SYSTEM, DEVICE AND METHOD FOR CONSTRAINING SENSOR TRACKING ESTIMATES IN INTERVENTIONAL ACOUSTIC IMAGING
20210251602 · 2021-08-19
Inventors
- Alvin CHEN (CAMBRIDGE, MA, US)
- Shyam Bharat (Arlington, MA, US)
- Ameet Kumar JAIN (BOSTON, MA, US)
- Kunal VAIDYA (BOSTON, MA, US)
- Ramon Quido ERKAMP (SWAMPSCOTT, MA, US)
- FRANCOIS GUY GERARD MARIE VIGNON (ANDOVER, MA, US)
Cpc classification
A61B8/085
HUMAN NECESSITIES
A61B8/4416
HUMAN NECESSITIES
A61B8/5292
HUMAN NECESSITIES
International classification
Abstract
An acoustic imaging apparatus and method: produce acoustic images of an area of interest in response to one or more receive signals received from an acoustic probe in response to acoustic echoes received by the acoustic probe from the area of interest; 5 identify one or more candidate locations for a passive sensor disposed on a surface of an intervention device in the area of interest based on magnitudes of the acoustic echoes received by the acoustic probe from the candidate locations in the area of interest; use intra-procedural context-specific information to identify a one of the candidate locations which best matches the intra-procedural context-specific information as the estimated 10 location of the passive sensor; displaying the acoustic images on a display device; and display on the display device a marker in the acoustic images to indicate the estimated location of the passive sensor.
Claims
1. A system, comprising: an acoustic probe having an array of acoustic transducers; and an acoustic imaging instrument connected to the acoustic probe and configured to provide transmit signals to least some of the acoustic transducers to cause the array of acoustic transducers to transmit an acoustic probe signal to an area of interest, and further configured to produce acoustic images of the area of interest in response to acoustic echoes received from the area of interest in response to the acoustic probe signal, the acoustic imaging instrument including: a display configured to display the acoustic images; a receiver interface configured to receive one or more sensor signals from at least one passive sensor disposed on a surface of an intervention device disposed in the area of interest, the one or more sensor signals being produced in response to the acoustic probe signal; and a processor configured to ascertain, from the one or more sensor signals from the passive sensor, an estimated location of the passive sensor in the area of interest, by: identifying one or more candidate locations for the passive sensor based on localized intensity peaks in sensor data produced in response to the one or more sensor signals from the passive sensor, and using intra-procedural context-specific information to identify a one of the candidate locations which best matches the intra-procedural context-specific information as the estimated location of the passive sensor, wherein the display displays a marker in the acoustic images to indicate the estimated location of the passive sensor.
2. The system of claim 1, wherein the intra-procedural context-specific information includes at least one of: information identifying an anatomical structure where the sensor is expected to be located; information identifying a likely location of the intervention device in the acoustic images; or information identifying previous estimated locations of the sensor in previous ones of the acoustic images.
3. The system of claim 2, wherein the intra-procedural context-specific information includes the information identifying the anatomical structure where the sensor is expected to be located, and wherein the processor is configured to execute one of a region detection algorithm and a segmentation algorithm to identify the anatomical structure where the sensor is expected to be located in the acoustic images.
4. The system of claim 2, wherein the intra-procedural context-specific information includes the information identifying the anatomical structure where the sensor is expected to be located, wherein the acoustic imaging instrument is configured to produce color Doppler images of the area of interest in response to one or more receive signals received from the acoustic probe, and wherein the processor is configured to identify the anatomical structure where the sensor is expected to be by identifying blood flow in the color Doppler images.
5. The system of claim 2, wherein the intra-procedural context-specific information includes the information identifying the likely location of the intervention device in the acoustic images, and wherein the processor is configured to perform one of a region detection algorithm and a segmentation algorithm to identify the likely location of the intervention device in the acoustic images.
6. The system of claim 2, wherein the intra-procedural context-specific information includes the information identifying the previous estimated locations of the sensor in previous ones of the acoustic images, and wherein the processor is configured to employ one of: a Kalman filter applied to each current candidate location and the previous estimated locations of the sensor; a principal component analysis of all previous locations of the sensor to identify sensor motion trajectory and compare the sensor motion trajectory to each candidate location; and a region of interest spatial filter defined around an estimated location of the sensor in a previous frame and applied to each candidate location.
