Seissler, Wolfgang G. (Uttenreuth, DE)
Seissler, Ingeborg (Uttenreuth, DE)
Seissler, Paul (Uttenreuth, DE)
Seissler, Jakob (Uttenreuth, DE)
Seissler, Anke (Uttenreuth, DE)
Schramm, Sandra (Uttenreuth, DE)

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10/380257

02/05/2004

08/06/2003

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(IPC1-7): G06K009/00

SCHIFF HARDIN & WAITE (6600 SEARS TOWER, CHICAGO, IL, 60606-6473, US)

1. Method for imaging processing of datasets with a three-dimensional character that are obtained from medical examination procedures, whereby a separation of the data of relevant anatomical structure as well as other structures is undertaken proceeding from data in the form of volume elements and a spatial presentation of at least one structure of interest is undertaken, characterized in that at least one of the individual subjects of the structure of interest is separated such that the individual subject can be re-positioned in the spatial presentation.

2. Method for imaging processing of datasets with a three-dimensional character that are obtained from medical examination procedures according to claim 1, characterized in that the separation of the individual subjects from one another ensues according to the following steps: every individual subject has a partial volume allocated to it such that the individual subject is completely contained therein; and all data within this partial volume that are not to be counted as belonging to this individual subject are removed; and the data of each and every partial volume generated in this way are stored.

3. Method for imaging processing of datasets with a three-dimensional character that are obtained from medical examination procedures according to claim 2, characterized in that the partial volume comprises the shape of a cuboid.

4. Method for imaging processing of datasets with a three-dimensional character that are obtained from medical examination procedures according to claim 2 or 3, characterized in that the data of the partial volume are stored together with the appertaining coordinate information.

5. Method for imaging processing of datasets with a three-dimensional character that are obtained from medical examination procedures according to one of the claims 1 through 4, characterized in that the datasets acquired from medical examination procedures are 3D computer tomography datasets.

6. Method for imaging processing of datasets with a three-dimensional character that are obtained from medical examination procedures according to one of the claims 1 through 5, characterized in that the structure of interest is an osseous structure and the individual subjects of the structure are bones and/or bone fragments.

7. Apparatus (50) for imaging processing of datasets (51) with a three-dimensional character acquired from medical examination procedures, comprising a memory device (52) for storing at least one dataset that is based on a spatial presentation of relevant anatomical structures and/or partial structures, and a graphic display device (53) for the visual presentation of at least one structure of interest on which the dataset is based, and an input device (54) for inputting commands, and a processing device (55) for processing the input commands, for the control of the spatial presentation of datasets representing graphic subjects and for editing these datasets, characterized in that the processing device separates at least one of the individual subjects of the structure of interest from the structure of interest such that the individual subject can be repositioned in the spatial presentation.

8. Apparatus for imaging processing of datasets with a three-dimensional character acquired from medical examination procedures according to claim 7, characterized in that the processing device undertakes the separation of the individual subjects from one another in that it first allocates a partial volume to each and every individual subject such that the individual subject is completely contained therein, and subsequently removes all data in the partial volume that cannot be counting as belonging to the allocated individual subject, and, last, stores the data of each and every partial volume generated in this way in the memory device.

9. Apparatus for imaging processing of datasets with a three-dimensional character acquired from medical examination procedures according to claim 8, characterized in that the processing device employs a cuboid as shape of the partial volume.

10. Apparatus for imaging processing of datasets with a three-dimensional character acquired from medical examination procedures according to claim 8 or 9, characterized in that the processing device stores the data of the partial volume in the memory device together with the appertaining coordinate information.

10. Method for imaging processing of datasets with a three-dimensional character that are obtained from medical examination procedures according to claim 8 or 9, characterized in that the processing device stores the data of the partial volume in the memory device together with the appertaining coordinate information.

11. Apparatus for imaging processing of datasets with a three-dimensional character acquired from medical examination procedures according to one of the claims 7 through 7, characterized in that the datasets acquired from medical examination procedures are 3D computer tomography datasets.

12. Apparatus for imaging processing of datasets with a three-dimensional character acquired from medical examination procedures according to one of the claims 1 through 11, characterized in that the structure of interest is an osseous structure and the individual subjects of the structure are bones and/or bone fragments.

