Dynamically alterable three-dimensional graphical model of a body region

• US 6,950,689 B1
• Filed: 08/03/1998
• Issued: 09/27/2005
• Est. Priority Date: 08/03/1998
• Status: Expired due to Term

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Inventors: Willis, N. Parker, Zeng, Jinglin, Quarato, James A.
• Primary Examiner(s): MANTIS MERCADER, ELENI M
• Application Number:
  US09/128,304
• Time in Patent Office: 2,612 Days
• Field of Search: 600/407, 600/408, 600/424, 600/437, 600/373, 600/374, 600/462, 600/439, 600/467, 607/119, 607/122, 128/920, 128/922, 128/899, 382/128
• US Class Current: 600/407
• CPC Class Codes: A61B 2017/00053 Mapping
• CPC Class Codes: A61B 2017/00243 cardiac
• CPC Class Codes: A61B 34/10 Computer-aided planning, simulation or modelling of surgical operations
• CPC Class Codes: A61B 5/287 Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
• CPC Class Codes: A61B 6/541 involving acquisition triggered by 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 8/4245 involving determining the position of the probe, e.g. with respect to an external reference frame or to the patient
• CPC Class Codes: A61B 8/445 Details of catheter construction
• CPC Class Codes: Y10S 128/92 Computer assisted medical diagnostics
• CPC Class Codes: Y10S 128/922 including image analysis

Abstract

The present invention is a system and method for graphically displaying a three-dimensional model of a region located within a living body. A three-dimensional model of a region of interest is displayed on a graphical display. The location in three-dimensional space of a physical characteristic (e.g. a structure, wall or space) in the region of interest is determined using at least one probe positioned within the living body. The graphical display of the model is deformed to approximately reflect the determined three-dimensional location of the physical characteristic. Preferably, the probe or probes are moved throughout the region of interest so as to gather multiple data points that can be used to increase the conformity between the graphical display and the actual region of interest within the patient.

Claims

1. A method of generating a three-dimensional graphical model of a region located within a living body, comprising the steps of:

(a) generating a three-dimensional model of a region of interest;

(b) determining a three-dimensional location of a physical characteristic in a portion of the region of interest using at least one roving probe positioned within the living body;

(c) deforming the model to at least approximately incorporate the physical characteristic at the determined three-dimensional location of the physical characteristic;

(d) displaying the model on a graphical display; and

(e) repeating steps (b) through (d) multiple times for different roving probe locations to increase the conformity of the model to the region of interest.

2. The method of claim 1 further including the step of (e) determining a relative three-dimensional location of a medical device positioned in the region of interest and graphically representing the medical device superimposed on the model at the determined three-dimensional location of the medical device.

3. The method of claim 2 wherein the medical device is the at least one probe.

4. The method of claim 2 wherein:

the medical device includes at least one mapping electrode;

step (e) includes determining a relative three-dimensional location of the at least one mapping electrode; and

the method further includes the steps of;

(f) detecting electrical activity using the at least one mapping electrode; and

(g) generating a map of the detected electrical activity and superimposing the map on the model at a three-dimensional location corresponding to the determined three-dimensional location of the at least one mapping electrode.

5. The method of claim 2 wherein:

the medical device includes at least one ablation electrode;

step (e) includes determining a relative three-dimensional location of the at least one ablation electrode; and

the method further includes the steps of;

(f) forming a lesion using the at least one ablation electrode; and

(g) generating a visual representation of the lesion and superimposing the visual representation on the model at a three-dimensional location corresponding to the determined three-dimensional location of the at least one ablation electrode.

6. The method of claim 1 wherein the model generated in step (a) includes an anatomical feature known to exist in the region of interest, wherein the physical characteristic is the anatomical feature.

7. The method of claim 6 wherein step (c) includes scaling the model to correlate a corresponding anatomical feature on the model with the determined three-dimensional location of the anatomical feature.

