Method and device for displaying predicted volume of influence with patient-specific atlas of neural tissue

• US 8,379,952 B2
• Filed: 10/09/2008
• Issued: 02/19/2013
• Est. Priority Date: 07/07/2004
• Status: Active Grant

• Current Assignee: Cleveland Clinic Foundation
• Original Assignee: Cleveland Clinic Foundation
• Inventors: McIntyre, Cameron C., Butson, Christopher R., Hall, John D., Henderson, Jaimie M.
• Primary Examiner(s): Zarka, David
• Application Number:
  US12/287,389
• Publication Number:
  US 20090208073A1
• Time in Patent Office: 1,594 Days
• Field of Search: 382/131
• US Class Current: 382/131
• CPC Class Codes: A61B 2090/364 Correlation of different images or relation of image positions in respect to the body
• CPC Class Codes: A61B 5/24 Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
• CPC Class Codes: A61B 90/37 Surgical systems with images on a monitor during operation
• CPC Class Codes: A61N 1/0529 Electrodes for brain stimulation
• CPC Class Codes: A61N 1/0531 Brain cortex electrodes
• CPC Class Codes: A61N 1/0534 Electrodes for deep brain stimulation
• CPC Class Codes: A61N 1/0539 Anchoring of brain electrode systems, e.g. within burr hole
• CPC Class Codes: A61N 1/36082 Cognitive or psychiatric applications, e.g. dementia or Alzheimer's disease
• CPC Class Codes: A61N 1/36135 using physiological parameters
• CPC Class Codes: A61N 1/36146 specified by the stimulation parameters
• CPC Class Codes: G16H 20/30 relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
• CPC Class Codes: G16H 30/20 for handling medical images, e.g. DICOM, HL7 or PACS
• CPC Class Codes: G16H 50/50 for simulation or modelling of medical disorders

Abstract

This document discusses, among other things, brain stimulation models, systems, devices, and methods, such as for deep brain stimulation (DBS) or other electrical stimulation. In an example, volumetric imaging data representing an anatomical volume of a brain of a patient can be obtained and transformed to brain atlas data. A patient-specific brain atlas can be created using the inverse of the transformation to map the brain atlas data onto the volumetric imaging data and a volume of influence can be calculated using the patient-specific brain atlas. In certain examples, the volume of influence can include a predicted volume of tissue affected by an electrical stimulation delivered by an electrode at a corresponding at least one candidate electrode target location.

Claims

1. A method of displaying a predicted volume of influence by an electrode inserted inside a patient'"'"'s neural tissue, the method comprising:

receiving imaging data representing the anatomy of the patient'"'"'s neural tissue;

creating a patient-specific atlas of neural tissue that is specific to the patient by registering the imaging data with an atlas that is not specific to the patient and that identifies neural structures in neural tissue;

calculating, by a computer processor, an electric field in the patient'"'"'s neural tissue, the electric field to be generated by the electrode;

calculating, by the processor and based on the determined electric field, a predicted volume of influence for the electrode inserted inside the patient'"'"'s neural tissue, wherein the predicted volume of influence is a representation of estimated electrode activated neural tissue; and

displaying, on a display screen, the predicted volume of influence together with the patient-specific atlas of neural tissue.

2. The method of claim 1, wherein the step of registering the imaging data with the atlas that is not specific to the patient comprises performing a transformation of the atlas that is not specific to the patient.

3. The method of claim 2, wherein the transformation is performed using pre-defined locations in the anatomy of the patient'"'"'s neural tissue as represented by the imaging data.

4. The method of claim 3, wherein the transformation is performed using an elasticity operator placed at the pre-defined locations in the anatomy of the patient'"'"'s neural tissue as represented by the imaging data.

5. The method of claim 2, wherein the transformation is a non-linear transformation.

6. The method of claim 2, wherein the transformation is performed by:

performing a first transformation having a first dimensional basis; and

performing a second transformation having a second higher dimensional basis than the first dimensional basis.

7. The method of claim 1, wherein the step of registering the imaging data with the non-patient-specific atlas comprises performing a transformation of the imaging data.

8. The method of claim 7, wherein the transformation is performed using pre-defined locations in the anatomy of the patient'"'"'s neural tissue as represented by the imaging data.

9. The method of claim 8, wherein the transformation is performed using an elasticity operator placed at the pre-defined locations in the anatomy of the patient'"'"'s neural tissue as represented by the imaging data.

