Patent Application
20140051983
This application relates generally to electromagnetic tracking systems. In particular, this application relates to electromagnetic tracking systems for use in image-guided surgery having unlimited hemisphere operation.
Electromagnetic tracking systems have been used in various industries and applications to provide position and orientation information relating to objects. For example, electromagnetic tracking systems may be useful in aviation applications, motion sensing applications, retail applications, and medical applications. In medical applications, electromagnetic tracking systems have been used to provide an operator (e.g., a physician, surgeon, or other medical practitioner) with information to assist in the precise and rapid positioning of an instrument (such as a medical device, implant, tool, or other implement) in or near a patient's body during image-guided surgery. The electromagnetic tracking system provides positioning and orientation information for the instrument with respect to the patient's anatomy or to a reference coordinate system. The electromagnetic tracking system can also provide intraoperative tracking of the precise location of the instrument in relation to multidimensional images of a patient's anatomy. As the instrument is positioned with respect to the patient's anatomy, the displayed image is continuously updated to reflect the real-time position and orientation of the instrument being used.
Electromagnetic tracking systems may employ coils as receivers and transmitters. Typically, an electromagnetic tracking system is configured with an industry-standard coil architecture (ISCA). ISCA uses three collocated orthogonal quasi-dipole transmitter coils and three collocated orthogonal quasi-dipole receiver coils. The electromagnetic tracking systems typically contain three, three-axis coil assemblies that are generally used to derive the position and orientation of the instrument being used in the tracking system. One coil assembly is placed near the anatomy of interest to serve as a patient reference and a second coil assembly is located with the instrument. One of these coil assemblies acts as an electromagnetic transmitter and the other as an electromagnetic receiver. Alternatively, a third coil assembly may be placed at a fixed location within the surgical region of interest acting as an electromagnetic transmitter to transmit an electromagnetic field that is received by the first two coil assemblies acting as electromagnetic receivers. The combination of the image and the representation of the tracked instrument provide information that allows a medical practitioner to navigate the instrument to a desired location with an accurate position and orientation, as well as to display that location along with other reference structures or anatomy.
This application relates to electromagnetic tracking systems and methods for correcting hemispherical ambiguity. The system may include a single transmitter having three coils arranged in an industry-standard coil arrangement (ISCA). The transmitter may serve as patient reference, thus eliminating the need for an additional patient reference sensor. The tracking system may also contain an instrument receiver having three coils arranged in an ISCA configuration, as well as a fourth coil having a different orientation then any of the other three coils of the receiver. The fourth coil may be used to determine the correct solution to the hemispherical ambiguity that can occur when using two three-coil assemblies.
The following description can be better understood in light of the Figures, in which:
a-3b shows schematic representations of hemispherical ambiguity;
The Figures illustrate specific aspects of the described systems and methods for electromagnetic tracking systems and methods for correcting hemispherical ambiguity. Together with the following description, the Figures demonstrate and explain the principles of the methods and structures produced through these methods. In the drawings, the thickness of layers and regions are exaggerated for clarity. The same reference numerals in different drawings represent the same element, and thus their descriptions will not be repeated. As the terms on, attached to, or coupled to are used herein, one object (e.g., a material, a layer, a substrate, etc.) can be on, attached to, or coupled to another object regardless of whether the one object is directly on, attached, or coupled to the other object or there are one or more intervening objects between the one object and the other object. Also, directions (e.g., above, below, top, bottom, side, up, down, under, over, upper, lower, horizontal, vertical, “x,” “y,” “z,” etc.), if provided, are relative and provided solely by way of example and for ease of illustration and discussion and not by way of limitation. In addition, where reference is made to a list of elements (e.g., elements a, b, c), such reference is intended to include any one of the listed elements by itself, any combination of less than all of the listed elements, and/or a combination of all of the listed elements.
