Real-time tracking and navigation system and method for minimally invasive surgical procedures

Patent metadata

Field	Value
Publication number	US-9326823-B2
Application number	US-201313875849-A
Country	US
Kind code	B2
Filing date	May 2, 2013
Priority date	May 2, 2012
Publication date	May 3, 2016
Grant date	May 3, 2016

Abstract

Telemetrical control of a robotic interventional device for minimally invasive surgical procedure is based on an operative interaction between a tracking sub-system, MRI sub-system, navigation sub-system and the robotic interventional device. The tracking sensor sub-system is integrated with the interventional device to produce tracking information corresponding to the robotic interventional device location in the operative site. The navigation sub-system integrates the tracking information with the real-time images of the operative site produced by the MRI sub-system, and displays the integrated information to a user, to enable the telemetrical control of the interventional device for performing an intended procedure (biopsy, tissue resection, etc.). The navigation sub-system, based on the integrated real-time tracking information and real-time images, calculates and dynamically updates coordinates of subsequent imaging slices.

First claim

What is being claimed is:

1. A system for telemetrical control of an interventional device for minimally invasive surgical procedure, comprising:
a Magnetic Resonance Imaging (MRI) scanner sub-system operated to produce substantially in real-time MR images of an operative site comprising a target of interest;
an interventional device disposed at said operative site within said MRI scanner sub-system;
a tracking sub-system operatively coupled to said MRI scanner sub-system and operating concurrently therewith, wherein said tracking sub-system is configured to automatically and continually produce tracking information corresponding to a location of said interventional device within said operative site, said tracking information being produced based on gradient fields of said MRI scanner sub-system;
a processor controlled navigation sub-system operatively coupled to said tracking sub-system, said MRI scanner sub-system, and said interventional device, wherein said navigation sub-system is configured to:
(a) integrate said tracking information with said real-time MR images,
(b) display said substantially real-time MR images of said operative site generated by said imaging MRI scanner sub-system, and
(c) fluidly interface with a user to present, in a continuous fashion, said real-time MRI images and said tracking information, and to receive the user's commands to telemetrically control said interventional device to reach said target of interest in an optimal manner for an intended interaction therewith based on at least said substantially in real-time MR images and said tracking information.

2. The system of claim 1 , further comprising a processor controlled control sub-system operatively coupled to said navigation sub-system and said interventional device, wherein said control sub-system is configured to generate control signals responsive to the user's commands input into said navigation sub-system and to apply said control signals to said interventional device to control the motion thereof in said operative site relative to said target of interest.

3. The system of claim 2 , wherein said tracking sub-system further includes a sensor sub-system integrated with said interventional device, wherein said sensor sub-system includes at least one passive magnet field sensor (PMFS) positioned in proximity to a tip of said interventional device.

4. The system of claim 3 , wherein said sensor sub-system further includes at least one second PMFS positioned at a predetermined location along the length of said interventional device.

5. The system of claim 3 , wherein said imaging MRI scanner sub-system further generates images based on an imaging pulse sequences, wherein said tracking sub-system uses predetermined tracking gradient pulses embedded in said imaging pulse sequences to induce currents in said sensor sub-assembly, and wherein said induced currents are processed to determine the position and orientation of said at least one PMFS.

6. The system of claim 5 , further comprising pre-calibrated maps of induced currents in correspondence to said at least one PMFS location within said MRI scanner sub-system, wherein said navigation sub-system is configured to correlate said induced currents from said at least one PMFS to a corresponding location in said pre-calibrated maps.

7. The system of claim 5 , wherein said navigation sub-system is further configured to process, in real-time, coordinates of said at least one PMFS, to compute coordinates of a subsequent imaging slice based on said at least one PMFS coordinates, and to update, in real-time, said subsequent slice location during said surgical procedure.

8. The system of claim 1 , further comprising an image acquisition sub-system operatively coupled to said navigational system to perform reconstruction of said images.

9. The system of claim 8 , wherein said image acquisition sub-system is based on a real-time under-sampled projection reconstruction routine using golden ratio projection ordering and specific undersampling routines.

10. The system of claim 7 , wherein said navigation sub-system communicates said coordinates of said subsequent imaging slice to said MRI scanner sub-system substantially in real-time for the subsequent image taking.

11. The system of claim 9 , wherein said system is configured to operate in a tracking imaging mode and in a high resolution spot imaging mode, and wherein said navigation sub-system is further configured to adjust the number of projections needed for operating in the high-resolution or the tracking modes of operation with various contrast.

12. The system of claim 1 , wherein said navigation sub-system comprises a user interface including a display sub-system.

13. The system of claim 1 , wherein said interventional device includes a minimally invasive robotic sub-system compatible with said MRI scanner sub-system, wherein said robotic sub-system includes at least one end-effector adapted for said intended interaction with said target of interest, and wherein said user's commands include activation of said end-effector once said interventional device reaches said target of interest, and wherein said at least end-effector is adapted for tissue biopsy or tissue liquefaction of said target of interest.

14. A method for telemetrically controlling an interventional device during a minimally invasive surgical procedure, comprising the steps of:
positioning an operative site containing a target of interest into a Magnetic Resonance Imaging (MRI) scanner sub-system;
introducing an interventional device adapted for a surgical procedure to said operative site containing said target of interest;
integrating a tracking sub-system with said interventional device, and actuating said tracking sub-system to automatically and continually generate, substantially concurrently with said MRI scanner operation, tracking information corresponding to a location of at least a portion of said interventional device within said operative site;
operatively coupling a navigation sub-system to said tracking sub-system, said interventional device, and said imaging MRI scanner sub-system; and
configuring said navigation sub-system to operate through the steps of:
displaying, substantially in real-time, MR images acquired from said MRI scanner sub-system,
integrating said substantially real-time MR images with said tracking information obtained automatically and continually by said tracking sub-system based on gradient fields of said MRI scanner sub-system, and generating coordinates of said tracking sub-system in said operative site, and
upon receipt of a command from a user to control the interventional device, issuing a control signal applied to said interventional device to actuate a required motion thereof relative to the target of interest for an intended surgical interaction therewith.

15. The method of claim 14 , wherein said MRI scanner sub-system generates said MR images in correspondence with predetermined imaging pulses sequences, further comprising the steps of:
embedding pre-determined tracking gradient pulses in said imaging pulses sequences,
inducing currents in said tracking sub-system by said tracking gradient pulses, and
processing said induced currents to determine a real-time position of said tracking sub-system.

16. The method of claim 15 , further comprising the steps of:
computing, in said navigation sub-system, substantially real-time coordinates of said tracking sub-system,
computing, in said navigation sub-system, substantially real-time coordinates of a subsequent image slice based on said coordinates of said t

Assignees

• Univ Maryland
• Univ Maryland

Inventors

• Mcmillan Alan B
• Gullapalli Rao
• Richard Iii Howard M
• Roys Steven
• Desai Jaydev P

Classifications

• A61B2034/306

  Wrists with multiple vertebrae · CPC title

• A61B34/30

  Surgical robots · CPC title

• A61B34/20 Primary

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

• A61B5/055

  involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging · CPC title

• A61B18/1492

  having a flexible, catheter-like structure, e.g. for heart ablation (A61B18/1477 takes precedence) · CPC title