10. The method of claim 7, wherein the transformation is a non-linear transformation.

11. The method of claim 7, wherein the transformation is performed by:

performing a first transformation having a first dimensional basis; and

performing a second transformation having a second higher dimensional basis than the first dimensional basis.

12. The method of claim 1, wherein the patient-specific atlas includes the identification of a specific volume representing a neural structure in the patient'"'"'s neural tissue.

13. The method of claim 12, wherein the patient'"'"'s neural tissue and the neural tissue whose neural structures are identified by the atlas that is not specific to the patient is the brain, and wherein the neural structure is a brain nuclei.

14. The method of claim 1, wherein the patient'"'"'s neural tissue and the neural tissue whose neural structures are identified by the atlas that is not specific to the patient is the brain.

15. The method of claim 1, wherein the non-patient-specific atlas is provided as an MR image.

16. The method of claim 1, wherein the atlas that is not specific to the patient and the imaging data each comprise a plurality of two-dimensional images.

17. The method of claim 16, wherein each of the plurality of two-dimensional images comprises magnetic resonance images of the patient'"'"'s neural tissue.

18. The method of claim 1, wherein the imaging data comprises a plurality of pre-operative magnetic resonance images of the patient'"'"'s neural tissue.

19. The method of claim 1, wherein the predicted volume of influence is a function of the location of the electrode relative to the patient'"'"'s neural tissue.

20. The method of claim 1, wherein the calculating includes using patient-specific information obtained from the patient to calculate the predicted volume of influence.

21. The method of claim 1, wherein the calculating includes using the imaging data.

22. The method of claim 1, wherein the calculating includes using a computational model of neurons.

23. A method of displaying a predicted volume of influence by an electrode inserted inside a patient'"'"'s neural tissue, the method comprising:

receiving imaging data representing the anatomy of the patient'"'"'s neural tissue;

creating a patient-specific atlas of neural tissue by registering the imaging data with a non-patient-specific atlas that identifies neural structures in neural tissue;

calculating, by a computer processor, a predicted volume of influence for the electrode inserted inside the patient'"'"'s neural tissue; and

displaying, on a display screen, the predicted volume of influence together with the patient-specific atlas of neural tissue;

wherein;

the step of registering the imaging data with the non-patient-specific atlas comprises performing a transformation of the non-patient-specific atlas; and

the transformation is performed by;

performing a first transformation having a first dimensional basis; and

performing a second transformation having a second higher dimensional basis than the first dimensional basis, the second transformation including the use of vector fields generated using a mismatch between the non-patient-specific atlas and the anatomy of the patient'"'"'s neural tissue as represented by the imaging data.

24. The method of claim 23, wherein the mismatch is constrained to be a solution to a Navier-Stokes fluid model.

25. A method of displaying a predicted volume of influence by an electrode inserted inside a patient'"'"'s neural tissue, the method comprising:

receiving imaging data representing the anatomy of the patient'"'"'s neural tissue;

creating a patient-specific atlas of neural tissue by registering the imaging data with a non-patient-specific atlas that identifies neural structures in neural tissue;

calculating, by a computer processor, a predicted volume of influence for the electrode inserted inside the patient'"'"'s neural tissue; and

displaying, on a display screen, the predicted volume of influence together with the patient-specific atlas of neural tissue;

wherein;

the step of registering the imaging data with the non-patient-specific atlas comprises performing a transformation of the imaging data; and

the transformation is performed by;

performing a first transformation having a first dimensional basis; and

performing a second transformation having a second higher dimensional basis than the first dimensional basis, the second transformation including the use of vector fields generated using a mismatch between the non-patient-specific atlas and the anatomy of the patient'"'"'s neural tissue as represented by the imaging data.

26. The method of claim 25, wherein the mismatch is constrained to be a solution to a Navier-Stokes fluid model.

27. A computer system comprising:

(a) a processor configured to receive imaging data representing the anatomy of a patient'"'"'s neural tissue;

(b) a memory device in which an atlas that is not specific to the patient and that identifies neural structures in neural tissue is stored; and

(c) a display screen;

wherein the processor is configured to perform steps comprising;

creating a patient-specific atlas of neural tissue that is specific to the patient by registering the imaging data with the atlas that is not specific to the patient;

calculating an electric field in the patient'"'"'s neural tissue, the electric field to be generated by an electrode inserted inside the patient'"'"'s neural tissue;

calculating based on the determined electric field, a predicted volume of influence for the electrode inserted inside the patient'"'"'s neural tissue, wherein the predicted volume of influence is a representation of estimated electrode activated neural tissue; and

displaying, on the display screen, the predicted volume of influence together with the patient-specific atlas of neural tissue.

