Method for registering articulated anatomical structures

Patent metadata

Field	Value
Publication number	US-11826112-B2
Application number	US-202217867274-A
Country	US
Kind code	B2
Filing date	Jul 18, 2022
Priority date	May 29, 2015
Publication date	Nov 28, 2023
Grant date	Nov 28, 2023

Abstract

The present invention relates to a method for registering a first anatomical structure ( 1 ) which is articulately coupled to a second anatomical structure ( 2 ), the method being constituted to be executed by a computer and comprising the steps of:
acquiring second structure correlation data describing the spatial position of at least one correlation feature ( 3 ) relative to the second anatomical structure ( 2 ); acquiring coupling data describing a positional fixation ( 6 ) of the first anatomical structure ( 1 ) relative to the second anatomical structure ( 2 ), which is set by the articulated coupling ( 4 ) between the first anatomical structure ( 1 ) and the second anatomical structure ( 2 ); determining, based on the second structure correlation data and the coupling data, first structure correlation data describing the spatial position of the at least one correlation feature ( 3 ) relative to the first anatomical structure ( 1 ).

The present invention further relates to a corresponding computer program and system.

First claim

The invention claimed is:

1. A computer implemented method for providing surgical guidance information, the method comprising:
assigning a first coordinate system to a pelvis of a patient, the pelvis being joined to a femur of the patient by a hip joint having a center of rotation;
registering the femur in a second coordinate system, wherein a mechanical axis of the femur is defined at a first spatial position in the second coordinate system;
defining, based on an image of the patient, (i) a second spatial position of a midsagittal plane relative to the pelvis, and (ii) a spatial relationship between a reference feature and the center of rotation;
calculating, based on the second spatial position, a third spatial position of the midsagittal plane in the second coordinate system;
aligning the second coordinate system with the first coordinate system based on the spatial relationship, thereby defining a fourth spatial position of the midsagittal plane within the first coordinate system; and
outputting surgical guidance information based on the third spatial position to a computer-readable storage device.

2. The method of claim 1 , wherein aligning the second coordinate system with the first coordinate system comprises virtually rotating the femur together with the second coordinate system around the center of rotation.

3. The method of claim 1 , wherein a y-axis of the second coordinate system is parallel to the mechanical axis an x-axis of the second coordinate system is parallel to a medial-lateral-direction with respect to the femur.

4. The method of claim 1 , wherein the image of the patient comprises a two-dimensional x-ray image of the pelvis and the femur from an anterior-posterior view.

5. The method of claim 1 , wherein the reference feature comprises an anterior superior iliac spine of the pelvis.

6. The method of claim 1 , wherein defining the spatial relationship comprises measuring a distance between the reference point and the center of rotation relative to the midsagittal plane.

7. The method of claim 1 , wherein defining the spatial relationship comprises determining an angle within a plane of the image defined between the midsagittal plane and a line including the reference point and the center of rotation.

8. The method of claim 1 , wherein the midsagittal plane is defined as parallel to the mechanical axis.

9. The method of claim 1 , wherein calculating the third spatial position is based further on a distance between the center of rotation and the midsagittal plane in the image.

10. The method of claim 1 , wherein the second spatial position and the spatial relationship are defined based further on user input.

11. A system for providing surgical guidance information, the system comprising:
one or more processors; and
a non-transitory computer-readable medium storing instructions that, when executed, cause the one or more processors to:
assign a first coordinate system to a pelvis of a patient, the pelvis being joined to a femur of the patient by a hip joint having a center of rotation;
register the femur in a second coordinate system, wherein a mechanical axis of the femur is defined at a first spatial position in the second coordinate system;
define, based on an image of the patient, (i) a second spatial position of a midsagittal plane relative to the pelvis, and (ii) a spatial relationship between a reference feature and the center of rotation;
calculate, based on the second spatial position, a third spatial position of the midsagittal plane in the second coordinate system;
align the second coordinate system with the first coordinate system based on the spatial relationship, thereby defining a fourth spatial position of the midsagittal plane within the first coordinate system; and
output surgical guidance information based on the third spatial position to a computer-readable storage device.

12. The system of claim 11 , wherein the instructions that cause the one or more processors to align the second coordinate system with the first coordinate system comprise instructions that, when executed, cause the one or more processors to virtually rotate the femur together with the second coordinate system around the center of rotation.

13. The system of claim 11 , wherein a y-axis of the second coordinate system is parallel to the mechanical axis an x-axis of the second coordinate system is parallel to a medial-lateral-direction with respect to the femur.

14. The system of claim 11 , wherein the image of the patient comprises a two-dimensional x-ray image of the pelvis and the femur from an anterior-posterior view.

15. The system of claim 11 , wherein the reference feature comprises an anterior superior iliac spine of the pelvis.

16. The system of claim 11 , wherein the instructions that cause the one or more processors to define the spatial relationship comprise instructions that, when executed, cause the one or more processors to measure a distance between the reference point and the center of rotation relative to the midsagittal plane.

17. The system of claim 11 , wherein the instructions that cause the one or more processors to define the spatial relationship comprise instructions that, when executed, cause the one or more processors to determine an angle within a plane of the image defined between the midsagittal plane and a line including the reference point and the center of rotation.

18. The system of claim 11 , wherein the midsagittal plane is defined as parallel to the mechanical axis.

19. The system of claim 11 , wherein the instructions that cause the one or more processors to calculate the third spatial position comprise instructions that, when executed, cause the one or more processors to calculate the third spatial position based on the second spatial position and a distance between the center of rotation and the midsagittal plane in the image.

20. The system of claim 11 , wherein the instructions that cause the one or more processors to define the second spatial position and the spatial relationship comprise instructions that, when executed, cause the one or more processors to define the second spatial position and the spatial relationship based further on user input.

Assignees

• Smith & Nephew Inc
• Smith & Nephew Asia Pacific Pte Ltd
• Smith & Nephew Orthopaedics Ag

Inventors

• Dohmen Lars
• Schubert Mario
• Wiedenmann Anna

Classifications

• A61B34/20 Primary

  Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis · CPC title

• A61B34/10

  Computer-aided planning, simulation or modelling of surgical operations · CPC title

• G06T7/32

  using correlation-based methods · CPC title

• G06T7/337

  involving reference images or patches · CPC title

• G06T7/73

  using feature-based methods · CPC title