# US 10,863,951 B2 · Computed tomography and positioning of the anatomy desired to be imaged

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- Number: US 10,863,951 B2
- Document ID: US10863951B2
- Status: Granted
- Kind: B2
- Application number: 16/475,183
- Filed: 2017-12-15
- Published: 2019-11-07
- Granted: 2020-12-15
- Earliest claimed: 2016-12-30
- Assignees: Planmeca Oy
- Applicants: Planmeca Oy
- Inventors: Mikko Jarva; Kustaa Nyholm
- Web page: https://patentgrep.com/patent/US10863951B2

## CPC

- A61B 6/04: Positioning of patients; Tiltable beds or the like
- G06T 19/00: Manipulating three-dimensional [3D] models or images for computer graphics
- A61B 6/032: {Transmission computed tomography [CT]}
- A61B 6/0421: {with immobilising means}
- A61B 6/08: Auxiliary means for directing the radiation beam to a particular spot, e.g. using light beams
- A61B 6/469: {for selecting a region of interest [ROI]}
- A61B 6/501: {for diagnosis of the head, e.g. neuroimaging or craniography}
- A61B 6/51: for dentistry
- A61B 6/54: {Control of apparatus or devices for radiation diagnosis}
- G06T 15/08: Volume rendering
- A61B 6/4441: {the rigid structure being a C-arm or U-arm}
- A61B 6/4458: {the source unit or the detector unit being attached to robotic arms}
- A61B 6/582: {Calibration}
- G06T 2210/41: Medical
- H04N 23/90: Arrangement of cameras or camera modules, e.g. multiple cameras in TV studios or sports stadiums
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- G06T: IMAGE DATA PROCESSING OR GENERATION, IN GENERAL
- H04N: PICTORIAL COMMUNICATION, e.g. TELEVISION

## Abstract

The invention relates to a problem of setting mutual position of an anatomy being imaged and imaging means of a computed tomography imaging apparatus so that specifically the very volume of the anatomy desired to be imaged actually is imaged. To further the positioning, a positioning tool in a form of a three-dimensional virtual positioning model (40), generated from the anatomy to be imaged, is shown on a display from which the volume (41) of the anatomy desired to be imaged can be pointed, selected or defined.

## Claims

### Claim 1

A method for positioning an anatomy for computed tomography imaging, in which method, an arrangement is used which comprises a computed tomography imaging apparatus including X-ray imaging means, a control system of the computed tomography imaging apparatus and a means for showing image information arranged in a functional connection with the computed tomography imaging apparatus, in which method an anatomy including a volume desired to get imaged is positioned in the imaging area of the computed tomography imaging apparatus, a virtual positioning model is shown by said means for showing image information, the positioning model showing at least a portion of a three dimensional surface of said anatomy and comprising the volume desired to get imaged, a location of the volume in said virtual positioning model desired to get imaged is pointed, selected or determined, a relation of a position of a set of coordinates of said virtual positioning model to a position of a set of coordinates of the X-ray imaging means of the computed tomography imaging apparatus is resolved, control information is transmitted to the control system of the computed tomography imaging apparatus for imaging said volume of the anatomy desired to get imaged, which control information is based on knowledge of the relation of the position of the set of coordinates of said virtual positioning model to the position of the set of coordinates of the X-ray imaging means of the computed tomography imaging apparatus and knowledge of the location in said virtual positioning model of said volume desired to get imaged.

### Claim 2 (depends on 1)

A method according to claim 1, wherein said means for showing image information also shows a positioning volume, by means of which the location of said volume in said position model desired to get imaged is pointed, selected or determined.

### Claim 3 (depends on 2)

A method according to claim 2, wherein said positioning model comprises a cylinder surface.

### Claim 4 (depends on 2)

A method according to claim 2, wherein when a part of the positioning volume is located outside the surface of the positioning model and a part inside the surface of the positioning model, for those parts, the positioning volume is presented looking different.

### Claim 5 (depends on 1)

A method according to claim 1, wherein at least two positioning models are shown which show said anatomy from different projection directions, whereby in the case of also the positioning volume is shown, also its position in relation to the positioning model can be shown in connection with each positioning model as seen from the corresponding direction.

### Claim 6 (depends on 2)

A method according to claim 2, wherein the dimensions of said positioning volume are determined in advance and/or are changeable.

