JP2010540021A5 - - Google Patents
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- JP2010540021A5 JP2010540021A5 JP2010525854A JP2010525854A JP2010540021A5 JP 2010540021 A5 JP2010540021 A5 JP 2010540021A5 JP 2010525854 A JP2010525854 A JP 2010525854A JP 2010525854 A JP2010525854 A JP 2010525854A JP 2010540021 A5 JP2010540021 A5 JP 2010540021A5
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- 238000003384 imaging method Methods 0.000 claims 8
- 239000003550 marker Substances 0.000 claims 8
- 210000003625 Skull Anatomy 0.000 claims 7
- 238000000034 method Methods 0.000 claims 7
- 238000001356 surgical procedure Methods 0.000 claims 7
- 210000004556 Brain Anatomy 0.000 claims 6
- 238000001727 in vivo Methods 0.000 claims 4
- HGBLNBBNRORJKI-WCABBAIRSA-N Ciclacillin Chemical compound N([C@H]1[C@H]2SC([C@@H](N2C1=O)C(O)=O)(C)C)C(=O)C1(N)CCCCC1 HGBLNBBNRORJKI-WCABBAIRSA-N 0.000 claims 3
- 238000005553 drilling Methods 0.000 claims 3
- 239000000523 sample Substances 0.000 claims 3
- 238000002560 therapeutic procedure Methods 0.000 claims 2
- NILQLFBWTXNUOE-UHFFFAOYSA-N Cycloleucine Chemical compound OC(=O)C1(N)CCCC1 NILQLFBWTXNUOE-UHFFFAOYSA-N 0.000 claims 1
- 230000002146 bilateral Effects 0.000 claims 1
- 230000015572 biosynthetic process Effects 0.000 claims 1
- 230000000875 corresponding Effects 0.000 claims 1
- 239000000835 fiber Substances 0.000 claims 1
- 238000005755 formation reaction Methods 0.000 claims 1
- 238000003780 insertion Methods 0.000 claims 1
- 230000011218 segmentation Effects 0.000 claims 1
- 230000000007 visual effect Effects 0.000 claims 1
Claims (19)
- MRIスキャナと、
前記MRIスキャナと通信する、回路及びディスプレイを有する医師用ワークステーションと、
患者の頭蓋骨へ取り外し可能に取り付けられるように構成され、表面に格子を有する柔軟性パッチと、
患者の頭蓋骨へ取り付け可能な軌道案内であって、間隔を空けられた複数の基準マーカを有すると共に、患者の頭蓋骨中に形成された掘削孔の上に存在するように構成された開口を備える基部を有し、前記基部開口が、当該軌道案内に関連づけられたピボット軸のために回転の機械的中心を提供する、軌道案内と
を備える、MRI案内付き介入脳深部システムであって、
前記回路は、前記パッチに関する物理データを備えると共に、前記MRIスキャナによって提供された患者撮像データについて問い合わせて前記画像データを区分化し、前記パッチを所望の脳内軌道と交差させる掘削孔場所を規定するように構成され、
前記回路は、前記軌道案内の用具特定データを備えると共に、前記MRIスキャナによって提供された患者撮像データについて問い合わせて、前記患者の脳及び前記軌道案内の視覚化像を前記ディスプレイへ対話的に生成するように構成される、MRI案内付き介入脳深部システム。 - 前記回路は、患者機能データを取得して、患者機能を示す前記視覚化像を実質的にリアルタイムで生成するように構成される請求項1に記載のシステム。
- 前記回路は、前記格子パッチの中心場所を通って延在するデフォルト軌道を前記軌道案内のために前記ディスプレイ上で提供するように構成される請求項1に記載のシステム。
- 両側手順のための2つの前記格子パッチと2つの前記軌道案内、及び2つの光ファイバビデオストリーム撮像デバイスを備え、前記軌道案内へそれぞれ1つの前記撮像デバイスが搭載され、前記撮像デバイスの各々が、前記MRIスキャナの口径の近くに搭載された異なるMRI適合性カメラと通信し、
前記ワークステーションは、前記視覚化像を表示している間でも前記カメラの1つ又は双方からのビデオストリームを表示する請求項1に記載のシステム。 - 深度値を決定及び表示するように構成され、ユーザは、体内プローブ又はリードに関連づけられた深度ストップの上で挿入前に前記深度値を設定する請求項1に記載のシステム。
- 前記回路はディスプレイのためにユーザインタフェースと通信し、それによってユーザは、(a)脳内ターゲットを選択し、(b)リード先端を表すMR座標内の位置を選択又は指定し、(c)前記リード先端からの電極オフセットを示すオフセット集合を選択する識別子を選択又は指定することができ、