8. The method of claim 6 wherein step (c) includes orienting the model to correlate a corresponding anatomical feature on the model with the determined three-dimensional location of the anatomical feature.

9. The method of claim 6 wherein step (c) includes performing a rigid body transformation.

10. The method of claim 9 wherein the rigid body transformation uses a procrustean algorithm.

11. The method of claim 1 wherein step (c) includes performing vector field interpolation on the model.

12. The method of claim 1 wherein the region of interest is an organ.

13. The method of claim 12 wherein the organ is a heart.

14. A method of generating a three-dimensional graphical model of an organ located within a living body, comprising the steps of

(a) generating a three-dimensional model of at least a portion of the organ;

(b) determining a relative three-dimensional location of a known anatomical feature in the organ using a first probe positioned in the organ;

(c) deforming the model to approximately correlate a three-dimensional location of a corresponding anatomical feature on the model to the determined location of the known anatomical feature in the organ;

(d) graphically displaying the model;

(e) determining a relative three-dimensional location of an additional physical characteristic in the organ using at least one roving probe positioned in the organ; and

(f) further deforming the model to approximately incorporate the additional physical characteristic.

15. The method of claim 14 wherein the first probe and the at least one roving probe are the same probe.

16. The method of claim 14 further including repeating steps (e) and (f) multiple times for different roving probe locations to increase the conformity of the model to the organ.

17. The method of claim 16 wherein the repeating step includes repositioning the at least one roving probe multiple times within the organ.

18. The method of claim 14 further including the step of determining a relative three-dimensional location of a medical device positioned in the organ and graphically representing the medical device superimposed on the model at the determined three-dimensional location of the medical device.

19. The method of claim 18 wherein the medical device is the at least one roving probe.

20. The method of claim 14 wherein the first probe includes a plurality of ultrasonic transducers thereon, and wherein step (b) includes the steps of using ultrasound triangulation techniques to determine the three-dimensional locations of the ultrasonic transducers, and deriving the relative three-dimensional location of the anatomical feature using the relative three-dimensional locations of the ultrasonic transducers.

21. The method of claim 20 wherein the at least one roving probe includes a plurality of ultrasonic transducers thereon, and wherein step (e) includes the steps of using ultrasound triangulation techniques to determine the three-dimensional locations of the ultrasonic transducers, and deriving the relative three-dimensional location of the physical characteristic using the relative three-dimensional locations of the ultrasonic transducers.

22. A method of generating a three-dimensional graphical model of a heart located within a living body, comprising the steps of:

(a) generating a three-dimensional model of the heart;

(b) determining a relative three-dimensional location of a known anatomical feature in a portion of the heart using a reference catheter positioned in the heart;

(c) deforming the model to approximately correlate a three-dimensional location of an anatomical feature on the model to the determined location of the corresponding anatomical feature in the heart;

(d) positioning an additional roving probe in a chamber of the heart;

(e) determining relative three-dimensional location of a physical characteristic in the chamber using the additional roving probe;

(f) performing another transformation on the model to approximately incorporate at least a portion of the physical characteristic; and

(g) graphically displaying the model.

23. The method of claim 22 further comprising the step of repositioning the additional roving probe and repeating steps (e) and (f) multiple times to increase the conformity of the model to the heart.

24. The method of claim 22 further including the steps of:

(h) providing a medical device having at least one electrode;

(i) positioning the medical device in the chamber; and

(j) determining a relative three-dimensional location of the at least one electrode and graphically representing the at least one electrode superimposed on the model at the determined three-dimensional location of the at least one electrode.

25. The method of claim 24 wherein the medical device is the at least one roving probe.

26. The method of claim 22 further comprising the steps of:

(h) providing a medical device having at least one mapping electrode;

(i) positioning the medical device in the chamber;

(j) determining a relative three-dimensional location of the at least one mapping electrode;

(k) detecting electrical activity using the at least one mapping electrode; and

(l) generating a map of the detected electrical activity and superimposing the map on the model at a three-dimensional location corresponding to the determined three-dimensional location of the at least one electrode.

