said 3D model on an interventional system; and
wherein said interventional system is configured for visualizing one or more of said registered saved views therewith and identifying at least one suitable region on the left ventricle wall for epicardial lead placement. - View Dependent Claims (26, 27, 28, 29, 30, 31)
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32. A system for planning biventricular pacing lead placement for a patient, comprising:
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a cardiac computed tomography (CT) imaging system for generating acquisition data, said CT imaging system using a protocol directed toward the thoracic wall and left ventricle;
an image generation subsystem for receiving said acquisition data and generating one or more images of the left ventricle and thoracic wall of the patient;
said image generation subsystem further configured for segmenting said acquisition data using a 3D protocol and short axis protocols so as to visualize the thoracic wall, LV walls and epicardial fat;
an operator console for identifying one or more left ventricle anatomical landmarks on said one or more images;
a workstation including post processing software for registering saved views of said 3D model on a fluoroscopy system; and
wherein said fluoroscopy system is configured for visualizing one or more of said registered saved views therewith and identifying at least one suitable region on the left ventricle wall for epicardial lead placement. - View Dependent Claims (33, 34, 35, 36, 37)
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Specification