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US7517318B2 Expired / Lapsed US ⏱️ 0.0 years remaining

Registration of electro-anatomical map with pre-acquired image using ultrasound

Assignee: Biosense Webster Inc
•
Filing: 2005-04-26
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Granted: 2009-04-14
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Expires: 2025-04-26
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Abstract

Abstract A system and method for imaging a target in a patient's body includes the steps of providing a pre-acquired image of the target and placing a catheter having a position sensor, an ultrasonic imaging sensor and at least one electrode, in the patient's body. Positional information of a portion of the catheter in the patient's body is determined using the position sensor and electrical activity data-points of a surface of the target are acquired using the at least one electrode. An ultrasonic image of the target is obtained using the ultrasonic imaging sensor and positional information for the electrical activity data-points of the surface of the target is determined. An electrophysiological map of the target is generated based on the electrical activity data-points and the positional information for the electrical activity data-points. Positional information for any pixel of the ultrasonic image of the target is determined and the pre-acquired image and the electrophysiological map are registered with the ultrasonic image. The registered pre-acquired image, electrophysiological map and ultrasonic image are displayed on a display.

Inventors

  • 👤 Andres Claudio Altmann
  • 👤 Assaf Govari

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-11-09 21:44
CPC Classifications
A; A61; A61B; A61B8/00; A61B8/12; G; G06; G06T; G06T19/00; A61B5/00; A61B5/06; A61B5/061; A61B5/062; A61B5/24; A61B5/25; A61B5/279; A61B5/28; A61B5/283; A61B6/00; A61B6/48; A61B6/488; A61B8/44; A61B8/4416; A61B8/4483; A61B8/48; A61B8/483; G06T17/00; A61B18/00; A61B18/04; A61B18/12; A61B18/14; A61B18/1492; A61B5/0033; A61B5/0035; A61B5/0037; A61B5/72; A61B5/7271; A61B5/7285; A61B5/74; A61B5/742; A61B5/743; A61B6/50; A61B6/503; A61B6/504; A61B6/52; A61B6/5211; A61B6/5229; A61B6/5247; A61B6/54; A61B6/541; A61B8/06; A61B8/08; A61B8/0883; A61B8/0891; G06T2210/00; G06T2210/41