28. A non-transitory computer-readable storage medium comprising instructions for:

receiving imaging data representing the anatomy of a patient'"'"'s neural tissue;

accessing an atlas that is not specific to the patient and that identifies neural structures in neural tissue;

creating a patient-specific atlas of neural tissue that is specific to the patient by registering the imaging data with the atlas that is not specific to the patient;

calculating an electric field in the patient'"'"'s neural tissue, the electric field to be generated by an electrode inserted inside the patient'"'"'s neural tissue;

calculating based on the determined electric field, a predicted volume of influence for the electrode inserted inside the patient'"'"'s neural tissue, wherein the predicted volume of influence is a representation of estimated electrode activated neural tissue; and

displaying the predicted volume of influence together with the patient-specific atlas of neural tissue.

29. A method of displaying a predicted volume of influence by an electrode inserted inside a patient'"'"'s neural tissue, the method comprising:

receiving imaging data representing the anatomy of the patient'"'"'s neural tissue;

creating a patient-specific atlas of neural tissue that is specific to the patient by registering the imaging data with an atlas that is not specific to the patient and that identifies neural structures in neural tissue, the registering including performing a transformation of the atlas that is not specific to the patient;

calculating, by a computer processor, a predicted volume of influence for the electrode inserted inside the patient'"'"'s neural tissue, wherein the predicted volume of influence is a representation of estimated electrode activated neural tissue; and

displaying, on a display screen, the predicted volume of influence together with the patient-specific atlas of neural tissue;

wherein;

the transformation is performed by;

performing a first transformation having a first dimensional basis; and

performing a second transformation having a second higher dimensional basis than the first dimensional basis; and

performing the second transformation includes the use of vector fields generated using a mismatch between the atlas that is not specific to the patient and the anatomy of the patient'"'"'s neural tissue as represented by the imaging data.

30. The method of claim 29, wherein the mismatch is constrained to be a solution to a Navier-Stokes fluid model.

31. A method of displaying a predicted volume of influence by an electrode inserted inside a patient'"'"'s neural tissue, the method comprising:

receiving imaging data representing the anatomy of the patient'"'"'s neural tissue;

creating a patient-specific atlas of neural tissue that is specific to the patient by registering the imaging data with an atlas that is not specific to the patient and that identifies neural structures in neural tissue, the registering including performing a transformation of the imaging data;

calculating, by a computer processor, a predicted volume of influence for the electrode inserted inside the patient'"'"'s neural tissue, wherein the predicted volume of influence is a representation of estimated electrode activated neural tissue; and

displaying, on a display screen, the predicted volume of influence together with the patient-specific atlas of neural tissue;

wherein;

the transformation is performed by;

performing a first transformation having a first dimensional basis; and

performing a second transformation having a second higher dimensional basis than the first dimensional basis;

performing the second transformation includes the use of vector fields generated using a mismatch between the atlas that is not specific to the patient and the anatomy of the patient'"'"'s neural tissue as represented by the imaging data.

32. The method of claim 31, wherein the mismatch is constrained to be a solution to a Navier-Stokes fluid model.

33. A method of displaying a predicted volume of influence by an electrode inserted inside a patient'"'"'s neural tissue, the method comprising:

receiving imaging data representing the anatomy of the patient'"'"'s neural tissue;

creating a patient-specific atlas of neural tissue that is specific to the patient by registering the imaging data with an atlas that is not specific to the patient and that identifies neural structures in neural tissue;

calculating, by a computer processor, a predicted volume of influence for the electrode inserted inside the patient'"'"'s neural tissue, wherein the predicted volume of influence is a representation of estimated electrode activated neural tissue; and

displaying, on a display screen, the predicted volume of influence together with the patient-specific atlas of neural tissue;

wherein the calculating includes using electric potential distribution.

34. A method of displaying a predicted volume of influence by an electrode inserted inside a patient'"'"'s neural tissue, the method comprising:

receiving imaging data representing the anatomy of the patient'"'"'s neural tissue;

creating a patient-specific atlas of neural tissue that is specific to the patient by registering the imaging data with an atlas that is not specific to the patient and that identifies neural structures in neural tissue;

calculating, by a computer processor, a predicted volume of influence for the electrode inserted inside the patient'"'"'s neural tissue, wherein the predicted volume of influence is a representation of estimated electrode activated neural tissue; and

displaying, on a display screen, the predicted volume of influence together with the patient-specific atlas of neural tissue;

wherein the calculating includes using tissue conductivity data.