Synchronization of ultrasound imaging data with electrical mapping

• US 7,918,793 B2
• Filed: 10/28/2005
• Issued: 04/05/2011
• Est. Priority Date: 10/28/2005
• Status: Active Grant

• Current Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Original Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Inventors: Govari, Assaf, Altmann, Andres Claudio
• Primary Examiner(s): Le; Long V
• Assistant Examiner(s): Fernandez; Katherine L
• Application Number:
  US11/262,217
• Publication Number:
  US 20070106146A1
• Time in Patent Office: 1,985 Days
• Field of Search: 600/437, 600/450, 600/407, 600/466, 600/428, 600/424, 345/629, 382/128
• US Class Current: 600/437
• CPC Class Codes: A61B 5/0035 adapted for acquisition of images from more than one imaging mode, e.g. combining MRI and optical tomography
• CPC Class Codes: A61B 5/062 using magnetic field
• CPC Class Codes: A61B 5/283 Invasive
• CPC Class Codes: A61B 5/7289 Retrospective gating, i.e. associating measured signals or images with a physiological event after the actual measurement or image acquisition, e.g. by simultaneously recording an additional physiological signal during the measurement or image acquisition
• CPC Class Codes: A61B 6/5247 combining images from an ionising-radiation diagnostic technique and a non-ionising radiation diagnostic technique, e.g. X-ray and ultrasound
• CPC Class Codes: A61B 6/5288 involving retrospective matching to a physiological signal
• CPC Class Codes: A61B 8/12 in body cavities or body tracts, e.g. by using catheters catheters per se A61M25/00
• CPC Class Codes: A61B 8/4488 the transducer being a phased array
• CPC Class Codes: A61B 8/483 involving the acquisition of a 3D volume of data
• CPC Class Codes: A61B 8/5238 for combining image data of patient, e.g. merging several images from different acquisition modes into one image for image registration algorithms G06T7/30
• CPC Class Codes: A61B 8/5284 involving retrospective matching to a physiological signal

Abstract

An image of an electro-anatomical map of a body structure having cyclical motion is overlaid on a 3D ultrasonic image of the structure. The electro-anatomical data and anatomic image data are synchronized by gating both electro-anatomical data acquisition and an anatomic image at a specific point in the motion cycle. Transfer of image data includes identification of a point in the motion cycle at which the 3-dimensional image was captured or is to be displayed.

Claims

1. A method for displaying images of a cyclically moving structure in a body of a living subject, comprising the steps of

selecting a gating point in a motion cycle of said structure;

acquiring data of said structure using a catheter having an imaging device and a position sensor;

acquiring position data comprising location and orientation coordinates of said imaging device of said catheter;

outputting said data of said structure and said position data to define an output of said data of said structure and an output of said position data, respectively;

synchronizing said output of said data of said structure with said output of said position data relative to said gating point to define synchronized data of said structure and synchronized position data, respectively, said step of synchronizing further comprising determining a time offset between said output of said data of said structure and said output of said position data relative to said gating point;

adjusting said time offset with respect to an interfering signal and acquiring images such that said images are acquired without interference;

repeating said step of synchronizing said output of said data of said structure with said output of said position data relative to said gating point; and

concurrently displaying gated images derived from said synchronized data of said structure in registration with said synchronized position data at said gating point in said motion cycle.

2. The method according to claim 1, further comprising the step of transferring said synchronized data of said structure and said synchronized position data to a processing device.

3. The method according to claim 1, wherein said imaging device comprises an ultrasound transducer, and said position data comprises said location and orientation coordinates of said ultrasound transducer.

4. The method according to claim 3, wherein said catheter further comprises an electrode and said data of said structure comprise an electro-anatomical map.

5. The method according to claim 4, wherein said data of said structure is one-dimensional data.

6. The method according to claim 4, wherein said data of said structure is two-dimensional data.

7. The method according to claim 4, wherein said data of said structure is three-dimensional data.

8. The method according to claim 1, wherein said data of said structure comprises a plurality of frames acquired at different phases of said motion cycle and said step of synchronizing comprises associating said frames with a corresponding portion of said output of said position data.

9. The method according to claim 8, wherein said step of synchronizing further comprises the steps of:

generating an energy pulse while acquiring said data of said structure;

associating one of said frames with said energy pulse; and

determining said time offset between said one frame associated with said energy pulse and said corresponding portion of said output of said position data.

10. The method according to claim 1, wherein said steps of acquiring data of said structure and acquiring position data are performed concurrently.