Claims Analysis

Total Claims: 55
Claim 1
Independent Claim 212 words
A system for imaging a target in a patient's body, the system comprising: a pre-acquired image of the target; an electrophysiological map of the target; a catheter comprising a position sensor and an ultrasonic imaging sensor, the position sensor transmitting electrical signals indicative of positional information of a portion of the catheter in the patient's body, and the ultrasonic imaging sensor transmitting ultrasonic energy at the target in the patient's body, receiving ultrasonic echoes reflected from the target in the patient's body and transmitting signals relating to the ultrasonic echoes reflected from the target in the patient's body; a positioning processor operatively connected to the catheter for determining positional information of the portion of the catheter based on the electrical signals transmitted by the position sensor; an image processor operatively connected to the catheter and the positioning processor, the image processor generating an ultrasonic image of the target based on the signals transmitted by the ultrasonic sensor and determining positional information for any pixel of the ultrasonic image of the target, the image processor registering the pre-acquired image and the electrophysiological map with the ultrasonic image based on the positional information for any pixel of the ultrasonic image; and a display for displaying the registered pre-acquired image, electrophysiological map and ultrasonic image.
Claim 2
Independent Claim 212 words
A system for imaging a target in a patient's body, the system comprising: a pre-acquired image of the target; an electrophysiological map of the target; a catheter comprising a position sensor and an ultrasonic imaging sensor, the position sensor transmitting electrical signals indicative of positional information of a portion of the catheter in the patient's body, and the ultrasonic imaging sensor transmitting ultrasonic energy at the target in the patient's body, receiving ultrasonic echoes reflected from the target in the patient's body and transmitting signals relating to the ultrasonic echoes reflected from the target in the patient's body; a positioning processor operatively connected to the catheter for determining positional information of the portion of the catheter based on the electrical signals transmitted by the position sensor; an image processor operatively connected to the catheter and the positioning processor, the image processor generating an ultrasonic image of the target based on the signals transmitted by the ultrasonic sensor and determining positional information for any pixel of the ultrasonic image of the target, the image processor registering the pre-acquired image and the electrophysiological map with the ultrasonic image based on the positional information for any pixel of the ultrasonic image; and a display for displaying the registered pre-acquired image, electrophysiological map and ultrasonic image.
Claim 3
Dependent Claim 18 words
The system according to claim 1 , wherein the ultrasonic image is at least one two-dimensional ultrasonic image.
Claim 4
Dependent Claim 37 words
The system according to claim 2 , wherein the image processor reconstructs a three-dimensional model from the at least one two-dimensional ultrasonic image and the pre-acquired image and the electrophysiological map are registered with the three-dimensional model.
Claim 5
Dependent Claim 18 words
The system according to claim 3 , wherein the electrophysiological map comprises at least one electrical activity data-point.
Claim 6
Dependent Claim 25 words
The system according to claim 4 , wherein the at least one electrical activity data-point comprises local electrical potentials on a surface of the target.
Claim 7
Dependent Claim 25 words
The system according to claim 4 , wherein the at least one electrical activity data-point comprises activation time values on a surface of the target.
Claim 8
Dependent Claim 15 words
The system according to claim 3 , wherein the electrophysiological map comprises an electro-anatomical map.
Claim 9
Dependent Claim 23 words
The system according to claim 3 , wherein the position sensor is used for determining location and orientation coordinates as the positional information.
Claim 10
Dependent Claim 17 words
The system according to claim 8 , wherein the position sensor is responsive to an electromagnetic field.
Claim 11
Dependent Claim 18 words
The system according to claim 9 , wherein the electromagnetic field defines a working volume for the catheter.
Claim 12
Dependent Claim 18 words
The system according to claim 10 , wherein the ultrasonic imaging sensor is an array of ultrasonic transducers.
Claim 13
Dependent Claim 17 words
The system according to claim 11 , wherein the array of ultrasonic transducers is a phased array.
Claim 14
Dependent Claim 15 words
The system according to claim 12 , wherein the pre-acquired image is a MRI image.
Claim 15
Dependent Claim 15 words
The system according to claim 12 , wherein the pre-acquired image is a CT image.
Claim 16
Dependent Claim 15 words
The system according to claim 12 , wherein the pre-acquired image is an X-ray image.
Claim 17
Independent Claim 248 words
A system for imaging a target in a patient's body, the system comprising: a pre-acquired image of the target; a catheter comprising a position sensor, an ultrasonic imaging sensor and at least one electrode, the position sensor transmitting electrical signals indicative of positional information of a portion of the catheter in the patient's body, the ultrasonic imaging sensor transmitting ultrasonic energy at the target in the patient's body, receiving ultrasonic echoes reflected from the target in the patient's body and transmitting signals relating to the ultrasonic echoes reflected from the target in the patient's body and the at least one electrode acquiring electrical activity data-points of a surface of the target; a positioning processor operatively connected to the catheter for determining positional information of the portion of the catheter based on the electrical signals transmitted by the position sensor; an image processor operatively connected to the catheter and the positioning processor, the image processor generating an ultrasonic image of the target based on the signals transmitted by the ultrasonic sensor and determining positional information for any pixel of the ultrasonic image of the target and for the electrical activity data-points of the target, the image processor creating an electrophysiological map of the target based on the electrical activity data-points of the target and the positional information for the electrical activity data-points and registering the pre-acquired image and the electrophysiological map with the ultrasonic image; and a display for displaying the registered pre-acquired image, electrophysiological map and ultrasonic image.
