Method and system for forming an ultrasound image of a tissue while simultaneously ablating the tissue

• US 5,788,636 A
• Filed: 02/25/1997
• Issued: 08/04/1998
• Est. Priority Date: 02/25/1997
• Status: Expired due to Term

• Current Assignee: Siemens Medical Solutions USA Incorporated (Siemens AG)
• Original Assignee: Acuson Corporation (Siemens AG)
• Inventors: Curley, Michael G.
• Primary Examiner(s): JAWORSKI, FRANCIS J
• Application Number:
  US08/805,473
• Time in Patent Office: 525 Days
• Field of Search: 128/653.1, 128/660.03, 606/31, 606/34, 606/37-38, 606/41, 606/45-46, 607/98-101, 601/2, 601/3, 600/439
• US Class Current: 600/439
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2090/3782 transmitter or receiver in catheter or minimal invasive instrument

Abstract

A method and system for forming an ultrasound image of a tissue while simultaneously ablating the tissue in which the application of therapy current is sequenced with at least the ultrasonic detection phase of the ultrasonic visualization process. In this way, no ultrasonic detection takes place while therapy current passes, and no therapy current passes while ultrasonic detection takes place. The sequencing can take place using a communication protocol between a therapy system controlling the application of therapy current and an ultrasonic imaging system controlling the ultrasonic visualization process. Depending on the communication protocol used, the therapy system and the ultrasonic imaging system can handoff control to one another or one system can have exclusive control over the other.

Claims

1. A system for forming an ultrasound image while ablating a tissue, said system comprising:

a therapy system comprising means for generating a therapy current operative to ablate said tissue, and means for automatically interrupting the generation of therapy current;

a therapeutic delivery device connected to the therapy system and comprising a therapeutic electrode, the therapeutic electrode being responsive to the therapy current and operative to apply the therapy current to said tissue;

an ultrasonic imaging system for performing ultrasonic visualization during an automatic interruption of the generation of therapy current, said ultrasonic visualization comprising a detection phase;

an ultrasound delivery device connected to the ultrasonic imaging system and comprising an ultrasound transducer, the ultrasound transducer being responsive to the ultrasonic imaging system; and

a communications link connected between the therapy system and the ultrasonic imaging system, the communications link carrying timing signals from at least one of the systems to the other to ensure that at least the detection phase of ultrasonic visualization is performed only during an automatic interruption in the application of therapy current to said tissue.

2. The invention of claim 1, wherein the therapy system and the ultrasonic imaging system are commonly housed in one device.

3. The invention of claim 1, wherein the therapy system and the ultrasonic imaging system are each housed in separate devices.

4. The invention of claim 1, wherein the therapeutic delivery device and the ultrasound delivery device are commonly housed in one delivery device.

5. The invention of claim 1, wherein the therapeutic delivery device and the ultrasound delivery device are each housed in separate delivery devices.

6. The invention of claim 1, wherein the therapy system comprises:

a current detector;

a voltage controller responsive to the current detector; and

a voltage generator responsive to the voltage controller, the voltage generator operative to provide the therapy current operative to ablate said tissue.

7. The invention of claim 1, wherein the tissue is characterized by a temperature, wherein the therapeutic delivery device further comprises a temperature sensor responsive to the temperature of said tissue, and wherein the therapy system further comprises a temperature monitoring system responsive to the sensor.

8. The invention of claim 1, wherein the ultrasonic imaging system comprises:

a central controller;

a beam former responsive to the central controller;

a receiving circuitry responsive to the central controller and to the transducer; and

a scan converter responsive to the receiving circuitry and the central controller.

34. The invention of claim 1, wherein a first set of electrical conductors couple said therapeutic electrode with said therapy system and a second set of electrical conductors couple said ultrasound transducer with said ultrasonic imaging system.

35. The invention of claim 1, wherein said ultrasound transducer comprises a phased-array transducer.

9. A method for performing at least a detection phase of an ultrasonic visualization process while ablating a tissue, said method comprising the steps of:

(a) applying a therapy current to said tissue;

then

(b) automatically interrupting application of therapy current;

then

(c) performing at least a detection phase of an ultrasonic visualization process during step (b); and

then

(d) automatically reapplying the therapy current.

