System and Method for Alignment of Instrumentation in Image-Guided Intervention

• US 20090221908A1
• Filed: 03/01/2008
• Published: 09/03/2009
• Est. Priority Date: 03/01/2008
• Status: Abandoned Application

• Current Assignee: Philips Electronics Limited (Koninklijke Philips N.V.)
• Original Assignee: Philips Electronics Limited (Koninklijke Philips N.V.)
• Inventors: Glossop, Neil David
• Application Number:
  US12/040,889
• Publication Number:
  US 20090221908A1
• Time in Patent Office: Days
• US Class Current: 600/424
• CPC Class Codes: A61B 17/3403 Needle locating or guiding means guides for suture needles A61B17/0482; guiding or tracking by nuclear magnetic resonance G01R33/285
• CPC Class Codes: A61B 2017/3413 guided by ultrasound
• CPC Class Codes: A61B 2034/107 Visualisation of planned trajectories or target regions
• CPC Class Codes: A61B 2034/2055 Optical tracking systems
• CPC Class Codes: A61B 2034/2068 using pointers, e.g. pointers having reference marks for determining coordinates of body points
• CPC Class Codes: A61B 2090/364 Correlation of different images or relation of image positions in respect to the body
• CPC Class Codes: A61B 2090/367 creating a 3D dataset from 2D images using position information
• CPC Class Codes: A61B 2090/378 using ultrasound
• 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 5/06 Devices, other than using radiation, for detecting or locating foreign bodies for removing same A61B17/50 ; determining position of probes within or on the body of the patient
• CPC Class Codes: A61B 5/061 Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body A61B1/00158 takes precedence
• CPC Class Codes: A61B 5/065 Determining position of the probe employing exclusively positioning means located on or in the probe, e.g. using position sensors arranged on the probe
• CPC Class Codes: A61B 5/066 Superposing sensor position on an image of the patient, e.g. obtained by ultrasound or x-ray imaging
• CPC Class Codes: A61B 6/12 Arrangements for detecting or locating foreign bodies
• CPC Class Codes: A61B 8/0833 involving detecting or locating foreign bodies or organic structures
• CPC Class Codes: A61B 8/4245 involving determining the position of the probe, e.g. with respect to an external reference frame or to the patient

Abstract

The invention provides systems and methods for aligning or guiding instruments during image-guided interventions. A volumetric medical scan (image data) of a patient may first be registered to patient space data regarding the patient obtained using a tracking device. An ultrasound simulator fitted with position indicating elements whose location is tracked by the tracking device is introduced to the surface of the anatomy of the patient and used to determine an imaginary ultrasound scan plane for the ultrasound simulator. This scan plane is used to reformat the image data so that the image data can be displayed to a user in a manner analogous to a handheld ultrasound transducer by re-slicing the image data according to the location and orientation of the ultrasound simulator. The location of an instrument fitted with position indicating elements tracked by the tracking device may be projected onto the re-sliced scan data.

Claims

1. A method for aligning or guiding a tracked instrument during an image-guided intervention, the method comprising:

registering volumetric image data of an anatomy of a patient to patient space data of the anatomy of the patient, wherein the patient space data is obtained using a tracking device;

determining, in the coordinate system of the tracking device, location information regarding one or more position indicating elements rigidly associated with an ultrasound simulator using the tracking device;

determining an imaginary scan plane of an ultrasound simulator in a the coordinate system of the tracking device;

determining an intersection of the imaginary scan plane of the ultrasound simulator through the volumetric image data of the anatomy of the patient using the location information of the one or more position indicating elements;

formatting at least a portion of the volumetric image data into a display of the anatomy of the patient intersected by the imaginary scan plane; and

displaying a location of a tracked instrument on the display, the tracked instrument including one or more position indicating elements tracked by the tracking device.

2. The method of claim 1, wherein the volumetric image data of the anatomy of the patient is obtained by one or more of a computerized tomography imaging modality, a magnetic resonance imaging modality, a positron emission tomography imaging modality, or a single proton emission tomography imaging modality.

3. The method of claim 1, further comprising displaying a projected path of the tracked instrument on the display.

4. The method of claim 1, further comprising updating the display to reflect movement by the tracked instrument.

5. The method of claim 1, further comprising:

moving the ultrasound simulator such that imaginary scan plane intersects a different portion of the anatomy of the patient;

formatting at least a portion of the volumetric image data into a second display of the different portion of the anatomy of the patient intersected by the imaginary scan plane; and

displaying the location of the tracked instrument on the second display.

6. The method of claim 1, wherein the display of the anatomy of the patient comprises an oblique angle view of the anatomy of the patient created by the intersection of the imaginary scan plane with the volumetric image data.

