Metal artefact prevention during needle guidance under (Xper) CT

Patent metadata

Field	Value
Publication number	US-9545232-B2
Application number	US-51433707-A
Country	US
Kind code	B2
Filing date	Oct 30, 2007
Priority date	Nov 10, 2006
Publication date	Jan 17, 2017
Grant date	Jan 17, 2017

Abstract

The present invention relates to a method and device for preventing metal artifacts computer tomography scans made during biopsy taking, when a metal needle is present in the field of view of a scan. The direction of the metal needle and the direction of the electro-magnetic field are determined in advance. For the determination of the electro-magnetic field a position of a source of the electro-magnetic field a position of a detector are considered. The user may be warned, when the determined direction of the electro-magnetic field and of the direction of the metallic needle correspond to each other.

First claim

The invention claimed is:

1. A visual artifact avoidance apparatus configured for visual-artifact prevention during guidance of an elongated instrument within an electro-magnetic field, said device comprising:
an exposure device for examination of an object, said device comprising:
a source of said field; and
an image detector that includes a detector pixel, said device being configured for, via said source and said image detector, acquiring an image;

a processor configured for:
determining a position of said source, a position of said detector pixel, and a direction of a streamline of said electro-magnetic field between the two determined positions;
determining, from the acquired image, a longitudinal direction of said elongated instrument;
making a comparison between the two determined directions to check whether said two determined directions are parallel; and
providing, in order to effect said prevention, a signal representative of an outcome of said comparison.

2. The apparatus of claim 1 , said processor being further configured for providing, via at least one of a printer and a display, a vector map over a reconstructed volume that shows, through said volume, specifically a plurality of paths of respective constituent rays of an x-ray cone beam.

3. The apparatus of claim 2 , the plural paths being such that, if a metallic needle, as said instrument, were to be aligned into coincidence with any of said plural paths during said guidance, such would give rise to visual artifacts.

4. The apparatus of claim 1 , said detector comprising a plurality of detector pixels, said detector pixel being from among said plurality, said processor being configured for determining a plurality of directions of streamlines of said field for respective ones of the plural detector pixels, and, in order to effect said prevention, making a comparison between said direction of said instrument and respectively multiple ones of the plural directions.

5. The apparatus of claim 1 , wherein said processor is further configured for, selectively based on said outcome, deciding whether to provide said signal.

6. The apparatus of claim 1 , said detector comprising a plurality of detector pixels, said detector pixel being from among said detector pixels, said detector having a central location among said detector pixels, said detector pixel being offset from said central location.

7. The apparatus of claim 1 , said instrument comprising, within said object, at least a portion having material that is radiopaque with respect to x-rays.

8. The apparatus of claim 7 , said material being metallic.

9. The apparatus of claim 8 , wherein said instrument comprises a needle.

10. The apparatus of claim 1 , wherein said source is an x-ray focal spot.

11. The apparatus of claim 1 , said field being provided by a radiation beam having an orientation, said processor being further configured for, in order to effect said prevention for said image, determining, for said orientation, a plurality of directions of streamlines of said field between corresponding pairs, each pair consisting of said source and a respective detector pixel.

12. The apparatus of claim 11 , wherein at least part of said instrument, during said guidance, is within said object, and wherein said beam is an X-ray cone beam within said object.

13. The apparatus of claim 1 , said processor being further configured for determining field influencing parameters, said direction of said streamline being based on additionally said field influencing parameters.

14. The apparatus of claim 1 , said processor being further configured for providing a user warning that is based on the provided signal.

15. The apparatus of claim 1 , said field being provided by an x-ray cone beam having an orientation, said processor being further configured for providing an alternative position of said object, said providing of said alternative position being such that the determined direction of said instrument is, for said alternative position, neither coincident with nor parallel to any from among a pre-selected plurality of spaced apart constituent ray paths of said beam in said orientation.

16. The apparatus of claim 15 , wherein said constituent ray paths are paths of corresponding rays of said beam that are in a predetermined set of spaced apart directions.

17. The apparatus of claim 1 , wherein said direction of said streamline of said field is a direction of a ray within a cone beam, said acquiring being performed via said cone beam.

18. The apparatus of claim 1 , wherein said exposure device includes an imaging scanner.

19. The apparatus of claim 18 , wherein said scanner is a computed tomography device.

20. The apparatus of claim 19 , configured such that said beam is a wide X-ray cone beam.

21. The apparatus of claim 1 , said electro-magnetic field being provided by a radiation beam having an orientation, said source emitting said beam.

22. The apparatus of claim 21 , said detector having a plurality of detector pixels, said detector pixel being from among said detector pixels, said processor being configured for determining, for said orientation of said beam, directions of streamlines of said field between said position of said source and respectively positions of ones of the plural detector pixels, and for deciding whether said direction of said instrument is neither parallel to nor coincident with a direction from among said directions of streamlines.

23. The apparatus of claim 1 , said apparatus being configured for said acquiring while said apparatus is in a given orientation, said processor being configured for said determining said direction of said streamline of said electro-magnetic field based on said apparatus being in said given orientation.

24. A non-transitory computer readable medium embodying a computer program for visual-artifact prevention during guidance of an elongated instrument within an electro-magnetic field, said program having instructions executable by a processor for performing a plurality of acts, from among said plurality there being the acts of:
determining a position of source of said electro-magnetic field, a position of a detector pixel, and a direction of a streamline of said electro-magnetic field between the two determined positions;
determining, from an image acquired by a detector that includes said pixel, a longitudinal direction of said elongated instrument;
making a comparison between the two determined directions to check whether said two determined directions are parallel; and
providing, in order to effect said prevention, a signal representative of an outcome of said comparison.

Assignees

• Noordhoek Nicolaas Jan
• Koninklijke Philips Nv

Inventors

• Noordhoek Nicolaas Jan

Classifications

• A61B6/032

  Transmission computed tomography [CT] · CPC title

• A61B6/027

  characterised by the use of a particular data acquisition trajectory, e.g. helical or spiral · CPC title

• A61B2034/2051

  Electromagnetic tracking systems · CPC title

• A61B34/20

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

• A61B6/4441

  the rigid structure being a C-arm or U-arm · CPC title