The following description supplies specific details in order to provide a thorough understanding. Nevertheless, the skilled artisan will understand that the described systems and methods for tracking position and orientation (P&O) of interchangeable instruments can be implemented and used without employing these specific details. Indeed, the described systems and methods for tracking P&O of interchangeable instruments can be placed into practice by modifying the described systems and methods and can be used in conjunction with any other apparatus and techniques conventionally used in the industry. For example, while the description below focuses on tracking P&O of instruments used in surgical navigation systems, the methods and systems for tracking P&O of instruments may be used in other systems in the fields of biomechanics, ergonomics, flight simulation and flight training, virtual reality applications, etc.
As shown in the embodiments depicted in
The coil assemblies 120 may contain a three-axis dipole coil transmitter or a three-axis dipole coil receiver. Each three-axis transmitter or receiver can be built so that the three coils exhibit the same effective area, are oriented orthogonally to one another, and are centered at the same point.
The mutual inductances between each of the three coils in the coil assembly of receiver 60 and each of the three coils in the coil assembly of the transmitter 20 can be measured. The position and orientation of the transmitter 20 with respect to the receiver 60 may then be calculated from the nine resulting mutual inductances of each of those coils and the knowledge of the coil characteristics. Thus, the position and orientation of the transmitter 20 with respect to the receiver 60 may be calculated by sensing the magnetic field generated by the transmitter 20. And with such a configuration, the position and orientation of the receiver with respect to the patient reference can be obtained even without using the bedside transmitter 25 coordinate frame.
One limitation of tracking systems using the three coil assemblies 120 in the receiver 60 and a patient reference transmitter 20 is hemisphere ambiguity since tracking can take place at any position of the receiver around the transmitter. This is unlike the embodiment of using a bedside transmitter where tracking generally only takes place with the receiver in single hemisphere of the transmitter's reference frame. Hemisphere ambiguity arises when the receiver 60 is displaced 180 degrees about the origin as defined by transmitter 20, but has the same orientation.
a and 3b show the relationship between a first point 3 with respect to a second point 4 that is located at a position that is diametrically opposite that of the first point. When the receiver 60 (with a coil assembly 120) is positioned at a first point 3 (x1, y1, z1), and the transmitter 20 with a coil assembly 120 is positioned at the origin (per definition), the mutual inductances (or the magnetic field) measured between the receiver 60 at point 3 and the transmitter 20 are the same as when the receiver 60 is located at the second point 4 (−x1, −y1, −z1) having the same orientation as at point 3. For example, when the first point 3 is at position (1 cm, 1 cm, 1 cm) and second point 4 is at position (−1 cm, −1 cm, −1 cm) with respect to the origin (0, 0, 0), the movement between the receiver 60 from point 3 to point 4 while keeping the transmitter 20 at the origin results in identical mutual inductances and magnetic fields being measured. This ambiguity in mutual inductances between transmitter and receivers results in the potential for the wrong coordinates to be calculated for the receiver with respect to the transmitter since the desired hemisphere is unknown.
In other embodiments, the hemisphere ambiguity may be eliminated by properly positioning two coil assemblies 120 on the receiver 60. In these embodiments, the coil assemblies 120 on the receiver 60 may be positioned a suitable distance apart so that they are distinguishable by the tracking system. If the receiver coil assemblies are positioned too close together, the tracking system may detect them as a single point as opposed to two separate points. Yet spacing the receiver coil assemblies a suitable distance apart required additional space and the medical instrument 62 may not be large enough to accommodate the two receiver coils positioned a suitable distance apart. So the use of additional receiver coil assemblies on the medical instrument 62 may be bulky, obtrusive, or otherwise awkward.
The processor 30 may be any processor, computer, microcontroller, etc. configured to process information from the various other components and deliver display signals to the monitor 40. The processor 30 may perform any of the various processes discussed below with respect to determining and displaying the relative locations of the patient reference transmitter 20 and the receiver 60. The monitor 40 may be any monitor or display configured to display visual information related to the processes performed by the processor 30 and the tracking systems 100.
