Method and system for displaying a three dimensional visualization of cardiac motion

• US 9,380,940 B2
• Filed: 05/05/2014
• Issued: 07/05/2016
• Est. Priority Date: 05/05/2014
• Status: Expired due to Fees

• Current Assignee: Pacesetter Incorporated (Abbott Laboratories Incorporated)
• Original Assignee: Pacesetter Incorporated (Abbott Laboratories Incorporated)
• Inventors: Razavi, Hoda, Nabutovsky, Yelena
• Primary Examiner(s): YANG, WEI WEN
• Application Number:
  US14/270,176
• Publication Number:
  US 20150313510A1
• Time in Patent Office: 792 Days
• Field of Search: None
• US Class Current: 1/1
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• CPC Class Codes: A61B 5/00 Measuring for diagnostic purposes radiation diagnosis A61B6/00; diagnosis by ultrasonic, sonic or infrasonic waves A61B8/00; Identification of persons
• CPC Class Codes: A61B 5/0044 for the heart
• CPC Class Codes: A61B 5/029 Measuring or recording blood output from the heart, e.g. minute volume A61B8/065 takes precedence
• CPC Class Codes: A61B 5/061 Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body A61B1/00158 takes precedence
• CPC Class Codes: A61B 5/11 Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb for measuring pulse A61B5/02 ;A61B5/1038 takes precedence; motion detection to correct for motion artifacts in physiological signals A61B5/721
• CPC Class Codes: A61B 5/1102 Ballistocardiography
• CPC Class Codes: A61B 5/287 Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
• CPC Class Codes: A61B 5/318 Heart-related electrical modalities, e.g. electrocardiography [ECG]
• CPC Class Codes: A61B 5/4519 Muscles A61B5/389, A61B5/224 take precedence
• 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 6/12 Arrangements for detecting or locating foreign bodies
• CPC Class Codes: A61B 6/4441 the rigid structure being a C-arm or U-arm
• CPC Class Codes: A61B 6/466 adapted to display 3D data
• CPC Class Codes: A61B 6/467 characterised by special input means
• CPC Class Codes: A61B 6/487 involving fluoroscopy
• CPC Class Codes: A61B 6/503 for diagnosis of the heart
• CPC Class Codes: A61B 6/5288 involving retrospective matching to a physiological signal

Abstract

A method and system for displaying a three dimensional visualization of cardiac motion. The method and system obtain point specific (PS) motion data for a plurality of map points. The PS motion data indicates an amount of motion that occurred at the corresponding map point on a wall of the heart during at least one cardiac cycle. The method and system determine three dimensional (3D) positions of the map points during the cardiac cycle based on the PS motion data and select a set of 3D positions based on a frame rate. The method and system further generate 3D visualizations for each selected set of 3D positions.

Claims

1. A method for displaying a three dimensional visualization of cardiac motion, the method comprising:

obtaining point specific (PS) motion data for a plurality of map points, wherein the PS motion data indicates an amount of motion that occurred at the corresponding map point on a wall of the heart during at least one cardiac cycle;

determining three dimensional (3D) positions of the map points during the cardiac cycle based on the PS motion data;

selecting sets of 3D positions for corresponding frames of the cardiac cycle; and

generating 3D visualizations for the selected sets of 3D positions, wherein the 3D visualizations illustrate trajectory loops for the map points over at least a portion of the cardiac cycle.

2. The method of claim 1, further comprising synchronizing the 3D visualizations with an electrical signal measuring electrical activity of the heart.

3. The method of claim 1, further comprising generating a set of non-overlapping space-filling 3D tetrahedrons defined by the 3D positions of the map points within each 3D visualization, wherein the 3D tetrahedron includes three map points defining an outermost boundary of the corresponding 3D visualization;

and

defining a shell for each 3D visualization from the outermost boundaries of the 3D tetrahedrons.

4. The method of claim 3, further comprising determining a volume defined by the shell.

5. The method of claim 4, wherein the determined volume represents at least one of an end systolic volume, or an end diastolic volume.

6. The method of claim 4, further comprising determining at least one of a stroke volume or ejection fraction based on the volume of at least two shells.

7. The method of claim 1, wherein each of the trajectory loops illustrates a travel path of the corresponding map point from a beginning to an end of the cardiac cycle.

8. The method of claim 3, wherein the shell is represented having a color and/or transparency, the color is based on a quantitative motion measurement.

9. The method of claim 1, wherein the map points are represented as a graphical icon having a color, the color is based on a quantitative motion measurement.

10. The method of claim 1, wherein the generating the 3D visualizations includes generating the trajectory loops for a corresponding group of the map points based on a position of the map points in multiple frames of the cardiac cycle.

21. The method of claim 3, further comprising dynamically adjusting the shell based on a change in a position of a corresponding group of map points at frames.

22. The method of claim 3, further comprising transitioning the display to adjust the shell for each of the frames at a pre-defined speed to form a dynamic movie illustrating 3D motion of the wall.

11. A system for displaying a three dimensional visualization of cardiac motion collected by a cardiovascular navigation system (CNS), the system comprising:

a display;

a plurality of physiological sensors configured to be positioned adjacent to a plurality of map points on a heart, wherein the physiological sensors acquire point specific (PS) motion data at the corresponding map points, the PS motion data indicates an amount of motion that occurred at the map points on a wail of the heart during at least one cardiac cycle; and

a three dimensional (3D) analysis circuit module configured to determine 3D positions of the map points during the cardiac cycle based on the PS motion data, the 3D analysis circuit module configured to generate 3D visualizations for a selected set of the 3D positions for corresponding frames of the cardiac cycle, the 3D visualizations illustrating trajectory loops for the map points over at least a portion of the cardiac cycle, the 3D visualizations are shown in succession on the display.

12. The system of claim 11, wherein the 3D visualizations are synchronized with an electrical signal measuring electrical activity of the heart.

13. The system of claim 11 further comprising a shell generation circuit module configured to generate a set of non-overlapping space-filling 3D tetrahedrons defined by the 3D positions of the map points within each 3D visualization, wherein the 3D tetrahedron includes three map points defining an outermost boundary of the corresponding 3D visualization, the shell generation circuit module is further configured to define a shell for each 3D visualization from the outermost boundaries of the 3D tetrahedrons.

14. The system of claim 11, further comprising a volume analysis circuit module configured to determine a volume defined by the shell.

15. The system of claim 14, wherein the determined volume represents at least one of an end systolic volume, or an end diastolic volume.

16. The system of claim 14, wherein the volume analysis circuit module is configured to determine at least one of a stroke volume or ejection fraction based on the volume of at least two shells.

17. The system of claim 11, wherein each of the trajectory loops illustrates a travel path of the corresponding map point from a beginning to an end of the cardiac cycle.

18. The system of claim 13, wherein the she is represented having a color and/or transparency, the color is based on a quantitative motion measurement.

19. The system of claim 11, wherein the map points are represented as a graphical icon having a color, the color is based on a quantitative motion measurement.

20. The system of claim 11, wherein the 3D analysis circuit generates the trajectory loops for a corresponding group of the map points based on a position of the map points in multiple frames of the cardiac cycle.

23. The system of claim 13, wherein the shell generation circuit module us configured to dynamically adjust the shell based on a change in a position of a corresponding group of map points at frames.

24. The system of claim 13, wherein the shell generation circuit module us configured to transition the display to adjust the shell for each of the frames at a pre-defined speed to form a dynamic movie illustrating 3D motion of the wall.