Apparatus for imaging the anatomy

• US 5,119,817 A
• Filed: 01/19/1990
• Issued: 06/09/1992
• 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): Smith, Ruth S.
• Application Number:
  US07/467,243
• Time in Patent Office: 872 Days
• Field of Search: 128/653 R, 128/653 A, 128/653 S C, 128/659, 606/130, 364/413.16, 364/413.18, 364/413.22, 378/910, 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 palce 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 imagaging 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. Moveover, 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 locating a target on a portion of a patient comprising:

a. at least three fiducial implants;

b. imaging means for producing sliced images of a desired cross-section of the portion of the patient'"'"'s anatomy;

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

d. a programmable data-processing computer;

e. means for selecting from said at least three fiducial implants three fiducial implants for defining an internal coordinate system with respect to the human anatomy identifiable by said imaging means, said means being hidden from the exterior of the anatomy but detectable by said imaging means;

f. said computer being programmed to store images by said imaging means during a first scan;

g. said imaging means and said computer cooperating to produce sliced images substantially identical to images of said first scan;

h. means for defining an external coordinate system using said fiducial implants;

i. means for relating said internal coordinate system with respect to said external coordinate system whereby the target can be located.

2. The apparatus according to claim 1 further comprising a robot arm, said robot arm having positions known by the computer with respect to the external coordinate system, and said computer being programmed to define the relationship between the internal coordinate system and the external coordinate system.

3. The apparatus of claim 2 wherein said robot arm includes an arm and means for moving said arm to a position adjacent at least three of said fiducial implants to define said external coordinate system.

4. The apparatus according to claim 3 further comprising means for destroying the target.

5. The apparatus according to claim 4 wherein said means for destroying the target includes a laser.

6. The apparatus according to claim 4 wherein said means for destroying the target is a radiation means for directing radiation to the target as defined by the computer.

7. The apparatus according to claim 4 wherein said means for destroying the target includes computer means for directing the target destroying means to the portion of the target to be destroyed based on said internal coordinate system.