ENT image registration

Patent metadata

Field	Value
Publication number	US-11986252-B2
Application number	US-201715674380-A
Country	US
Kind code	B2
Filing date	Aug 10, 2017
Priority date	Aug 10, 2017
Publication date	May 21, 2024
Grant date	May 21, 2024

Abstract

A method, including receiving a computerized tomography (CT) image of voxels of a subject's head, and analyzing the image to identify respective locations of the subject's eyes in the image, so defining a first line segment joining the respective locations. The method includes identifying a voxel subset overlaying bony sections of the head, lying on a second line segment parallel to the first line segment and on a third line segment orthogonal to the first line segment. A magnetic tracking system configured to measure positions on the subject's head is activated, and a probe, operative in the system, is positioned in proximity to the bony sections to measure positions of a surface of the head overlaying the bony sections. A correspondence between the positions and the voxel subset is formed, and a registration between the CT image and the magnetic tracking system is generated in response to the correspondence.

First claim

The invention claimed is:

1. A method, comprising:
(a) receiving a computerized tomography (CT) image comprising voxels of a head of a subject;
(b) analyzing the image to identify respective locations of a left eye and a right eye of the subject in the image, so as to define a first line segment joining the respective locations;
(c) identifying a voxel subset from the voxels of the head of the subject, the voxel subset comprising:
(i) voxels, overlaying a first bony section of the head, identified based on their lying on a second line segment parallel to the first line segment; and
(ii) voxels, identified based on their overlaying a second bony section of the head, lying on a third line segment orthogonal to the first line segment;

(d) activating a magnetic tracking system configured to measure positions on the head of the subject;
(e) positioning a probe, operative in the magnetic tracking system, in proximity to the first and second bony sections to measure magnetic-system-positions of a surface of the head overlaying the first and second bony sections;
(f) forming a correspondence between the magnetic-system-positions and the voxel subset; and
(g) generating a registration between the CT image and the magnetic tracking system in response to the correspondence.

2. The method according to claim 1 , wherein the second line segment is identified based on the second line segment being a preset distance above the first line segment.

3. The method according to claim 2 , wherein the preset distance is 5 cm.

4. The method according to claim 1 , and comprising identifying the first and second bony sections of the head as voxels having Hounsfield unit values greater than or equal to +200.

5. The method according to claim 1 , wherein:
(A) the third line segment overlays a nose tip of the subject;
(B) the voxels identified based on overlaying the second bony section are identified based on:
(i) starting from the nose tip of the subject; and
(ii) finding local maxima in proximity to, and vertically above, the nose tip.

6. The method according to claim 1 , wherein the second line segment and the third line segment form an upper-case T, the method further comprising displaying the CT image and positioning the upper-case T on the displayed CT image prior to positioning the probe to measure the magnetic-system-positions of the surface.

7. The method of claim 1 , wherein generating the registration comprises applying an iterative closest point theorem on the magnetic-system-positions and the voxel subset.

8. The method of claim 1 , wherein the magnetic-system-positions of the surface of the head overlaying the first and second bony sections are acquired by moving a distal end of the probe in a pattern based on the second line segment and the third line segment.

9. An apparatus, comprising:
(a) a magnetic sensor;
(b) a magnetic tracking system configured to measure locations of the magnetic sensor;
(c) a probe comprising the magnetic sensor that is configured to measure magnetic-system-positions of the probe in the system; and
(d) a processor, configured to:
(i) receive a computerized tomography (CT) image comprising voxels of a head of a subject,
(ii) analyze the image to identify respective locations of a left eye and a right eye of the subject in the image, so as to define a first line segment joining the respective locations,
(iii) identify a voxel subset from the voxels of the head of the subject, the voxel subset comprising:
(A) voxels, overlaying a first bony section of the head, identified based on their lying on a second line segment parallel to the first line segment, and
(B) voxels, identified based on their overlaying a second bony section of the head, lying on a third line segment orthogonal to the first line segment,

(iv) activate the magnetic tracking system,
(v) receive magnetic-system-positions from the probe of a surface of the head overlaying the first and second bony sections,
(vi) form a correspondence between the magnetic-system-positions from the probe and the voxel subset, and
(vii) generate a registration between the CT image and the magnetic tracking system in response to the correspondence.

10. The apparatus according to claim 9 , wherein the processor is configured to identify the second line segment based on the second line segment being a preset distance above the first line segment.

11. The apparatus according to claim 10 , wherein the preset distance is 5 cm.

12. The apparatus according to claim 9 , wherein the processor is configured to identify the first and second bony sections of the head as voxels having Hounsfield unit values greater than or equal to +200.

13. The apparatus according to claim 9 , wherein:
(A) the third line segment overlays a nose tip of the subject;
(B) the voxels identified based on overlaying the second bony section are identified based on:
(i) starting from the nose tip of the subject; and
(ii) finding local maxima in proximity to, and vertically above, the nose tip.

14. The apparatus according to claim 9 , wherein the second line segment and the third line segment form an upper-case T, the processor further configured to display the CT image and positioning the upper-case T on the displayed CT image prior to receiving the magnetic-system-positions of the surface from the probe.

15. The apparatus of claim 9 , wherein generating the registration comprises applying an iterative closest point theorem on the magnetic-system-positions and the voxel subset.

16. The apparatus of claim 9 , wherein receiving magnetic-system-positions from the probe of the surface of the head overlaying the first and second bony sections comprises receiving magnetic system positions obtained by moving the distal end of the probe in a pattern based on the second line segment and the third line segment.

Assignees

• Biosense Webster Israel Ltd

Inventors

• Zoabi Akram
• Pinsky Yoav
• Bustan Itamar
• Govari Assaf
• Shilemay Moshe Israel

Classifications

• A61B34/20 Primary

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

• G06T7/73

  using feature-based methods · CPC title

• A61B17/24

  for use in the oral cavity, larynx, bronchial passages or nose (for medical inspection of cavities or tubes in the body A61B1/00); Tongue scrapers · CPC title

• A61B2034/2051

  Electromagnetic tracking systems · CPC title

• A61B2034/2065

  Tracking using image or pattern recognition · CPC title