# US 12,178,514 B2 · Volumetric imaging > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 12,178,514 B2 - Document ID: US12178514B2 - Status: Granted - Kind: B2 - Application number: 16/283,354 - Filed: 2019-02-22 - Published: 2019-08-29 - Granted: 2024-12-31 - Earliest claimed: 2018-02-23 - Assignees: Boston Scientific Scimed, Inc. - Applicants: Boston Scientific, Scimed Inc. - Inventors: Andrew E. Brown - Web page: https://patentgrep.com/patent/US12178514B2 ## CPC - A61B 34/10: Computer-aided planning, simulation or modelling of surgical operations - A61B 17/3403: {Needle locating or guiding means} - A61B 18/02: by cooling, e.g. cryogenic techniques - A61B 18/1477: {Needle-like probes} - A61B 18/1492: {having a flexible, catheter-like structure, e.g. for heart ablation (A61B18/1477 takes precedence)} - A61B 34/25: {User interfaces for surgical systems} - A61B 90/11: with guides for needles or instruments, e.g. arcuate slides or ball joints - A61B 90/36: {Image-producing devices or illumination devices not otherwise provided for} - A61B 90/37: {Surgical systems with images on a monitor during operation} - G06T 15/08: Volume rendering - A61B 8/483: {involving the acquisition of a 3D volume of data} - A61B 18/082: {Probes or electrodes therefor} - A61B 34/20: Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis - A61B 90/98: using electromagnetic means, e.g. transponders - A61B 2017/00092: {using thermocouples} - A61B 2018/00101: {low, i.e. thermally insulating} - A61B 2018/00577: {Ablation} - A61B 2018/00791: {Temperature} - A61B 2018/00797: {measured by multiple temperature sensors} - A61B 2018/0262: {using a circulating cryogenic fluid} - A61B 2018/0293: {using an instrument interstitially inserted into the body, e.g. needle} - A61B 2034/102: {Modelling of surgical devices, implants or prosthesis} - A61B 2034/104: {Modelling the effect of the tool, e.g. the effect of an implanted prosthesis or for predicting the effect of ablation or burring} - A61B 2034/107: {Visualisation of planned trajectories or target regions} - A61B 2090/364: {Correlation of different images or relation of image positions in respect to the body} - A61B 2090/367: {creating a 3D dataset from 2D images using position information} - A61B 2090/374: {NMR or MRI} - A61B 2090/3762: {using computed tomography systems [CT]} - G06T 2210/41: Medical - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) - G06T: IMAGE DATA PROCESSING OR GENERATION, IN GENERAL ## Abstract Aspects of the disclosure include systems and methods for planning and/or performing an ablation procedure. Volumetric image data including a needle, such as a physical ablation needle or a virtual needle, can be analyzed to segment the needle within the volume. A first cross-sectional, two-dimensional view of the volume showing a first plane in which an axis defined by the needle lies can be generated and displayed. The view can be manipulated to display a generated second cross-sectional, two-dimensional view of the volume showing a second plane through the volume in which the longitudinal axis defined by the virtual needle lies, wherein the second plane is different from the first plane. Additional segmented features such as lesions in the image data, treatment regions, isotherms, and the like can be included in views to be analyzed from a plurality of views that include the needle. ## Claims ### Claim 1 A method for planning an ablation procedure prior to performing the procedure, the method comprising: receiving volumetric image data representing a volume of patient tissue, the volumetric image data being constructed from a series of two-dimensional images of the patient tissue and including a virtual needle, each of the images in the series of two-dimensional images being generated by a visualization system that is configured to generate the series of two dimensional images based on an axis extending through the virtual needle and the volumetric image data representing the volume of patient tissue, wherein the virtual needle comprises a cryoneedle; initiating a virtual cryoablation procedure by generating a virtual treatment volume about a feature of the patient tissue with the cryoneedle; segmenting the virtual needle within the volumetric image data such that the virtual needle defines a longitudinal axis extending through the volume; generating a first cross-sectional, two-dimensional view of the volume, the first cross-sectional, two-dimensional view showing a first plane through the volume in which the axis defined by the virtual needle lies; displaying the first cross-sectional, two-dimensional view on a display; and generating and displaying a second cross-sectional, two-dimensional view of the volume, the second cross-sectional, two-dimensional view showing a second plane through the volume in which the longitudinal axis defined by the virtual needle lies, the second plane being different from the first plane, intersecting the first plane at an angle so as to be noncoplanar with the first plane, and being coaxial