7. The system of claim 1, wherein the intra-procedural context-specific information includes: information identifying an anatomical structure where the sensor is expected to be located; information identifying a likely location of the intervention device in the acoustic images; and information identifying previous estimated locations of the sensor in previous ones of the acoustic images.
8. The system of claim 7, wherein identifying the one or more candidate locations for the passive sensor based on the localized intensity peaks in the one or more sensor signals at times corresponding to the candidate locations, includes: determining, for each candidate location, a weighted integration of a match between the candidate location and each of: the information identifying the anatomical structure where the sensor is expected to be located; the information identifying the likely location of the intervention device in the acoustic images; and the information identifying the previous estimated locations of the sensor in the previous ones of the acoustic images; and selecting as the estimated location of the passive sensor a one of the candidate locations which has a greatest product of the weighted integration.
9. A method, comprising: producing acoustic images of an area of interest in response to one or more receive signals received from an acoustic probe in response to acoustic echoes received by the acoustic probe from the area of interest in response to an acoustic probe signal; receiving one or more sensor signals from a passive sensor disposed on a surface of an intervention device in the area of interest, the one or more sensor signals being produced in response to the acoustic probe signal; identifying one or more candidate locations for the passive sensor based on localized intensity peaks in sensor data produced in response to the one or more sensor signals from the passive sensor; using intra-procedural context-specific information to identify a one of the candidate locations which best matches the intra-procedural context-specific information as an estimated location of the passive sensor; displaying the acoustic images on a display; and displaying on the display a marker in the acoustic images to indicate the estimated location of the passive sensor.
10. The method of claim 9, wherein the intra-procedural context-specific information includes at least one of: information identifying an anatomical structure where the sensor is expected to be located; information identifying a likely location of the intervention device in the acoustic images; and information identifying previous estimated locations of the sensor in previous ones of the acoustic images.
11. The method of claim 10, wherein the intra-procedural context-specific information includes the information identifying the anatomical structure where the sensor is expected to be located, and wherein the method includes executing one of a region detection algorithm and a segmentation algorithm to identify the anatomical structure where the sensor is expected to be located in the acoustic images.
12. The method of claim 10, wherein the intra-procedural context-specific information includes the information identifying the anatomical structure where the sensor is expected to be located, wherein the method includes: producing color Doppler images of the area of interest in response to the one or more receive signals received from the acoustic probe; and identifying the anatomical structure where the sensor is expected to be located by identifying blood flow in the color Doppler images.
13. The method of claim 10, wherein the intra-procedural context-specific information includes the information identifying a likely location of the intervention device in the acoustic images, and wherein the method includes performing one of a region detection algorithm and a segmentation algorithm to identify the likely location of the intervention device in the acoustic images.
14. The method of claim 10, wherein the intra-procedural context-specific information includes the information identifying the previous estimated locations of the sensor in previous ones of the acoustic images, and wherein the method includes one of: applying a Kalman filter to each current candidate location and the previous estimated locations of the sensor; performing a principal component analysis of all previous locations of the sensor to identify sensor motion trajectory, and comparing the sensor motion trajectory to each candidate location; and applying a region of interest spatial filter, defined around an estimated location of the sensor in a previous frame, to each candidate location.
15. The method of claim 9, wherein the intra-procedural context-specific information includes: information identifying an anatomical structure where the passive sensor is expected to be located; information identifying a likely location of the intervention device in the acoustic images; and information identifying previous estimated locations of the sensor in previous ones of the acoustic images.
16. The method of claim 15, wherein identifying the one of the candidate locations which best matches the intra-procedural context-specific information as the estimated location of the passive sensor includes: determining, for each candidate location, a weighted integration of a match between the candidate location and each of: the information identifying the anatomical structure where the sensor is expected to be located; the information identifying the likely location of the intervention device in the acoustic images; and the information identifying the previous estimated locations of the sensor in the previous ones of the acoustic images; and selecting as the estimated location of the passive sensor a one of the candidate locations which has a greatest weighted combination.