That is, as shown in
The fourth coil 168 can be used in methods for reducing or eliminating the hemisphere ambiguity when a pair of coil trio coil assemblies 120 is used in an electromagnetic tracking system. In some embodiments of these methods, the relative positions of the transmitter 20 with coil assembly 120 and receiver 60 with four axis coil assembly 160 can be determined. A first step of these methods may include calculating signals from the receiver coils 162, 164, and 166 related to xR, yR, and zR, and each of the three coils of the coil assembly 120 of the transmitter 20 related to the xT, yT, and zT axis. These signals may be processed with any analytical model to obtain solutions for the two possible receiver positions that may occur in opposite hemispheres.
Next, to identify which of the two positions is the correct one, a signal from the fourth coil 168 may be used. For the two possible positions, a magnetic field and a sensor coil model may provide the expected receiver voltage signals from each position. However, the position of the fourth coil 168 is different from that of the other three coils 162, 164, 166 of the receiver 60. When applying the two potential receiver positions, the corresponding positions and orientation of the fourth coil may be asymmetrical with respect to the coils 122, 124, 126 of the coil assembly 120 of the transmitter 20. As a result, the model-predicted signals from the fourth coil 168 may differ between the two hemispheres. The correct hemisphere may be identified as the one that provides the closest match between the measured and the model-predicted signal for the fourth coil 168. This type of hemisphere detection may function best when the fourth coil axis (v) is not parallel to any of the xR, yR, and zR axes, as described above.
In some embodiments, an algorithm can be used as the analytical model for the hemisphere disambiguation. In these embodiments, the tracking system 100 may include the processes of solving ISCA signals for two potential receiver positions, using the model to calculate expected fourth coil signals for the two potential receiver positions, and then comparing the two expected signals against measured signal and choose the position that leads to the best agreement. In some embodiments, the algorithms may rely on measured signals and evaluate both a phase in receiver signal with respect to transmitter current, as well as an agreement between signals and their expected values based on an electromagnetic model.
By adding a fourth coil 168 to the receiver 60, the tracking system 100 may allow for tracking in any transmitter hemisphere without (or with limited) ambiguity. These embodiments may not only increase the available tracking volume (by double), but also allow for placing the transmitter at the center of an anatomical target region without the need of an additional coil assembly as a bedside transmitter. By having a single, anatomically centered transmitter 20, the transmitter 20 can be smaller with less power output since it is closer to the receiver 60. Additionally, the transmitter 20 can serve as patient anatomy reference point, eliminating the need for any additional patient reference receivers. As a result, the system architecture of the tracking system 100 may be simplified and tracking accuracy improved due to removing the patient reference receiver from the navigation chain. Accordingly, the tracking system 10 in
Other embodiments may use other configurations of the electromagnetic coils. In some embodiments, the system may contain three large, non-dipole, non-collocated transmitter coils with three collocated quasi-dipole receiver coils. In other embodiments, the tracking system architecture may use an array of six or more transmitter coils spread out in space and one or more quasi-dipole receiver coils. In other embodiments, the tracking system architecture may use three approximately co-located, orthogonal quasi-dipole transmitter coils and one or more quasi-dipole magnetic sensor such as magneto-resistance, flux gate, or Hall-effect sensors. In yet other embodiments, a single quasi-dipole transmitter coil may be used with an array of six or more receivers spread out in space.
In some embodiments, the fourth coil may be positioned on either the receiver or transmitter. For example, as shown in
In addition to any previously indicated modification, numerous other variations and alternative arrangements may be devised by those skilled in the art without departing from the spirit and scope of this description, and appended claims are intended to cover such modifications and arrangements. Thus, while the information has been described above with particularity and detail in connection with what is presently deemed to be the most practical and preferred aspects, it will be apparent to those of ordinary skill in the art that numerous modifications, including, but not limited to, form, function, manner of operation and use may be made without departing from the principles and concepts set forth herein. Also, as used herein, the examples and embodiments, in all respects, are meant to be illustrative only and should not be construed to be limiting in any manner.
