Frameless pre-positioning for radiosurgery

    公开(公告)号:US10045744B2

    公开(公告)日:2018-08-14

    申请号:US15118724

    申请日:2014-02-14

    Applicant: Brainlab AG

    Abstract: The presently described method is directed to determining a way of positioning a patient before execution of a medical procedure involving irradiating the patient with ionizing treatment radiation based on comparing medical images of the patient with a pre-acquired medical image. The planning computed tomography is searched for an image of the reference structure in order to determine the position of the patient relative to a patient support device. A retroreflective marker device, having a known and advantageously fixed position relative to the base plate, is detected by a navigation system operatively coupled to a motor of the support device. Based on the detected position of the marker device, the motor of the support device is activated to drive the patient into a desired position relative to beam direction along which the treatment radiation is to be issued towards the patient to execute the medical procedure.

    Tracking Soft Tissue in Medical Images
    2.
    发明公开

    公开(公告)号:US20230230236A1

    公开(公告)日:2023-07-20

    申请号:US18123117

    申请日:2023-03-17

    Applicant: Brainlab AG

    Abstract: The present invention relates to a medical data processing method of determining the representation of an anatomical body part (2) of a patient (1) in a sequence of medical images, the anatomical body part (2) being subject to a vital movement of the patient (1), the method being constituted to be executed by a computer and comprising the following steps:



    a) acquiring advance medical image data comprising a time-related advance medical image comprising a representation of the anatomical body part (2) in a specific movement phase;
    b) acquiring current medical image data describing a sequence of current medical images, wherein the sequence comprises a specific current medical image comprising a representation of the anatomical body part (2) in the specific movement phase, and a tracking current medical image which is different from the specific current medical image and comprises a representation of the anatomical body part (2) in a tracking movement phase which is different from the specific movement phase;
    c) determining, based on the advance medical image data and the current medical image data, specific image subset data describing a specific image subset of the specific current medical image, the specific image subset comprising the representation of the anatomical body part (2);
    d) determining, based on the current medical image data and the image subset data, subset tracking data describing a tracked image subset in the tracking current medical image, the tracked image subset comprising the representation of the anatomical body part (2).

    Frameless Pre-Positioning for Radiosurgery
    3.
    发明申请

    公开(公告)号:US20180344265A1

    公开(公告)日:2018-12-06

    申请号:US16058674

    申请日:2018-08-08

    Applicant: Brainlab AG

    Abstract: The presently described method is directed to determining a way of positioning a patient before execution of a medical procedure involving irradiating the patient with ionizing treatment radiation based on comparing medical images of the patient with a pre-acquired medical image. The planning computed tomography is searched for an image of the reference stricture in order to determine the position of the patient relative to a patient support device. A retroreflective marker device, having a known and advantageously fixed position relative to the base plate, is detected by a navigation system operatively coupled to a motor of the support device. Based on the detected position of the marker device, the motor of the support device is activated to drive the patient into a desired position relative to beam direction along which the treatment radiation is to be issued towards the patient to execute the medical procedure.

    RADIATION BEAM POSITIONING
    5.
    发明申请

    公开(公告)号:US20180200535A1

    公开(公告)日:2018-07-19

    申请号:US15322576

    申请日:2014-07-03

    Applicant: Brainlab AG

    Abstract: A data processing method and device for correlating the position of a radiation beam with the position of a target to be irradiated and contained in a structure underlying a repetitive motion comprising a plurality of successive motion cycles, the method/device comprising/performing the following steps which are constituted to be executed by a computer: a) acquiring first external position data, second external position data and third external position data describing the position of at least one external feature of said structure, for one or more sections of at least one first motion cycle occurring during a first period of time, for one or more sections of at least one second motion cycle occurring during a second period of time, and for one or more sections of at least one third motion cycle occurring during said second period of time, respectively; b) acquiring first target position data and second target position data describing the position of said target for at least one of said sections of said at least one first motion cycle, and for said sections of said at least one second motion cycle, respectively; c) determining, based on said first external position data and said first target position data, correlation model data describing a positional correlation of said external position and said target position; d) determining, based on said correlation model data and said second external position data, second predicted target position data describing a predicted position of said target for one or more sections of said at least one second motion cycle; e) determining, based on said second target position data and said second predicted target position data, primary verification data describing whether the position of said target for said sections of said at least one second motion cycles is different from said predicted position; f) acquiring, in case said primary verification data indicates that the position of said target is not different from the predicted position of said target, auxiliary second target position data and auxiliary third target position data describing the position of said target for one or more sections of said at least one second motion cycle, and of said at least one third motion cycle, respectively; g) determining, based on said first and/or said second external position data, said auxiliary second target position data and said third external position data, third predicted target position data describing a predicted position of said target for said sections of said at least one third motion cycle; h) determining, based on said auxiliary third target position data and said third predicted target position data, secondary verification data describing whether the position of said target for said sections of said at least one third motion cycle is different from said predicted position.

