Systems and methods for reconstruction of intra-body electrical readings to anatomical structure

Patent metadata

Field	Value
Publication number	US-12070299-B2
Application number	US-202217723500-A
Country	US
Kind code	B2
Filing date	Apr 19, 2022
Priority date	Jan 12, 2017
Publication date	Aug 27, 2024
Grant date	Aug 27, 2024

Abstract

In some embodiments, a body cavity shape of a subject is reconstructed based on intrabody measurements of voltages by an intrabody probe (for example, a catheter probe) moving within a plurality of differently-oriented electromagnetic fields crossing the body cavity. In some embodiments, the method uses distances between electrodes as a spatially calibrated ruler. Positions of measurements made with the intrabody probe in different positions are optionally related by using spatial coherence of the measured electromagnetic fields as a constraint. Optionally, reconstruction is performed without using a detailed reference (image or simulation) describing the body cavity shape. Optionally, reconstruction uses further information to refine and/or constrain the reconstruction; for example: images, simulations, additional electromagnetic fields, and/or measurements characteristic of body cavity landmarks. Optionally, reconstruction accounts for time-dependent cavity shape changes, for example, phasic changes (e.g., heartbeat and/or respiration), and/or changes in states such as subject hydration, edema, and/or heart rate.

First claim

What is claimed is:

1. A method of determining location of an electrode inside a body cavity of a subject based on intrabody measurements of a plurality of crossing electromagnetic fields established within the body cavity, the method comprising:
receiving measurements of the plurality of crossing electromagnetic fields measured using two sensors carried on an intrabody probe at a known distance from each other, the measuring being carried out with the intrabody probe at more than 150 locations in the body cavity; and
assigning the measurements of the plurality of crossing electromagnetic fields to locations using a transformation selected to reduce cost of a cost function, the cost function being increased as a function of distances between sister locations becoming increasingly different than the known distance; and
applying the transformation to measurements of the plurality of crossing electromagnetic fields, the plurality of crossing electromagnetic fields being measured substantially simultaneously by said two sensors;
wherein sister locations are locations assigned to sister measurements by the transformation, and sister measurements are measurements of the plurality of crossing electromagnetic fields measured substantially simultaneously by the two sensors carried on the intrabody probe at the known distance from each other.

2. The method of claim 1 , wherein the function of distances between sister locations becoming increasingly different than the known distance is a first cost metric of the cost function; and the cost function also increases as a function of a second cost metric.

3. The method of claim 2 , wherein the second cost metric is a function of local coherence of the transformation.

4. The method of claim 3 , wherein cost of the second cost metric increases as local coherence of the transformation decreases.

5. The method of claim 3 , wherein cost of the second cost metric increases as a metric of similarity of nearby values decreases.

6. The method of claim 1 , wherein the sensors are electrodes.

7. The method of claim 6 , wherein the measurements of the plurality of crossing electromagnetic fields are measurements of voltage.

8. The method of claim 6 , wherein the measurements of the plurality of crossing electromagnetic fields are indicative of impedance.

9. The method of claim 1 , wherein the intrabody probe comprises one or more further sensors, and each sensor of a group of sensors comprising the two sensors and the one or more further sensors is fixed to a rigid portion of the intrabody probe, each sensor of the group of sensors being at a known distance from at least one other sensor of the group of sensors, and together with each other sensor of the group of sensors defines a respective pair of sensors from which measurements related as sister measurements are measured, said measurements related as sister measurements also being assigned to sister locations by the transformation, and wherein the cost function also increases as a function of distances between sister locations becoming increasingly different than the known distance.

10. The method of claim 1 , wherein the plurality of crossing electromagnetic fields comprise at least one electromagnetic field established between the sensors.

Assignees

• Navix Int Ltd

Inventors

• Dichterman Eli
• Schwartz Yitzhack
• Shmayahu Yizhaq
• Ben-Haim Shlomo

Classifications

• A61B5/6852

  Catheters · CPC title

• A61B5/068

  using impedance sensors · CPC title

• A61B5/0538

  invasively, e.g. using a catheter · CPC title

• A61B5/287

  Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS] · CPC title

• A61B5/285

  Endotracheal, oesophageal or gastric probes · CPC title