Shape sensed ultrasound probe for fractional flow reserve simulation

1. A medical system, comprising:

a medical instrument configured for interventional deployment;

a shape sensing system mounted on or in the medical instrument and configured to measure a shape of the medical instrument during the interventional deployment;

an imaging device mounted on or in the medical instrument and configured to image a lumen in which the imaging device is deployed concurrently with measuring the shape of the medical instrument; and

a registration module configured to register the measured shape of the medical instrument to an image of the lumen at a particular time to reconstruct a three-dimensional geometry of the lumen, accounting for motion.

2. The system as recited in claim 1 , wherein the shape sensing system includes a fiber optic shape sensing system.

3. The system as recited in claim 1 , wherein the lumen is a blood vessel and the device is employed to create a model for fractional flow reserve simulation.

4. The system as recited in claim 1 , wherein the imaging device includes an ultrasonic probe or a device for optical coherence tomography.

5. The system as recited in claim 1 , wherein shape data is collected at a plurality of times and positions to compute a reference position to compute the three-dimensional geometry of the lumen, accounting for motion.

6. The system as recited in claim 1 , further comprising a model of the lumen constructed based upon the shape and the image of the lumen.

7. The system as recited in claim 6 , wherein the model is employed to compute fractional flow reserve across a length of a blood vessel.

8. The system as recited in claim 1 , wherein the shape sensing system includes at least one electromagnetic sensor.

9. A medical system for tracking lumen motion for fractional flow reserve (FFR) simulation, comprising:

a medical instrument configured for interventional deployment;

a shape sensing system mounted on or in the medical instrument and configured to measure a shape of the medical instrument during the interventional deployment;

an imaging device mounted on or in the medical instrument and configured to image a lumen in which the imaging device is deployed concurrently with measuring the shape of the medical instrument;

a processor; and

a memory coupled to the processor, the memory including:

a registration module configured to register the shape of the medical instrument to an image of the lumen at a particular time to provide fused data which reconstructs geometry while accounting for motion of the lumen; and

a FFR simulation module configured to compute flow characteristics in the lumen based upon the fused data.

10. The system as recited in claim 9 , wherein the shape sensing system includes a fiber optic shape sensing system.

11. The system as recited in claim 9 , wherein the imaging device includes an ultrasonic probe or a device for optical coherence tomography.

12. The system as recited in claim 9 , wherein shape data is collected at a plurality of times and positions to determine a reference position to compute the three-dimensional geometry of a moving lumen.

13. The system as recited in claim 9 , further comprising a model of the lumen constructed based upon the shape of the medical instrument and the image of the lumen.

14. The system as recited in claim 13 , wherein the model is employed to compute fractional flow reserve across a length of a blood vessel.

15. A method for tracking lumen motion, comprising:

providing a medical instrument with a shape sensing system mounted on or in the medical instrument and a medical imaging device mounted on or in the medical instrument;

concurrently measuring an image of a lumen using the medical imaging device and a shape of the medical instrument during an interventional deployment; and

fusing the shape of the medical instrument to the image of the lumen at corresponding times to reconstruct a three-dimensional geometry of the lumen, accounting for motion of the lumen.

16. The method as recited in claim 15 , wherein measuring the shape of the medical instrument comprises performing shape sensing using a fiber optic shape sensing system.

17. The method as recited in claim 15 , wherein measuring the image of the lumen comprises performing ultrasonic or optical coherence tomography (OCT) imaging.

18. The method as recited in claim 15 , further comprising:

constructing a model of the lumen based upon the shape of the medical instrument and the image of the lumen; and

computing fractional flow reserve across a length of the lumen using the model.