Apparatus for imaging the anatomy

• US 5,094,241 A
• Filed: 01/19/1990
• Issued: 03/10/1992
• Est. Priority Date: 11/10/1987
• Status: Expired due to Term

• Current Assignee: Marker
• Original Assignee: George S. Allen
• Inventors: Allen, George S.
• Primary Examiner(s): Cohen, Lee S.
• Assistant Examiner(s): Zele, John D.
• Application Number:
  US07/467,242
• Time in Patent Office: 781 Days
• Field of Search: 128/653 R, 128/653 A, 128/653 SC, 128/659, 606/130, 364/413.16, 364/413.12, 364/413.22, 364/413.13, 378/901, 382/6
• US Class Current: 600/426
• 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 place 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 sufficiently large 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 of three fiducial implants 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 three 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. An apparatus for producing image slices of the human anatomy of a patient comprising:

a. an imaging means for producing sliced images of a desired cross-section of the anatomy;

b. a display means for displaying the images produced by said imaging means;

c. a programmable data processing computer;

d. means including a plurality of fiducial implants for defining a coordinate system fixed in time with respect to the human anatomy identifiable by said imaging means, said means for defining beging hidden from the exterior of the anatomy but detectable by said imaging means.

e. said computer being adapted to be programmed to obtain image slices by said imaging means during a first scan;

whereby

said imaging means and said computer cooperate to produce sliced images in a second scan substantially identical to slice images of said first scan.

2. The apparatus according to claim 1 wherein said means for defining a coordinate system includes three implantable fiducial implants.

3. The apparatus according to claim 2 wherein each fiducial implant includes a first portion and a second portion, said first portion being configured to be detected by said imaging means, said second portion configured for fixed attachment to a bone beneath the skin without penetrating entirely through the bone and without fracturing said bone, said first portion being sufficiently large and comprised of a material for detection by said imaging means and sufficiently small to avoid distortion of the skin when placed at an interface between the skin and the bone, and said first portion having at least a portion whose outer surface is approximately spherical and which is adapted for cooperating with a tool for securing said second portion to said bone.

4. The apparatus according to claim 3 wherein said first portion includes a recess adapted for receiving a tool for implanting said inplant in the human body.

5. The apparatus according to claim 4 wherein said recess has a polygonal configuration adapted for receiving a complementary polygonal tool to rotate the fiducial implant for implanting into the human body.

6. The apparatus according to claim 5 wherein said second portion is a screw for permitting screwing of the implant inot a bone without fracturing the bone to which it is being attached.

7. The apparatus according to claim 1 wherein said imaging means and said computer area configured to cooperate to produce image slices and said computer including means for reformatting said image slices relative to the coordinate system defined by the fiducial implants to coorespond with the image slices obtained during a first scan, said reformatted image slices being displayed by the display means.

8. The apparatus according to claim 7 wherein said means for reformatting said image slices includes rotating and translating image slices.