Registration Methods and Apparatus

• US 20080287781A1
• Filed: 03/07/2005
• Published: 11/20/2008
• Est. Priority Date: 03/05/2004
• Status: Abandoned Application

• Current Assignee: Depuy International Limited (Johnson & Johnson)
• Original Assignee: Depuy International Limited (Johnson & Johnson)
• Inventors: Revie, Ian, Slomczykowski, Michal, Ashby, Alan
• Application Number:
  US10/598,601
• Publication Number:
  US 20080287781A1
• Time in Patent Office: Days
• US Class Current: 600/426
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• CPC Class Codes: A61B 2034/2072 Reference field transducer attached to an instrument or patient
• CPC Class Codes: A61B 2090/364 Correlation of different images or relation of image positions in respect to the body
• CPC Class Codes: A61B 2090/376 using X-rays, e.g. fluoroscopy
• CPC Class Codes: A61B 2090/3762 using computed tomography systems [CT]
• CPC Class Codes: A61B 2090/3916 Bone tissue
• CPC Class Codes: A61B 34/20 Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
• CPC Class Codes: A61B 90/36 Image-producing devices or illumination devices not otherwise provided for

Abstract

A method, system and computer program for generating a registered image of a body part of a patient for use in an image guided surgical procedure is described. The method includes attaching a marker detectable by a tracking system to the body part before carrying out surgical steps. The tracking system has a reference frame and the position of the marker in the reference frame is detected. A first image of the body part is captured using an imaging system. An indication of the position of the first image relative to the reference frame of the tracking system is obtained. The first image is then mapped into registration with the position of the body part. The system includes an imaging system for capturing images of the body part. A tracking system detects a marker and determines the position of the marker in the reference frame of the tracking system. A marker is attachable to the body part and detectable by the tracking system. A computer control system is configured to obtain an indication of the position of the first image relative to the reference frame of the tracking system and to map the first image into registration with the position of the body part.

Claims

1. A method for generating a registered image of a body part of a patient for use in a computer aided surgical procedure, the method comprising:

attaching a marker detectable by a tracking system to the body part prior to any surgical steps of the surgical procedure, the tracking system having a reference frame;

detecting the position of the marker in the reference frame;

capturing at least a first image of the body part using an imaging system;

obtaining an indication of the position of the first image relative to the reference frame of the tracking system; and

determining a mapping to bring the first image into registration with the position of the body part.

2. The method of claim 1, and further comprising the step of mapping the first image into registration with the position of the body part in the reference frame of the tracking system.

3. The method of claim 1, wherein the step of obtaining an indication of the position of the at least first image relative to the reference frame of the tracking system includes the step of detecting the position in the reference frame of the tracking system of a further marker attached to a part of the imaging system using the tracking system.

4. The method of claim 1, wherein the first image includes the marker and at least a part of the body part, and wherein the position of the marker is detected when the first image is captured thereby providing the indication.

5. The method of claim 2, and further comprising the step of displaying the registered image during the computer aided surgical procedure.

6. The method of claim 5, wherein the surgical procedure is an orthopaedic procedure.

7. The method of claim 1, wherein the step of attaching the marker includes implanting the marker in a bone of the patient.

8. The method of claim 7, wherein the step of implanting the marker includes percutaneously implanting the marker.

9. The method of claim 1, wherein the marker is wirelessly detectable at radio frequencies by the tracking system.

10. The method of claim 1, wherein the imaging system is an X-ray system.

12. The method of claim 1, wherein the marker is wirelessly tracked using a magnetic tracking system.

13. The method of claim 10, wherein the step of obtaining an indication of the position of the at least first image relative to the reference frame of the tracking system includes the step of determining the position of an X-ray detector in the reference frame of the tracking system.

14. The method of claim 10, and further comprising the step of capturing a second image of the body part using the X-ray system, and wherein the second image is in a second direction different to a first direction in which the first image was captured.

15. The method of claim 14, wherein the step of capturing the second image includes moving the patient relative to the X-ray system.

16. The method of claim 14, wherein the step of capturing a second image includes moving an X-ray source relative to the patient, and further comprising the step of determining the position of the X-ray source in the reference frame of the tracking system when the second image is captured.

17. The method of claim 14, wherein the first image is captured using a first X-ray source and wherein the step of capturing the second image includes using a second X-ray source at a second position which is different to a first position of the first X-ray source.

18. The method of claim 14, further comprising the step of generating a three dimensional image of the body part from the first and second images.

19. The method of claim 10, further comprising the step of determining the distance between the body part and an imaging plane of an X-ray detector along a direction perpendicular to the plane of the imaging plan and using the distance to correct the first image captured by the X-ray detector.

20. The method of claim 1, wherein the imaging system is a CT scan or an MR scan system.

21. The method of claim 20, wherein the body part of the patient is located on a patient support part of the imaging system when the first image is captured and further comprising determining the position of the patient support part in the reference frame of the tracking system.

22. The method of claim 21, further comprising the step of mounting a marker detectable by the tracking system on the patient support part.

23. The method of claim 20, wherein the body part of the patient is located on a patient support part of the imaging system when the first image is captured, and further comprising the step of determining the position of an imaging plane of the scan system relative to the position of the patient support part.

24. The method of claim 20, wherein the first image includes the marker and at least a part of the body part and wherein the position of the marker is detected when the first image is captured.

25. The method of any preceding claim and further comprising the steps of:

attaching a further marker detectable by the tracking system to a further body part prior to any surgical steps of the image guided surgical procedure; and

detecting the position of the further marker in the tracking reference frame.

26. The method of claim 25, and wherein the step of mapping the first image into registration with the position of the body part includes using the position of the further marker.

11. The method of claim 11, wherein the position of the marker is detected with the patient standing.

27-50. -50. (canceled)