Method and apparatus for optimizing a computer assisted surgical procedure
First Claim
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1. A method of performing a procedure on an anatomy of a patient, comprising:
- selecting a position for the procedure within the anatomy;
proposing a first therapy;
obtaining a first data set including image data and functional data regarding the anatomy and registering the obtained image data to the anatomy at least by;
identifying a specific functional feature of selected anatomical portions within the anatomy, anddetermining a location of the specific functional feature in the obtained image data at least by determining a position of a navigated functional sensing device, which is configured to sense the functional data regarding the specific functional feature within the anatomy and is associated with a tracking system including a localizer and a tracking device, based upon a tracked location of the tracking device;
planning the procedure at least in part with the obtained first data set regarding the anatomy;
navigating an instrument that is a deep brain stimulation lead to the selected position;
superimposing a first predicted physiological affect icon on an image of the anatomy based on the obtained image data to illustrate a graphical representation of a predicted first localized affect on the anatomy of the patient of the first therapy as the first therapy is performed; and
performing the first therapy on the anatomy at the selected position with the navigated instrument wherein the first therapy includes effecting the physiology of the anatomy.
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Abstract
A method and apparatus for optimizing a computer assisted procedure is provided. A method and apparatus for performing a procedure is also provided. Data can be accessed and processed to optimize and perform a procedure. The data can be augmented or supplemented with patient specific data.
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Citations
52 Claims
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1. A method of performing a procedure on an anatomy of a patient, comprising:
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selecting a position for the procedure within the anatomy; proposing a first therapy; obtaining a first data set including image data and functional data regarding the anatomy and registering the obtained image data to the anatomy at least by; identifying a specific functional feature of selected anatomical portions within the anatomy, and determining a location of the specific functional feature in the obtained image data at least by determining a position of a navigated functional sensing device, which is configured to sense the functional data regarding the specific functional feature within the anatomy and is associated with a tracking system including a localizer and a tracking device, based upon a tracked location of the tracking device; planning the procedure at least in part with the obtained first data set regarding the anatomy; navigating an instrument that is a deep brain stimulation lead to the selected position; superimposing a first predicted physiological affect icon on an image of the anatomy based on the obtained image data to illustrate a graphical representation of a predicted first localized affect on the anatomy of the patient of the first therapy as the first therapy is performed; and performing the first therapy on the anatomy at the selected position with the navigated instrument wherein the first therapy includes effecting the physiology of the anatomy. - View Dependent Claims (2, 7, 8, 9, 38, 39)
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3. The method of 2, further comprising:
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determining a first general effect of the first therapy on the anatomy; wherein the second therapy is at least one of identical to the first therapy, different than the first therapy, or combinations thereof. - View Dependent Claims (4, 5, 6)
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10. A method of performing a procedure on an anatomy of a patient, comprising:
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providing image data of a specific patient; providing a first database data including statistical information regarding an anatomy similar to the specific patient; performing an initial registration of the provided image data of the specific patient and the first database data; obtaining functional physiological data of the specific patient; refining the initial registration, at least by increasing an accuracy of the initial registration, of the provided image data of the specific patient and the first database data based at least in part on the obtained functional physiological data of the specific patient, wherein the provided first database data includes statistical functional physiological data regarding specific areas of the anatomy; performing a procedure on the specific patient, including; navigating an instrument that is a deep brain stimulation lead relative to the specific patient; displaying a representation of the navigated instrument relative to the provided image data of the specific patient; and forming a second database data for performing the procedure on the specific patient or a different patient other than the specific patient at least by augmenting the provided first database data with at least one of the obtained functional physiological data of the specific patient or the provided image data of a specific patient at least by altering a statistical functional data point from the provided first database data, wherein the statistical functional data point is used to assist in identifying a region in the provided image data of a specific patient. - View Dependent Claims (11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21)
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22. A method of performing a procedure on an anatomy of a patient, comprising:
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selecting a position for the procedure within the anatomy; obtaining a first data set regarding the anatomy; planning the procedure at least in part with the obtained first data set regarding the anatomy including; selecting a first therapy type to be applied at the selected position in the anatomy; predicting a first affect at the selected position in the anatomy of the first selected therapy type prior to performing the selected first therapy type; illustrating a first localized graphical representation of the predicted first affect, wherein the first localized graphical representation is a first physiological affect icon superimposed on an image of the anatomy, wherein the first physiological affect icon illustrates an area of the anatomy predicted to be affected by the selected first therapy type, wherein illustrating the first localized graphical representation includes displaying the first physiological affect icon superimposed on the image data of a portion of a brain of the patient; displaying an instrument icon representing a deep brain stimulation probe location based on a navigation of the deep brain stimulation probe into the brain of the anatomy of the patient; and augmenting the first data set with feedback based upon an observed result of performing the selected first therapy type on the brain at the selected position. - View Dependent Claims (23, 24, 25, 26, 27, 28, 29)
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30. A method for performing a procedure on an anatomy of a patient, comprising:
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accessing a first memory system having a stored data including statistical information regarding the anatomy; performing, by executing instructions with a processor system, a first registration of the patient to the stored data; obtaining current functional patient specific data during the procedure at a determined location in the anatomy of the patient to determine a location of a selected region in the anatomy of the patient; performing, by executing instructions with the processor system, a second registration of the patient to the stored data that refines the first registration of the patient to the stored data, wherein the second registration is based at least in part on the obtained current functional patient specific data including registering the selected region from the stored data to the patient based on the obtained current functional patient specific data; displaying a view of at least one of an image of the patient or the stored data based on the second registration; and tracking a deep brain stimulation lead into a brain of the patient to determine a location of the deep brain stimulation lead relative to the patient. - View Dependent Claims (31, 32, 33, 34, 35, 36, 37)
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40. A method for performing a procedure on an anatomy of a patient, comprising:
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determining the procedure; obtaining a first patient specific data of a first patient regarding the determined procedure; accessing a database data regarding the determined procedure by executing instructions with a processor; determining a first plan for performing the determined procedure based upon the obtained first patient specific data of the first patient and the accessed database data; performing the procedure on the anatomy of the first patient with an instrument that includes a deep brain stimulation lead; obtaining a second patient specific data of the first patient while performing the procedure on the anatomy of the first patient; and augmenting the database data based upon the obtained second patient specific data of the first patient obtained while performing the procedure on the first patient. - View Dependent Claims (41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52)
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Specification