with the first plane along the longitudinal axis of the virtual needle; comparing a first dimension of the feature of the patient tissue to a first dimension of the virtual treatment volume in the first cross-sectional, two-dimensional view; and comparing a second dimension of the feature of the patient tissue to a second dimension of the virtual treatment volume in the second cross-sectional, two-dimensional view. ### Claim 2 (depends on 1) The method of claim 1, wherein the first cross-sectional, two-dimensional view and the second cross-sectional, two-dimensional view comprise perspective views of the first and second planes, respectively. ### Claim 3 (depends on 1) The method of claim 1, wherein the first cross-sectional, two-dimensional view comprises a plurality of pixels; the second cross-sectional, two-dimensional view comprises a plurality of pixels; and the pixels in the first cross-sectional, two-dimensional view that correspond to the virtual needle also correspond to the virtual needle in the second cross-sectional, two-dimensional view. ### Claim 4 (depends on 1) The method of claim 1, wherein generating the second cross-sectional, two-dimensional view comprises rotating the volumetric image data around the axis defined by the virtual needle, and wherein the rotating the volumetric image data around the axis is performed in response to a command received via a user interface. ### Claim 5 (depends on 1) The method of claim 1, further comprising the step of receiving a location of the virtual needle within the volume. ### Claim 6 (depends on 1) The method of claim 1, wherein the displayed first cross-sectional, two-dimensional view and/or the displayed second cross-sectional, two-dimensional view includes a displayed indication of the location of the virtual needle within the volume. ### Claim 7 (depends on 1) The method of claim 1, further comprising the step of segmenting a lesion from the volumetric image data. ### Claim 8 (depends on 7) The method of claim 7, wherein the first cross-sectional, two-dimensional view and/or the second cross-sectional, two-dimensional view comprises a cross-sectional outline of the lesion. ### Claim 9 (depends on 1) The method of claim 1, further comprising the steps of: receiving one or more input parameters for an ablation procedure; and determining a treatment volume based on the received one or more input parameters. ### Claim 10 (depends on 9) The method of claim 9, wherein the one or more input parameters comprises an ablation power and/or an ablation duration. ### Claim 11 (depends on 1) The method of claim 1, further comprising: segmenting a lesion from the volumetric image data; receiving one or more input parameters for an ablation procedure; determining a treatment volume based on the received one or more input parameters; and comparing the determined treatment volume to the lesion volume. ### Claim 12 (depends on 11) The method of claim 11, wherein the first cross-sectional, two-dimensional view and/or the second cross-sectional, two-dimensional view comprises a cross-sectional outline of the treatment volume and/or the lesion. ### Claim 13 (depends on 11) The method of claim 11, further comprising determining and displaying treatment margins associated with the treatment volume and the lesion volume. ### Claim 14 (depends on 1) The method of claim 1, further comprising: adjusting the position of the virtual needle in the volume; segmenting the virtual needle in the adjusted position; and generating a third cross-sectional, two-dimensional view on the display showing a third plane through the volume in which the axis defined by the virtual needle Ur the adjusted position lies. ### Claim 15 (depends on 14) The method of claim 14, wherein adjusting the position of the virtual needle comprises advancing the needle along the axis defined by the needle such that the third plane is the same plane as shown in a previous cross-sectional, two-dimensional view. ### Claim 16 (depends on 1) The method of claim 1, wherein the virtual needle comprises a first virtual needle, and further comprising the steps of adding a second virtual needle to the volume and segmenting the second virtual needle such that the second virtual needle defies a longitudinal axis extending through the volume. ### Claim 17 (depends on 16) The method of claim 16, further comprising generating a fourth cross-sectional, two-dimensional view on the display showing a fourth plane through the volume in which the axis defined by the second virtual needle lies. ### Claim 18 (depends on 17) The method of claim 17, further comprising the step of receiving, via a user interface, a selection of which of the first and second virtual needle to include in a cross-sectional, two-dimensional view. ### Claim 19 (depends on 1) The method of claim 1, further comprising: receiving a selection of a desired treatment volume; determining a suggested needle position and/or one or more suggested ablation parameters to achieve the desired treatment volume; and generating a