11. The method according to claim 1, wherein said steps of acquiring data of said structure and acquiring position data are performed non-concurrently.

12. The method of claim 1, further comprising:

generating an electro-anatomical map from a plurality of electro-anatomical data;

compensating for a system delay caused by image processing and image transfer of said plurality of electro-anatomical data to an image processor; and

determining a constant time offset between said acquired data including said electro-anatomical data of said structure and said acquired position data and anatomic image gating, and said constant time offset being used as said time offset.

13. The method of claim 1, further comprising:

adjusting said gating point in said motion cycle of said structure for said acquired position data; and

synchronizing an output of said acquired position data using said adjusted gating point with said output of said data of said structure.

14. A method for displaying images of a cyclically moving structure in a body of a living subject, comprising the steps of:

selecting a gating point in a motion cycle of said structure;

providing a catheter having an imaging device and a position sensor;

acquiring first data of said structure using said imaging device as a first modality;

acquiring second data as location and orientation coordinates of said structure using said position sensor as a second modality;

outputting said first data and said second data to define an output of said first data and an output of said second data, respectively;

synchronizing said output of said first data with said output of said second data relative to said gating point, said step of synchronizing further comprising determining a time offset between said output of said first data and said output of said second data relative to said gating point;

adjusting said time offset with respect to an interfering signal and acquiring images such that said images are acquired without interference;

repeating said step of synchronizing said output of said data of said structure with said output of said position data relative to said gating point; and

concurrently displaying gated images derived from said synchronized output of said first data in registration with said synchronized output of said second data at said gating point in said motion cycle.

15. The method according to claim 14, further comprising the step of transferring said synchronized output of said first data and said synchronized output of said second data to a processing device.

16. The method according to claim 14, wherein said first modality comprises an ultrasound transducer, said first data comprise ultrasound signals and said second data comprise a location and orientation of said ultrasound transducer.

17. The method according to claim 14, wherein said first data comprise ultrasound signals and said second data comprise electrical activation map signals.

18. The method according to claim 17, wherein said first data is one-dimensional data.

19. The method according to claim 17, wherein said first data is two-dimensional data.

20. The method according to claim 17, wherein said first data is three-dimensional data.

21. The method according to claim 14, wherein said first data comprises a plurality of frames acquired at different phases of said motion cycle and said step of synchronizing comprises associating said frames with a corresponding portion of said output of said second data.

22. The method according to claim 21, wherein said step of synchronizing further comprises the steps of:

generating an energy pulse while acquiring said first data;

associating one of said frames with said energy pulse; and

determining said time offset between said one frame associated with said energy pulse and said corresponding portion of said output of said second data.

23. The method according to claim 14, wherein said steps of acquiring first data and acquiring second data are performed concurrently.

24. The method according to claim 14, wherein said steps of acquiring first data and acquiring second data are performed non-concurrently.

25. A system for displaying images of a cyclically moving structure in a body of a living subject, comprising:

electrical circuitry operative for selecting a gating point in a motion cycle of said structure;

a catheter having a first acquisition device operative for acquiring first data of said structure using a first modality;

a second acquisition device operative for acquiring second data as location and orientation coordinates of said structure using a second modality;

a processor operative for synchronizing an output of said first acquisition device with an output of said second acquisition device relative to said gating point and for generating a first visual display from said output of said first acquisition device and a second visual display from said output of said second acquisition device, said synchronizing further comprising determining a time offset between said output of said first acquisition device and said output of said second acquisition device relative to said gating point, and wherein said time offset is adjusted with respect to an interfering signal and images are acquired without interference; and

a display device linked to said processor for displaying said first visual display in registration with said second visual display at said gating point in said motion cycle.

26. The system according to claim 25, wherein said first data comprise ultrasound signals and said second data comprise electrical activation map signals.

27. The system according to claim 26, wherein said first data is one-dimensional data.

28. The system according to claim 26, wherein said first data is two-dimensional data.

29. The system according to claim 26, wherein said first data is three-dimensional data.

30. The system according to claim 25, wherein said first data comprises a plurality of frames acquired at different phases of said motion cycle and said processor is operative for synchronizing by associating a selected one of said frames with a corresponding portion of said output of said second acquisition device.

31. The system according to claim 30, further comprising an energy generator operative for generating an energy pulse while said first acquisition device is acquiring said first data, wherein said processor is operative for synchronizing by:

associating said selected one of said frames with said energy pulse; and

determining said time offset between said selected one of said frames associated with said energy pulse and said corresponding portion of said output of said second acquisition device.