Methods and systems for real-time planning and monitoring of ablation needle deployment in tissue
A control handle of a treatment probe is manipulated to advance and/or deploy one or more treatment structures into tissue. The treatment probe is coupled to a display to show an image field including target tissue for treatment. Virtual treatment and safety boundaries are overlaid over the image field. The boundaries include virtual stop positions for the needle and tines. A joystick or directional pad on the probe handle, operable independently from the user interface to advance and/or deploy the one or more treatment structures, can be manipulated to adjust the size and/or position of these boundaries. Sensors within the probe detect the real-time position of the one or more treatment structures, and the sensed positions are displayed in real-time. The user can observe the display to deploy the one or more treatment structures to the displayed virtual stop positions.
1 . A system for treating an anatomical feature in tissue, said system comprising:
a treatment probe comprising a handle, a probe body, and a treatment structure deployable from the probe body to treat the anatomical feature; and
a real-time display coupled to the probe and configured to display a real time image and project the deployed treatment structure and at least one of a treatment region or a safety region on the real time image,
wherein the handle comprises a controller configured to be physically manipulated for adjusting a parameter of one or more boundaries of the at least one of the treatment region or safety region, and
wherein the controller is further configured to be physically manipulated for adjusting a power delivery parameter of the treatment probe, adjusting a display parameter of the real-time display, or deploying the treatment structure, without adjusting any parameter of the one or more boundaries of the at least one of the treatment region or safety region.
2 . A system as in claim 1 , wherein the treatment structure comprises a needle structure.
3 . A system as in claim 2 , wherein the probe further comprises a plurality of tines deployable from the needle structure.
4 . A system as in claim 1 , wherein the adjustment of the display parameter of the real-time display by the physical manipulation of the controller is to one or more of access, navigate, or display menu items on the real-time display.
5 . A system of claim 1 , wherein the adjustment of the display parameter of the real-time display by the physical manipulation of the controller is to access one or more information sources on the real-time display.
6 . A system as in claim 1 , wherein the controller is configured to be physically manipulated for adjusting the power delivery parameter of the treatment probe without adjusting the any parameter of the one or more boundaries.
7 . A system of claim 6 , wherein the power delivery parameter is a time length for power delivery.
8 . A system of claim 1 , wherein the controller is further configured to be physically manipulated for adjusting the display parameter of the real-time display without adjusting the any parameter of the one or more boundaries.
9 . A system as in claim 8 , wherein the treatment structure comprises a needle structure, wherein the probe further comprises a plurality of tines deployable from the needle structure, the real-time display is configured to show one or more virtual tine stop indicators for the plurality of tines, and the adjustment of the display parameter of the real-time display by the physical manipulation of the controller is to re-position the one or more virtual stop indicators.
10 . A system of claim 8 , wherein the adjustment of the display parameter of the real-time display by the physical manipulation of the controller is to mark, identify, and/or document a region of interest.
11 . A system of claim 1 , wherein the controller is configured to be physically manipulated for deploying the treatment structure without adjusting the any parameter of the one or more boundaries.
12 . A system of claim 11 , wherein the probe comprises a servo to drive the treatment structure, and wherein deploying the treatment structure controlled by the physical manipulation of the controller is to operate the servo to drive the treatment structure.
13 . A system of claim 1 , wherein the parameter of the one or more boundaries adjusted by the physical manipulation of the controller comprises a size of the one or more boundaries.
14 . A system of claim 1 , wherein the parameter of the one or more boundaries adjusted by the physical manipulation of the controller comprises a position of the one or more boundaries.
15 . A system of claim 14 , wherein the controller is further configured to be physically manipulated for adjusting a size of the one or more boundaries.
16 . A system as in claim 15 , wherein the controller comprises a joystick or directional pad on the handle of the treatment probe.
17 . A system as in claim 16 , wherein the joystick or directional pad is configured to be pushed in a first direction to enlarge the one or more boundaries, and wherein the joystick or directional pad is configured to be pushed in a second direction opposite the first direction to shrink the one or more boundaries.
18 . A system as in claim 17 , wherein the joystick or directional pad is configured to be pushed in a third direction to advance the one or more boundaries, and wherein the joystick or directional pad is configured to be pushed in a fourth direction opposite the third direction to retract the one or more boundaries.
19 . A system of claim 18 , wherein the joystick or direction pad is configured to be rotated for adjusting the power delivery parameter of the treatment probe, adjusting the display parameter of the real-time display, or deploying the treatment structure, without adjusting the any parameter of the one or more boundaries.
20 . A system of claim 18 , wherein the joystick or direction pad is configured to be depressed for adjusting the power delivery parameter of the treatment probe, adjusting the display parameter of the real-time display, or deploying the treatment structure, without adjusting the any parameter of the one or more boundaries.