Claim 18
Independent Claim 248 words
A system for imaging a target in a patient's body, the system comprising: a pre-acquired image of the target; a catheter comprising a position sensor, an ultrasonic imaging sensor and at least one electrode, the position sensor transmitting electrical signals indicative of positional information of a portion of the catheter in the patient's body, the ultrasonic imaging sensor transmitting ultrasonic energy at the target in the patient's body, receiving ultrasonic echoes reflected from the target in the patient's body and transmitting signals relating to the ultrasonic echoes reflected from the target in the patient's body and the at least one electrode acquiring electrical activity data-points of a surface of the target; a positioning processor operatively connected to the catheter for determining positional information of the portion of the catheter based on the electrical signals transmitted by the position sensor; an image processor operatively connected to the catheter and the positioning processor, the image processor generating an ultrasonic image of the target based on the signals transmitted by the ultrasonic sensor and determining positional information for any pixel of the ultrasonic image of the target and for the electrical activity data-points of the target, the image processor creating an electrophysiological map of the target based on the electrical activity data-points of the target and the positional information for the electrical activity data-points and registering the pre-acquired image and the electrophysiological map with the ultrasonic image; and a display for displaying the registered pre-acquired image, electrophysiological map and ultrasonic image.
Claim 19
Dependent Claim 18 words
The system according to claim 16 , wherein the ultrasonic image is at least one two-dimensional ultrasonic image.
Claim 20
Dependent Claim 37 words
The system according to claim 17 , wherein the image processor reconstructs a three-dimensional model from the at least one two-dimensional ultrasonic image and the pre-acquired image and the electrophysiological map are registered with the three-dimensional model.
Claim 21
Dependent Claim 18 words
The system according to claim 18 , wherein the electrophysiological map comprises at least one electrical activity data-point.
Claim 22
Dependent Claim 25 words
The system according to claim 19 , wherein the at least one electrical activity data-point comprises local electrical potentials on a surface of the target.
Claim 23
Dependent Claim 25 words
The system according to claim 18 , wherein the at least one electrical activity data-point comprises activation time values on a surface of the target.
Claim 24
Dependent Claim 15 words
The system according to claim 18 , wherein the electrophysiological map comprises an electro-anatomical map.
Claim 25
Dependent Claim 23 words
The system according to claim 18 , wherein the position sensor is used for determining location and orientation coordinates as the positional information.
Claim 26
Dependent Claim 17 words
The system according to claim 23 , wherein the position sensor is responsive to an electromagnetic field.
Claim 27
Dependent Claim 18 words
The system according to claim 24 , wherein the electromagnetic field defines a working volume for the catheter.
Claim 28
Dependent Claim 18 words
The system according to claim 25 , wherein the ultrasonic imaging sensor is an array of ultrasonic transducers.
Claim 29
Dependent Claim 17 words
The system according to claim 26 , wherein the array of ultrasonic transducers is a phased array.
Claim 30
Dependent Claim 15 words
The system according to claim 27 , wherein the pre-acquired image is a MRI image.
Claim 31
Dependent Claim 15 words
The system according to claim 27 , wherein the pre-acquired image is a CT image.
Claim 32
Dependent Claim 15 words
The system according to claim 27 , wherein the pre-acquired image is an X-ray image.
Claim 33
Independent Claim 125 words
A method for imaging a target in a patient's body, the method comprising the steps of: providing a pre-acquired image of the target; providing an electrophysiological map of the target; placing a catheter comprising a position sensor and an ultrasonic imaging sensor in the patient's body and determining positional information of a portion of the catheter in the patient's body using the position sensor; generating an ultrasonic image of the target using the ultrasonic imaging sensor; determining positional information for any pixel of the ultrasonic image of the target and registering the pre-acquired image and the electrophysiological map with the ultrasonic image based on the positional information for any pixel of the ultrasonic image; and displaying the registered pre-acquired image, electrophysiological map and ultrasonic image.
Claim 34
Independent Claim 125 words
A method for imaging a target in a patient's body, the method comprising the steps of: providing a pre-acquired image of the target; providing an electrophysiological map of the target; placing a catheter comprising a position sensor and an ultrasonic imaging sensor in the patient's body and determining positional information of a portion of the catheter in the patient's body using the position sensor; generating an ultrasonic image of the target using the ultrasonic imaging sensor; determining positional information for any pixel of the ultrasonic image of the target and registering the pre-acquired image and the electrophysiological map with the ultrasonic image based on the positional information for any pixel of the ultrasonic image; and displaying the registered pre-acquired image, electrophysiological map and ultrasonic image.
