Imaging fixation and localization system with respiratory feedback device

• US 5,464,410 A
• Filed: 07/06/1992
• Issued: 11/07/1995
• Est. Priority Date: 05/03/1991
• Status: Expired due to Fees

• Current Assignee: University Of Pittsburgh (University of Pittsburgh of The Commonwealth System of Higher Education)
• Original Assignee: University Of Pittsburgh (University of Pittsburgh of The Commonwealth System of Higher Education)
• Inventors: Miketic, Linda M., Skeens, Joseph L.
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): DAWSON, GLENN K
• Application Number:
  US07/909,310
• Time in Patent Office: 1,219 Days
• Field of Search: 606/130, 128/720-728, 128/653 R, 128/653 A, 128/653 SC, 128/200.24, 128/716, 128/719
• US Class Current: 606/130
• CPC Class Codes: A61B 2017/00902 transparent or translucent
• CPC Class Codes: A61B 2017/00911 for fields applied by a magnetic resonance imaging system
• CPC Class Codes: A61B 2090/3954 magnetic, e.g. NMR or MRI
• CPC Class Codes: A61B 90/11 with guides for needles or instruments, e.g. arcuate slides or ball joints
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers
• CPC Class Codes: G01R 33/28 Details of apparatus provided for in groups G01R33/44 - G01R33/64

Abstract

The present invention relates to a method and apparatus for lesion localization and stereotactic placement of probes into the body utilizing an imaging system. Localization of the probe with reference to the device itself is accomplished by providing a base which includes a base localization grid and at least one localizing side member which includes a side localization grid. Extremely accurate placement of the probe within the body is accomplished by providing a spanning member to which a probe holder is attached. The spanning member is designed so as to be attachable to the base at any angle in the sagittal plane with respect to the base. The stereotactic device also includes a precompression device to compress soft tissue in the area of the probe entry point before penetration. A respiration feedback device which directly measures respiratory volume is also provided to enable a patient to control the patient'"'"'s degree of respiration. The feedback device can thus ensure that each scan is taken in the same phase of respiration.

Claims

1. A stereotaxic localization system for use in conjunction with an imaging system, comprising:

a. A respiratory feedback device in which respiratory volume is directly measured to define a phase of respiration of a patient, said phase of respiration providing an indication of the position of internal organs of the patient, said respiratory feedback device comprising;

i. A chamber, said chamber comprising a respiration port for respirative connection with the patient;

ii. A volume sensor means in communicative connection with said chamber; and

iii. A display means for displaying respiratory volume to the patient, said display means being in operative connection with said volume sensor means, whereby respiratory volume at a particular time is displayed to the patient to allow the patient to actively control respiratory volume and thereby the position of the patients internal organs; and

b. A stereotaxic localization means for placing a probe at a desired location within a body during a known phase of respiration as determined by said respiratory feedback device.

2. The stereotaxic localization system of claim 1 wherein said chamber has a movable piston disposed therein, said volume sensor means being in operative connection with said movable piston.

3. The stereotaxic localization system of claim 2 wherein said chamber further comprises:

a. An oxygen inlet; and

b. An exhaust, wherein an inflow rate of oxygen into said chamber is substantially the same as an outflow rate of gas exiting said exhaust.

4. The stereotaxic localization system of claim 1 further comprising a means for interfacing said respiratory feedback device to the imaging system, said interface means being in communicative connection with said volume sensor means to enable display of the phase of respiration upon a display of the imaging system.

5. The stereotaxic localization system of claim 4 wherein said interface means comprises an electrical interface suitable for effecting electrical connection between said respiratory feedback device and the imaging system.

6. The stereotaxic localization system of claim 1 further comprising a computer processing unit in communicative connection with said volume sensor means, said computer processing unit being operable to process data from said volume sensor means.