### Claim 7 (depends on 1)

A method according to claim 1, wherein said virtual positioning model is generated in real-time when the anatomy has been positioned in said imaging area of the computed tomography imaging apparatus and/or wherein said virtual positioning model is updated in real-time while the anatomy being imaged is positioned in said imaging area of the computed tomography imaging apparatus.

### Claim 8 (depends on 1)

A method according to claim 1, wherein the pointing, selecting or determining of the location of said volume desired to get imaged comprises at least one of actions i) moving the anatomy in said imaging area, ii) moving the volume desired to get imaged shown on said means for showing image information, iii) moving the X-ray imaging means.

### Claim 9 (depends on 1)

A method according to claim 1, wherein said virtual positioning model is a surface model or wherein said virtual positioning model is a volume model.

### Claim 10 (depends on 1)

A method according to claim 1, wherein said virtual positioning model is a model based on optical information.

### Claim 11 (depends on 10)

A method according to claim 10, wherein information for generating said virtual positioning model is produced by an optical camera arrangement arranged to the computed tomography imaging apparatus.

### Claim 12 (depends on 11)

A method according to claim 11, wherein information for generating said virtual positioning model is produced by an arrangement which is moved with respect to the anatomy being imaged in at least first motion direction and which comprises i) a camera arrangement in which at least two optical cameras are positioned at a distance from each other in said motion direction or ii) at least two camera arrangements according to structure i) positioned at a distance from each other in a substantially perpendicular direction with respect to said motion direction.

### Claim 13 (depends on 11)

A method according to claim 11, wherein said optical camera arrangement and said relation of the set of coordinates of the virtual positioning model to the position of the imaging means of the computed tomography imaging apparatus are utilized for identifying the position of the patient in the imaging area during computed tomography imaging and, if the position of the anatomy is noticed to change, the motion of said X-ray imaging means is controlled during the imaging to compensate for the change in the position of the patient.

### Claim 14 (depends on 1)

A method according to claim 1, wherein said virtual positioning model comprises at least a portion of a patient's cranial anatomy.

### Claim 15 (depends on 1)

A method according to claim 1, wherein said virtual positioning model is generated in advance before positioning the anatomy in the imaging area of the computed tomography imaging apparatus for computed tomography imaging and wherein the relation of the position of the set of coordinates of the positioning model to the position of the set of coordinates of the X-ray imaging means of the computed tomography imaging apparatus is made to correspond the position of the anatomy positioned in the imaging area of the computed tomography imaging apparatus in relation to the position of the set of coordinates of the X-ray imaging means of the computed tomography imaging apparatus.

### Claim 16

A computed tomography imaging apparatus which comprises an X-ray imaging means which includes an X-ray source and a receiver means of image information, an imaging station, a control system, a means arranged in a functional connection with the computed tomography imaging apparatus for processing image information as well as a means for showing image information, in which apparatus, the control system comprises: a means for showing on said means for showing image information a virtual positioning model, the positioning model showing at least a portion of a three-dimensional surface of an anatomy being imaged and comprising a volume desired to get imaged from said anatomy, a means for pointing, selecting or determining a location of the volume in said virtual positioning model desired to get imaged, a means for determining a relation of a position of a set of coordinates of said virtual positioning model to a position of a set of coordinates of the imaging means of the computed tomography imaging apparatus, and a means for transmitting control information to the control system of the computed tomography imaging apparatus for imaging said volume of the anatomy desired to get imaged, which control information is based on knowledge of the relation of the position of the set of coordinates of said virtual positioning model to the position of the set of coordinates of the X-ray imaging means of the computed tomography imaging apparatus and knowledge of the location of said volume in said virtual positioning model desired to get imaged.

### Claim 17 (depends on 16)

An apparatus according to claim 16, wherein said control system comprises a means for showing on said means for showing image information a positioning volume, by means of which the location of said volume in said position model desired to get imaged is pointed, selected or determined.

### Claim 18 (depends on 16)

An apparatus according to claim 16, wherein said control system comprises a means for adjusting at least one of the following: the position of said positioning volume; one or more dimensions of said positioning volume; the position of said X-ray imaging means.

### Claim 19 (depends on 16)

An apparatus according to claim 16, which comprises an optical camera arrangement and said control system comprises a means for generating said positioning model from information produced by said optical camera arrangement.

### Claim 20 (depends on 19)

An apparatus according to claim 19, wherein said camera arrangement comprises i) a camera arrangement in which at least two optical cameras are positioned at a distance from each other in a first direction or ii) at least two camera arrangements according to structure i) positioned at a distance from each other in a substantially perpendicular direction with respect to said first direction.