    Frameless pre-positioning for radiosurgery

    公开(公告)号:US10448905B2

    公开(公告)日:2019-10-22

    申请号:US16058674

    申请日:2018-08-08

    Applicant: Brainlab AG

    Abstract: The presently described method is directed to determining a way of positioning a patient before execution of a medical procedure involving irradiating the patient with ionizing treatment radiation based on comparing medical images of the patient with a pre-acquired medical image. The planning computed tomography is searched for an image of the reference structure in order to determine the position of the patient relative to a patient support device. A retroreflective marker device, having a known and advantageously fixed position relative to the base plate, is detected by a navigation system operatively coupled to a motor of the support device. Based on the detected position of the marker device, the motor of the support device is activated to drive the patient into a desired position relative to beam direction along which the treatment radiation is to be issued towards the patient to execute the medical procedure.

    Tracking Soft Tissue in Medical Images
    8.
    发明申请
    Tracking Soft Tissue in Medical Images 审中-公开
    跟踪医学图像中的软组织

    公开(公告)号:US20170065832A1

    公开(公告)日:2017-03-09

    申请号:US15121763

    申请日:2014-02-26

    Applicant: Brainlab AG

    Abstract: The present disclosure is directed to a system, method and apparatus for tracking an anatomical body part in a series of x-ray images. The anatomical body part moves due to a vital movement, such as breathing motion of the thorax. The anatomical body part is defined in a CT image acquired beforehand and is associated with a known movement phase during the vital movement. The series of x-ray images of the moving anatomical body part is taken. The movement phase associated with each one of the x-ray images is determined. In one implementation, the system may track the body part movement using external infrared-reflecting markers and a navigation system while taking a series of x-ray images and time-stamping the x-ray images and the positional information for the body part. The time stamps relate each one of the x-ray images with a specific movement phase of the body part. The specific x-ray image being associated with the same movement phase as the CT image is determined and the representation of the anatomical body part defined in the CT image can be determined in the x-ray image by comparing the CT image with the specific x-ray image. The specific x-ray image may be compared to the other x-ray images to find the anatomical body part in those x-ray images and preferably highlight it to be easily recognized by a user.

    Abstract translation: 本公开涉及用于跟踪一系列X射线图像中的解剖体部分的系统,方法和装置。 由于重要的运动,例如胸部呼吸运动,解剖体部分移动。 解剖体部分被定义在事先获得的CT图像中,并且在重要运动期间与已知的运动相关联。 拍摄移动的解剖体部分的一系列X射线图像。 确定与每个X射线图像相关联的移动阶段。 在一个实施方案中,系统可以使用外部红外反射标记和导航系统跟踪身体部位运动,同时采取一系列X射线图像和时间戳X射线图像和身体部位的位置信息。 时间戳将身体部位的特定运动阶段的每个X射线图像相关联。 确定与CT图像相同的运动相位的特定X射线图像,并且可以在X射线图像中通过将CT图像与特定x比较来确定在CT图像中定义的解剖体部分的表示 -ray图像。 可以将特定的X射线图像与其他x射线图像进行比较,以在那些X射线图像中找到解剖体部分,并且优选地突出显示它以便用户容易地识别。

    Radiation beam positioning
    9.
    发明授权

    公开(公告)号:US10272266B2

    公开(公告)日:2019-04-30

    申请号:US15322576

    申请日:2014-07-03

    Applicant: Brainlab AG

    Abstract: The present invention relates to correlating a position of a radiation beam with a position of a target to be irradiated which is contained in a structure having a repetitive motion comprising a plurality of successive motion cycles. External position data is acquired, which describes a position the structure during different motion cycles and/or time periods. Target data is acquired, which describe a position of the target during the motion cycles and/or time periods. A correlation model is generated, which correlates the external position and the target position. A predicted target position during a motion cycle is determined based on the correlation model and acquire external position data. Primary verification data is determined that describes an difference between actual and predicted target position. When the prediction is accurate, a further prediction and verification of the target position in later motion cycles can be performed.

    ISOCENTRIC PATIENT ROTATION FOR DETECTION OF THE POSITION OF A MOVING OBJECT
    10.
    发明申请
    ISOCENTRIC PATIENT ROTATION FOR DETECTION OF THE POSITION OF A MOVING OBJECT 审中-公开
    用于检测移动物体位置的异质性患者旋转

    公开(公告)号:US20150243025A1

    公开(公告)日:2015-08-27

    申请号:US14431831

    申请日:2012-09-28

    Applicant: BRAINLAB AG

    Abstract: The invention relates to a method for determining the position of an object moving within a body, wherein the body is connected to markers, a movement signal is determined based on the measured movement of the markers, images are taken from the object using a camera or detector, wherein the camera or detector is moved with respect to the object, it is determined from which direction or range of angles or segment the most images corresponding to a predefined cycle of the movement signal are taken, and using at least some or all of the images of the segment containing the most images for a specified movement cycle, an image of the object is reconstructed.

    Abstract translation: 本发明涉及一种用于确定在身体内移动的物体的位置的方法,其中身体连接到标记,基于所测量的标记的移动来确定移动信号,使用照相机从物体中取出图像, 检测器,其中相机或检测器相对于物体移动,确定从哪个方向或角度范围或者划分对应于移动信号的预定周期的最多图像,并且使用至少部分或全部 包含指定移动周期的最多图像的片段的图像,对象的图像被重建。

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