Intracardiac echocardiography image reconstruction in combination with position tracking system

• US 8,428,690 B2
• Filed: 04/01/2008
• Issued: 04/23/2013
• Est. Priority Date: 05/16/2007
• Status: Active Grant

• Current Assignee: General Electric Company
• Original Assignee: General Electric Company
• Inventors: Li, Dun Alex, Nafis, Christopher A., Wildes, Douglas G., Jensen, Vernon T.
• Primary Examiner(s): Chen, Tse
• Assistant Examiner(s): Roy, Baisakhi
• Application Number:
  US12/060,714
• Publication Number:
  US 20080287803A1
• Time in Patent Office: 1,848 Days
• Field of Search: 600/407, 600/424, 600/428, 600/437
• US Class Current: 600/424
• CPC Class Codes: A61B 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 2017/003 Steerable
• CPC Class Codes: A61B 2034/105 Modelling of the patient, e.g. for ligaments or bones
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• CPC Class Codes: A61B 2034/2063 Acoustic tracking systems, e.g. using ultrasound
• CPC Class Codes: A61B 2090/367 creating a 3D dataset from 2D images using position information
• CPC Class Codes: A61B 2090/378 using ultrasound
• CPC Class Codes: A61B 2090/3782 transmitter or receiver in catheter or minimal invasive instrument
• CPC Class Codes: A61B 34/20 Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
• CPC Class Codes: A61B 5/06 Devices, other than using radiation, for detecting or locating foreign bodies for removing same A61B17/50 ; determining position of probes within or on the body of the patient
• CPC Class Codes: A61B 5/062 using magnetic field
• CPC Class Codes: A61B 5/064 using markers A61B5/062 takes precedence
• CPC Class Codes: A61B 5/7285 for synchronising or triggering a physiological measurement or image acquisition with a physiological event or waveform, e.g. an ECG signal A61B6/5205, A61B6/541, A61B8/5207, A61B8/543 take precedence
• CPC Class Codes: A61B 6/503 for diagnosis of the heart
• CPC Class Codes: A61B 6/541 involving acquisition triggered by a physiological signal
• CPC Class Codes: A61B 8/0883 for diagnosis of the heart
• 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 8/4254 using sensors mounted on the probe
• CPC Class Codes: A61B 8/4263 using sensors not mounted on the probe, e.g. mounted on an external reference frame
• CPC Class Codes: A61B 8/445 Details of catheter construction
• CPC Class Codes: A61B 8/4461 : Features of the scanning mechanism, e.g. for moving the transducer within the housing of the probe
• CPC Class Codes: A61B 8/4488 : the transducer being a phased array
• CPC Class Codes: A61B 8/463 : characterised by displaying multiple images or images and diagnostic data on one display composite display in devices for short-range imaging with acoustic waves G01S7/52074
• CPC Class Codes: A61B 8/466 : adapted to display 3D data 3D imaging and stereoscopic displays in devices for short-range imaging with acoustic waves G01S15/8993 and G01S7/52068, respectively; 3D image rendering G06T15/00; manipulating 3D models for computer graphics G06T19/00
• 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 8/543 : involving acquisition triggered by a physiological signal

Abstract

A system and method to display a four-dimensional (4D) model of an imaged anatomy is provided. The system comprises a controller, and an imaging system including an imaging probe in communication with the controller. The imaging probe can acquire generally real-time, 3D image data relative to a direction of image acquisition along an imaging plane. The system also includes a tracking system in communication with the controller. The tracking system includes at least one tracking element integrated with the imaging probe. The system is operable to process the generally real-time, 3D image data acquired by the imaging probe relative to generally real-time tracking information acquired by the tracking system so as to display the 4D model of the imaged anatomy.

Claims

1. A tracking system comprising:

an imaging probe configured to travel through an imaged anatomy, the imaging probe operable to acquire real-time, three-dimensional (3D), image data of an imaged anatomy, the imaging probe configured to provide the 3D image data to an imaging system;

an input configured to receive, from the imaging system, a 3D model of a portion of the imaged anatomy, the 3D model being generated based on the 3D image data;

a tracking module including an electromagnetic tracking element integrated with the imaging probe to obtain real-time tracking information representative of a position of the imaging probe, the tracking module configured to selectively track the imaging probe using the tracking information;

an electrophysiologv (EP) input configured to receive electroanatomical information from an EP system; and

a registration module configured to map the electroanatomical information onto the 3D model based on the tracking information to form a color-coded map of the portion of the imaged anatomy.

2. The system of claim 1, wherein the tracking module is further operable to automatically register and display newly acquired real-time, 3D image data, and real-time motion information on a 4D model.

3. The system of claim 1, wherein the EP system is operable to acquire a cardiac cycle and a respiratory cycle information in synchronization with a time of acquisition of the 3D image data, display the newly acquired, real-time, 3D image data superimposed onto a 4D model, the position of the imaging probe, and the cardiac and respiratory cycle information illustrated at a time of acquisition in synchronization relative to the time of acquisition of the newly acquired, real-time, 3D image data.