10. The method of claim 9, further comprising the step of using a communication protocol between a therapy system operative to generate the therapy current applied in step (a) and an ultrasonic imaging system operative to perform said at least a detection phase of step (c) to coordinate the timing of steps (a)-(d).

11. The method of claim 9, further comprising the step of using information entered by a user into a therapy system operative to generate the therapy current applied in step (a) and an ultrasonic imaging system operative to perform said at least a detection phase applied in step (c) to coordinate the timing of steps (a)-(d).

12. The method of claim 9, wherein step (a) comprises the step of applying a therapy current to said tissue using a first set of electrical conductors and wherein step (c) comprises the step of performing at least a detection phase of an ultrasonic visualization process during step (b) using a second set of electrical conductors.

13. The method of claim 9, wherein step (c) comprises the step of performing at least a detection phase of an ultrasonic visualization process during step (b) using a phased array ultrasound transducer.

14. The method of claim 9, wherein step (c) comprises the step of performing a plurality of ultrasound detection phases during step (b).

15. A method for performing at least a detection phase of an ultrasonic visualization process while ablating a tissue, said method comprising the steps of:

(a) performing with an ultrasonic imaging system at least a detection phase of an ultrasonic visualization process;

then

(b) communicating a first signal from the ultrasonic imaging system to a therapy system operative to generate a therapy current, the first signal allowing therapy current to be applied to the tissue and preventing at least the detection phase of the ultrasonic visualization process from being performed during application of therapy current;

then

(c) applying a therapy current to the tissue with the therapy system; and

then

(d) communicating a second signal from the therapy system to the ultrasonic imaging system when a sufficient amount of heat is generated within the tissue for ablation to continue during a time when application of therapy current is interrupted, the second signal interrupting application of therapy current and allowing at least the detection phase of the ultrasonic visualization process to be performed.

18. The method of claim 15 or 16, wherein step (a) comprises the step of performing with an ultrasound imaging system at least a detection phase of an ultrasonic visualization process using a first set of electrical conductors and wherein step (c) comprises the step of applying a therapy current to the tissue with the therapy system using a second set of electrical conductors.

19. The method of claim 15 or 16, wherein step (a) comprises the step of performing at least a detection phase of an ultrasonic visualization process using a phased-array transducer.

20. The method of claim 15 or 16, wherein step (a) comprises the step of performing a plurality of ultrasound detection phases.

28. The method of claim 15, 16, 21, 22, or 23, wherein the ultrasonic imaging system is characterized by a duty cycle, and wherein the method further comprises communicating duty cycle information that varies in accordance with the duty cycle from the ultrasonic imaging system to the therapy system.

29. The method of claim 28, wherein the therapy current is characterized by a magnitude, and wherein the method further comprises altering the magnitude of the therapy current in response to the duty cycle information to ensure that a sufficient amount of heat is generated within the tissue for ablation to continue during interruption of therapy current.

30. The method of claim 28, further comprising the step of repeating steps (a)-(d) to achieve a cumulative therapy time in response to the duty cycle information.

31. The method of claim 15, 16, 21, 22, or 23, wherein the therapy current has a magnitude, and wherein the method further comprises the step of monitoring a time-average of the square of the therapy current and varying the magnitude of the therapy current to ensure that a sufficient amount of heat is generated within the tissue for ablation to continue during interruption of therapy current.

32. The method of claim 15, 16, 21, 22, or 23, wherein the method comprises the further steps of monitoring a time-average of the square of the therapy current and repeating steps (a)-(d) a plurality of times based on the time-average of the square of the therapy current to ensure that a sufficient amount of heat is generated within the tissue for ablation.

33. The method of claim 15, 16, 21, 22, or 23, wherein the tissue has a temperature, and wherein the method further comprises the step of repeating steps (a)-(d) a plurality of times based on the tissue temperature to ensure that a sufficient amount of heat is generated within the tissue for ablation.

