JP2017524386A - 気管マーキング - Google Patents
気管マーキング Download PDFInfo
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- JP2017524386A JP2017524386A JP2016563463A JP2016563463A JP2017524386A JP 2017524386 A JP2017524386 A JP 2017524386A JP 2016563463 A JP2016563463 A JP 2016563463A JP 2016563463 A JP2016563463 A JP 2016563463A JP 2017524386 A JP2017524386 A JP 2017524386A
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- 210000003437 trachea Anatomy 0.000 title claims abstract description 62
- 238000000034 method Methods 0.000 claims abstract description 58
- 238000012545 processing Methods 0.000 claims description 17
- 238000003384 imaging method Methods 0.000 claims description 12
- 238000009877 rendering Methods 0.000 claims description 6
- 238000002594 fluoroscopy Methods 0.000 claims description 4
- 238000003325 tomography Methods 0.000 claims description 4
- 238000002595 magnetic resonance imaging Methods 0.000 claims description 3
- 238000002600 positron emission tomography Methods 0.000 claims description 3
- 238000002604 ultrasonography Methods 0.000 claims description 3
- 238000002601 radiography Methods 0.000 claims description 2
- 210000004072 lung Anatomy 0.000 description 31
- 238000002591 computed tomography Methods 0.000 description 15
- 238000001514 detection method Methods 0.000 description 8
- 230000008569 process Effects 0.000 description 7
- 210000000621 bronchi Anatomy 0.000 description 4
- 230000006870 function Effects 0.000 description 4
- 238000012800 visualization Methods 0.000 description 3
- 210000004204 blood vessel Anatomy 0.000 description 2
- 210000000988 bone and bone Anatomy 0.000 description 2
- 238000004891 communication Methods 0.000 description 2
- 210000000867 larynx Anatomy 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 230000037361 pathway Effects 0.000 description 2
- 210000003800 pharynx Anatomy 0.000 description 2
- 239000007787 solid Substances 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 208000019693 Lung disease Diseases 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 238000001574 biopsy Methods 0.000 description 1
- 238000013276 bronchoscopy Methods 0.000 description 1
- 210000000845 cartilage Anatomy 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 210000002216 heart Anatomy 0.000 description 1
- 230000003993 interaction Effects 0.000 description 1
- 238000007726 management method Methods 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 230000003287 optical effect Effects 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 230000008707 rearrangement Effects 0.000 description 1
- 230000029058 respiratory gaseous exchange Effects 0.000 description 1
- 239000000523 sample Substances 0.000 description 1
- 230000011218 segmentation Effects 0.000 description 1
- 210000002784 stomach Anatomy 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 238000007794 visualization technique Methods 0.000 description 1
Classifications
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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06T—IMAGE DATA PROCESSING OR GENERATION, IN GENERAL
- G06T7/00—Image analysis
- G06T7/0002—Inspection of images, e.g. flaw detection
- G06T7/0012—Biomedical image inspection
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0033—Features or image-related aspects of imaging apparatus classified in A61B5/00, e.g. for MRI, optical tomography or impedance tomography apparatus; arrangements of imaging apparatus in a room
-
- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06F—ELECTRIC DIGITAL DATA PROCESSING
- G06F3/00—Input arrangements for transferring data to be processed into a form capable of being handled by the computer; Output arrangements for transferring data from processing unit to output unit, e.g. interface arrangements