17. An acoustic imaging instrument, comprising: a receiver interface configured to receive one or more sensor signals from a passive sensor disposed on a surface of an intervention device which is disposed in an area of interest; and a processor configured to ascertain from the one or more sensor signals an estimated location of the passive sensor in the area of interest, by: identifying one or more candidate locations for the passive sensor based on localized intensity peaks in sensor data produced in response to the one or more sensor signals from the passive sensor, and using intra-procedural context-specific information to identify a one of the candidate locations which best matches the intra-procedural context-specific information as the estimated location of the passive sensor, and wherein the processor is further configured to cause a display to display acoustic images of the area of interest and to display a marker in the acoustic images to indicate the estimated location of the passive sensor.
18. The instrument of claim 17, wherein the intra-procedural context-specific information includes at least one of: information identifying an anatomical structure where the passive sensor is expected to be located; information identifying a likely location of the intervention device in the acoustic images; and information identifying previous estimated locations of the sensor in previous ones of the acoustic images.
19. The instrument of claim 17, wherein the intra-procedural context-specific information includes: information identifying an anatomical structure where the passive sensor is expected to be located; information identifying a likely location of the intervention device in the acoustic images; and information identifying previous estimated locations of the sensor in previous ones of the acoustic images.
20. The instrument of claim 19, wherein identifying the one of the candidate locations which best matches the intra-procedural context-specific information as the estimated location of the passive sensor includes: determining, for each candidate location, a weighted integration of a match between the candidate location and each of: the information identifying the anatomical structure where the passive sensor is expected to be located; the information identifying the likely location of the intervention device in the acoustic images; and the information identifying the previous estimated locations of the sensor in the previous ones of the acoustic images; determining an exact numerical method for combining information sources, as well as actual values of weights in the weighted integration, through an empirical optimization; selecting as the estimated location of the passive sensor a one of the candidate locations which has a greatest output of the weighted integration; and providing a measure of one of a certainty or an uncertainty of the estimated location.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
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DETAILED DESCRIPTION
[0044] The present invention will now be described more fully hereinafter with reference to the accompanying drawings, in which preferred embodiments of the invention are shown. This invention may, however, be embodied in different forms and should not be construed as limited to the embodiments set forth herein. Rather, these embodiments are provided as teaching examples of the invention. Herein, when something is said to be “approximately” or “about” a certain value, it means within 10% of that value.
[0045]
[0046] In various embodiments, processor 112 may include various combinations of a microprocessor (and associated memory), a digital signal processor, an application specific integrated circuit (ASIC), a field programmable gate array (FPGA), digital circuits and/or analog circuits. Memory (e.g., nonvolatile memory) associated with processor 112 may store therein computer-readable instructions which cause a microprocessor of processor 112 to execute an algorithm to control acoustic imaging system 100 to perform one or more operations or methods which are described in greater detail below. In some embodiments, a microprocessor may execute an operating system. In some embodiments, a microprocessor may execute instructions which present a user of acoustic imaging system 100 with a graphical user interface (GYI) via user interface 114 and display device 116.
[0047] In various embodiments, user interface 114 may include any combination of a keyboard, keypad, mouse, trackball, stylus/touch pen, joystick, microphone, speaker, touchscreen, one or more switches, one or more knobs, one or more lights, etc. In some embodiments, a microprocessor of processor 112 may execute a software algorithm which provides voice recognition of a user's commands via a microphone of user interface 114.
[0048] Display device 116 may comprise a display screen of any convenient technology (e.g., liquid crystal display). In some embodiments the display screen may be a touchscreen device, also forming part of user interface 114.
[0049] In some embodiments, acoustic imaging instrument 110 may include receiver interface 118 which is configured to receive one or more electrical signals (sensor signals) from an external passive acoustic sensor, for example an acoustic receiver disposed at or near a distal end (tip) of an interventional device, as will be described in greater detail below, particularly with respect to
[0050] Of course it is understood that acoustic imaging instrument 110 may include a number of other elements not shown in
[0051] Beneficially, acoustic probe 120 may include an array of acoustic transducer elements 122 (see
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[0053] As described in greater detail below, in some embodiments processor 112 of acoustic imaging instrument 110 may use one or more sensor signals received by receiver interface 118 from one or more passive acoustic sensors 210 disposed on interventional device 200 to track the location of interventional device in acoustic images produced from acoustic data produced by echoes received by acoustic probe 120.