7. A stereotaxic localization system for use in conjunction with an imaging system, comprising:

a. A respiratory feedback device in which respiratory volume is directly measured to define a phase of respiration of a patient, said phase of respiration providing an indication of the position of internal organs of the patient, said respiratory feedback device comprising;

i. A chamber, said chamber comprising a respiration port for respirative connection with the patient;

ii. A volume sensor means in communicative connection with said chamber; and

iii. A display means for displaying respiratory volume to the patient, said display means being in operative connection with said volume sensor means, whereby respiratory volume at a particular time is displayed to the patient to allow the patient to actively control respiratory volume and thereby the position of the patient'"'"'s internal organs; and

iv. A reference means for indicating the phase of respiration, said reference means comprising a physical representation of respiratory volume placeable within an image plane of the imaging system, said physical representation of respiratory volume being constructed to appear upon the display of the imaging system; and

b. A stereotaxic localization means for placing a probe at a desired location within a body during a known phase of respiration as determined by said respiratory feedback device.

8. The stereotaxic localization system of claim 7 further comprising a computer processing unit in communicative connection with said volume sensor means, said computer processing unit being operable to process data from said volume sensor means.

9. An improved method of performing an imaging-system procedure using an imaging system, the improvement comprising the steps of directly measuring the respiratory volume of a patient to define a phase of respiration of the patient, said phase of respiration providing an indication of the position of internal organs of the patient, providing information regarding the phase of respiration to the patient to enable the patient to control the phase of respiration, and performing a scan with the imaging system to produce an image, the phase of respiration being identified through measurement of the respiratory volume of the patient at the time the image is displayed with the imaging system.

10. The method according to claim 9 wherein the respiratory volume is measured by measuring the position of a movable piston within a constant volume chamber, said chamber being in respirative connection with the patient.

11. The method according to claim 9 wherein the respiratory volume is measured by placing an air flow velocity gauge in respirative connection to the patient.

12. The method according to claim 9 further comprising the step of displaying the information regarding the phase of respiration upon a display of the imaging system.

13. The method according to claim 9 further comprising the step of establishing a respiration baseline as a reference.

14. The method according to claim 13 further comprising the step of displaying the information regarding the phase of respiration and the respiration baseline upon a display of the imaging system.

15. A stereotaxic localization system for use in conjunction with an imaging system, comprising:

a. A respiratory feedback device in which respiratory volume is directly measured to define a phase of respiration of a patient, said phase of respiration providing an indication of the position of internal organs of the patient, said respiratory feedback device comprising;

i. A volume sensor means, said volume sensor means comprising a respiration port for respirative connection with the patient; and

ii. A display means for displaying respiratory volume to the patient, said display means being in operative connection with said volume sensor means, whereby the respiratory volume at a particular time is displayed to the patient to allow the patient to actively control the respiratory volume and thereby the position of the patient'"'"'s internal organs; and

b. A stereotaxic localization means for placing a probe at a desired location within a body during a known phase of respiration as determined by said respiratory feedback device.

16. The stereotaxic localization system of claim 15 wherein said volume sensor means comprises a flow velocity gauge.

17. The stereotaxic localization system of claim 15 further comprising a means for interfacing said respiratory feedback means to the imaging system, said interface means enabling display of the phase of respiration upon a display of the imaging system.

18. The stereotaxic localization system of claim 17 wherein said interfacing means comprises an electrical interface suitable for effecting electrical connection between said respiratory feedback device and the imaging system.

19. The stereotaxic localization system of claim 15 further comprising a computer processing unit in communicative connection with said volume sensor means, said computer processing unit being operable to process data from said volume sensor means.

20. A stereotaxic localization system for use in conjunction with an imaging system, comprising:

a. A respiratory feedback device in which respiratory volume is directly measured to define a phase of respiration of a patient, said phase of respiration providing an indication of the position of internal organs of the patient, said respiratory feedback device comprising;

i. A volume sensor means, said volume sensor means comprising a respiration port for respirative connection with the patient;

ii. A display means for displaying respiratory volume to the patient, said display means being in operative connection with said volume sensor means, whereby respiratory volume at a particular time is displayed to the patient to allow the patient to actively control respiratory volume and thereby the position of the patient'"'"'s internal organs; and

iii. A reference means for indicating the phase of respiration, said reference means comprising a physical representation of respiratory volume placeable within an image plane of said imaging system, said physical representation being constructed to appear upon a display of the imaging system; and

b. A stereotaxic localization means for placing a probe at a desired location within a body during a known phase of respiration as determined by said respiratory feedback device.

21. The stereotaxic localization system of claim 20 further comprising a computer processing unit in communicative connection with said volume sensor means, said computer processing unit being operable to process data from said volume sensor means.