27. The method of claim 26 wherein the medical device includes a plurality of mapping electrodes, wherein steps (j) through (l) are carried out using the plurality of mapping electrodes, and wherein the map generated in step (l) is an isochronal map.

28. The method of claim 26 wherein the medical device includes a plurality of mapping electrodes, wherein steps (j) through (l) are carried out using the plurality of mapping electrodes, and wherein the map generated in step (l) is an isopotential map.

29. The method of claim 22 further including the steps of:

(h) providing a medical device having at least one ablation electrode;

(i) positioning the medical device in the chamber;

(j) determining a relative three-dimensional location of the at least one ablation electrode;

(k) forming a lesion using the at least one ablation electrode; and

(l) generating a visual representation of the lesion and superimposing the visual representation on the model at a three-dimensional location corresponding to the determined three-dimensional location of the at least one ablation electrode.

30. A system for generating a three-dimensional graphical model of a region located within a living body, comprising:

a graphical display;

display software for generating a model of a region of interest and for displaying the model on the graphical display;

a roving probe positionable with a region in a living body corresponding to the region of interest;

a localization system for determining three-dimensional locations of at least a portion of the roving probe as the roving probe is moved within the living body, and for deriving three-dimensional locations of physical characteristics in portions of the region of interest from the determined three-dimensional locations of the roving probe; and

transformation software for deforming the model to at least approximately incorporate each physical characteristic at the determined three-dimensional location as each three-dimensional location of the roving probe is derived, wherein the conformity of the model to the region of interest within the living body is increased.

31. The system of claim 30 wherein:

the system further includes a medical device positionable in the region of interest;

the localization system is further for determining a relative three-dimensional location of the medical device when it is positioned in the region of interest; and

the display software is further for graphically representing the medical device superimposed on the model at the determined three-dimensional location of the medical device.

32. The system of claim 31 wherein:

the medical device includes at least one electrode;

the localization system is further for determining a relative three-dimensional location of the at least one electrode when it is positioned in the region of interest; and

the display software is for graphically representing the at least one electrode superimposed on the model at the determined three-dimensional location of the at least one electrode.

33. The system of claim 31 wherein:

the medical device includes at least one mapping electrode;

the localization system is further for determining a relative three-dimensional location of the at least one mapping electrode when it is positioned in the region of interest;

the system further includes an electrophysiology system for receiving detected electrical activity from the at least one mapping electrode and for generating a map of the electrical activity; and

the display software is for graphically representing the map superimposed on the model at the three-dimensional location corresponding to the three-dimensional location of the at least one electrode.

34. The system of claim 31 wherein:

the medical device includes at least one ablation electrode;

the localization system is further for determining a relative three-dimensional location of the at least one ablation electrode when it is positioned in the region of interest;

the system further includes an ablation system for delivering ablation energy to the at least one ablation electrode; and

the display software is for generating a visual representation of an ablation lesion and for superimposing the visual representation of the lesion on the model at a three-dimensional location corresponding to the three-dimensional location of the at least one electrode.

35. The system of claim 30 wherein the display software is for generating and displaying a model of an organ.

36. The system of claim 35 wherein the organ is a heart.

37. A system for generating a three-dimensional graphical model of an organ located within a living body, comprising:

a graphical display;

display software for generating a model of an organ and for displaying the model on the graphical display;

a reference probe positionable within or in proximity to an anatomical feature of the organ;

an additional roving probe positionable within or in proximity to an additional physical characteristic of the organ;

a localization system for determining a three-dimensional location of at least a portion of the reference probe when the reference probe is positioned within or in proximity to the anatomical feature, for deriving a three-dimensional location of the anatomical feature in the organ from the determined three-dimensional location of the reference probe, for determining a three-dimensional location of at least a portion of the additional roving probe when the additional roving probe is positioned within or in proximity to the additional physical characteristic, and for deriving a three-dimensional location of the additional physical characteristic in the organ from the determined three-dimensional location of the additional roving probe; and

transformation software for deforming the model to at least approximately correlate the respective three-dimensional locations of the anatomical feature and additional physical characteristic on the model to the determined locations of the anatomical feature and additional physical characteristic in the organ.