[0054] In various embodiments, interventional device 200 may comprise a needle, a catheter, a medical instrument, etc.
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[0056] As illustrated in
[0057] Meanwhile, a receiver interface (e.g., receiver interface 118) receives one or more sensor signals from at least one passive acoustic sensor (e.g., passive acoustic sensor 210) disposed on a surface of an intervention device (e.g., device 200) disposed in area of interest 10, the one or more sensor signals being produced in response to acoustic probe signal 15. A processor (e.g., processor 112) executes an algorithm to ascertain or determine, from the one or more sensor signals from passive acoustic sensor 210 an estimated location 332 of passive acoustic sensor 210 in area of interest 10. Image 315 illustrates sensor data obtained by processor 112, showing estimated location 332 of passive acoustic sensor 210. For example, processor 112 may employ an algorithm to detect a maximum value or intensity peak in sensor data produced from the one or more sensor signals from passive acoustic sensor 210, and may determine or ascertain that estimated location 332 of passive acoustic sensor 210 corresponds to the location of intensity peak in the sensor data. Then acoustic imaging instrument 110 may overlay the sensor data illustrated in image 315 with acoustic image 310 to produce an overlaid acoustic image 320 which includes a marker to identify estimated location 332 of passive acoustic sensor 210.
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[0059] However, as explained above, often the location of passive acoustic sensor 210 in the sensor data is not clear from the sensor data alone. Multiple intensity peaks may occur due to noise and various acoustic aberrations or artifacts. For example, if there is a segment of bone in the imaging plane, an ultrasound beam can bounce off the bone and insonify passive acoustic sensor 210 (an indirect hit), producing a signal that arrives later in time (and that can often be stronger) than the direct insonification. In another example, in tracked needle applications where interventional device 200 is a needle, an ultrasound beam can intersect with the needle shaft and travel down the shaft to passive acoustic sensor 210, resulting in passive acoustic sensor 210 being insonified earlier in time than the direct hit (due to the higher sound speed in the needle shaft compared to that in tissue). In yet another example, random electromagnetic interference (EMI) can cause the system to choose a noise spike as the estimated position of passive acoustic sensor 210.
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[0061] In this situation, it is not immediately apparent what the best estimated location of passive acoustic sensor 210 is. Indeed, as explained above, it is possible that a “false” intensity peak produced by a reflection or travelling of the shaft of interventional device 200 could be stronger than the intensity peak produced by direct insonification of passive acoustic sensor 210, so simply choosing the greatest intensity peak will often produce a bad estimate for the sensor location.
[0062] However, the inventors have appreciated that it is often possible for a processor (e.g., processor 112) of an acoustic imaging instrument and system (e.g., acoustic imaging instrument 110 and acoustic imaging system 100) to identify the best estimated location of a passive acoustic sensor (e.g., passive acoustic sensor 210) disposed on the surface of an interventional device (e.g., interventional device 200), from among a number of candidate locations, during an interventional procedure by factoring into account intra-procedural context-specific information which is available to the processor. Here, intra-procedural context-specific information refers to any data which may be available to the processor pertaining to the context of a specific intervention procedure at the time that the processor is attempting to determine the location of the passive acoustic sensor within the area of interest which is being insonified by the acoustic probe. Such information may include, but is not limited to, the type of interventional device whose sensor is being tracked, known size and/or shape characteristics of the interventional device, known anatomical characteristics within the area of interest where the sensor may be located, a surgical or other procedural plan detailing an expected path for the interventional device and/or sensor to follow within the area of interest during the current intervention procedure; previous known paths, locations, and/or orientations of the interventional device and/or sensor during the current intervention procedure; etc.
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[0065] Consider first the top row of
[0066] Consider next the middle row of
[0067] Finally, consider the bottom row of
[0068] In various embodiments, one or more or all of the intra-procedural context-specific information-based constraints illustrated in the top, middle, and bottom rows of
[0069] In some embodiments, determining, the exact numerical method for combining the different information sources, as well as the actual values of the weights, may be done via an empirical optimization routine. The optimization may be carried out for example on training data specific to the desired application. Methods based on statistics or machine learning, for example, may be applied to optimize for a metric of accuracy or reliability on this training data.
