Automatically positioned focussed energy system guided by medical imaging

• US 5,526,814 A
• Filed: 05/17/1995
• Issued: 06/18/1996
• Est. Priority Date: 11/09/1993
• Status: Expired due to Term

• Current Assignee: InSightec Ltd.
• Original Assignee: General Electric Company
• Inventors: Cline, Harvey E., Watkins, Ronald D.
• Primary Examiner(s): Smith, Ruth S.
• Application Number:
  US08/443,229
• Time in Patent Office: 398 Days
• Field of Search: 128/653.1, 128/653.2, 128/653.5, 128/660.03, 607/97, 601/2-4
• US Class Current: 600/411
• CPC Class Codes: A61B 17/2256 with means for locating or checking the concrement, e.g. X-ray apparatus, imaging means A61B17/2255 takes precedence
• CPC Class Codes: A61B 18/00 Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body eye surgery A61F9/007; ear surgery A61F11/00
• CPC Class Codes: A61B 2090/101 for stereotaxic radiosurgery
• CPC Class Codes: A61B 2090/374 NMR or MRI
• CPC Class Codes: A61B 34/70 Manipulators specially adapted for use in surgery
• CPC Class Codes: A61B 90/36 Image-producing devices or illumination devices not otherwise provided for
• CPC Class Codes: A61N 7/02 Localised ultrasound hyperthermia hyperthermia in general A61F7/00

Abstract

An automatically positioned focussed energy transducer system facilitates medical procedures by allowing a physician to interactively view the position the focal point of a focussed energy transducer superimposed upon a medical image and computer generated model of internal structures of a patient. A tracking device tracks the position and orientation of the ultrasound transducer. A medical imaging system creates an image of internal structures of the patient near the location of the energy transducer. A general purpose computer either receives a model of internal structures constructed in advance, or employs a medical imaging device to create the model. The general purpose computer displays selected surfaces of the model in an orientation and view which coincides with the medical image acquired. A superposition device receives the position and orientation of the ultrasound transducer from the tracking device and superimposes a symbol on the images corresponding to the position of the energy transducer relative to the patient. The physician then selects an internal structure to be destroyed which the general purpose computer determines the locations which the focal point must scan in order to destroy the structure. An actuator, coupled to the general purpose computer causes the focal point of the energy transducer to scan these locations which the physician adjusts the intensity of energy provided to the focal point by an input device.

Claims

1. An automatically positioned focussed energy system allowing a physician to selectively heat a region of a patient, comprising:

a) an open magnet magnetic resonance (MR) imaging means for providing images of internal structures of said patient;

b) an energy transducer means for focusing energy at a focal point;

c) tracking means for determining the position and orientation of the focal point of the energy transducer means;

d) display means for displaying an image;

e) general purpose computer means coupled to the tracking means, the MR imaging means, and the display means, for creating a computer generated model from the images provided by the MR imaging means having internal structures which simulate internal structures of said patient, for creating an image of the model, for receiving the location and orientation of the energy transducer means and its focal point from the tracking means, for directing the MR imaging system to acquire an actual image of internal structures of the patient at an oblique plane near the energy transducer means, and for mixing the image of the model with the actual image acquired at the oblique plane to produce a composite image and for providing the composite image to the display means for display;

f) a superposition device coupled to the tracking means and display means which functions to receive the position and orientation of the energy transducer means and superimpose a symbol indicating the position and orientation of the focal point of the energy transducer means on the composite image of the display means;

g) a pointing device coupled to the general purpose computer means, for interacting with said physician to select an internal structure of the model to be destroyed; and

h) actuating means coupled to the general purpose computer means for receiving locations corresponding to the selected internal structure and scanning the focal point of the energy transducer means through these locations.

2. The automatically positioned focussed energy system of claim 1 further comprising an interactive input means for interacting with said physician to acquire a desired focal point energy intensity, and adjust the intensity of energy provided to the focal point as the point scans through locations within said internal structure.

3. The automatically positioned focussed energy system of claim 1 further comprising an interactive input means for interacting with said physician to initiate a temperature sensitive MR image to be acquired.

4. The automatically positioned focussed energy system of claim 1 further comprising an interactive input means for interacting with said physician to initiate the MR image to be acquired at the oblique plane.

5. The automatically positioned focussed energy system of claim 1 wherein the energy transducer means comprises an ultrasound transducer.

6. The automatically positioned focussed energy system of claim 1 wherein the tracking means comprises a mechanical arm attached to the energy transducer means having a plurality of joints, each joint having a position sensor for measuring its current position, the arm providing the location and orientation of the energy transducer means from the positions measured from the sensors.

7. The automatically positioned focussed energy system of claim 1 wherein the tracking means comprises

a) a plurality of infrared emitters;

and

b) a plurality of infrared tracking units for tracking the infrared emitters and calculating a position and orientation of the energy transducer means.