Patent Application
20070140438
This Application claims the benefit of the German Application DE 102 00 505 2787.8 filed Nov. 5, 2005, which is hereby incorporated by reference in its entirety.
1. Field of the Invention
This invention generally relates to medical diagnostic imaging systems, and in particular, relates to methods and systems for improving three-dimensional volume reconstructions from two-dimensional x-ray images in navigationally guided operations making use of an X-ray diagnostic machine.
2. Description of the Related Art
Medical operations on living subjects are increasingly being done with navigational support systems. Such systems typically involve the guiding of an instrument by means of a position detection system relative to a tissue region of the subject undergoing treatment. Of special interest is navigation in regions not amenable to the visual inspection of the surgeon, because, for example, the instrument has been introduced inside of the subject. Under these circumstances, the instrument, such as a catheter, is guided in a virtual 3D volume, which has been generated by means of a projection method before or during the operation. A frequent application is to use an X-ray diagnostic machine to generate a series of 2D projection images of a known projection geometry and then to generate a 3D volume data set from these 2D images. The volume data set is relayed to a navigation system, which has a position detection system for marks which can be detected in this way.
In order to make possible high-precision navigation, the system of coordinates of the position detection system can be adjusted to the coordinate system of the 3D volume data set. This process is usually known as registration. During registration, for example, one often uses a phantom which contains X-ray positive marks and marks detectable by a position detection system in a fixed spatial relation to each other. To improve the precision of a reconstructed 3D data set from 2D X-ray projection images, there are known methods which allow for the deviations of the parameters of the projection geometry from the actual projection geometry, influenced, for example, by mechanical torsions of the X-ray diagnostic machine. For this, an X-ray diagnostic machine is “calibrated” by using a special X-ray phantom. Such a calibration is generally done only before being shipped from the factory, after a repair with replacement of mechanical components, or before the start of an investigation.
German patent DE 102 02 091 A1 discloses a device and method for determining a coordinate transformation by using a phantom, on which X-ray positive marks and marks detectable by a position detection system are arranged in a fixed spatial relation to each other. During a scan to create 2D X-ray projection images, the coordinates of the X-ray positive marks are determined in the reconstructed 3D volume and relayed to the position detection and navigation system for adjustment.
U.S. Pat. No. 5,442,674 A and German Patent 199 47 382 C2 disclose known X-ray phantoms by means of which the mechanical insufficiencies of the X-ray diagnostic machine are corrected in a calibration process outside of a surgical use.
U.S. Pat. No. 5,835,563 A concerns an X-ray phantom that remains firmly connected to the patient during an X-ray exam and improves the accuracy of the representations during digital subtraction angiography (DAS).
Certain embodiments of the present invention are adapted to improve the intraoperative volume reconstruction during navigationally guided operations by using an X-ray diagnostic machine and a position detection system in a simple and cost-effective manner.
In one embodiment, the present invention provides a system in which a phantom with X-ray positive marks and marks detectable by a position detection system remains connected to the subject of the investigation during the entire procedure and a volume data set of the investigated region is generated during the operation by means of the X-ray diagnostic machine. During a scan to take a series of 2D projection images of varying projection geometry for the subsequent 3D volume reconstruction, suitable fixation means ensure that the phantom and the investigation subject do not change their position in space. The positions of the X-ray positive marks in the 2D X-ray projection images are determined by an evaluation program in the image processing computer of the X-ray diagnostic machine, and from this is found a protocol for the transformation of each individual 2D data set. The transformed 2D data sets are used for the reconstruction of a volume data set and relayed to the navigation system. The navigation of an instrument occurs by this method in a reconstructed volume of high precision, whose data set is calculated from a series of superimposed 2D X-ray projections of the subject and the phantom. From comparison of the 2D projection of the phantom with the kinematic data stored in the X-ray diagnostic machine, each 2D projection is transformed by known techniques. The transformation in the simplest case may comprise a displacement of the original 2D projection by a displacement vector in the plane of the entry window of the X-ray receiver. For the back calculation of the projection geometry, it may be necessary or advisable on account of the nature of the phantom to make certain assumptions. Thus, one assumption might be: the position of the entry window of the X-ray receiver is determined with the aid of correction tables obtained from the kinematics in a calibration run, and the displacements of the image of the phantom in the 2D projection are assigned exclusively to the displacement of the focal spot of the X-ray source. Another assumption might be: the deviations of the 2D projection of the phantom from the value calculated from kinematics are divided equally between the X-ray receiver and the X-ray source. Furthermore, certain embodiments of the invention calls for saving in tables of values of the image processing computer the distributions of the magnitude of the deviation of the positions of the X-ray source and the X-ray receiver, depending on the adjustments of the axes of the X-ray diagnostic machine.
In a preferred embodiment, the greater the number of X-ray positive marks detected in the operating field, the more complex the transformations may become: for example, image magnification, image distortion, or the like. It has been found in practice that simply factoring in a single X-ray positive mark for the transformation of the 2D projections provides a substantial improvement in the quality of the 3D data set.
The position detection system can be an optical (infrared) system, an electromagnetic system, or a system based on measuring a magnetic field.
The precision of the navigation with an instrument that contains marks which are detected by the position detection system is improved by the use of transformed 2D data sets for the volume reconstruction.
Although the foregoing description of the preferred embodiments of the present invention has shown, described and pointed out the fundamental novel features of the invention, it will be understood that various omissions, substitutions, and changes in the form of the detail of the invention as illustrated as well as the uses thereof, may be made by those skilled in the art, without departing from the spirit of the invention. Particularly, it will be appreciated that the preferred embodiments of the invention may manifest itself in other shapes and configurations as appropriate for the end use of the article made thereby.
| Number | Date | Country | Kind |
|---|---|---|---|
| 10 2005 052 787.6 | Nov 2005 | DE | national |
