Pattern and surgery support set, apparatus, method and program

Patent metadata

Field	Value
Publication number	US-9649167-B2
Application number	US-201414270177-A
Country	US
Kind code	B2
Filing date	May 5, 2014
Priority date	May 8, 2013
Publication date	May 16, 2017
Grant date	May 16, 2017

Abstract

A three-dimensional image representing a patient's organ is obtained. The organ is extracted from the three-dimensional image. A treatment portion, at which desirable treatment for the organ is performed, on a surface of the organ is obtained. A pattern model including an outer surface, an inner surface having a surface form along an organ's outer surface of the organ, a guide wall connecting, along the treatment portion, the outer surface and the inner surface, and a positioning portion is generated. The positioning portion positions a predetermined imaging probe in such a manner that a tomographic image of a cross section of the organ including a target portion of the organ is imageable when the guide wall is arranged along the treatment portion on the organ.

First claim

What is claimed is:

1. A surgery support apparatus comprising:
a processor; and
a memory, the memory storing instructions to cause the processor to:
obtain a three-dimensional image representing a patient's organ;
extract the organ from the three-dimensional image;
obtain a treatment portion, at which desirable treatment for the organ is performed, on a surface of the organ;
generate, based on the extracted organ and the obtained treatment portion, a pattern model including an outer surface, an inner surface having a surface form along an organ's outer surface of the organ, a guide wall connecting, along the treatment portion, the outer surface and the inner surface, and a positioning portion that positions a predetermined imaging probe;
generate, based on the three-dimensional image, a plurality of candidate images, comprising tomographic images representing different cross sections of the organ, respectively;
display the generated plurality of candidate images on a display device; and
determine, as a reference image, a candidate image specified by a user by receiving a specification of determining the displayed candidate image as the reference image by the user,

wherein the memory further stores instructions to cause the processor to display images imaged from the imaging probe and the reference image together on the display device, and
wherein a position of the positioning portion is determined in such a manner that a tomographic image of a cross section corresponding to the reference image is imaged by the imaging probe positioned at the positioning portion when the guide wall is arranged along the treatment portion on the organ.

2. The surgery support apparatus, as defined in claim 1 , wherein the positioning portion includes a wall that abuts on an outer surface of the imaging probe at different angles, and that connects the outer surface and the inner surface.

3. The surgery support apparatus, as defined in claim 2 , wherein the positioning portion comprises a hole extending through the pattern model from the outer surface to the inner surface, and through which the imaging probe is insertable and detachable.

4. The surgery support apparatus, as defined in claim 1 , wherein the pattern model includes a guide hole extending through the pattern model from the outer surface to the inner surface, and the guide hole including the guide wall provided on both sides of the treatment portion.

5. The surgery support apparatus, as defined in claim 1 , wherein the guide wall is provided on an edge of the pattern model.

6. The surgery support apparatus, as defined in claim 1 , wherein the imaging probe comprises an ultrasonic probe.

7. The surgery support system apparatus, as defined in claim 1 , further comprising:
an output unit that outputs the reference image to a printer.

8. The surgery support apparatus, as defined in claim 1 , wherein a position of the pattern model is adjusted on the patient's organ in such a manner that the cross section of the patient's organ imaged by the imaging probe and the cross section of the organ represented by the reference image match with each other.

9. A surgery support method performed by a surgery support apparatus, the method comprising:
image obtainment to obtain a three-dimensional image representing a patient's organ;
organ extraction to extract the organ from the three-dimensional image;
treatment portion obtainment to obtain a treatment portion, at which desirable treatment for the organ is performed, on a surface of the organ; and
pattern model generation to generate, based on the extracted organ and the obtained treatment portion, a pattern model including an outer surface, an inner surface having a surface form along an organ's outer surface of the organ, a guide wall connecting, along the treatment portion, the outer surface and the inner surface, and a positioning portion that positions a predetermined imaging probe, the method further comprising:
generating, based on the three-dimensional image, a plurality of candidate images, comprising tomographic images representing different cross sections of the organ, respectively;
displaying the generated plurality of candidate images on a display device; and
determining, as a reference image, a candidate image specified by a user by receiving a specification of determining the displayed candidate image as the reference image by the user,
wherein the displaying displays images imaged from the imaging probe and the reference image together on the display device, and
wherein a position of the positioning portion is determined in such a manner that a tomographic image of a cross section corresponding to the reference image is imaged by the imaging probe positioned at the positioning portion when the guide wall is arranged along the treatment portion on the organ.

10. A non-transitory computer-readable storage medium having stored therein a surgery support program for causing a computer to function as:
an image obtainment unit that obtains a three-dimensional image representing a patient's organ;
an organ extraction unit that extracts the organ from the three-dimensional image;
a treatment portion obtainment unit that obtains a treatment portion, at which desirable treatment for the organ is performed, on a surface of the organ;
a pattern model generation unit that generates, based on the extracted organ and the obtained treatment portion, a pattern model including an outer surface, an inner surface having a surface form along an organ's outer surface of the organ, a guide wall connecting, along the treatment portion, the outer surface and the inner surface, and a positioning portion that positions a predetermined imaging probe;
an image generation unit that generates, based on the three-dimensional image, a plurality of candidate images, comprising tomographic images representing different cross sections of the organ, respectively;
a display control unit that displays the generated plurality of candidate images on a display device; and
a reference image determination unit that determines, as a reference image, a candidate image specified by a user by receiving a specification of determining the displayed candidate image as the reference image by the user,
wherein the display control unit displays images imaged from the imaging probe and the reference image together on the display device, and
wherein a position of the positioning portion is determined in such a manner that a tomographic image of a cross section corresponding to the reference image is imaged by the imaging probe positioned at the positioning portion when the guide wall is arranged along the treatment portion on the organ.

Assignees

• Fujifilm Corp

Inventors

• Miyamoto Masaki

Classifications

• A61B2034/108

  Computer aided selection or customisation of medical implants or cutting guides · CPC title

• A61B34/10 Primary

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

• A61B2034/104

  Modelling the effect of the tool, e.g. the effect of an implanted prosthesis or for predicting the effect of ablation or burring · CPC title

• A61B2090/378

  using ultrasound · CPC title

• A61B2034/105

  Modelling of the patient, e.g. for ligaments or bones · CPC title