IP Library Granted Patent US 11,241,287
Granted Patent B2
US 11,241,287 · App. 16/163,504 · Granted Feb 8, 2022

Fluoroscopy-based measurement and processing system and method

Inventor: Friedrich Boettner (Larchmont, NY)
A61B34/20A61B6/12A61B6/487A61B17/1703A61B17/1746A61B34/10A61B34/25A61F2/32A61F2/4609A61F2/4657A61B6/4441A61B17/15A61B17/1666A61B2017/0092A61B2034/104A61B2034/107A61B2034/108A61B2034/2068A61B2034/254A61B2090/376
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Quick Facts
Patent No.
US 11,241,287
App. No.
16/163,504
Granted
Feb 8, 2022
Kind
B2
Abstract

A fluoroscopy-based system/method for correcting at least an inclination angle of an acetabular cup during total hip arthroplasty. A computing device processes an image of the surgical area to determine distortion, at least as a function of the reference object in the image. Thereafter, the computing device generates a correction factor and measures an inclination angle of an initially positioned acetabular cub in an anterior posterior image of a patient's pelvis, and corrects, as a function of the correction factor, the measured inclination angle to provide an accurate inclination angle of the acetabular cup.

Claims (33)

1. A fluoroscopy-based method for generating an inclination angle of an acetabular cup during total hip arthroplasty, the method comprising:

capturing, by a respective imaging device, an anterior posterior image of a patient's pelvis from an image including a surgical area having an acetabular cup inserted in the patient's pelvis;

measuring, by a computing device, an inclination angle of the acetabular cup in the image;

accessing, by the computing device, a database of stored calibration data, wherein the calibration data include a respective correction factor for each of a plurality of respective imaging devices, further wherein each respective correction factor accounts for image distortion associated with the respective imaging device;

receiving, in a graphical user interface provided by the computing device, a selection of one of the plurality of respective imaging devices;

processing, by the computing device, the selection to access respective calibration data associated with the selected one of the plurality of respective imaging devices;

generating, by the computing device as a function of a correction factor included in the calibration data associated with the selected one of the plurality of respective imaging devices and as a function of the measured inclination angle, a revised inclination angle of the acetabular cup, wherein the revised inclination angle accounts for image distortion associated with the selected one of the plurality of respective imaging devices; and

providing in the graphical user interface, the revised inclination angle.

2. The method of claim 1 , wherein the image distortion is parallax image distortion that affects a measured angle of an area of interest and/or a proportion of the angle.

3. The method of claim 2 , wherein the parallax distortion results from the acetabular cup location being outside a central beam of the respective imaging device.

4. The method of claim 1 , further comprising:

instructing, by the computing device, a robotic element to position a C-arm of the respective imaging device to move a central beam associated with the respective imaging device until the acetabular cup appears spherical.

5. The method of claim 1 , wherein the correction factor is generated using at least one previously captured interoperative fluoroscopic image and at least one postoperative radiographic image.

6. The method of claim 1 , wherein the correction factor is generated as a function of a calculated differences between inclination angles measured in at least one interoperative fluoroscopic image and at least one postoperative radiographic image.

7. The method of claim 1 , wherein the correction factor is generated as a function of an average of calculated differences between a plurality of inclination angles measured in a plurality of interoperative fluoroscopic images and a plurality of postoperative radiographic images.

8. The method of claim 1 , wherein the respective imaging device is a model of a fluoroscope.

9. A fluoroscopy-based system for generating an inclination angle of an acetabular cup during total hip arthroplasty, the system comprising:

a computing device configured with a processor and non-transitory processor readable memory that includes programming code that, when executed, configures the processor to:

capture, by a respective imaging device, an anterior posterior image of a patient's pelvis from an image including a surgical area having an acetabular cup inserted in the patient's pelvis;

measure, by a computing device, an inclination angle of the acetabular cup in the image;

access, by the computing device, a database of stored calibration data, wherein the calibration data include a respective correction factor for each of a plurality of respective imaging devices, further wherein each respective correction factor accounts for image distortion associated with the respective imaging device;

receive, in a graphical user interface provided by the computing device, a selection of one of the plurality of respective imaging devices;

process, by the computing device, the selection to access respective calibration data associated with the selected one of the plurality of respective imaging devices;

generate, by the computing device as a function of a correction factor included in the calibration data associated with the selected one of the plurality of respective imaging devices and as a function of the measured inclination angle, a revised inclination angle of the acetabular cup, wherein the revised inclination angle accounts for image distortion associated with the selected one of the plurality of respective imaging devices; and

provide in the graphical user interface, the revised inclination angle.

10. The system of claim 9 , wherein the image distortion is parallax image distortion that affects a measured angle of an area of interest and/or a proportion of the angle.

11. The system of claim 10 , wherein the parallax distortion results from the acetabular cup location being outside a central beam of the respective imaging device.

12. The system of claim 9 , wherein the non-transitory processor readable memory further includes programming code that, when executed, configures the processor to:

instruct a robotic element to position a C-arm of the respective imaging device to move a central beam associated with the respective imaging device until the acetabular cup appears spherical.

13. The system of claim 9 , wherein the correction factor is generated using at least one previously captured interoperative fluoroscopic image and at least one postoperative radiographic image.

14. The system of claim 9 , wherein the correction factor is generated as a function of a calculated differences between inclination angles measured in at least one interoperative fluoroscopic image and at least one postoperative radiographic image.

15. The system of claim 9 , wherein the correction factor is generated as a function of an average of calculated differences between a plurality of inclination angles measured in a plurality of interoperative fluoroscopic images and a plurality of postoperative radiographic images.

16. The system of claim 9 , wherein the respective imaging device is a model of a fluoroscope.

Continuity (4)
Continuation In Part 15501671
Provisional Application 62573288 · Oct 17, 2017
Provisional Application 62201417 · Aug 5, 2015
Related Publication 20190090962A1 · Mar 28, 2019
Cited By (5)
US 12,343,093 US 12,370,061 US 12,594,121 US 12,611,254 US 12,708,527