38. The system of claim 37 wherein:

the additional roving probe is moveable to multiple locations within the organ;

the localization system is further for deriving locations of multiple physical characteristics within the organ from each of multiple locations of the additional roving probe; and

the transformation software is further for deforming the model to approximately incorporate the multiple physical characteristics to increase the conformity between the model and the organ.

39. The system of claim 37 wherein the organ is a heart.

40. The system of claim 39 wherein:

the system further includes a medical device positionable in the heart;

the localization system is further for determining a relative three-dimensional location of the medical device when it is positioned in the heart; and

the display software is further for graphically representing at least a portion the medical device superimposed on the model at the determined three-dimensional location of the medical device.

41. The system of claim 40 wherein:

the medical device includes at least one electrode;

the localization system is further for determining a relative three-dimensional location of the at least one electrode when it is positioned in the heart; and

the display software is for graphically representing the at least one electrode superimposed on the model at the determined three-dimensional location of the at least one electrode.

42. The system of claim 40 wherein

the medical device includes at least one mapping electrode;

the localization system is further for determining a relative three-dimensional location of the at least one mapping electrode when it is positioned in the heart;

the system further includes an electrophysiology system for receiving detected electrical activity from the at least one mapping electrode and for generating a map of electrical activity within the heart; and

the display software is further for superimposing the map on the model at a three-dimensional location corresponding to the three-dimensional location of the at least one electrode.

43. The system of claim 42 wherein the medical device includes a plurality of mapping electrodes, wherein the electrophysiology system is for generating an isochronal map, and wherein the display software is for superimposing the map on the model.

44. The system of claim 42 wherein the medical device includes a plurality of mapping electrodes, wherein the electrophysiology system is for generating an isopotential map, and wherein the display software is for superimposing the map on the model.

45. The system of claim 40 wherein:

the medical device includes at least one ablation electrode;

the localization system is further for determining a relative three-dimensional location of the at least one ablation electrode when it is positioned in the heart;

the system further includes an ablation system for delivering ablation energy to the at least one ablation electrode to create a lesion in the heart; and

the display software is further for generating a visual representation of an ablation lesion and for superimposing the visual representation on the model at a three-dimensional location corresponding to the three-dimensional location of the at least one electrode.

46. A system for graphically displaying and dynamically correcting a model of an organ comprising:

a processor for generating a model of an organ;

a display for displaying the generated model;

a roving catheter for placement into the body adjacent the organ; and

means associated with the catheter for generating data related to a position of the roving catheter and wherein said processor utilizes said position data to deform the displayed model of the organ as each roving catheter position is generated, wherein the conformity of the model to a corresponding actual region of interest within the living body is increased.

47. The system of claim 46 further including means for obtaining a fluoroscopic image of the organ and the roving catheter further including a means for inputting information related to a location of the roving catheter obtained from the fluoroscopic image into the processor to further deform the displayed model of the organ.

48. The system of claim 46 wherein the system further includes a plurality of ultrasonic transducers positionable within the living body, at least one of the transducers being on the roving catheter, and wherein the means associated with the roving catheter includes:

localization hardware electronically coupled to the transducers for causing the ultrasound transducers to transmit and/or receive ultrasound signals and for measuring the elapsed time between transmission of ultrasound signals by transmitting transducers and receipt of the signals by receiving transducers;

processor means electronically coupled to the localization hardware for calculating the distances between the transducers using the measured elapsed time, for determining the position of the roving catheter.