Sensor guided catheter navigation system

Patent metadata

Field	Value
Publication number	US-9861338-B2
Application number	US-201715431494-A
Country	US
Kind code	B2
Filing date	Feb 13, 2017
Priority date	Oct 11, 2005
Publication date	Jan 9, 2018
Grant date	Jan 9, 2018

Abstract

A method and a system for producing images of a subject, such as the heart of a human being. The method may comprise acquiring ultrasound images of the subject with a catheter comprising a position sensor. The method may also comprise capturing a plurality of 4D surface registration points in the acquired ultrasound images corresponding to points on the subject. The method may also comprise registering, in space and time, a high-resolution 4D model of the subject with the plurality of 4D surface registration points. The method may also comprise displaying high resolution, real-time images of the subject during a medical procedure based on the registration of the high resolution 4D model to the 4D surface registration points. Embodiments of the present invention are especially useful in left atrium ablation procedures.

First claim

What is claimed is:

1. A computer-implemented method, comprising:
receiving scan data collected from a scan of a heart;
extracting a three-dimensional (3D) surface model from the scan data, wherein the 3D surface model corresponds to a particular phase of a cardiac cycle of the heart;
generating a four-dimensional (4D) heart model using the 3D surface model and a time associated with the particular phase of the cardiac cycle of the heart;
capturing a 4D surface registration points from a plurality of ultrasound images of the heart from within the heart by a catheter with a position sensor; and
registering the 4D heart model with the 4D surface registration points, wherein the 4D heart model is separate from the ultrasound images.

2. The computer-implemented method of claim 1 , wherein the 4D heart model and the 4D surface registration points are synchronized with electrocardiogram signals as time coordinates.

3. The computer-implemented method of claim 1 , wherein registering the 4D heart model with the 4D surface registration points further comprises creating a rigid global space-time registration between the 4D heart model and the 4D surface registration points.

4. The computer-implemented method of claim 3 , wherein creating the rigid global space-time registration between the 4D heart model and the 4D surface registration points comprises determining a transformation function that aligns the 4D surface registration points with the 4D heart model.

5. The computer-implemented method of claim 4 , wherein the transformation function aligns the 4D surface registration points with the 4D heart model, such that at least some of the 4D surface registration points are located on an inner heart wall of the 4D heart model.

6. The computer-implemented method of claim 3 , wherein registering the 4D heart model with the 4D surface registration points further comprises creating a local non-rigid registration to further improve the registration accuracy.

7. The computer-implemented method of claim 1 , wherein the scan of the heart is a computer tomography (CT) scan.

8. The computer-implemented method of claim 1 , wherein the scan of the heart is a magnetic resonance imaging (MRI) scan.

9. A catheter navigation system, comprising:
a catheter comprising an ultrasound transducer and a magnetic position sensor;
a position tracking system for tracking the position of the catheter based on signals received by the magnetic position sensor; and
an image processor in communication with the catheter and the position tracking system for:
capturing a plurality of four-dimensional (4D) surface registration points from a plurality of ultrasound images of one or more inner heart walls of a subject's heart acquired by the ultrasound transducer from within the heart; and
registering a 4D heart model of the subject's heart with the plurality of 4D surface registration points, wherein the 4D heart model is separate from the ultrasound images.

10. The catheter navigation system of claim 9 , wherein the 4D surface registration points correspond to points on the heart and are captured without the catheter touching any of the points on the heart.

11. The catheter navigation system of claim 9 , wherein the 4D heart model is constructed from a series of three-dimensional (3D) models at successive time points.

12. The catheter navigation system of claim 11 , wherein the series of 3D models are generated prior to acquiring the ultrasound images.

13. The catheter navigation system of claim 11 , wherein the series of 3D models are generated after acquiring the ultrasound images.

14. The catheter navigation system of claim 9 , wherein the catheter is configured to be positioned within the subject's heart and a portion of the catheter comprising the ultrasound transducer and the magnetic position sensor does not touch the one or more inner heart walls when capturing the plurality of ultrasound images of the heart.

15. A non-transitory computer readable medium storing computer executable instructions, executable by a processor to:
receive scan data collected from a scan of a heart;
extract a three-dimensional (3D) surface model from the scan data, wherein the 3D surface model corresponds to a particular phase of a cardiac cycle of the heart;
generate a four-dimensional (4D) heart model using the 3D surface model and a time associated with the particular phase of the cardiac cycle of the heart;
capture 4D surface registration points from a plurality of ultrasound images of the heart, from within the heart by a catheter with a position sensor; and
register the 4D heart model with the 4D surface registration points, wherein the 4D heart model is separate from the ultrasound images.

16. The non-transitory computer readable medium of claim 15 , further comprising instructions executable by the processor to receive position data acquired from the position sensor disposed on the catheter.

17. The non-transitory computer readable medium of claim 16 , further comprising instructions executable by the processor to determine an orientation of the catheter based on the received position data.

18. The non-transitory computer readable medium of claim 17 , wherein the position sensor comprises a magnetic positioning sensor.

Assignees

• Univ Of Pittsburgh—Of The Commonwealth System Of Higher Education
• Univ Carnegie Mellon
• Univ Of Pittsburgh—Of The Commonwealth System

Inventors

• Kanade Takeo
• Schwartzman David
• Zhong Hua

Classifications

• A61B8/4254

  using sensors mounted on the probe · CPC title

• A61B6/5205

  involving processing of raw data to produce diagnostic data · CPC title

• A61B5/06

  Devices, other than using radiation, for detecting or locating foreign bodies {; Determining position of diagnostic devices within or on the body of the patient} · CPC title

• A61B8/461

  Displaying means of special interest · CPC title

• A61B5/065 Primary

  Determining position of the probe employing exclusively positioning means located on or in the probe, e.g. using position sensors arranged on the probe · CPC title