Claim 35
Dependent Claim 18 words
The method according to claim 31 , further comprising registering the pre-acquired image and ultrasonic image using points.
Claim 36
Dependent Claim 18 words
The method according to claim 31 , further comprising registering the pre-acquired image and ultrasonic image using contours.
Claim 37
Dependent Claim 18 words
The method according to claim 31 , further comprising registering the pre-acquired image and ultrasonic image using surfaces.
Claim 38
Dependent Claim 18 words
The method according to claim 31 , further comprising registering the pre-acquired image and ultrasonic image using volumes.
Claim 39
Dependent Claim 33 words
The method according to claim 31 , further comprising reconstructing a three-dimensional model from at least one two-dimensional ultrasonic image and registering the pre-acquired image and the electrophysiological map with the three-dimensional model.
Claim 40
Dependent Claim 20 words
The method according to claim 36 , further comprising providing an electrophysiological map comprising at least one electrical activity data-point.
Claim 41
Dependent Claim 27 words
The method according to claim 37 , further comprising using local electrical potentials on a surface of the target for the at least one electrical activity data-point.
Claim 42
Dependent Claim 27 words
The method according to claim 37 , further comprising using activation time values on a surface of the target for the at least one electrical activity data-point.
Claim 43
Dependent Claim 17 words
The method according to claim 36 , further comprising using an electro-anatomical map for the electrophysiological map.
Claim 44
Dependent Claim 22 words
The method according to claim 36 , further comprising determining location and orientation coordinates as the positional information using the position sensor.
Claim 45
Independent Claim 163 words
A method for imaging a target in a patient's body, the method comprising the steps of: providing a pre-acquired image of the target; placing a catheter comprising a position sensor, an ultrasonic imaging sensor and at least one electrode, in the patient's body and determining positional information of a portion of the catheter in the patient's body using the position sensor; acquiring electrical activity data-points of a surface of the target using the at least one electrode; generating an ultrasonic image of the target using the ultrasonic imaging sensor; determining positional information for the electrical activity data-points of the surface of the target and generating an electrophysiological map of the target based on the electrical activity data-points and the positional information for the electrical activity data-points; determining positional information for any pixel of the ultrasonic image of the target and registering the pre-acquired image and the electrophysiological map with the ultrasonic image; and displaying the registered pre-acquired image, electrophysiological map and ultrasonic image.
Claim 46
Independent Claim 163 words
A method for imaging a target in a patient's body, the method comprising the steps of: providing a pre-acquired image of the target; placing a catheter comprising a position sensor, an ultrasonic imaging sensor and at least one electrode, in the patient's body and determining positional information of a portion of the catheter in the patient's body using the position sensor; acquiring electrical activity data-points of a surface of the target using the at least one electrode; generating an ultrasonic image of the target using the ultrasonic imaging sensor; determining positional information for the electrical activity data-points of the surface of the target and generating an electrophysiological map of the target based on the electrical activity data-points and the positional information for the electrical activity data-points; determining positional information for any pixel of the ultrasonic image of the target and registering the pre-acquired image and the electrophysiological map with the ultrasonic image; and displaying the registered pre-acquired image, electrophysiological map and ultrasonic image.
Claim 47
Dependent Claim 18 words
The method according to claim 42 , further comprising registering the pre-acquired image and ultrasonic image using points.
Claim 48
Dependent Claim 18 words
The method according to claim 42 , further comprising registering the pre-acquired image and ultrasonic image using contours.
Claim 49
Dependent Claim 18 words
The method according to claim 42 , further comprising registering the pre-acquired image and ultrasonic image using surfaces.
Claim 50
Dependent Claim 18 words
The method according to claim 42 , further comprising registering the pre-acquired image and ultrasonic image using volumes.
Claim 51
Dependent Claim 33 words
The method according to claim 42 , further comprising reconstructing a three-dimensional model from at least one two-dimensional ultrasonic image and registering the pre-acquired image and the electrophysiological map with the three-dimensional model.
Claim 52
Dependent Claim 24 words
The method according to claim 47 , further comprising using local electrical potentials on a surface of the target for the electrical activity data-points.
Claim 53
Dependent Claim 24 words
The method according to claim 47 , further comprising using activation time values on a surface of the target for the electrical activity data-points.
Claim 54
Dependent Claim 17 words
The method according to claim 47 , further comprising using an electro-anatomical map for the electrophysiological map.
Claim 55
Dependent Claim 22 words
The method according to claim 50 , further comprising determining location and orientation coordinates as the positional information using the position sensor.

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 2012-04-13 2012-10-13 2013-04-14 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2016-04-13 2016-10-13 2017-04-14 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2020-04-13 2020-10-13 2021-04-14 $7700.00 Window Closed / Lapsed

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