System and method of performing treatment along a lumen network

Patent metadata

Field	Value
Publication number	US-10327853-B2
Application number	US-201615150655-A
Country	US
Kind code	B2
Filing date	May 10, 2016
Priority date	May 10, 2016
Publication date	Jun 25, 2019
Grant date	Jun 25, 2019

Abstract

Disclosed are systems, devices, and methods for performing treatment along a lumen network, an exemplary method comprising receiving image data of a patient's lungs, mapping one or more luminal networks inside the patient's lungs based on the received image data, identifying a treatment target in the image data, determining a luminal pathway to the treatment target via at least one of the luminal networks, configuring treatment parameters for treatment of the treatment target and at least one of the luminal networks, navigating a tool inside at least one of the luminal networks to the treatment target, treating the treatment target with a primary treatment modality, and treating the luminal pathway of at least one of the luminal networks leading to or from the treatment target with a secondary treatment modality.

First claim

What is claimed is:

1. A method of performing treatment along a lumen network, the method comprising:
receiving image data of a patient's lungs;
mapping one or more luminal networks inside the patient's lungs based on the received image data;
identifying a treatment target in the image data;
determining a luminal pathway to the treatment target via at least one of the luminal networks;
configuring treatment parameters for treatment of the treatment target and at least one of the luminal networks;
navigating a tool inside at least one of the luminal networks to the treatment target;
treating the treatment target with a primary treatment modality, wherein the primary treatment modality is high dose radiation brachytherapy; and
treating the luminal pathway of at least one of the luminal networks leading to or from the treatment target with a secondary treatment modality.

2. The method according to claim 1 , further comprising displaying guidance for treating the luminal pathway of at least one of the luminal networks leading to or from the treatment target with the secondary treatment modality.

3. The method according to claim 2 , wherein the guidance indicates a progress of treatment.

4. The method according to claim 2 , wherein the guidance includes a treatment zone based on the configured treatment parameters.

5. The method according to claim 1 , wherein the one or more luminal networks are selected from the group consisting of the patient's pulmonary, vascular, and lymphatic networks.

6. The method according to claim 1 , further comprising tracking locations of the tool as the tool is navigated inside at least one of the luminal networks.

7. The method according to claim 1 , further comprising:
determining a second luminal pathway to the treatment target via at least one of the luminal networks; and
treating the second luminal pathway of at least one of the luminal networks leading to or from the treatment target with the secondary treatment modality.

8. The method according to claim 1 , wherein the secondary treatment modality is selected from the group consisting of microwave ablation therapy, radio frequency ablation therapy, chemotherapy, radiation therapy, cryotherapy, gene therapy, and high dose radiation brachytherapy.

9. The method according to claim 1 , wherein the secondary treatment modality is high dose radiation brachytherapy.

10. The method according to claim 9 , further comprising adjusting at least one of:
a first time when a radioactive seed of a brachytherapy tool is uncovered;
a speed at which the brachytherapy tool is moved; and
a second time when the radioactive seed of the brachytherapy tool is recovered.

11. The method according to claim 1 , wherein the secondary treatment modality is surgery.

Assignees

• Covidien Lp

Inventors

• Krimsky William S

Classifications

• A61B1/0005

  combining images e.g. side-by-side, superimposed or tiled · CPC title

• A61B5/061

  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 title

• A61B1/2676

  Bronchoscopes · CPC title

• A61M2025/0166

  Sensors, electrodes or the like for guiding the catheter to a target zone, e.g. image guided or magnetically guided · CPC title

• A61B2034/105

  Modelling of the patient, e.g. for ligaments or bones · CPC title