13. Computer software product for imaging processing of datasets with a three-dimensional character acquired from medical examination procedures that, when executed on a computer, undertakes a separation of the data into relevant anatomical structures as well as other structures proceeding from data in the form of volume elements and spatially presents at least one structure of interest, characterized in that it implements a separation of at least one of the individual subjects of the structure of interest from the structure of interest such that the individual subject can be repositioned in the spatial presentation.

14. Computer software product for imaging processing of datasets with a three-dimensional character acquired from medical examination procedures according to claim 13, characterized in that it undertakes the separation of the individual subjects from one another in that it allocates a partial volume to each individual subject in a first step such that the individual subject is completely contained therein, and, in a second step, removes all data within this partial volume that cannot be counted as belonging to this individual subject, and in a third step, saves the data of each partial volume so generated.

15. Computer software product for imaging processing of datasets with a three-dimensional character acquired from medical examination procedures according to claim 14, characterized in that it utilizes a cuboid as a shape of the partial volume.

16. Computer software product for imaging processing of datasets with a three-dimensional character acquired from medical examination procedures according to claim 14 or 15, characterized in that it saves the data of the partial volume together with the coordinate information pertaining thereto.

17. Computer software product for imaging processing of datasets with a three-dimensional character acquired from medical examination procedures according to any of the claims 13 through 16, characterized in that the datasets acquired from medical examination procedures are 3D computer tomography datasets.

18. Computer software product for imaging processing of datasets with a three-dimensional character acquired from medical examination procedures according to any of the claims 13 through 17, characterized in that the structure of interest is a osseous structure, and the individual objects of the structure are bones and/or bone fragments.

BACKGROUND OF THE INVENTION

[0001] 1. Field of the Invention

[0002] The invention is directed to a method, a device and a software product for the medical image processing of datasets of a three-dimensional character acquired from medical examination procedures, of the type wherein a separation of the data of relevant anatomical structures as well as of other structures is undertaken proceeding from data in the form of volume element, and a spatial presentation of at least one structure of interest ensues.

[0003] 2. Description of the Prior Art

[0004] The human ability to conceptualize quickly reaches it limits in the spatial interpretation of the information from X-ray exposures or from tomograms as acquired with modern tomographic methods. Modern methods of medical image processing therefore convert the information of a three-dimensional character acquired in medical examinations into spatial impressions of the inside of the body. In general, however, it is not adequate to merely convey a spatial impression of the displayed body region to the medical practitioner. For preparing a reliable diagnosis or for planning a therapeutic measure or a surgical intervention, however, the medical practitioner needs a reduction of the displayed data to what is essential to the practitioner. In other words, the subject of the practitioner's interest must clearly contrast with the environment having only secondary informational content. A number of methods were developed for this purpose that enable an allocation of individual measure values to relevant anatomical structures such as, for example, nerves or fat tissue, bones or tissue equivalent to muscle, as well as to non-anatomical structures such as, for example, foreign bodies. These methods are referred to as segmenting and form the pre-condition allowing a medical practitioner to view, for example, the bone structure of a patient at the picture screen isolated from other tissues.

[0005] For planning a surgical intervention, for example after an accident resulting in a complicated fracture, however, this form of presentation of the examination results is often inadequate since although it reflects the actual condition of the structure of interest it does not allow a manipulation of the data with respect to measures to be undertaken; the individual subjects within each and every structure remain fixed in their geometrical arrangement relative to one another in known segmenting methods. The preparation for an intervention to treat a complex multiple fracture therefore requires an enormous mental effort on the part of the orthopedist since he or she cannot verify the allocation of the various fracture surfaces and thus bone fragments to one another at the picture screen. “Fast Visualization, Manipulation, and Analysis of Binary Volumetric Objects”, IEEE Computer Graphics and Applications, November 1991, pages 53-62, proposes a method for splitting an anatomical structure into two components along a plane to be arbitrarily defined. The separated components can be repositioned in space independently of the original structure.

[0006] In “Simulating Motion of Anatomical Objects with Volume-Based 3D-Visualization”, R. A.Robb (Editor): Visualization in Biomedical Computing, Proc. SPIE 2359, 1994, pages 291-300, B. Plesser, U. Thiede and K. H. Hohne propose the division of an anatomical subject into partial subjects that can be subsequently converted into a new spatial arrangement.

