Method for implanting a fiducial implant into a patient

• US 5,178,164 A
• Filed: 03/29/1991
• Issued: 01/12/1993
• 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): Brown, Michael A.
• Application Number:
  US07/677,096
• Time in Patent Office: 655 Days
• Field of Search: 128/653 R, 128/653 A, 128/653 SC, 128/659, 128/898, 606/130, 606/96-98, 364/16, 364/18, 364/22, 364/413, 378/910, 382/6
• US Class Current: 128/898
• 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 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. A method for implanting a fiducial implant into a patient comprising the steps of:

a. piercing the skin of a patient adjacent an anchoring site to form an opening therein, including pacing a trocar with a piercing rod therein over a desired anchoring site;

forcing the piercing rod through the skin so that the trocar enters the skin;

removing the piercing rod from the trocar which remains in place; and

inserting a rod with a fiducial implant into the trocar such that the fiducial implant is positioned on the desired anchoring site;

b. placing the fiducial implant into the opening in the skin over a desired anchoring site in the patient including the steps of applying force to the rod with the fiducial implant so that the fiducial implant is fixedly inserted into the anchoring site and removing the rod and trocar from the patient; and

c. inserting the fiducial implant into the anchoring site.

2. The method according to claim 1 including before the piercing step the step of anesthesizing the patient.

3. The method according to claim 2 wherein the anchoring site is in the skull of the patient.

4. The method according to claim 2 including after the step of removing the trocar and rod the step of repeating, at least twice the steps of piercing, placing and inserting so three fiducial implants are anchored into the skull at three noncollinear and distinct sites in the skull.

5. The method according to claim 2 wherein the anchoring site is in the torso of the patient.

6. The method according to claim 5 wherein the anchoring site in the torso is the spinous process of a vertebra along the midline thereof.

7. The method according to claim 6 including after the step of removing the trocar and rod, the step of repeating, at least twice, the step of piercing, placing and inserting with the anchoring site during the latter two repeating steps being the right and left illiac crest, respectively.

8. The method according to claim 5 wherein the anchoring site in the torso is the sternum along the midline thereof.

9. The method according to claim 8 including after the step of removing the trocar and rod, the step of repeating, at least twice, the steps of piercing, placing and inserting, with the anchoring site during the latter two repeating steps being lateral to the sternum, on the right and left side thereof, respectively, and in a rib.