Angulation planning for a three dimensional angiography

Patent metadata

Field	Value
Publication number	US-10157490-B2
Application number	US-201715685786-A
Country	US
Kind code	B2
Filing date	Aug 24, 2017
Priority date	Aug 25, 2016
Publication date	Dec 18, 2018
Grant date	Dec 18, 2018

Abstract

A method and system for operating an x-ray device for a creation of a three-dimensional angiography of a body vessel segment. A three-dimensional reconstruction of the body vessel segment is provided to a computing device of the x-ray device. A center line of the body vessel segment is computed. An axis of rotation is laid through the center line. The three-dimensional reconstruction is registered with the x-ray device. The suitability of at least one recording angle pair with a first and a second recording angle for the creation of the three-dimensional angiography is assessed on the basis of an assessment criterion by the computing device. One of the at least one assessed recording angle pairs is selected for creation of the three-dimensional angiography as a function of a result of the assessment, in order to improve the creation of the three-dimensional angiography.

First claim

The invention claimed is:

1. A method for operating an x-ray device for creation of a three-dimensional angiography of a body vessel segment, the method comprising:
providing a three-dimensional reconstruction of the body vessel segment to a computing device of the x-ray device;
calculating a center line through the body vessel segment;
calculating, by the computing device, an axis of rotation through the center line;
registering the three-dimensional reconstruction with the x-ray device;
assessing, by the computing device, a suitability of at least one recording angle pair with a first recording angle and a second recording angle for the creation of the three-dimensional angiography based on an assessment criterion, wherein the assessed recording angles are perpendicular to the axis of rotation; and
selecting one of the at least one evaluated recording angle pair for creation of the three-dimensional angiography as a function of a result of the evaluation.

2. The method of claim 1 , wherein the assessment criterion comprises a degree of a superimposition of at least one further body vessel segment on the body vessel segment on the respective recording of the one body vessel segment, wherein a lower degree of superimposition is better than a higher degree of superimposition.

3. The method of claim 1 , wherein the assessment criterion comprise a degree of a peripheral superimposition of at least one further body vessel segment with each other on the respective recording of the one body vessel segment, and a smaller degree of superimposition is evaluated as better than a high degree of superimposition, wherein the degree of the peripheral superimposition is taken into account less in the result of the evaluation than the degree of the superimposition for the one body vessel segment.

4. The method of claim 1 , wherein the assessment criterion comprises an accessibility of the corresponding recording angle by the x-ray device, wherein a recording angle not able to be accessed by the x-ray device is not selected for creation of the three-dimensional angiography, wherein a recording angle pair accessible with a lower movement effort is evaluated as better than a recording angle pair accessible with a higher movement effort.

5. The method of claim 1 , wherein the recording angles, in a plane perpendicular to the axis of rotation, enclose a predetermined intermediate angle and the assessment criterion comprise an intermediate angle, and a recording angle pair with a larger intermediate angle is assessed as better than a recording angle pair with a smaller intermediate angle.

6. The method of claim 1 , wherein the assessment criterion comprises a radiation load to be expected for a patient, for whose body vessel segment the angiography is created, and a small radiation load is assessed as better than a high radiation load.

7. The method of claim 1 , wherein the assessment criterion comprises an image quality of the recording to be expected, wherein a high image quality is assessed as better than a low image quality.

8. The method of claim 7 , wherein the image quality of the recording to be expected includes a signal-to-noise ratio, an image sharpness to be expected, or the signal-to-noise ratio and the image sharpness to be expected.

9. The method of claim 1 , wherein the assessment criterion comprises a position of a patient table of the x-ray device able to be changed for the recording, and a recording angle pair without a change or with a first change of the table position is assessed as better than a recording angle pair with a change or with a second, larger change of the table position.

10. The method of claim 9 , wherein the table position of the patient table is defined in each case for the recording angle pair, and wherein the one body vessel segment is located in an isocenter of the x-ray device.

11. The method of claim 5 , wherein the intermediate angle enclosed in the plane perpendicular to the axis of rotation by the recording angles amounts to between 25° and 90°.

12. The method of claim 1 , wherein selecting is made automatically by the computing device of the x-ray device.

13. The method of claim 1 , wherein the evaluated recording angles of are perpendicular to the axis of rotation.

14. An x-ray device for creation of a three-dimensional angiography of a body vessel segment, the x-ray device comprising:
a memory configured to store a three-dimensional reconstruction of the body vessel segment; and
a computing device configured to calculate a center line through the body vessel segment and an axis of rotation through the center line;
wherein the three-dimensional reconstruction is registered with the x-ray device, and the computing device is further configured to assess a suitability of at least one recording angle pair with a first recording angle and a second recording angle for the creation of the three-dimensional angiography based on an assessment criterion;
wherein the assessed recording angles are perpendicular to the axis of rotation; and
wherein one of the at least one recording angle pairs with one of the first and one of the second recording angles is selected for creation of the three-dimensional angiography as a function of a result of the assessment.

15. The x-ray device of claim 14 , wherein the assessment criterion comprises a degree of a superimposition of at least one further body vessel segment on the body vessel segment on the respective recording of the one body vessel segment, wherein a lower degree of superimposition is better than a higher degree of superimposition.

16. The x-ray device of claim 14 , wherein the assessment criterion comprises a degree of a peripheral superimposition of at least one further body vessel segment with each other on the respective recording of the one body vessel segment, and a smaller degree of superimposition is assessed as better than a high degree of superimposition, wherein the degree of the peripheral superimposition is used less in the result of the assessment than the degree of the superimposition for the one body vessel segment.

17. The x-ray device of claim 14 , wherein the assessment criterion comprises an accessibility of the corresponding recording angle by the x-ray device, wherein a recording angle not able to be accessed by the x-ray device is not selected for creation of the three-dimensional angiography, wherein a recording angle pair accessible with a lower movement effort will be assessed as better than a recording angle pair accessible with a higher movement effort.

18. The x-ray device of claim 14 , wherein the recording angles, in a plane perpendicular to the axis of rotation, enclose a predetermined intermediate angle, and the assessment criterion comprises an intermediate angle, and a recording angle pair with a larger intermediate angle is assessed as better than a recording angle pair with a smaller intermediate angle.

19. The x-ray device of claim 14 , wherein the assessment criterion comprises a radiation load to be expected for a patient, for whose body vessel segment the angiography is created, and a small radiation load is assessed as better than a high radiation load.

20. The x-ray device of claim 14 , wherein the assessment criterion comprises an image quality of the recording to be expected, a signal-to-noise ratio, or an image sharpness to be expected, wherein a high image quality is assessed as better than a low image quality.

Assignees

• Redel Thomas
• Siemens Healthcare Gmbh

Inventors

• Redel Thomas

Classifications

• G06T2207/10116

  X-ray image · CPC title

• A61B6/5241

  combining overlapping images of the same imaging modality, e.g. by stitching · CPC title

• G06T2207/30101

  Blood vessel; Artery; Vein; Vascular · CPC title

• A61B90/00

  Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges · CPC title

• G06T2207/20224

  Image subtraction · CPC title