Method for using a transrectal probe to mechanically image the prostate gland

• US 5,922,018 A
• Filed: 06/10/1997
• Issued: 07/13/1999
• Est. Priority Date: 12/21/1992
• Status: Expired due to Term

• Current Assignee: ProUroCare Medical, Inc.
• Original Assignee: Artann Corporation
• Inventors: Sarvazyan, Armen P.
• Primary Examiner(s): Nasser, Robert L.
• Application Number:
  US08/872,559
• Time in Patent Office: 763 Days
• Field of Search: 600/587-594
• US Class Current: 600/587
• CPC Class Codes: A61B 1/0052 Constructional details of control elements, e.g. handles
• CPC Class Codes: A61B 2562/0247 Pressure sensors
• CPC Class Codes: A61B 2562/046 in a matrix array
• CPC Class Codes: A61B 5/0053 by applying pressure, e.g. compression, indentation, palpation, grasping, gauging
• CPC Class Codes: A61B 5/036 by means introduced into body tracts A61B5/032 and A61B5/035 take precedence
• CPC Class Codes: A61B 5/064 using markers A61B5/062 takes precedence
• CPC Class Codes: A61B 5/4312 Breast evaluation or disorder diagnosis A61B5/0091 takes precedence
• CPC Class Codes: A61B 5/4381 Prostate evaluation or disorder diagnosis
• CPC Class Codes: A61B 8/0825 for diagnosis of the breast, e.g. mammography
• CPC Class Codes: A61B 8/0833 involving detecting or locating foreign bodies or organic structures
• CPC Class Codes: G01S 7/52042 determining elastic properties of the propagation medium or of the reflective target diagnostic techniques involving the measurement of strain A61B8/485

Abstract

New methods and devices for measuring geometrical and mechanical parameters of body tissues and providing mechanical imaging (MI) of the tissues based on these parameters are described in applicant'"'"'s parent U.S. patent application Ser. Nos. 08/607,645 and 07/994,109. In essence, a pressure sensing array is used to measure the surface stress pattern on soft tissues, and the pattern of mechanical stress and the changes in the pattern as a function of the applied pressure, the position of the array and time are processed to construct an image of the internal structure of the tissues. The detected parameters and processed image provide sensitive information useful in the detection and diagnosis of soft tissue pathologies such and breast and prostate tumors.

In accordance with the present invention, pressure and position data are acquired by pressing a transrectal probe on soft tissue overlying the prostate. The pattern of pressure responses is determined and conveniently is represented as a superposition of Chebyshev polynomial functions. A three-dimensional mechanical model of the prostate is reconstructed using finite element analysis, and a three-dimensional image is formed by deforming the image of an ideal prostate to conform to the calculated model. Regions of irregularity can be indicated on the image.

Claims

1. A method for mechanically imaging the prostate comprising the steps of:

acquiring position and pressure response data for a plurality of positions overlying the prostate surface;

calculating the pattern of pressure responses from the prostate surface;

reconstructing from said pattern of pressure responses a three-dimensional elasticity model of the prostate; and

generating an image of the prostate from said model.

2. The method of claim 1 wherein said data is acquired by the steps of:

inserting a transrectal probe having a position sensor and an array of pressure sensors into the rectum to the neighborhood of the prostate and transmitting position and pressure data from the probe to a computer;

determining the location of the prostate using the transmitted position and pressure data and producing an image of the prostate in relation to the probe;

using the image of prostate location in relation to the probe, scanning the prostate with the probe and transmitting position and pressure data from the probe to the computer;

determining the presence and location of prostate irregularities using transmitted position and pressure data and producing an image of the prostate including any irregularities located.

3. The method of claim 2 further comprising the step of:

displaying an image of the location of the probe in relation to pelvic anatomy during the step of inserting a transrectal probe.

4. The method of claim 3 wherein the step of determining the location of the prostate further comprises the step of:

scanning with the probe a region indicated on a display.

5. The method of claim 4 further comprising the step of:

displaying a portion of said pelvic anatomy scanned on the display.

6. The method of claim 4 further comprising the step of:

displaying the position of said probe on the display.

7. The method of claim 6 further comprising the step of:

displaying the level of pressure applied to said probe on the display.

8. The method of claim 4 further comprising the step of:

displaying the level of pressure applied to said probe on the display.

9. The method of claim 4 further comprising the step of:

displaying a sequential list of tasks for the manipulation of said probe on the display.

10. The method of claim 4 further comprising the steps of:

producing a visual image of the prostate using both said three-dimensional mechanical model and ideal anatomical prostate data; and

displaying said visual image on a display.

11. The method of claim 4 further comprising the step of:

displaying an image of the pelvic anatomy and directions for manipulation of the probe on the display.

12. The method of claim 1 wherein said step of calculating the pattern of pressure responses comprises the step of:

approximating the pattern of pressure responses with Chebyshev polynomial functions.

13. The method of claim 1 wherein said step of generating an image comprises the step of:

deforming the image of an ideal prostate to conform to said model.

14. A method for mechanically imaging the prostate using a transrectal probe with a moveable tip including a position sensor and an array of pressure sensors comprising the steps of:

pressing said probe tip on soft tissue overlying the prostate and measuring actual data representative of the pressure response of said tissue and the position of said probe tip;

transforming said actual data to transformed data representative of the position and measured pressure of each sensor;

producing from said transformed data a pressure pattern; and

producing a three-dimensional mechanical model of the prostate by applying finite element analysis to said pressure pattern.