- G06F3/01—Input arrangements or combined input and output arrangements for interaction between user and computer
- G06F3/048—Interaction techniques based on graphical user interfaces [GUI]
- G06F3/0481—Interaction techniques based on graphical user interfaces [GUI] based on specific properties of the displayed interaction object or a metaphor-based environment, e.g. interaction with desktop elements like windows or icons, or assisted by a cursor's changing behaviour or appearance
- G06F3/04815—Interaction with a metaphor-based environment or interaction object displayed as three-dimensional, e.g. changing the user viewpoint with respect to the environment or object
-
- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06T—IMAGE DATA PROCESSING OR GENERATION, IN GENERAL
- G06T17/00—Three dimensional [3D] modelling, e.g. data description of 3D objects
-
- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06T—IMAGE DATA PROCESSING OR GENERATION, IN GENERAL
- G06T19/00—Manipulating 3D models or images for computer graphics
-
- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06T—IMAGE DATA PROCESSING OR GENERATION, IN GENERAL
- G06T2200/00—Indexing scheme for image data processing or generation, in general
- G06T2200/24—Indexing scheme for image data processing or generation, in general involving graphical user interfaces [GUIs]
-
- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06T—IMAGE DATA PROCESSING OR GENERATION, IN GENERAL
- G06T2210/00—Indexing scheme for image generation or computer graphics
- G06T2210/41—Medical
-
- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06T—IMAGE DATA PROCESSING OR GENERATION, IN GENERAL
- G06T2219/00—Indexing scheme for manipulating 3D models or images for computer graphics
- G06T2219/008—Cut plane or projection plane definition
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- Engineering & Computer Science (AREA)
- Health & Medical Sciences (AREA)
- Physics & Mathematics (AREA)
- Theoretical Computer Science (AREA)
- Life Sciences & Earth Sciences (AREA)
- General Physics & Mathematics (AREA)
- General Engineering & Computer Science (AREA)
- Software Systems (AREA)
- Computer Graphics (AREA)
- Radiology & Medical Imaging (AREA)
- General Health & Medical Sciences (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Computer Hardware Design (AREA)
- Veterinary Medicine (AREA)
- Biophysics (AREA)
- Animal Behavior & Ethology (AREA)
- Surgery (AREA)
- Public Health (AREA)
- Molecular Biology (AREA)
- Heart & Thoracic Surgery (AREA)
- Biomedical Technology (AREA)
- Pathology (AREA)
- Geometry (AREA)
- Human Computer Interaction (AREA)
- Quality & Reliability (AREA)
- Computer Vision & Pattern Recognition (AREA)
- Apparatus For Radiation Diagnosis (AREA)
- Measuring And Recording Apparatus For Diagnosis (AREA)
- Magnetic Resonance Imaging Apparatus (AREA)
- Ultra Sonic Daignosis Equipment (AREA)
- Image Processing (AREA)
- Architecture (AREA)
Abstract
Description
本出願は、2014年7月2日に出願された米国仮特許出願番号第62/020,253号に基づく利益および優先権を主張しており、その全体の内容は、参考として本明細書中に援用される。
(技術分野)
本開示は、肺疾患を伴う患者の治療に関し、より具体的には、患者の肺のCT走査画像データに基づいて生成される、3次元(3D)モデル内の気管をマーキングするためのデバイス、システム、および方法に関する。
本開示に従って、患者の主要気管分岐部および気管をマーキングする方法が、提供される。
本開示は、気管の自動検出が失敗したとき、患者の肺のスライス画像上の気管および主要気管分岐部を識別し、かつ手動でマーキングするためのデバイス、システム、および方法に関する。気管を識別することは、電磁的ナビゲーション(EMN)システムを使用してELECTROMAGNETIC NAVIGATION BRONCHOSCOPY(登録商標)(ENB)手技を実施するための経路計画の必要な構成要素であり得る。
Claims (10)
- 患者の主要気管分岐部および気管をマーキングするための方法であって、
画像処理コンピュータに、撮像デバイスから前記患者の胸部のスライス画像をインポートするステップと、
前記画像処理コンピュータ内に含まれるグラフィックプロセッサによって、前記インポートされたスライス画像に基づいて、3次元(3D)モデルを生成するステップと、
前記画像処理コンピュータによって、グラフィカルユーザインターフェース(GUI)内に前記3Dモデルを表示するステップと、