fifth cross-sectional, two-dimensional view of the volume, the fifth cross-sectional, two-dimensional view showing a fifth plane through the volume in which the axis defied by the virtual needle in the suggested needle position lies. ### Claim 20 (depends on 1) The method of claim 1, further comprising: continuing the virtual cryosurgery procedure if the first dimension of the feature exceeds the first dimension of the virtual treatment volume and/or the second dimension of the feature exceeds the second dimension of the virtual treatment volume; and indicating that formation of the virtual treatment volume is complete if the first dimension of the virtual treatment volume exceeds the first dimension of the feature and the second dimension of the virtual treatment volume exceeds the second dimension of the feature. ### Claim 21 A method for planning an ablation procedure prior to performing the ablation procedure, the method comprising: receiving volumetric image data including data representative of the location of a needle in the volume, the volumetric image data being constructed from a series of two-dimensional images of the patient tissue and including a virtual needle, each of the images in the series of two-dimensional images being generated by a visualization system that is configured to generate the series of two-dimensional images based on an axis extending through the virtual needle and the volumetric image data representing the volume of patient tissue, wherein the virtual needle comprises a cryoneedle; initiating a virtual cryoablation procedure by generating a virtual treatment volume about a feature within the patient tissue with the cryodneedle; segmenting the needle in the volumetric image data, the segmenting including determining a location of the needle in a volume; generating and displaying a first cross-sectional, two-dimensional view of the volume, the first cross-sectional view showing a first plane through the volume in which the needle lies; generating and displaying a second cross-sectional, two-dimensional view of the volume, the second cross-sectional view showing a second plane through the volume in which the needle lies, the second plane being different from the first plane, intersecting the first plane at an angle so as to be noncoplanar with the first plane, and being coaxial with the first plane along the longitudinal axis of the virtual needle; comparing a first dimension of the feature of the patient tissue to a first dimension of the virtual treatment volume in the first cross-sectional, two-dimensional view; and comparing a second dimension of the feature of the patient tissue to a second dimension of the virtual treatment volume in the second cross-sectional, two-dimensional view. ### Claim 22 (depends on 21) The method of claim 21, further comprising: receiving one or more inputs related to an ablation procedure; determining an impacted volume based on the one or more received inputs; and displaying on the first cross-sectional, two-dimensional view and/or the second cross-sectional two-dimensional view a cross-sectional of the determined impacted volume. ### Claim 23 (depends on 22) The method of claim 22, wherein the received one or more inputs comprises an ablation power and/or art ablation time. ### Claim 24 (depends on 22) The method of claim 22, further comprising: segmenting an identifiable volumetric region of interest in the volumetric image data; and indicating the cross-sectional area of the identifiable volumetric region in the first cross-sectional two-dimensional view and/or the second cross-sectional, two-dimensional view. ### Claim 25 (depends on 24) The method of claim 24, further comprising the step of comparing the volume of the identifiable volumetric region of interest and the determined impacted volume. ### Claim 26 (depends on 25) The method of claim 25, wherein the comparing the volume of the identifiable volumetric region of interest and the determined impacted volume comprises comparing the boundaries of the volumetric regions, and wherein, if the boundary of the impacted region does not sufficiently enclose the identifiable volume of interest, adjusting a treatment variable. ### Claim 27 (depends on 26) The method of claim 26, wherein adjusting a treatment variable comprises adjusting a needle position, adjusting an ablation power, adjusting an ablation time, and/or adding one or more additional needles into the volume. ### Claim 28 (depends on 21) The method of claim 21, further comprising: continuing the virtual cryosurgery procedure if the first dimension of the feature exceeds the first dimension of the virtual treatment volume and/or the second dimension of the feature exceeds the second dimension of the virtual treatment volume; and indicating that formation of the virtual treatment volume is complete if the first dimension of the virtual treatment volume exceeds the first dimension of the feature and the second dimension of the virtual treatment volume exceeds the second dimension of the feature.