Interventional imaging system

Patent metadata

Field	Value
Publication number	US-9888889-B2
Application number	US-201314013152-A
Country	US
Kind code	B2
Filing date	Aug 29, 2013
Priority date	Jul 12, 2013
Publication date	Feb 13, 2018
Grant date	Feb 13, 2018

Abstract

An interventional medical diagnosis and/or therapy system is provided. The system provides an interventional imaging system and method which allows for an intervention, to be conducted in accordance with an intervention plan, to be supported and monitored by ongoing imaging, in particular radioscopy, with which, at the same time the effort in calibration and registration is kept low, and which functions without an additional location system. The interventional imaging system includes an imaging device to record intervention data of a body, at least two position markings, capable of being recorded with the imaging device, for the marking of an intervention instrument, a display apparatus to reproduce recorded intervention data and position markings, a navigation facility connected to the display apparatus to load pre-intervention data of the body, in which an intervention location of the body is contained, and for the mutual registration of the pre-intervention data with the intervention data.

First claim

We claim:

1. An interventional imaging system, comprising:
an intervention instrument comprising at least two position markings;
an imaging device that repeatedly records intervention data of a body including image projections of the position markings;
a navigation facility that loads pre-intervention data of the body including image projection of an intervention location and mutually registers the pre-intervention data with the intervention data;
a display apparatus that displays the registered intervention data including the image projection of the intervention location and the image projections of the position markings of the intervention instrument; and
a robot arm that is controlled by the navigation facility for guiding the intervention instrument until the image projections of the position markings cover one another and also cover the image projection of the intervention location displayed on the display apparatus,
wherein the navigation facility repeatedly calculates position and orientation of the intervention instrument from the repeatedly recorded intervention data based on parameters comprising distance interval between the image projections of the position markings and/or geometry deformation of the image projections of the position markings in comparison with actually known distance interval between the position markings and known geometry of the position markings arranged on the intervention instrument,
wherein the navigation facility repeatedly compares the calculated position and orientation of the intervention instrument with position and orientation of the intervention location,
wherein the navigation facility repeatedly determines a movement proposal for the intervention instrument towards to the intervention location based on the comparison, and
wherein the robot arm repeatedly guides a movement of the intervention instrument based on the repeatedly determined movement proposal until a final planned position and orientation of the intervention instrument aligns with the position and orientation of the intervention location.

2. The imaging system as claimed in claim 1 , wherein the navigation facility is arranged such that, in addition to the pre-intervention data with the intervention location and the position markings, it also reproduces the intervention data on the display apparatus.

3. The imaging system as claimed in claim 1 , wherein the intervention data is 2D data.

4. The imaging system as claimed in claim 1 , wherein the pre-intervention data is 3D data.

5. The imaging system as claimed in claim 1 , wherein the imaging device is an X-ray device.

6. The imaging system as claimed in claim 1 , wherein the intervention instrument is an instrument holder, or an instrument guide.

7. A method for interventional imaging, comprising:
repeatedly recording intervention data of a body by an imaging device, wherein the intervention data comprises image projections of at least two position markings arranged on an intervention instrument;
loading pre-intervention data by a navigation facility, wherein the pre-intervention data comprises image projection of an intervention location of the body;
mutually registering the intervention data with the pre-intervention data by the navigation facility;
displaying the registered intervention data on a display apparatus; and
controlling a robot arm by the navigation facility for guiding the intervention instrument until the image projections of the position markers cover one another and also cover the image projection of the intervention location displayed on the display apparatus,
wherein the navigation facility repeatedly calculates position and orientation of the intervention instrument from the repeatedly recorded intervention data based on parameters comprising distance interval between the image projections of the position markings and/or geometry deformation of the image projections of the position markings in comparison with actually known distance interval between the position markings and known geometry of the position markings arranged on the intervention instrument,
wherein the navigation facility repeatedly compares the calculated position and orientation of the intervention instrument with position and orientation of the intervention location,
wherein the navigation facility repeatedly determines a movement proposal for the intervention instrument towards to the intervention location based on the comparison, and
wherein the robot arm repeatedly guides a movement of the intervention instrument based on the repeatedly determined movement proposal until a final planned position and orientation of the intervention instrument aligns with the position and orientation of the intervention location.

8. The method as claimed in claim 7 , wherein, in addition to the position markings, the intervention data is recorded and, together with the position markings and the pre-intervention data, reproduced on the display apparatus.

9. The method as claimed in claim 7 , wherein the intervention data is 2D data.

10. The method as claimed in claim 7 , wherein the pre-intervention data is 3D data.

11. The method as claimed in claim 7 , wherein the imaging device is an X-ray device.

12. The method as claimed in claim 7 , wherein
on the basis of the position markings a current position and alignment of the intervention instrument is automatically identified,
on the basis of the pre-intervention data and the intervention location, a deviation in the current position and orientation from a target position and alignment of the intervention instrument is automatically identified, and
the deviation or the movement proposal formed from this for the movement of the intervention instruments is represented on the display apparatus.

Assignees

• Hartkens Thomas
• Redel Thomas
• Siemens Healthcare Gmbh

Inventors

• Hartkens Thomas
• Redel Thomas

Classifications

• A61B2090/376

  using X-rays, e.g. fluoroscopy · CPC title

• A61B34/30

  Surgical robots · CPC title

• A61B2090/3966

  Radiopaque markers visible in an X-ray image · CPC title

• A61B34/20

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

• A61B6/486

  involving generating temporal series of image data · CPC title