Multimodal Device Tracking for X-Ray and 3D Ultrasound Guidance

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Solution Overview

Problem

Existing medical imaging systems, particularly ultrasound imaging, struggle with device visibility due to shadowing, reflection, and acoustic artifacts, making it difficult to accurately track and interpret devices during procedures like transcatheter Structural Heart Interventions.

Innovation Solution

A system that combines 2D X-ray and 3D ultrasound image data through co-registration, using identification information from X-ray images to enhance 3D ultrasound views, allowing for accurate device tracking and visualization.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Illumination intensity

If ultrasound imaging is used to visualize medical devices, then soft-tissue anatomy can be visualized, but device visibility is reduced due to shadowing, reflection, and acoustic artifacts

Engineering Contradiction:
Improvedevice visibilityVSAvoidacoustic artifacts
Core Design Contradiction:
Illumination intensityVSObject-affected harmful factors

Solution Approach 1:

The patent combines ultrasound image data with X-ray image data into a fused image that displays both soft-tissue anatomy from ultrasound and device visibility from X-ray. The processing unit overlays device information from X-ray images onto ultrasound images, creating a composite view that eliminates the visibility problems of using either modality alone.

Inventive Principle:
Principle #5Merging (Combining)

2Area of stationary object

If a device is captured partially outside the limited field of view of ultrasound imaging, then the field of view constraint is acknowledged, but proper interpretation and optimal viewing become difficult

Engineering Contradiction:
Improvefield of viewVSAvoiddevice information
Core Design Contradiction:
Area of stationary objectVSLoss of information

Solution Approach 1:

The patent uses X-ray imaging, which provides a different dimensional perspective (projection view) compared to ultrasound's limited acoustic field of view. By fusing these complementary views, the system recovers device information that would otherwise be lost due to ultrasound's field of view constraints.

Inventive Principle:
Principle #17Another dimension (Dimensionality change)

3Illumination intensity

If 2D X-ray image data is used to identify devices, then device footprint visibility is high, but 3D position and orientation information is limited

Engineering Contradiction:
Improvedevice footprint visibilityVSAvoid3D position and orientation accuracy
Core Design Contradiction:
Illumination intensityVSMeasurement precision

Solution Approach 1:

The patent merges 2D X-ray device footprint information with 3D ultrasound spatial data to create a fused image that preserves the high device visibility of X-ray while adding accurate 3D position and orientation information from ultrasound imaging.

Inventive Principle:
Principle #5Merging (Combining)

Data Source

PatentUS12465428B2Image-based device tracking
Publication Date: 2025.11.11 KONINKLIJKE PHILIPS NV
  • US12465428B2 patent drawing
  • US12465428B2 patent drawing
  • US12465428B2 patent drawing

AI summary

The present invention relates to supporting an interventional procedure involving a device, such as a cardiovascular procedure. First and second image data acquired using different imaging apparatus, for example X-ray and ultrasound image data, are co-registered. A device is firstly identified in 2D X-ray images; corresponding identification information is then used to generate a view from 3D ultrasound image data that includes a cross-section of the device to be identified subsequently. Following the identification, a 3D position and orientation of the device are available. Such information may advantageously be used in setting up optimal ultrasound views for image-based guidance of the ongoing procedure.