Rotational stereo roadmapping

• US 8,233,962 B2
• Filed: 05/16/2006
• Issued: 07/31/2012
• Est. Priority Date: 05/16/2006
• Status: Active Grant

• Current Assignee: Siemens Healthineers AG (Siemens AG), Board of Trustees of the Leland Stanford Junior University (Stanford Management Co.)
• Original Assignee: Siemens Medical Solutions USA Incorporated (Siemens AG), Board of Trustees of the Leland Stanford Junior University (Stanford Management Co.)
• Inventors: Kukuk, Markus, Napel, Sandy
• Primary Examiner(s): Casler, Brian
• Assistant Examiner(s): BOR, HELENE CATHERINE
• Application Number:
  US11/434,692
• Publication Number:
  US 20080009715A1
• Time in Patent Office: 2,268 Days
• Field of Search: 600/427, 600/431, 600/425, 600/424, 378/63, 378/62
• US Class Current: 600/424
• CPC Class Codes: A61B 2090/364 Correlation of different images or relation of image positions in respect to the body
• CPC Class Codes: A61B 2090/376 using X-rays, e.g. fluoroscopy
• CPC Class Codes: A61B 6/4028 resulting in acquisition of views from substantially different positions, e.g. EBCT
• CPC Class Codes: A61B 6/481 involving the use of contrast agents
• CPC Class Codes: A61B 6/504 for diagnosis of blood vessels, e.g. by angiography
• CPC Class Codes: A61B 90/36 Image-producing devices or illumination devices not otherwise provided for

Abstract

An improved method is disclosed for imaging in an interventional medical procedure that is more advanced than a conventional 2D image processing application and less restrictive than a 3D reconstruction image processing application. In contrast to the prior art 2D imaging application in which a single 2D image is acquired, the inventive method acquires and stores a set of 2D anatomical images while rotating a C-arm/X-ray source using a single injection of contrast agent. In lieu of performing a 3D reconstruction, the multiplicity of anatomical views provided by the set of 2D anatomical images adequately serve as a visual “rotatable roadmap” to perform classical 2D-roadmapping navigation. The “rotatable roadmap” assists a user to locate an ideal working view of the patient'"'"'s region of operative interest.

Claims

1. A computer-implemented method for imaging in an interventional medical procedure using an imaging system including a rotatable arm including a radiation emitting device located towards one end of said rotatable arm and a detector device located towards the opposite end of said rotatable arm, said detector device acquiring radiation emitted by the emitting device and having passed through a patient, the method comprising:

(a) storing a plurality of 2D anatomical images of a region of interest in a patient'"'"'s body acquired at different rotatable arm angles and angular data identifying individual respective angles of said rotatable arm at which corresponding 2D anatomical images are acquired;

(b) receiving user entered data selecting an optimal image from said plurality of 2D anatomical images in response to presenting data to a user identifying to said user said plurality of 2D anatomical images and associated corresponding rotatable arm angles;

(c) moving a radiation source and detector to a pre-stored angular position associated with said selected optimal image using said angular data;

(d) constructing a composite image comprised of the selected optimal 2D image and a live 2D image without performing 3D image reconstruction, wherein said live image comprises a medical device displayed in real-time;

(e) displaying said composite image, wherein said composite image comprises data identifying a displayed angular position and orientation of said medical device relative to said selected optimal anatomical image of said region of interest of said patient.

2. The method of claim 1, further comprising acquiring said plurality of 2D anatomical images preoperatively and displaying said plurality of 2D anatomical images and wherein the received data is received in response to user data entry and review of the displayed plurality of 2D anatomical images.

3. The method of claim 2, wherein the step of acquiring said plurality of 2D anatomical images further comprises the steps of:

rotating said radiation source/detector proximate said patient'"'"'s region of interest;

acquiring each of said plurality of anatomical images at a unique position during said rotation; and

recording each of said respective unique positions during said rotation.

4. The method of claim 3, further comprising:

storing each of said acquired plurality of anatomical images; and

storing each of said recorded unique positions associated with each of said acquired anatomical images.

5. The method of claim 3, wherein the unique position comprises a unique angular position.

6. The method of claim 2, wherein the step of acquiring said plurality of images occurs while injecting the patient with a single injection of contrast agent.

7. The method of claim 1, further comprising the steps of:

repeating steps (a) through (e) in the case where it is determined that said target location is not reached;

determining if there is at least one additional target location; and

repeating steps (a) through (e) in the case where it is determined that there is at least one additional target location; and

otherwise terminating said medical procedure.

8. The method of claim 1, wherein said radiation source comprises an x-ray radiation source.

9. The method of claim 1, wherein

the received data is automatically provided in response to automatic selection of an optimal image as an image of said plurality of 2D anatomical images acquired at an angle of said rotatable arm closest to a current angular position of said rotatable arm.

10. The method of claim 1, wherein said live image is a live fluoroscopic image.

11. The method of claim 1, further comprising the step of finding a corresponding image to the currently displayed image from said plurality of 2D anatomical images to form a stereo-pair providing a user with depth perception, and wherein said stereo-pair is displayed stereoscopically.

12. A non-transitory computer readable medium having program instructions stored thereto for implementing the method claimed in claim 1 when executed in a digital processing device.

13. A computer-implemented method for imaging in an interventional medical procedure using an imaging system including a rotatable arm including a radiation emitting device located towards one end of said rotatable arm and a detector device located towards the opposite end of said rotatable arm, said detector device acquiring radiation emitted by the emitting device and having passed through a patient, the method comprising:

(a) storing a plurality of 2D anatomical images of a region of interest in a patient'"'"'s body acquired at different rotatable arm angles and angular data identifying individual respective angles of said rotatable arm at which corresponding 2D anatomical images are acquired;

(b) automatically identifying a particular anatomical image from among said plurality of 2D anatomical images in response to said angular data;

(c) automatically displaying the identified particular anatomical image;

(d) constructing a composite image comprised of the selected optimal 2D image and a live 2D image of a medical device displayed in real-time without performing 3D image reconstruction; and

(e) displaying said composite image, wherein said composite image comprises data identifying a displayed angular position and orientation of said medical device relative to said selected optimal anatomical image of said region of interest of said patient.

14. The method of claim 13, further comprising,

determining a current position of said radiation source/detector

comparing the current position of the radiation source/detector with a pre-stored position of said particular pre-stored image being displayed;

displaying the difference in degrees between the current position of the radiation source/detector and the pre-stored position of said particular pre-stored image being displayed; and

adjusting the position of the radiation source/detector until said difference is determined to be less than a pre-determined difference threshold.

15. The method of claim 13, further comprising the step of finding a corresponding image to the currently displayed image to form a stereo-pair providing a user with depth perception, and wherein said stereo-pair is displayed stereoscopically.

16. The method of claim 13, wherein said radiation source comprises an x-ray radiation source and said live image is a live fluoroscopic image.

17. The method of claim 16, wherein said step of automatically identifying a particular anatomical image from among said plurality of 2D anatomical images is performed by automatic selection of an image of said plurality of 2D anatomical images acquired at an angle of said rotatable arm closest to a current angular position of said rotatable arm.

18. The method of claim 17 including the step of automatically identifying a new particular anatomical image from among said plurality of 2D anatomical images by automatic selection of an image of said plurality of 2D anatomical images acquired at an angle of said rotatable arm closest to a current angular position of said rotatable arm as said arm is rotated.

19. A non-transitory computer readable medium having program instructions stored thereto for implementing the method claimed in claim 13 when executed in a digital processing device.