Therapy Apparatus Motion Correction via Bubble Tracking

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Solution Overview

Problem

Current therapy methods that use waves or radiation to treat organs or tissues face challenges in accurately correcting for internal movements caused by respiratory and cardiac activities, as existing motion correction methods require additional imaging modalities and contrast agents, making precise and targeted treatment difficult.

Innovation Solution

A method that produces bubbles within or at the object using energy from waves such as ultrasound, electromagnetic radiation, or chemical reactions, which are then detected and used to estimate the movement of the object, allowing for precise repositioning of the focal point to compensate for organ movements during treatment.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If additional imaging modalities and contrast agents are used for motion correction, then measurement precision of organ movement is improved, but device complexity and loss of substance increase

Engineering Contradiction:
Improvemotion correction precisionVSAvoidimaging system complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The histotripsy ultrasonic probe itself performs the motion detection function by recording tissue movements and bubble positions, eliminating the need for separate imaging modalities. The probe serves dual purposes: therapeutic histotripsy and motion correction monitoring

Inventive Principle:
Principle #25Self-service

Solution Approach 2:

The motion correction capability is extracted from complex external imaging systems and integrated into the histotripsy probe, removing the dependency on additional imaging equipment and contrast agents while maintaining measurement precision

Inventive Principle:
Principle #2Taking out (Extraction)

2Measurement precision

If additional imaging modalities and contrast agents are used for motion correction, then measurement precision of organ movement is improved, but loss of substance increases

Engineering Contradiction:
Improvemotion correction precisionVSAvoidcontrast agent consumption
Core Design Contradiction:
Measurement precisionVSLoss of substance

Solution Approach 1:

The system uses naturally occurring tissue bubbles and endogenous contrast mechanisms that are already present during histotripsy treatment, eliminating the need for exogenous contrast agents while maintaining the ability to track organ movement precisely

Inventive Principle:
Principle #25Self-service

Solution Approach 2:

The tissue disruption and bubble formation that are side effects of histotripsy treatment are converted into useful motion tracking markers, allowing the treatment process itself to provide the contrast needed for motion correction

Inventive Principle:
Principle #22Blessing in disguise (Convert harm into benefit)

3Measurement precision

If bubbles are produced in the object using wave energy, then movement detection precision is improved, but use of energy increases

Engineering Contradiction:
Improvemovement detection precisionVSAvoidwave energy consumption
Core Design Contradiction:
Measurement precisionVSUse of energy by moving object

Solution Approach 1:

The histotripsy ultrasonic waves that are already being applied for treatment serve dual purposes: delivering therapeutic energy and generating bubbles for motion tracking, eliminating the need for separate energy input dedicated solely to motion detection

Inventive Principle:
Principle #25Self-service

Solution Approach 2:

The therapeutic histotripsy energy delivery and motion detection functions are merged into a single energy input process, where the same ultrasonic waves perform both treatment and monitoring functions simultaneously

Inventive Principle:
Principle #5Merging (Combining)

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

Enables accurate and precise movement correction of organs or tissues during therapy by using bubbles to infer object movement, allowing for precise targeting and minimizing tissue damage, without the need for additional imaging or contrast agents, thereby enhancing the effectiveness of treatments like histotripsy and lithotripsy.

Implementation Method 1

bubbles (for example gas, vapor or vacuum bubbles) are produced in or at the object... bubbles may appear as a result of vaporization of tissue fluid. Alternatively, however, they may also appear as a result of negative pressure, as is the case in histotripsy. In this case, vacuum cavitations are formed

Methodology Applied
Scientific EffectAcoustic cavitation: Cavitation

Implementation Method 2

waves may also be acoustic waves that are directed at the object. It is also possible for example here that ultrasound waves are used to act on the object

Methodology Applied
Scientific EffectUltrasonic heating: Ultrasonic Vibration

Implementation Method 3

The imaging transducer of the histotripsy instrument may be used to record tissue movements and/or organ movements by ultrasound

Methodology Applied
Scientific EffectUltrasound imaging: Ultrasound

Implementation Method 4

a movement of the bubbles is recorded... an estimated value for the movement of the object is obtained from the movement of the bubbles

Methodology Applied
Scientific EffectMotion tracking:

Data Source

PatentUS20230293199A1Determining a movement of an object, and therapy apparatus
Publication Date: 2023.09.21 SIEMENS HEALTHINEERS AG
  • US20230293199A1 patent drawing
  • US20230293199A1 patent drawing

AI summary

The movement of an object, in particular of an organ during histotripsy treatment is determined specifically for repositioning purposes. This is done by producing bubbles in or at the object. The bubbles are detected, and their movement is recorded. The movement of the object is estimated from their movement. If applicable, a focal point of a therapy apparatus may be repositioned in accordance with the movement of the object.