前記回路は、各オフセット値について、前記先端位置から前記リードの軌道に沿って後方へオフセットされた点に対応するAC−PC座標を提供し、それによって前記AC−PC座標がAC−PC空間内の電極位置に対応するように構成される請求項1に記載のシステム。 - 前記回路は一連の選択可能ワークフローグループを含むユーザインタフェースと通信し、前記一連の選択可能ワークフローグループは、「スタート」、「入口計画」、「ターゲット計画」、「ナビゲート」、及び「精緻化」を含み、これらのワークフローグループは、前記外科手順を案内して、前記「精緻化」ワークフローグループの後で療法の送達を生じるように使用可能であり、
前記ユーザインタフェースは、患者機能情報を前記視覚化像内で表示するかどうかをユーザが選択することを可能とするように構成することができ、又は、
前記ユーザインタフェースは、「管理」ワークフローグループを更に含み、これにより前記回路が、
(a)MR空間内のAC、PC、及びMSP点(ユーザが修正した場合には、検出され及びユーザによって指定されたものの双方)、
(b)MR及びACPC空間の双方における計画及び補正されたターゲット、
(c)前記手順の経過時間、
(d)医師の症例記録(任意的)、及び
(e)前記手順の間に撮られたスクリーンショット
の少なくとも複数を含む前記患者及びある一定の外科情報に関する臨床情報を自動的に要約する医用報告書を電子的に生成する、ように構成することができる、請求項1に記載のシステム。 - 前記回路は、ユーザが前記格子パッチと交差しない軌道を選択又は描画するとき警告を生成するように構成される請求項1に記載のシステム。
- 前記回路は、ハードウェア識別子データを要求するように構成され、
前記識別子データが認識されないか、前記回路との不適合性を規定される場合には、システムでの使用を阻止するように構成される請求項1に記載のシステム。 - ターゲット用カニューレの中を伸長して狭視野高解像度画像データを収集するように構成される体内アンテナを有する撮像プローブを更に備え、
前記回路は、前記撮像プローブから収集された画像データに関連づけられた強度歪みを低減する補正を電子的に適用するように構成される請求項1に記載のシステム。 - 片側又は両側手順を含む異なった体内手順及び所望の体内ターゲットをユーザが選択することを可能にするユーザインタフェースを更に備え、
両側手順が選択される場合、前記ユーザインタフェースは、左及び右のワークフローステップを有するツールバーを提供する請求項1に記載のシステム。 - 両側手順のための前記ユーザインタフェースは、可視コントロールのワークフローステップを備え、前記可視コントロールは、脳シフトに起因する「ターゲット計画」ステップへ進む前に、及び患者を導いてマグネット内の撮像場所へ戻す前に、双方の側に対する格子入口の位置決め、双方の側に対する掘削孔の形成、及び双方の側に対する軌道フレームの取り付けを完了するようにユーザを案内する請求項11に記載のシステム。
- ワークフローステップを有するユーザインタフェースを備え、
前記ユーザインタフェースは、「入口計画」、「ターゲット計画」、「ナビゲート」、「精緻化」、又は「療法送達」ステップの少なくとも1つの間に、患者機能情報を前記視覚化像の中に実質的にリアルタイムで表示する選択をユーザに許容するコントロールを備える請求項1に記載のシステム。 - 前記軌道案内は、中央通路及び少なくとも1つの基準マーカを有するターゲット用カニューレを備え、
前記回路は、前記ターゲット用カニューレの既定の物理特性に基づいて前記少なくとも1つの基準マーカを含むスラブの高解像度画像データを前記MRスキャナに要求するか又は要求して取得し、前記ターゲット用カニューレの実際の軌道を決定するように構成され、
前記少なくとも1つのマーカは、近位マーカ及び遠位マーカを備えることができ、
この場合の前記回路は、前記近位又は遠位マーカの単一の1つのスラブを単一の時点で選択的に要求するように構成することができる請求項1に記載のシステム。 - 前記軌道案内は、中央通路及び間隔を空けられた近位及び遠位基準マーカを有するターゲット用カニューレを備え、前記近位マーカは前記遠位マーカとは異なる形状を有し、
前記回路は、前記ターゲット用カニューレの既定の物理特性に基づいて前記近位又は遠位マーカの1つのみを含むスラブの高解像度画像データを前記MRスキャナに要求し又は要求して取得するように構成される請求項1に記載のシステム。 - 少なくとも1つのMRI適合性外科用具と、
MRIスキャナと通信するように適合された回路であって、前記少なくとも1つの用具の既定の物理特性を電子的に認識して、前記MRIスキャナによって提供されたMR画像データを自動的に区分化し、これによって前記少なくとも1つの用具が当システムとのインタフェース点を構成する、回路と、
前記回路と通信する少なくとも1つのディスプレイと
を備える、MRI案内付き外科システムであって、
前記回路は、MRI案内付き外科手順についてワークフローの進行を規定してユーザが前記ワークフロー内のステップを選択することを可能にするユーザインタフェースを提供するように構成されると共に、前記回路は、前記少なくとも1つの用具の既定のデータ及び前記患者のMRI画像からのデータを使用し、前記外科手順の間に実質的にリアルタイムで多次元視覚化像を生成するように構成され、
前記少なくとも1つの用具が格子を有する柔軟性パッチを備えると共に前記回路が区分化モジュールを有するように構成され、前記区分化モジュールは、前記パッチをMRボリューム内で位置決めし、前記ディスプレイ上に提示される視覚化像を生成することができ、前記視覚化像は、外科処置入口部位の規定された格子座標と共に前記パッチを患者の上のオーバーレイとして表示する、
MRI案内付き外科システム。 - 少なくとも1つのMRI適合性外科用具と、
MRIスキャナと通信するように適合された回路であって、前記少なくとも1つの用具の既定の物理特性を電子的に認識して、前記MRIスキャナによって提供されたMR画像データを自動的に区分化し、これによって前記少なくとも1つの用具が当システムとのインタフェース点を構成する、回路と、
前記回路と通信する少なくとも1つのディスプレイと
を備える、MRI案内付き外科システムであって、
