Method and apparatus for imaging the anatomy

• US 5,016,639 A
• Filed: 02/13/1990
• Issued: 05/21/1991
• Est. Priority Date: 11/10/1987
• Status: Expired due to Fees

• Current Assignee: George S. Allen
• Original Assignee: George S. Allen
• Inventors: Allen, George S.
• Primary Examiner(s): Cohen, Lee S.
• Assistant Examiner(s): Zele, John D.
• Application Number:
  US07/479,263
• Time in Patent Office: 462 Days
• Field of Search: 128/653 R, 128/653 A, 128/653, 128/659, 606/130, 364/313.16, 364/313.18, 364/313.22, 378/910, 386/6
• US Class Current: 600/414
• CPC Class Codes: A61B 2090/363 Use of fiducial points
• CPC Class Codes: A61B 2090/3954 magnetic, e.g. NMR or MRI
• CPC Class Codes: A61B 6/12 Arrangements for detecting or locating foreign bodies
• CPC Class Codes: A61B 90/10 for stereotaxic surgery, e.g. frame-based stereotaxis
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers
• CPC Class Codes: A61N 5/1049 for verifying the position of the patient with respect to the radiation beam
• CPC Class Codes: Y10S 378/901 Computer tomography program or processor

Abstract

The present invention pertains to a fiducial implant for the human body that is detectable by an imaging system. The invention is comprised of a first portion and a second portion. The first portion is configured to be detected by an imaging system when placed beneath the skin. The second portion is configured for fixed attachment to a bone beneath the skin without penetrating entirely through the bone and without fracturing the bone. The first portion is of detectable size and comprised of a material for detection by an imaging system, and sufficiently small to avoid the distortion of the skin when placed at an interface between the skin and the bone. The first portion also has at least a portion which is spherical and defines a surface for cooperating with a tool for securing the second portion to the bone. Additionally, the placement into a fiducial implants, where n≧4 and is an integer, into a portion of anatomy of the human body allows for the recreation of a particular image slice of the portion of the anatomy taken by an imaging system with respect to a first time period, at subsequent imaging sessions and also with different scan modalities. This provides a doctor with the ability to accurately follow the progress of the portion of the anatomy of interest. Moreover, the existence of n fiducial implants allows a target to be identified within the portion of anatomy relative to an external coordinate system. The portion of anatomy with the target may then be operated on, for instance, robotically, or precisely irradiated.

Claims

1. A method for locating a target on a portion of anatomy having n fiducial implants, where n>

4 and is an integer, comprising;

a. taking a first series of cross-sectional image slices of the portion of the anatomy;

b. choosing three of the n fiducial implants;

c. defining an internal coordinate system with respect to the three fiducial implants;

d. defining an external coordinate system with respect to the three fiducial implants;

e. locating the target in the portion of the anatomy with respect to the internal coordinate system; and

f. locating the target with respect to the external coordinate system.

2. The method according to the step of claim 5 wherein the step of defining the external coordinate system with respect to the three fiducial implants includes the step of moving a robot arm, until the arm contacts each of the three fiducial implants.

3. The method according to claim 6, wherein after the step of locating the target with respect to the external coordinate system there is included the step of aiming a radiation source whose position is known with respect to the external coordinate system and which produces a therapeutic beam for destroying the target.