4. The system of claim 1, wherein the an electromagnetic tracking element comprises a receiver located at the imaged anatomy.

5. The system of claim 1, wherein a spatial relation and an orientation of the real-time 3D image data is defined by an image coordinate system referenced in a predetermined spatial relation and orientation relative to the imaging probe, wherein the spatial relation of the electromagnetic tracking element integrated with the imaging probe relative to a dynamic reference located at the imaged anatomy is defined by a tracking coordinate system.

6. The system of claim 1, wherein the 3D image data is acquired while rotating the imaging probe about a longitudinal axis that extends through a center of the imaging probe.

7. The system of claim 1, further comprising an ablation system having an ablation catheter in communication with the controller, the ablation catheter and the imaging probe both maneuvered by a steering system, wherein maneuvering of the imaging probe and the ablation catheter by the steering system is defined relative to a mechanical coordinate system registered in relation to an image coordinate system and a tracking coordinate system.

8. The system of claim 1, further comprising a controller configured to calculate a degree of rotation of a motor to drive movement of the imaging probe about a longitudinal axis of the imaging probe in synchronization relative to time of image acquisition of 3D image data, as well as relative to tracking data acquired by the tracking system and acquisition of cardiac and respiratory cycle information acquired by the EP system.

9. The system of claim 1, further comprising a controller configured to merge the 3D image data with at least one of cardiac or respiratory cycle information to produce a 4D model.

10. The system of claim 1, further comprising a controller operable to calculate a number of image acquisition scans performed by the imaging probe about a longitudinal axis of the imaging probe to produce a 4D model of the imaged anatomy.

11. The system of claim 1, wherein the imaging probe is an intracardiac echocardiography probe.

12. The system of claim 1, wherein the imaging probe includes a transducer array and a motor coupled to the transducer array, the transducer array acquiring the 3D image data, the motor rotating the transducer array so that the 3D image data is acquired at different rotational angles with respect to a longitudinal axis of the imaging probe.

13. The system of claim 1, further comprising a controller configured to gate the acquisition of the 3D image data based on the tracking information.

14. The system of claim 1, wherein the 3D image data is aligned based on the tracking information to produce a 4D model.

15. The system of claim 1, wherein the 3D image data concern a common area of the imaged anatomy and different points in time, and the process combines the 3D image data over time to form a 4D model.

16. The system of claim 1, wherein the tracking system is further configured to track and display a history of each position of the imaging probe during the image acquisition.

17. The system of claim 1, further comprising an imaging system configured to:

receive the 3D image data; and

generate the 3D model using the 3D image data.

18. The system of claim 1, further comprising a steering system and an ablation catheter, the steering system being configured to automatically move the imaging probe along a path of the ablation catheter.

19. The system of claim 1, further comprising a dynamic reference sensor configured to generate motion information of the imaged anatomy, the tracking system being further configured to generate a world coordinate system using the motion information and automatically revise the 3D model, in real-time based on the motion information.

20. The system of claim 19, wherein the motion information comprises at least one of respiratory or cardiac motion.

21. The system of claim 1, wherein the tracking system is configured to receive a second set of 3D image data acquired by a second different imaging system, the tracking system being configured to generate and automatically revise a second 4D model using motion information generated by a dynamic reference sensor.

22. A method of tracking a portion of an imaged anatomy, the method comprising:

acquiring real-time three-dimensional (3D) image data of an imaged anatomy with an imaging probe traveling through an imaged subject;

generating a 3D model of a portion of the imaged anatomy based on the 3D image data;

obtaining real-time tracking information in connection with a position of the imaging probe;

selectively tracking the imaging probe using the tracking information;

receiving electroanatomical information from an EP system; and

mapping the electroanatomical information onto the 3D model based on the tracking information to form a color-coded map of the portion of the imaged anatomy.

23. The method of claim 22, further comprising the step of:

steering movement of the imaging probe and an ablation catheter relative to the tracking information and relative to a four-dimensional (4D) model synchronized in real-time relative to the time reference.

24. The method of claim 22, further comprising:

acquiring at least one of a pre-operative or intra-operative image data using a supplemental imaging system; and

superimposing the pre-operative or intra-operative image data on the 3D model.

25. The method of claim 22, wherein the imaging probe includes a 4D imaging catheter operable to acquire the 3D image data, the method further comprising simultaneously illustrating the 3D image data and the position of the 4D imaging catheter.

26. The method of claim 22, further comprising the step of registering the 3D image data and a tracked position of the imaging probe relative to a dynamic reference sensor located at the imaged anatomy.

27. The method of claim 22, further comprising rotating the imaging probe about a longitudinal axis that extends through a center of the imaging probe.

28. The method of claim 22, further comprising calculating a degree of rotation for a motor to drive movement of the imaging probe about a longitudinal axis of the imaging probe.

29. The method of claim 22, the method further comprising calculating a number of image acquisition scans performed while rotating the imaging probe about a longitudinal axis of the imaging probe to generate the 3D image data of the imaged anatomy.