US 11,950,967 B2Granted

System and method for planning and performing a repeat interventional procedure

AssigneesKoninklijke Philips N.V., THE UNITED STATES of AMERICA, as Represented by the Secreatary, Dept. of Health and Human Services

InventorsJochen Kruecker, Pingkun Yan, Amir Mohammad Tahmasebi Maraghoosh, Peter A Pinto, Bradford Johns Wood

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Abstract

A system for planning and performing a repeat interventional procedure is provided which includes a registration device and an image generation device which map current targets in a reference image for a first interventional procedure to at least one guidance image acquired from a different imaging modality. Biopsy locations are recorded to the guidance images during the first interventional procedure and the biopsy locations are mapped to the reference image to provide a planning image for use in a subsequent interventional procedure on the patient. In a subsequent interventional procedure, the prior planning image (124) may be registered to a current reference image and the prior biopsy locations and prior and current targets are mapped to a guidance image acquired from a different imaging modality. Biopsy locations are then mapped to the guidance image and mapped back to the current reference image.

Claims19

Dependent claims

A system for planning and performing a repeat interventional procedure, comprising:

a computer-readable memory configured to store:
a reference image of a region of a subject having a reference image coordinate space, the reference image including at least one target area, markers indicative of a plurality of prior intervention locations and diagnostic pathology results for each of the prior intervention locations;
a series of real-time guidance images of a region of a subject having a guidance image coordinate space, wherein said series of guidance images are acquired from a different imaging modality than the reference image;
one or more computer processors configured to:
register the reference image including the at least one target area and the markers to the series of real-time guidance images in the guidance image coordinate space to generate a series of real-time enhanced guidance images comprising the series of real-time guidance images, the at least one target area, and the prior intervention locations and the diagnostic pathology results;
register the series of real-time enhanced guidance images to the reference image in the reference image coordinate space;
control a display device to display the series of real-time enhanced guidance images in the guidance image coordinate space, wherein a clinician performing the interventional procedure can view the series of real-time guidance images, the at least one target area, the prior intervention locations and the indicators of pathology results on the display device in real-time;
and
control the display device to display a planning image which includes the reference image, the at least one target area and the plurality of intervention locations based on the registration of the series of enhanced guidance images and the reference image in the reference image coordinate space.

6 more elements

A non-transitory computer readable medium comprising instructions stored thereon that when executed by a processor cause the processor to:

retrieve a reference image of a region of a subject, said reference image having at least one target area and markers at a plurality of prior intervention locations;
retrieve a series of real-time guidance images of the region of the subject, the series of real-time guidance images being acquired from a different imaging modality than the reference image;
register the at least one target area and the markers from the reference image to a coordinate space for the series of real-time guidance images and generating a series of real-time mapped guidance images, wherein the series of real-time mapped guidance images each include the markers;
perform a first interventional procedure and recording each intervention location where the procedure was executed in the spaced real-time mapped guidance images;
register the intervention locations from the series of real-time mapped guidance images to the reference image in a coordinate space for the reference image;
retrieve information indicative of at least one of a level of suspicion of cancer and histopathological findings of biopsy cores obtained at corresponding intervention locations;
generate a planning image based on the reference image and the retrieved information;
and
generate a visual display of the planning image with the markers visually encoded to indicate at least one of the level of suspicion of cancer and the histopathological findings at the corresponding intervention locations.

6 more elements

Dependencies are inferred from the claim text.

Facts

Application: 17/329,216Filed 25 May 2021 · continuation
Priority: 9 Sep 2015
Published: US 2021/0282886 A116 Sep 2021
Granted: 9 Apr 2024
Term ends: Not estimatedThe source records don’t support an estimate.

Classification31 codes

A61B 90/36
Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00,…
A61B 8/0841
Involving detecting or locating foreign bodies or organic structures: for locating instruments
A61B 8/085
Involving detecting or locating foreign bodies or organic structures: for locating body or organic structures, e.g. tumours, calculi, blood…
A61B 8/463
Displaying means of special interest: characterised by displaying multiple images or images and diagnostic data on one display

Family

Application62/215,775Us provisional application · filed 9 Sep 2015
PCT/IB2016/054805Parent of this continuation · filed 10 Aug 2016
US 2021/0282886 A1Pre-grant publication · published 16 Sep 2021
Application15/754,602Parent of this continuation
US 11,051,902 B2Parent of this continuation
US 2020/0222119 A1Published application
US 11,950,967 B2This patent

From the US filing history. Foreign family members aren’t listed.