7. The method of claim 1, wherein location information includes position and orientation information.

8. A system for aligning or guiding a tracked instrument during an image-guided intervention, the system comprising:

a tracking device that obtains patient space data regarding an anatomy of a patient, determines location information regarding one or more position indicating elements rigidly associated with an ultrasound simulator, and tracks one or more position indicating elements associated with a tracked instrument;

a registration module that registers volumetric image data of the anatomy of a patient to the patient space data of the anatomy of the patient; and

a display module that determines an intersection of an imaginary scan plane from a front portion of the ultrasound simulator through the volumetric image data of anatomy of the patient using the location information of the position indicating elements and formats at least a portion of the volumetric image data into a display of the anatomy of the patient intersected by the imaginary scan plane, wherein the display indicates a location of the tracked instrument relative to the anatomy of the patient intersected by the imaginary scan plane.

9. The system of claim 8, wherein the display includes a projected path of the tracked instrument on the display.

10. The system of claim 8, wherein the display module updates the display to reflect movement by the tracked instrument.

11. The system of claim 8, wherein the display module formats at least a portion of the volumetric image data into a second display of a different portion of the anatomy of the patient intersected by the imaginary scan plane when the ultrasound simulator is moved such that imaginary scan plane intersects the different portion of the anatomy of the patient, wherein the second display includes the location of the tracked instrument relative to the different portion of the anatomy of the patient.

12. The system of claim 8, the display of the anatomy of the patient comprises an oblique angle view of the anatomy of the patient created by the intersection of the imaginary scan plane and the volumetric image data.

13. A method for training users to align instrumentation during image guided surgery, the method comprising:

registering volumetric image data of an anatomy of a patient to patient space data of a phantom object representing the anatomy of the patient, wherein the patient space data is obtained using a tracking device;

determining, in the coordinate system of the tracking device, location information regarding one or more position indicating elements rigidly associated with an ultrasound simulator using the tracking device;

determining an imaginary scan plane of the ultrasound simulator in the coordinate system of the tracking device;

determining an intersection of the imaginary scan plane of the ultrasound simulator through the volumetric image data of the phantom object using the location information of the one or more position indicating elements;

formatting at least a portion of the volumetric image data into a display of a portion of the phantom object intersected by the imaginary scan plane; and

displaying a location of a tracked instrument relative to the portion of the phantom object intersected by the imaginary scan plane on the display, the tracked instrument including one or more position indicating elements tracked by the tracking device.

14. The method of claim 13, further comprising displaying a projected path of the tracked instrument on the display.

15. The method of claim 13, wherein the phantom object includes a target therein.

16. The method of claim 15, wherein the phantom object is made of a translucent material, and wherein the target is provided by an intersection of two or more energy beams projected into the phantom object.

17. The method of claim 15, wherein the target is provided by a tip of a needle positioned within the phantom object.

18. The method of claim 15, wherein the target is provided by a portion of the target device having one or more of a differentiating color or a differentiating density.

19. The method of claim 13, further comprising co-registering the volumetric image data of the anatomy of the patient to volumetric image data of the phantom object prior to registering the volumetric image data of the anatomy of the patient to the patient space data of the phantom object.

20. A system for training users to align instrumentation during an image-guided intervention, the system comprising:

a phantom object that simulates a portion of an anatomy a patient;

a tracking device that obtains patient space data regarding the phantom object, determines location information regarding one or more position indicating elements rigidly associated with an ultrasound simulator, and tracks one or more position indicating elements associated with a tracked instrument;

a registration module that registers volumetric image data of the anatomy of a patient to the patient space data of the phantom object; and

a display module that determines an intersection of an imaginary scan plane from a front portion of the ultrasound simulator through the volumetric image data of the phantom object using the location information of the one or more position indicating elements and formats at least a portion of the volumetric image data into a display of the phantom object intersected by the imaginary scan plane, wherein the display indicates a location of the tracked instrument relative to the portion of the phantom object intersected by the imaginary scan plane.

21. The system of claim 20, wherein the display further includes a projected path of the tracked instrument.

22. The system of claim 20, wherein the phantom object is made of a translucent material and includes a target therein that is provided by an intersection of two or more energy beams projected into the phantom object.

23. The system of claim 20, wherein phantom object includes a target that is provided by a tip of a needle positioned within the phantom object.

24. The system of claim 20, wherein the phantom object includes a target that is provided by a portion of the target device having one or more of a differentiating color or a differentiating density.

25. A method for displaying a portion of an anatomy of a patient, the method comprising:

registering volumetric image data of an anatomy of a patient to patient space data of the anatomy of the patient, wherein the patient space data is obtained using a tracking device;

determining, in a coordinate system of the tracking device, location information regarding one or more position indicating elements rigidly associated with an ultrasound simulator using the tracking device;

determining an imaginary scan plane of the ultrasound simulator in the coordinate system of the tracking device;

determining an intersection of the imaginary scan plane of the ultrasound simulator through the volumetric image data of the anatomy of the patient using the location information of the one or more position indicating elements; and

formatting at least a portion of the volumetric image data into a display of the anatomy of the patient intersected by the imaginary scan plane.