# US 11,908,584 B2 · Methods and systems for modeling a necrotized tissue volume in an ablation procedure

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- Number: US 11,908,584 B2
- Document ID: US11908584B2
- Status: Granted
- Kind: B2
- Application number: 16/541,621
- Filed: 2019-08-15
- Published: 2019-12-05
- Granted: 2024-02-20
- Earliest claimed: 2017-05-15
- Assignees: NE Scientific, LLC
- Applicants: NE Scientific, LLC
- Inventors: Andrea Borsic
- Web page: https://patentgrep.com/patent/US11908584B2

## CPC

- G16H 50/50: for simulation or modelling of medical disorders
- A61B 34/10: Computer-aided planning, simulation or modelling of surgical operations
- G16H 20/40: relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
- G16H 30/40: for processing medical images, e.g. editing
- G16H 50/20: for computer-aided diagnosis, e.g. based on medical expert systems
- A61B 2018/00529: {Liver}
- A61B 2018/00577: {Ablation}
- A61B 2018/00702: {Power or energy}
- A61B 2018/00761: {Duration}
- A61B 2018/1869: {with an instrument interstitially inserted into the body, e.g. needles}
- G16H: HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

A system for modeling a necrotized tissue volume in an ablation procedure includes a radiology workstation designed and configured to provide a computer model of a volume of human tissue based on corporeal image data, simulate an ablation site in the computer model, detect, in the computer model, at least a preferential pathway for heated vapor produced due to ablation of the tissue, wherein the at least a preferential pathway intersects the ablation site, determine a proportion of vapor escaping to the at least a preferential pathway during an ablation procedure, determiner a heat distribution at the ablation site as a function of the distribution of vapor, and generate a simulation of a necrotized tissue volume in the volume of tissue, wherein the simulation of the necrotized tissue volume represents a volume of tissue necrotized by heat during an ablation procedure performed at the ablation site.

## Claims

### Claim 1

A method of modeling a necrotized tissue volume in an ablation procedure, the method comprising:
providing, at a radiology workstation, a computer model of a volume of human tissue;
simulating, by the radiology workstation, an ablation site in the computer model;
detecting, by the radiology workstation and in the computer model, at least a preferential pathway for heated vapor produced due to ablation of the tissue, wherein the at least a preferential pathway intersects the ablation site;
determining, by the radiology workstation, a proportion of vapor escaping to the at least a preferential pathway during an ablation procedure;
determining, by the radiology workstation, a heat distribution at the ablation site as a function of the distribution of vapor; and
generating, by the radiology workstation, a simulation of a necrotized tissue volume in the volume of human tissue, wherein the simulation of the necrotized tissue volume represents a volume of tissue necrotized by heat during an ablation procedure performed at the ablation site.

### Claim 2 (depends on 1)

The method of claim 1, wherein providing the computer model further comprises generating the computer model.

### Claim 3 (depends on 2)

The method of claim 2, wherein generating the computer model further comprises generating the computer model from an image of the volume of human tissue.

### Claim 4 (depends on 2)

The method of claim 2, wherein generating the computer model further comprises registering a virtual model of an organ over an image of the volume of human tissue.

### Claim 5 (depends on 1)

The method of claim 1, wherein simulating the ablation site further comprises simulating a probe insertion.

### Claim 6 (depends on 1)

The method of claim 1, wherein detecting the at least a preferential pathway further comprises detecting, in a virtual model of an organ, a pathway that intersects the ablation site.

### Claim 7 (depends on 1)

The method of claim 1, wherein detecting the at least a preferential pathway further comprises detecting a probe insertion pathway.

### Claim 8 (depends on 1)

The method of claim 1, wherein detecting the at least a preferential pathway further comprises:
introducing an image enhancement substance into the ablation site;
capturing an image of the ablation site with the image enhancement substance; and
detecting the at least a preferential pathway as a function of the image of the ablation site.

### Claim 9 (depends on 1)

The method of claim 1, wherein determining the distribution of vapor to the at least a preferential pathway further comprises:
determining a flow rate of vapor into the at least a preferential pathway; and
determining the distribution of vapor to the at least a preferential pathway as a function of the flow rate.

### Claim 10 (depends on 9)

The method of claim 9, wherein determining the distribution of vapor as a function of the flow rate further comprises:
determining a rate of vapor generation;
comparing the flow rate to the rate of vapor generation; and
determining the distribution of vapor to the at least a preferential pathway as a function of the comparison.

### Claim 11 (depends on 1)

The method of claim 1, wherein determining the distribution of vapor to the at least a preferential pathway further comprises:
deriving a surface area of the at least a preferential pathway; and
determining the distribution of vapor as a function of the surface area.

### Claim 12 (depends on 1)

The method of claim 1, wherein determining the distribution of vapor to the at least a preferential pathway further comprises:
deriving a volume of the at least a preferential pathway; and
determining the distribution of vapor as a function of the volume.

### Claim 13 (depends on 1)

The method of claim 1, wherein determining the heat distribution at the ablation site further comprises:
identifying a proportion of heat converted to vapor; and
determining the heat distribution at the ablation site as a function of the proportion of the heat converted to vapor and the distribution of vapor to the at least a preferential pathway.

### Claim 14 (depends on 13)

The method of claim 13 further comprising calculating a distribution of heat transferred to the tissue by the vapor.

### Claim 15 (depends on 1)

The method of claim 1, wherein generating the simulation of the necrotized tissue volume further comprises simulating a primary ablation volume as a function of heat present at the ablation site.

### Claim 16 (depends on 1)

The method of claim 1, wherein generating the simulation of the necrotized tissue volume further comprises simulating necrotized tissue along the at least a preferential pathway.

### Claim 17 (depends on 1)

The method of claim 1 further comprising comparing a simulated volume to a volume of tissue intended to be necrotized.

### Claim 18

A system for modeling a necrotized tissue volume in an ablation procedure, the system comprising:
an radiology workstation, wherein the radiology workstation is designed and configured to provide a computer model of a volume of human tissue based on corporeal image data, simulate an ablation site in the computer model, detect, in the computer model, at least a preferential pathway for heated vapor produced due to ablation of the tissue, wherein the at least a preferential pathway intersects the ablation site, determine a proportion of vapor escaping to the at least a preferential pathway during an ablation procedure, determiner a heat distribution at the ablation site as a function of the distribution of vapor, and generate a simulation of a necrotized tissue volume in the volume of human tissue, wherein the simulation of the necrotized tissue volume represents a volume of tissue necrotized by heat during an ablation procedure performed at the ablation site.

### Claim 19 (depends on 14)

The system of claim 14 further comprising a radiological machine in communication with the radiology workstation.

### Claim 20 (depends on 14)

The system of claim 14 further comprising an image-guided surgical suite in communication with the radiology workstation.
