IP Library › Granted Patent US 12,541,874
Granted Patent B2
US 12,541,874 · App. 17/934,805 · Granted Feb 3, 2026

Lead orientation determination for electrical stimulation therapy

Inventors: Tyler S. Stevenson (Westminster, CO); Stephen Cook (Lafayette, CO); Jason Bridenstine (American Fork, UT); Ryan Datteri (Denver, CO); Shai Ronen (Westminster, CO)
Assignee: Medtronic, Inc.
G06T7/74G06T2207/20092G06T2207/30204
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Quick Facts
Patent No.
US 12,541,874
App. No.
17/934,805
Granted
Feb 3, 2026
Kind
B2
Abstract

A system includes memory configured to store image content representative of a lead implanted within a patient, and processing circuitry. The processing circuitry is configured to determine a reference point in the image content, determine a plane in the image content that corresponds to an orientation marker based on the reference point, determine an orientation of the lead based on the determined plane, and output information indicative of the determined orientation.

Claims (61)

1 . A system comprising:

memory configured to store image content representative of a lead implanted within a patient; and

processing circuitry configured to:

determine a reference point in the image content;

determine a plane in the image content that corresponds to an orientation marker on the lead based on the reference point, wherein to determine the plane in the image content, the processing circuitry is configured to:

retrieve information indicative of a distance between the reference point and the orientation marker;

determine an axial location of the orientation marker based on the distance between the reference point and the orientation marker; and

determine the plane in the image content based on the determined axial location of the orientation marker;

determine an orientation of the lead based on the determined plane; and

output information indicative of the determined orientation.

2 . The system of claim 1 , wherein the processing circuitry is configured to determine a direction vector based on the reference point and image content representative of the lead, wherein to determine the plane, the processing circuitry is configured to determine the plane based on the direction vector.

3 . The system of claim 1 , wherein to determine the reference point, the processing circuitry is configured to receive information indicative of the reference point.

4 . The system of claim 1 , wherein to determine the reference point, the processing circuitry is configured to:

determine an area in the image content having relatively high luminance;

determine that the area corresponds to an electrode on the lead; and

determine the reference point within the area that corresponds to the electrode.

5 . The system of claim 1 , wherein to determine the orientation of the lead, the processing circuitry is configured to:

output a display of the determined plane in the image content; and

receive user input indicative of the orientation of the lead in response to outputting the display of the determined plane.

6 . The system of claim 1 , wherein to determine the orientation of the lead, the processing circuitry is configured to:

determine an area in the plane having relatively high luminance;

determine that the area in the plane corresponds to an orientation of the orientation marker; and

determine the orientation of the lead based on the orientation of the orientation marker.

7 . The system of claim 1 , wherein the orientation marker comprises a first orientation marker, wherein the plane comprises a first plane, wherein the processing circuitry is configured to determine a second plane in the image content that corresponds to a second orientation marker based on the reference point, and wherein to determine the orientation of the lead, the processing circuitry is configured to determine the orientation of the lead based on the first plane and the second plane.

8 . A method comprising:

determining a reference point in image content representative of a lead implanted within a patient;

determining a plane in the image content that corresponds to an orientation marker on the lead based on the reference point, wherein determining the plane in the image content comprises:

retrieving information indicative of a distance between the reference point and the orientation marker;

determining an axial location of the orientation marker based on the distance between the reference point and the orientation marker; and

determining the plane in the image content based on the determined axial location of the orientation marker;

determining an orientation of the lead based on the determined plane; and

outputting information indicative of the determined orientation.

9 . The method of claim 8 , wherein the orientation marker comprises a first orientation marker, wherein the plane comprises a first plane, the method further comprising determining a second plane in the image content that corresponds to a second orientation marker based on the reference point, and wherein determining the orientation of the lead comprises determining the orientation of the lead based on the first plane and the second plane.

10 . The method of claim 8 , further comprising determining a direction vector based on the reference point and image content representative of the lead, wherein determining the plane comprises determining the plane based on the direction vector.

11 . The method of claim 8 , wherein determining the reference point comprises receiving information indicative of the reference point.

12 . The method of claim 8 , wherein determining the reference point comprises:

determining an area in the image content having relatively high luminance;

determining that the area corresponds to an electrode on the lead; and

determining the reference point within the area that corresponds to the electrode.

13 . The method of claim 8 , wherein determining the orientation of the lead comprises:

outputting a display of the determined plane in the image content; and

receiving user input indicative of the orientation of the lead in response to outputting the display of the determined plane.

14 . The method of claim 8 , wherein determining the orientation of the lead comprises:

determining an area in the plane having relatively high luminance;

determining that the area in the plane corresponds to an orientation of the orientation marker; and

determining the orientation of the lead based on the orientation of the orientation marker.

15 . A non-transitory computer-readable storage medium storing instructions thereon that when executed cause one or more processors to:

determine a reference point in image content representative of a lead implanted within a patient;

determine a plane in the image content that corresponds to an orientation marker on the lead based on the reference point, wherein the instructions that cause the one or more processors to determine the plane in the image content comprise instructions that cause the one or more processors to:

retrieve information indicative of a distance between the reference point and the orientation marker;

determine an axial location of the orientation marker based on the distance between the reference point and the orientation marker; and

determine the plane in the image content based on the determined axial location of the orientation marker;

determine an orientation of the lead based on the determined plane; and

output information indicative of the determined orientation.