前記GUIを使用するユーザによって、軸方向配向における前記3Dモデルの2D画像を視認することによって、前記主要気管分岐部を位置付けるステップと、
前記3Dモデルの2D画像のうちの1つにおいて、前記主要気管分岐部をマーキングするステップと、
前記主要気管分岐部のマーキングされた場所によって画定される、回転軸の周囲の前記3Dモデルのビュー平面を調節し、前記主要気管分岐部を前記ビュー平面内に保ちながら、軸方向配向から冠状面配向に前記ビュー平面を調節し、それによって、前記GUI上に前記気管全体を表示するステップと、
前記3Dモデルの2D画像のうちの1つにおいて、気管の上側端部をマーキングするステップと、
を含む、方法。 - 患者の主要気管分岐部および気管をマーキングするための方法であって、
画像処理コンピュータに、撮像デバイスから前記患者の胸部のスライス画像をインポートするステップと、
前記画像処理コンピュータ内に含まれるグラフィックプロセッサによって、前記インポートされたスライス画像に基づいて、3次元(3D)モデルを生成するステップと、
前記画像処理コンピュータによって、グラフィカルユーザインターフェース(GUI)内に前記3Dモデルを表示するステップと、
前記GUIを使用するユーザによって、前記3Dモデルの複数の2D画像のうちの1つにおいて、前記主要気管分岐部をマーキングするステップと、
前記GUIを使用するユーザによって、前記GUI上に前記気管全体を表示するために、前記3Dモデルのビュー平面を調節するステップと、
前記GUIを使用するユーザによって、前記3Dモデルの複数の2D画像のうちの1つにおいて、前記気管の上側端部をマーキングするステップと、
を含む、方法。 - 前記主要気管分岐部をマーキングするステップに先立って、前記3Dモデルの2D画像のうちの1つにおいて、前記主要気管分岐部を位置付けるステップをさらに含む、請求項2に記載の方法。
- 前記ユーザは、軸方向配向における前記3Dモデルの2D画像を視認することによって、前記主要気管分岐部を位置付ける、請求項3に記載の方法。
- 前記3Dモデルは、トモグラフィ技法、X線撮影法、コンピュータ軸トモグラフィ走査によってもたらされるトモグラム、磁気共鳴撮像、超音波検査法、造影撮像、蛍光透視法、核走査法、または陽電子放射トモグラフィによって得られる、2次元画像に基づいて生成される、請求項2に記載の方法。
- 前記3Dモデルのビュー平面を調節するステップは、回転軸の周囲の前記ビュー平面を調節することを含む、請求項2に記載の方法。
- 前記回転軸の周囲のビュー平面を調節するステップは、軸方向配向から冠状面配向に前記ビュー平面を調節することを含む、請求項6に記載の方法。
- 前記調節するステップ中、前記主要気管分岐部は、前記ビュー平面内に保たれる、請求項7に記載の方法。
- 前記GUIを使用するユーザによって、前記GUI上に表示される3Dモデルのレンダリングを精査することによって、前記気管のマーキングを検証するステップをさらに含む、請求項2に記載の方法。
- 前記レンダリングされた3Dモデルは、前記主要気管分岐部のマーキングと、前記気管の上側端部のマーキングとを含む、請求項9に記載の方法。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201462020253P | 2014-07-02 | 2014-07-02 | |
US62/020,253 | 2014-07-02 | ||
PCT/US2015/038533 WO2016004025A2 (en) | 2014-07-02 | 2015-06-30 | Trachea marking |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2017524386A true JP2017524386A (ja) | 2017-08-31 |
JP2017524386A5 JP2017524386A5 (ja) | 2018-06-28 |
JP6503373B2 JP6503373B2 (ja) | 2019-04-17 |
Family
ID=55017359
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2016563463A Expired - Fee Related JP6503373B2 (ja) | 2014-07-02 | 2015-06-30 | 気管マーキング |
Country Status (7)
Country | Link |
---|---|
US (3) | US9754367B2 (ja) |
EP (1) | EP3164076B1 (ja) |
JP (1) | JP6503373B2 (ja) |
CN (1) | CN106232011B (ja) |
AU (1) | AU2015284213B2 (ja) |
CA (1) | CA2946602A1 (ja) |
WO (1) | WO2016004025A2 (ja) |
Families Citing this family (11)
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AU2015283938B2 (en) | 2014-07-02 | 2019-08-08 | Covidien Lp | Alignment CT |
US9633431B2 (en) | 2014-07-02 | 2017-04-25 | Covidien Lp | Fluoroscopic pose estimation |
US11188285B2 (en) | 2014-07-02 | 2021-11-30 | Covidien Lp | Intelligent display |
US9754367B2 (en) | 2014-07-02 | 2017-09-05 | Covidien Lp | Trachea marking |
US10991070B2 (en) * | 2015-12-18 | 2021-04-27 | OrthoGrid Systems, Inc | Method of providing surgical guidance |
US10582914B2 (en) | 2016-01-15 | 2020-03-10 | Covidien Lp | Navigable endobronchial tool to access tissue outside a bronchus |
US10777324B2 (en) * | 2016-11-03 | 2020-09-15 | The University Of Akron | Engineered 3D lung airway tree |
US20180268614A1 (en) * | 2017-03-16 | 2018-09-20 | General Electric Company | Systems and methods for aligning pmi object on a model |
US11464576B2 (en) | 2018-02-09 | 2022-10-11 | Covidien Lp | System and method for displaying an alignment CT |
JP7466928B2 (ja) | 2018-09-12 | 2024-04-15 | オルソグリッド システムズ ホールディング,エルエルシー | 人工知能の術中外科的ガイダンスシステムと使用方法 |
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EP3164076A4 (en) | 2018-01-17 |
CN106232011B (zh) | 2020-04-07 |
US20170372478A1 (en) | 2017-12-28 |
US20160005236A1 (en) | 2016-01-07 |
US9754367B2 (en) | 2017-09-05 |
CN106232011A (zh) | 2016-12-14 |
US10062166B2 (en) | 2018-08-28 |
JP6503373B2 (ja) | 2019-04-17 |
US20180365832A1 (en) | 2018-12-20 |
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