System and method for planning and performing a repeat interventional procedure

Patent metadata

Field	Value
Publication number	US-11051902-B2
Application number	US-201615754602-A
Country	US
Kind code	B2
Filing date	Aug 10, 2016
Priority date	Sep 9, 2015
Publication date	Jul 6, 2021
Grant date	Jul 6, 2021

Abstract

A system for planning and performing a repeat interventional procedure includes a registration device (116) and an image generation device (120) which map current targets in a reference image (104) for a first interventional procedure to at least one guidance image (112) acquired from a different imaging modality. Biopsy locations are recorded to the guidance images during the first interventional procedure and the biopsy locations are mapped to the reference image to provide a planning image for use in a subsequent interventional procedure on the patient. In a subsequent interventional procedure, the prior planning image (124) may be registered to a current reference image (126) and the prior biopsy locations and prior and current targets are mapped to a guidance image acquired from a different imaging modality. Biopsy locations are then mapped to the guidance image (115) and mapped back to the current reference image.

First claim

The invention claimed is:

1. A system for planning and performing a repeat interventional procedure, comprising:
a computer-readable memory configured to store:
a reference image of a region of a subject having a reference image coordinate space, the reference image including at least one target area, markers indicative of a plurality of prior biopsy locations and diagnostic pathology results for each of the prior biopsy locations;
a series of real-time guidance images of a region of a subject having a guidance image coordinate space, wherein said series of guidance images are acquired from a different imaging modality than the reference image;

one or more computer processors configured to:
register the reference image including the at least one target area and the markers to the series of real-time guidance images in the guidance image coordinate space to generate a series of real-time enhanced guidance images comprising the series of real-time guidance images, the at least one target area, and the prior biopsy locations and the diagnostic pathology results;
register the series of real-time enhanced guidance images to the reference image in the reference image coordinate space;
control a display device to display the series of real-time enhanced guidance images in the guidance image coordinate space, wherein a clinician performing the interventional procedure can view the series of real-time guidance images, the at least one target area, the prior biopsy locations and the indicators of pathology results on the display device in real-time; and
control the display device to display a planning image which includes the reference image, the at least one target area and the plurality of biopsy locations based on the registration of the series of enhanced guidance images and the reference image in the reference image coordinate space.

2. The system as recited in claim 1 , wherein:
the computer memory is further configured to store:
a prior planning image generated from an earlier interventional procedure, said prior planning image including at least one prior target area, at least one prior biopsy locations and an indicator of diagnostic pathology for each biopsy location;
a current reference image including at least one current target area for planning a current interventional procedure;

the one or more computer processors are configured to:
register the prior planning image to an image coordinate space of the current reference image;
register a series of real-time enhanced guidance images each including the at least one current target area, the prior biopsy locations and at least one current biopsy location indicating a location at which the current interventional procedure was executed, to the current reference image in the reference image coordinate space;
control the display device to display a mapped current reference image comprising the current reference image and the at least one prior target area and at least one prior biopsy location from the prior planning image;
control the display device to display the series of real-time enhanced guidance images based on registration of the series of real-time guidance images and the mapped current reference image; and
control the display device to display an enhanced planning image, said enhanced planning image including the mapped current reference image and the at least one current biopsy location from the enhanced guidance image based on a registration by the registration device.

3. The system as recited in claim 1 , wherein the diagnostic pathology results include information related to a level of suspicion of cancer at each of the prior biopsy locations, histopathological findings of biopsy cores obtained at each of the prior biopsy locations, anatomical location information of the at least one target area or the prior biopsy locations and how long ago the biopsies were performed at each of the prior biopsy locations.

4. The system as recited in claim 3 , wherein the image device is configured to generate images indicative of at least one of anatomical location information of the at least one target area and the prior biopsy locations, and how long ago the biopsy was performed at each location.

5. The system as recited in claim 1 , wherein the system is configured to display the reference image and/or the series of real-time guidance images on the display device.

6. The system as recited in claim 1 , wherein the system is configured to record and store information received from a user during performance of the interventional procedure.

7. The system as recited in claim 6 , wherein the system is configured to record and store images from an imaging device during performance of the interventional procedure.

8. The system as recited in claim 1 , wherein the reference image is a magnetic resonance imaging image and the series of guidance images are ultrasound images.

9. The system as recited in claim 1 , wherein the interventional procedure comprises a prostate biopsy.

10. A system for planning and performing a repeat interventional procedure, comprising:
a workstation including one or more processors, a computer memory, an interface, and a display device,
wherein said computer memory is configured to store:
a reference image of a region of a subject in a reference image coordinate space, the reference image including at least one target area and markers at a plurality of prior intervention locations;
a series of real-time guidance images of the region of a subject in a guidance image coordinate space, wherein said series of real-time guidance images is acquired from a different imaging modality than the reference image;

wherein the one or more processors are configured to:
register the reference image including the at least one target area and the markers to the series of real-time guidance images to generate a series of enhanced real-time images in the guidance image coordinate space;
register a series of current guidance images including the at least one target area, and markers indicating the locations at which the prior interventional procedures were executed, to the reference image in the reference image coordinate space; and

wherein the display device is configured to display:
the series of enhanced real-time guidance images in the guidance image coordinate space, wherein the enhanced real-time guidance images each includes markers indicative of current interventional procedure interventional locations; and
a planning image which includes the reference image and the target area and the prior interventional procedure locations based on the registration of the enhanced real-time guidance images and the reference image in the reference image coordinate space.

11. The system as recited in claim 10 , wherein:
the computer memory is further configured to store:
a prior planning image comprising a planning image generated from an earlier interventional procedure, said prior planning image including at least one prior target area and prior interventional procedure locations and information concerning each prior interventional procedure location; and
a current reference image including at least one current target area for a current interventional procedure;

the one or more processors are configured to register:
the prior planning image to an image coordinate space of the current reference image; and
a series of enhanced current real-time guidance images including the at least one current target area, the prior interventional procedure locations, at least one current interventional procedure location indicating a location at which the current interventional procedure was executed and information concerning each cur

Assignees

• Kruecker Jochen
• Yan Pingkun
• Tahmasebi Maraghoosh Amir Mohammad
• Pinto Peter A
• Wood Bradford Johns
• Koninklijke Philips Nv
• Us Health

Inventors

• Kruecker Jochen
• Yan Pingkun
• Tahmasebi Maraghoosh Amir Mohammad
• Pinto Peter A
• Wood Bradford Johns

Classifications

• G06T12/00

  Tomographic reconstruction from projections · CPC title

• G16H20/40

  relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture · CPC title

• G06T2207/30081

  Prostate · CPC title

• A61B8/0841

  for locating instruments · CPC title

• G16H10/40

  for data related to laboratory analysis, e.g. patient specimen analysis · CPC title