# US 11,432,736 B2 · Simplified navigation of spinal medical imaging data > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 11,432,736 B2 - Document ID: US11432736B2 - Status: Granted - Kind: B2 - Application number: 16/465,629 - Filed: 2017-12-05 - Published: 2020-01-23 - Granted: 2022-09-06 - Earliest claimed: 2016-12-08 - Assignees: Koninklijke Philips N.V. - Applicants: Koninklijke Philips N.V. - Inventors: Cristian Lorenz; Peter Bornert; Tobias Klinder - Web page: https://patentgrep.com/patent/US11432736B2 ## CPC - A61B 5/055: involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging - A61B 5/4566: {Evaluating the spine (A61B5/4561 takes precedence)} - A61B 6/032: {Transmission computed tomography [CT]} - A61B 6/463: {characterised by displaying multiple images or images and diagnostic data on one display} - A61B 6/505: {for diagnosis of bone} - A61B 6/5223: {generating planar views from image data, e.g. extracting a coronal view from a 3D image} - G06T 19/00: Manipulating three-dimensional [3D] models or images for computer graphics - G01R 33/50: based on the determination of relaxation times {, e.g. T1 measurement by IR sequences; T2 measurement by multiple-echo sequences} - G01R 33/5608: {Data processing and visualization specially adapted for MR, e.g. for feature analysis and pattern recognition on the basis of measured MR data, segmentation of measured MR data, edge contour detection on the basis of measured MR data, for enhancing measured MR data in terms of signal-to-noise ratio by means of noise filtering or apodization, for enhancing measured MR data in terms of resolution by means for deblurring, windowing, zero filling, or generation of gray-scaled images, colour-coded images or images displaying vectors instead of pixels (image data processing or generation, in general G06T)} - G06T 2210/41: Medical - G06T 2219/008: Cut plane or projection plane definition - G06T 2219/028: Multiple view windows (top-side-front-sagittal-orthogonal) - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) - G06T: IMAGE DATA PROCESSING OR GENERATION, IN GENERAL - G01R: MEASURING ELECTRIC VARIABLES; MEASURING MAGNETIC VARIABLES (indicating correct tuning of resonant circuits H03J3/12) ## Abstract The invention provides for a medical imaging system (700) comprising: a memory (734) for storing machine executable instructions (740), a display (732) for rendering a user interface (800), and a processor (730). Execution of the machine executable instructions causes the processor to receive (1000) three dimensional medical image data (746) descriptive of a region of interest (709) of a subject (718). The region of interest comprises a spine (200). Execution of the machine executable instructions further causes the processor to receive (1002) a set of spinal coordinate systems (748) each descriptive of a location and an orientation of spinal vertebrae in the three dimensional medical image data. The set of spinal coordinate systems further comprises a set of spine centerline positions (102) each positioned on a spine centerline (108). Execution of the machine executable instructions further causes the processor to receive (1004) a mapping (750) between the set of spinal coordinate systems and a simplified coordinate system. The simplified coordinate system comprises a spinal height (300) descriptive of a position along the spine centerline. The simplified coordinate system further comprises a rotational orientation relative to a local vertebrae orientation. The simplified coordinate system further comprises an offset from the spine centerline. Execution of the machine executable instructions further cause the processor to repeatedly receive (1006) a simplified coordinate (752) of the simplified coordinate system from the user interface. Execution of the machine executable instructions further cause the processor to repeatedly calculate (1008) a spinal image rendering (754). Calculating the spinal image rendering comprises using the mapping to transform the simplified coordinate into the set of spinal coordinate systems to determine an image location in the three dimensional medical image data. Execution of the machine executable instructions further cause the processor to repeatedly render (1010) the spinal image rendering on the display. ## Claims ### Claim 1 A medical imaging system comprising: a memory configured to store machine executable instructions; a display configured to render a user interface; a processor, wherein execution of the machine executable instructions causes the processor to: receive three dimensional medical image data descriptive of a region of interest of a subject, wherein the region of interest comprises a spine; receive a set of spinal coordinate systems each descriptive of a location and an orientation of spinal vertebrae in the three dimensional medical image data, wherein the set of spinal coordinate systems further comprises a set of spine centerline positions each positioned on a spine centerline; and receive a mapping between the set of spinal coordinate systems and a simplified coordinate system, wherein the simplified coordinate system comprises a spinal height descriptive of a position along the spine centerline, wherein the simplified coordinate system further comprises a rotational orientation relative to a local vertebrae orientation, wherein the simplified coordinate system further comprises an offset from the spine centerline; and wherein execution of the machine executable instructions further cause the processor to repeatedly: receive a simplified coordinate of the simplified coordinate system from the user interface; calculate a spinal image rendering, wherein calculating the spinal image rendering comprises using the mapping to transform the simplified coordinate into the set of spinal coordinate systems to determine an image location in the three dimensional medical image data; and render the spinal image rendering on the display, wherein the medical imaging system is configured for user navigation through the three-dimensional medical data by means of the simplified coordinate system. ### Claim 2 (depends on 1) The medical imaging system of claim 1, wherein execution of the machine executable instructions further cause the processor to repeatedly: receive an image rendering type selection from the user interface; and recalculate the spinal image rendering using the image rendering type selection. ### Claim 3 (depends on 2) The medical imaging system of claim 2, wherein the image rendering type is any one of the following: an orthographic view with freely chosen axes, an orthographic view with an axis aligned with the three dimensional data, and an orthographic view with an axis aligned with the spine centerline position at the spinal coordinate. ### Claim 4 (depends on 1) The medical imaging system of claim 1, wherein execution of the machine executable instructions further cause the processor to receive a location registration selection from the user interface, wherein execution of the machine executable instructions further cause the processor to store the simplified coordinate as an image