前記回路は、MRI案内付き外科手順についてワークフローの進行を規定してユーザが前記ワークフロー内のステップを選択することを可能にするユーザインタフェースを提供するように構成されると共に、前記回路は、前記少なくとも1つの用具の既定のデータ及び前記患者のMRI画像からのデータを使用し、前記外科手順の間に実質的にリアルタイムで多次元視覚化像を生成するように構成され、
当システムが脳外科システムであり、前記柔軟性パッチは、患者の頭蓋骨の上に存在するように構成された脳外科パッチであり、前記回路は、前記パッチの既定の物理特性に基づいて前記患者の上で前記パッチの位置及び配向を同定し、前記パッチを電子的に変形して患者の頭蓋骨の屈曲に当てはめ、前記患者の前記頭蓋骨の上で前記パッチの可視オーバーレイを生成及び表示するように構成される、
MRI案内付き外科システム。 - 少なくとも1つのMRI適合性外科用具と、
MRIスキャナと通信するように適合された回路であって、前記少なくとも1つの用具の既定の物理特性を電子的に認識して、前記MRIスキャナによって提供されたMR画像データを自動的に区分化し、これによって前記少なくとも1つの用具が当システムとのインタフェース点を構成する、回路と、
前記回路と通信する少なくとも1つのディスプレイと
を備える、MRI案内付き外科システムであって、
前記回路は、MRI案内付き外科手順についてワークフローの進行を規定してユーザが前記ワークフロー内のステップを選択することを可能にするユーザインタフェースを提供するように構成されると共に、前記回路は、前記少なくとも1つの用具の既定のデータ及び前記患者のMRI画像からのデータを使用し、前記外科手順の間に実質的にリアルタイムで多次元視覚化像を生成するように構成され、
当システムが脳外科システムであり、前記少なくとも1つの用具は、患者頭部の上に存在するように構成された脳外科柔軟性格子パッチであり、前記回路は、脳の深い場所へのユーザ選択可能軌道線を前記ディスプレイ上で可視的に表示するように構成され、前記軌道線は、前記格子と交差して前記所望の軌道線に基づいて掘削入口孔をマークする場所を前記格子上で規定し、前記ユーザインタフェースは、前記ユーザが前記格子と交差しない軌道線を選択するとき、可聴及び可視のいずれか又は両方の警告を表示する、
MRI案内付き外科システム。 - 前記回路は、前記格子に関連づけられた場所及び座標のいずれか又は両方を表示するように構成され、前記場所及び座標のいずれか又は両方は、患者の頭蓋骨を通る軌道入口経路について所望の掘削孔場所を提供する請求項18に記載の外科システム。
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Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US97482107P | 2007-09-24 | 2007-09-24 | |
US60/974,821 | 2007-09-24 | ||
US12/134,412 | 2008-06-06 | ||
US12/134,412 US8175677B2 (en) | 2007-06-07 | 2008-06-06 | MRI-guided medical interventional systems and methods |
PCT/US2008/011050 WO2009042135A2 (en) | 2007-09-24 | 2008-09-24 | Mri surgical systems for real-time visualizations using mri image data and predefined data of surgical tools |
Publications (3)
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JP2010540021A JP2010540021A (ja) | 2010-12-24 |
JP2010540021A5 true JP2010540021A5 (ja) | 2011-11-04 |
JP5632286B2 JP5632286B2 (ja) | 2014-11-26 |
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JP2010525854A Active JP5632286B2 (ja) | 2007-09-24 | 2008-09-24 | Mri画像データ及び外科用具の既定のデータを使用してリアルタイムで視覚化するmri外科システム |
Country Status (6)
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US (4) | US8175677B2 (ja) |
EP (4) | EP2192870A1 (ja) |
JP (1) | JP5632286B2 (ja) |
CN (1) | CN101918855B (ja) |
CA (4) | CA2700577A1 (ja) |
WO (4) | WO2009042136A1 (ja) |
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- 2008-09-24 WO PCT/US2008/011051 patent/WO2009042136A1/en active Application Filing
- 2008-09-24 EP EP08833037A patent/EP2192870A1/en not_active Withdrawn
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- 2008-09-24 WO PCT/US2008/011050 patent/WO2009042135A2/en active Application Filing
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- 2008-09-24 JP JP2010525854A patent/JP5632286B2/ja active Active
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