16. A method for performing at least a detection phase of an ultrasonic visualization process while ablating a tissue, said method comprising the steps of:

(a) performing with an ultrasonic imaging system at least a detection phase of an ultrasonic visualization process;

then

(b) communicating a first signal from the ultrasonic imaging system to a therapy system operative to generate a therapy current, the first signal allowing the therapy current to be automatically applied to the tissue and preventing at least the detection phase of the ultrasonic visualization process from being performed during application of therapy current;

then

(c) automatically applying a therapy current to the tissue with the therapy system; and

then

(d) communicating a second signal from the ultrasonic imaging system to the therapy system when a new ultrasound image of the tissue is to be generated, the second signal automatically interrupting application of therapy current and allowing at least the detection phase of the ultrasonic visualization process to be performed.

17. The method of claim 16, wherein step (d) comprises the step of using a minimum frame-rate to determine when a new ultrasound image is to be generated.

21. A method for performing at least a detection phase of an ultrasonic visualization process while ablating a tissue, said method comprising the steps of:

(a) applying a therapy current to the tissue with a therapy system;

then

(b) communicating a first signal from the therapy system to an ultrasonic imaging system operative to perform at least a detection phase of an ultrasonic visualization process when a sufficient amount of heat is generated within the tissue for ablation to continue during an interruption in application of therapy current, the first signal interrupting application of therapy current and allowing at least an ultrasonic detection phase of an ultrasonic visualization process to be performed;

then

(c) performing at least the detection phase of the ultrasonic visualization process with the ultrasonic imaging system; and

then

(d) communicating a second signal from the therapy system to the ultrasonic imaging system when additional heat is needed to maintain a continued ablation of the tissue, the second signal allowing therapy current to be applied to the tissue and preventing at least the detection phase of the ultrasonic visualization process from being performed during application of therapy current.

25. The method of claim 21, 22, or 23, wherein step (a) comprises the step of applying a therapy current to the tissue with the therapy system using a first set of electrical conductors and wherein step (c) comprises the step of performing with an ultrasound imaging system at least a detection phase of an ultrasonic visualization process using a second set of electrical conductors.

26. The method of claim 21, 22, or 23, wherein step (c) comprises the step of performing at least a detection phase of an ultrasonic visualization process using a phased-array transducer.

27. The method of claim 21, 22, or 23, wherein step (c) comprises the step of performing a plurality of ultrasound detection phases.

22. A method for performing at least a detection phase of an ultrasonic visualization process while ablating a tissue, said method comprising the steps of:

(a) applying a therapy current to the tissue with a therapy system;

then

(b) communicating a signal from the therapy system to an ultrasonic imaging system operative to perform at least a detection phase of an ultrasonic visualization process when a sufficient amount of heat is generated within the tissue for ablation to continue during an interruption of application of therapy current, the signal interrupting application of therapy current and allowing at least a detection phase of an ultrasonic visualization process to be performed;

then

(c) performing at least the detection phase of the ultrasonic visualization process with the ultrasonic imaging system; and

then

(d) reapplying the therapy current while continuing at least the detection phase of the ultrasonic visualization process.

23. A method for performing at least a detection phase of an ultrasonic visualization process while ablating a tissue, said method comprising the steps of:

(a) applying a therapy current to the tissue with a therapy system;

then

(b) communicating a signal from a therapy system to an ultrasonic imaging system operative to perform at least a detection phase of an ultrasonic visualization process when a sufficient amount of heat is generated within the tissue for ablation to continue during an interruption in application of therapy current, the signal providing the ultrasonic imaging system with a selected time period to complete at least a detection phase of an ultrasonic visualization process, interrupting application of therapy current during the performance of at least the detection phase of the ultrasonic visualization process, and allowing at least a detection phase of an ultrasonic visualization process to be performed;

then

(c) performing at least the detection phase of the ultrasonic visualization process during interruption of therapy current with the ultrasonic imaging system, said at least the detection phase of the ultrasonic visualization process being complete within the selected time period; and

then

(d) reapplying the therapy current to the tissue.

24. The method of claim 23, wherein the ultrasonic imaging system comprises means for adjusting imaging parameters, and wherein the method further comprises adjusting the imaging parameters to ensure that said at least the detection phase of the ultrasonic visualization process is complete within the selected time period.