16 . The non-transitory computer-readable storage medium of claim 15 , wherein the instructions that cause the one or more processors to determine the orientation of the lead comprise instructions that cause the one or more processors to:

output a display of the determined plane in the image content; and

receive user input indicative of the orientation of the lead in response to outputting the display of the determined plane.

17 . The non-transitory computer-readable storage medium of claim 16 , wherein the instructions that cause the one or more processors to determine the orientation of the lead comprise instructions that cause the one or more processors to:

determine an area in the plane having relatively high luminance;

determine that the area in the plane corresponds to an orientation of the orientation marker; and

determine the orientation of the lead based on the orientation of the orientation marker.

Assignments (1)
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Feb 6, 2023
From: STEVENSON, TYLER S.; COOK, STEPHEN; BRIDENSTINE, JASON; DATTERI, RYAN; RONEN, SHAI
To: MEDTRONIC, INC.
Reel/Frame 062665/0144 →
Continuity (2)
Provisional Application 63262804 · Oct 20, 2021
Related Publication 20230120840A1 · Apr 20, 2023
References Cited (35)
US 6542773B2 · Dupree et al. · 2003 [cited by applicant]
US 8224456B2 · Daglow · 2012 [cited by examiner]
US 8995731B2 · Joglekar · 2015 [cited by applicant]
US 9549172B2 · Kim et al. · 2017 [cited by applicant]
US 10265531B2 · Bokil · 2019 [cited by applicant]
US 10525257B2 · Govea et al. · 2020 [cited by applicant]
US 10631937B2 · Tyulmankov et al. · 2020 [cited by applicant]
US 10661074B2 · Goetz et al. · 2020 [cited by applicant]
US 10959672B2 · Souza et al. · 2021 [cited by applicant]
US 11090494B2 · Stone et al. · 2021 [cited by applicant]
US 11872086B2 · Karmarkar · 2024 [cited by examiner]
US 20090281417A1 · Hartmann et al. · 2009 [cited by applicant]
US 20100030063A1 · Lee et al. · 2010 [cited by applicant]
US 20100284593A1 · Delsanto et al. · 2010 [cited by applicant]
US 20170136238A1 · Hartig et al. · 2017 [cited by applicant]
US 20180008820A1 · Goetz et al. · 2018 [cited by applicant]
US 20180307310A1 · Mccombe et al. · 2018 [cited by applicant]
US 20190192229A1 · Berlin et al. · 2019 [cited by applicant]
US 20200230397A1 · Li et al. · 2020 [cited by applicant]
US 20200237326A1 · Achatz et al. · 2020 [cited by applicant]
US 20200337636A1 · Souza et al. · 2020 [cited by applicant]
US 20220061784A1 · Baxter, III et al. · 2022 [cited by applicant]
US 20220184401A1 · Vaidyanathan · 2022 [cited by applicant]
US 20220202491A1 · Pathak et al. · 2022 [cited by applicant]
US 20230120840A1 · Stevenson et al. · 2023 [cited by applicant]
Lee et al., “IMproving MR Image Quality in Patients with Metallic Implants”, RadioGraphics, vol. 41, No. 4, PubMed, Jul. 2021, pp. E126-E137, doi: 10.1148/rg.2021200092. [cited by applicant]
Bokil et al., “EP 53: Determining the Orientation of Directional Deep Brain Stimulation Leads From Computed Tomography Data,” Clinical Neurophysiology, vol. 127, Issue 9, Sep. 2016, p. e198. [cited by applicant]
Hellerbach et al., “DiODe: Directional Orientation Detection of Segmented Deep Brain Stimulation Leads: A Sequential Algorithm Based on CT Imaging,” Stereotactic and Functional Neurosurgery, vol. 96, Nov. 27, 2018, pp. … [cited by applicant]
Hunsche et al., “Determining the Rotational Orientation of Directional Deep Brain Stimulation Leads Employing Flat-Panel Computed Tomography,” Operative Neurosurgery, vol. 16, No. 4, Apr. 2019, pp. 465-470. [cited by applicant]
Motevakel et al., “Localization of Deep Brain Stimulation Electrodes via Metal Artifacts in CT Images,” 2014 36th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, vol. 127, Aug. 2… [cited by applicant]
Reinacher et al., “Determining the Orientation of Directional Deep Brain Stimulation Electrodes Using 3D Rotational Fluoroscopy,” American Journal of Neuroradiology, vol. 38, Issue 6, May 2017, pp. 1111-1116. [cited by applicant]
Sitz et al., “Determining The Orientation Angle of Directional Leads For Deep Brain Stimulation Using Computed Tomography and Digital X-Ray Imaging: A Phantom Study,” Medical Physics, vol. 44, No. 9, Sep. 2017, pp. 4463… [cited by applicant]
Response to Extended Search Report dated Mar. 17, 2023, from counterpart European Application No. 22201799.8 filed Oct. 20, 2023, 7 pp. [cited by applicant]
Extended Search Report from counterpart European Application No. 22201799.8 dated Mar. 17, 2023, 6 pp. [cited by applicant]
Communication pursuant to Article 94(3) EPC from counterpart European Application No. 22201799.8 dated Sep. 29, 2025, 4 pp. [cited by applicant]