[0070] In some embodiments, a measure of the certainty or uncertainty of the final determined sensor position may be additionally provided. A highly certain final position determination may in turn be used as a stronger prior constraint when computing the sensor position in the next time frame, particularly when incorporating history information. In contrast, a less certain final result could be made to impose a weaker prior constraint on the position estimate in the subsequent frame.
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[0073] The left side of
[0074] The right side of
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[0076] For needle interventions, estimated location 332 of passive acoustic sensor 210 has to be on the needle shaft. This constraint can, thus, be used to weed out incorrect candidate locations 330 of passive acoustic sensor 210. In
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[0078] The location of passive acoustic sensor 210 in the current frame or acoustic image 320 cannot be inconsistent with history (i.e., its locations in previous frames or acoustic images 320). Reliance on sensor history can be modelled in different ways. For example, a Kalman filter model framework can be tweaked to either place more weight on the current estimate or rely more on the historical locations. Alternately, principal component analysis (PCA) of all previous estimated locations 332 of passive acoustic sensor 210 can be performed and the first principal component indicates device motion trajectory. In another example, the search space in the current frame or acoustic image 320 can be reduced to a region of interest (ROI) around the estimated location 332 in the previous frame(s) or acoustic image(s) 320.
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[0081] An operation 1110 includes providing transmit signals to least some of the acoustic transducer elements of an acoustic probe to cause the array of acoustic transducer elements to transmit an acoustic probe signal to an area of interest.
[0082] An operation 1120 includes producing acoustic images of the area of interest in response to acoustic echoes received from the area of interest in response to the acoustic probe signal.
[0083] An operation 1130 includes receiving one or more sensor signals from at least one passive acoustic sensor disposed on a surface of an intervention device disposed in the area of interest, the one or more sensor signals being produced in response to the acoustic probe signal.
[0084] An operation 1140 includes identifying one or more candidate locations for the passive acoustic sensor based on localized intensity peaks in sensor data.
[0085] An operation 1150 includes using intra-procedural context-specific information to identify one of the candidate locations which best matches the intra-procedural context-specific information as the estimated location of the passive acoustic sensor.
[0086] An operation 1160 includes displaying the acoustic images including a marker to indicate the estimated location of the passive acoustic sensor in the acoustic image.
[0087] It should be understood that the order of various operations in
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[0089] An operation 1210 includes identifying an anatomical structure where the sensor is expected to be located. In some embodiments, this may include executing a region detection algorithm or segmentation algorithm of an acoustic image. In other embodiments, the acoustic imaging instrument is configured to produce color Doppler images of the area of interest in response to one or more receive signals received from the acoustic probe, and the processor is configured to identify the anatomical structure where the sensor is expected to be by identifying blood flow in the color Doppler images.
[0090] An operation 1220 includes eliminating candidate locations for the sensor which are not disposed in an expected relationship to the anatomical structure.
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[0092] An operation 1310 includes identifying a likely location of the intervention device in the acoustic images. In some embodiments, this may include executing a region detection algorithm or segmentation algorithm of an acoustic image.
[0093] An operation 1320 includes eliminating candidate locations for the passive acoustic sensor which are not disposed at likely location of interventional device.
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[0095] An operation 1410 includes identifying previous estimated locations of the passive acoustic sensor in previous acoustic images.
[0096] An operation 1420 includes eliminating candidate locations for the passive acoustic sensor which are not consistent with previous estimated locations of the passive acoustic sensor.
[0097] Although not illustrated with a separate flowchart, as explained in detail above, in some embodiments operation 1050 in
[0098] A non-exhaustive set of examples of algorithms for using intra-procedural context-specific information to identify one of the candidate locations which best matches the intra-procedural context-specific information as the estimated location of the passive acoustic sensor has been presented here for illustration purposes. Of course other algorithms for using intra-procedural context-specific information to identify one of the candidate locations which best matches the intra-procedural context-specific information as the estimated location of the passive acoustic sensor would become apparent to those skilled in the art after reading the present disclosure, and such algorithms are intended to be encompassed by the broad claims and disclosure presented here.
[0099] While preferred embodiments are disclosed in detail herein, many variations are possible which remain within the concept and scope of the invention. Such variations would become clear to one of ordinary skill in the art after inspection of the specification, drawings and claims herein. The invention therefore is not to be restricted except within the scope of the appended claims.