registration. ### Claim 5 (depends on 4) The medical imaging system of claim 4, wherein execution of the machine executable instructions further cause the processor to receive additional three dimensional image data descriptive of an additional region of interest of the subject, wherein the region of interest comprises the spine, wherein execution of the machine executable instructions further cause the processor to: receive additional three dimensional medical image data descriptive of the region of interest of the subject, wherein the region of interest comprises the spine; receive an additional set of spinal coordinate systems equivalent to the set of spinal coordinate systems; and receive an additional mapping, wherein the additional mapping is between the additional set of spinal coordinate systems and the simplified coordinate system. ### Claim 6 (depends on 5) The medical imaging system of claim 5, wherein execution of the machine executable instructions causes the processor to: calculate an additional spinal image rendering, wherein calculating the additional spinal image rendering comprises using the additional mapping to transform the simplified coordinate into the additional set of spinal coordinate systems to determine an additional image location in the additional three dimensional medical image data; and render the additional spinal image rendering on the display. ### Claim 7 (depends on 1) The medical imaging system of claim 1, wherein the set of spinal coordinates and the mapping is received as input from the user interface. ### Claim 8 (depends on 1) The medical imaging system of claim 1, wherein execution of the machine executable instructions further causes the processor to: calculate a segmentation of the three dimensional medical image data using a segmentation algorithm; and calculate the set of spinal coordinate systems and/or the mapping using the segmentation. ### Claim 9 (depends on 1) The medical imaging system of claim 1, wherein the three dimensional medical image data is any one of the following: a three dimensional data set and a stack of two dimensional slices. ### Claim 10 (depends on 1) The medical imaging system claim of claim 1, wherein the medical imaging system further comprises a magnetic resonance imaging system, wherein the processor is configured for controlling the magnetic resonance imaging system, wherein the memory further comprises pulse sequence commands, wherein the pulse sequence commands comprise commands for controlling the magnetic resonance imaging system to acquire the three dimensional medical image data according to a magnetic resonance imaging protocol, wherein the three dimensional image data is magnetic resonance imaging data, wherein execution of the machine executable instructions further cause the processor to receive the three dimensional medical image data by reconstructing the three dimensional medical image data from the magnetic resonance data. ### Claim 11 (depends on 1) The medical imaging system of claim 1, wherein the three dimensional image data is any one of the following: a T1 weighted image, a T2 weighted image, and a composite T1 and T2 weighted image. ### Claim 12 (depends on 1) The medical imaging system of claim 1, wherein the medical imaging system further comprises a computed tomography system, and wherein the three-dimensional image data is computed tomography image data. ### Claim 13 A medical imaging method, wherein the method comprises: receiving three dimensional medical image data descriptive of a region of interest of a subject, wherein the region of interest comprises a spine; receiving a set of spinal coordinate systems each descriptive of a location and an orientation of spinal vertebrae in the three dimensional medical image, wherein the set of spinal coordinate systems further comprises a set of spine centerline positions each positioned on a spine centerline; and receiving a mapping between the set of spinal coordinate systems and a simplified coordinate system, wherein the simplified coordinate system comprises a spinal height descriptive of a position along the spine centerline, wherein the simplified coordinate system further comprises a rotational orientation relative to a local vertebrae orientation, wherein the simplified coordinate system further comprises an offset from the spine centerline; and wherein the method further comprises repeatedly: receiving a simplified coordinate of the simplified coordinate system from the user interface; calculating a spinal image rendering, wherein calculating the spinal image rendering comprises using the mapping to transform the simplified coordinate into the set of spinal coordinate systems to determine an image location in the three dimensional medical image data; and rendering the spinal image rendering on the display such that user navigation through the three-dimensional medical data is performed by means of the simplified coordinate system. ### Claim 14 A computer program product comprising machine executable instructions stored on a non-transitory computer readable medium for execution by a processor, wherein execution of the machine executable instructions causes the processor to: receive three dimensional medical image data descriptive of a region of interest of a subject, wherein the region of interest comprises a spine; receive a set of spinal coordinate systems each descriptive of a location and an orientation of spinal vertebrae in the three dimensional medical image, wherein the set of spinal coordinate systems further comprises a set of spine centerline positions each positioned on a spine centerline; and receive a mapping between the set of spinal coordinate systems and a simplified coordinate system, wherein the simplified coordinate system comprises a spinal height descriptive of a position along the spine centerline, wherein the simplified coordinate system further comprises a rotational orientation relative to a local vertebrae orientation, wherein the simplified coordinate system further comprises an offset from the spine centerline; and wherein execution of the machine executable instructions further cause the processor to repeatedly: receive a simplified coordinate of the simplified coordinate system from the user interface, wherein the simplified coordinate comprises at least the spinal height; calculate a spinal image rendering, wherein calculating the spinal image rendering comprises using the mapping to transform the simplified coordinate into the set of spinal coordinate systems to determine an image location in the three dimensional medical image data; and render the spinal image rendering on a display, wherein the computer program product is configured for user navigation through the three-dimensional medical data by means of the simplified coordinate system. ### Claim 15 (depends on 14) The computer program product of claim 14, wherein execution of the machine executable instructions further cause the processor to repeatedly: receive an image rendering type selection from the user interface; and recalculate a spinal image rendering using the image rendering type selection.