SUMMARY OF THE INVENTION

[0007] It is an object of the present invention to provide a method and an apparatus for separating an anatomical structure into its individual subjects, so that these can be arbitrarily re-arranged independently from one another in the spatial presentation either individually and/or in groups.

[0008] This object is achieved in a method, an apparatus and a software product for imaging processing of datasets with a three-dimensional character that are obtained from medical examination procedures, wherein a separation of the data of relevant anatomical structure as well as other structures is undertaken proceeding from data in the form of volume elements and a spatial presentation of at least one structure of interest is undertaken, and wherein at least one of the individual subjects of the structure of interest is separated such that the individual subject can be re-positioned in the spatial presentation. A segmenting or separation of the individual subjects from one another ensues by dividing the overall volume of the anatomical structure into partial volumes in a first step, with an individual subject being completely contained in the partial volume allocated to it. All other data not to be considered as belonging to this individual subject are removed from this partial volume in a second step. The resultant data of each partial volume processed in this way are stored in a third step.

[0009] Time-consuming procedures thus can be shifted from the operation into the planning phase. The precise planning of an intervention in the preparatory phase of the operation not only shortens the duration of the intervention and, thus, produces less stress on the patient, but also enables more precise and safer work for the medical practitioner during the operation. Also advantageously, the use of suitable aids such as, for example, screws, nails, etc., can already be tested before the operation. Likewise advantageously, implants can now be pre-shaped according to the identifiable conditions on the basis of the present invention and no longer need be intuitively designed during the course of the operation.

[0010] In an embodiment of the invention, the partial volumes have the shape of a cuboid, as a result of which the individual volumes can be easily joined. Together with the data of each partial volume, the appertaining coordinate information are also stored. The editing of 3D computer tomography datasets is particularly advantageous, so the selection of a bone structure as a structure of interest, with the individual bones and/or bone fragments as individual subjects of the structure to be segmented, is especially advantageous.

DESCRIPTION OF THE DRAWINGS

[0011] FIG. 1 is a schematic 3D illustration of the osseous structure of a wrist joint with a fracture and dislocation of the os metacarpal V, formed from a 3D computed tomography (CT) dataset.

[0012] FIG. 2 is an empirically produced partial volume from the dislocated bone fragment in FIG. 1.

[0013] FIG. 3 shows the dislocated bone fragment in FIGS. 1 and 2 aligned relative to the second fragment of the os metacarpal V so that the fracture surfaces are parallel to and opposite from each other.

[0014] FIG. 4 shows the osseous structure of FIG. 1 with the bone fragments virtually joined in the image at the fracture surfaces.

[0015] FIG. 5 is a block diagram of the apparatus of the invention which also illustrates the method of the invention.

DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0016] FIG. 1 provides a conceptualization of the graphic representation of a computer-tomographic 3D dataset as is currently available to a surgeon. In practice, the data are visualized by means of a method referred to as volume rendering, wherein the surface of the identified osseous structure is presented with a suitably calculated distribution of light and shadow so that it conveys a plastic impression of the underlying spatial structure to the viewer or the surgeon.

[0017] A bone fracture with a dislocated fragment of the os metacarpal V can be clearly recognized in the left half of FIG. 1. The relative position of this bone fragment with respect to the other subjects of the graphically visualized structure cannot be modified at this initial stage S0 of the inventive method since the structure for a single, interconnected subject in this stage as established by the standard methods of medical image processing. Although a viewer has the possibility of examining details such as, for example, fracture surfaces in greater detail by selecting a suitable angle of view, inspecting the two fracture surfaces for a form-fit requires an ability of the viewer to conceptualize that cannot always be assumed.

[0018] An assessment as to whether the two fracture surfaces can be seamlessly joined to one another assumes that the two fragments of the broken bone can be aligned and positioned independently of one another. After segmentation of the dataset into anatomical structures, however, the illustrated bone structure is obtained as an interconnected subject. The subdivision into the discrete subjects of the structure that is unconsciously performed by the viewer, into bones and bone fragments in the present example, is not reduplicated by the conventionally available segmenting methods.

[0019] In order to achieve a further segmenting of the structures within an anatomical structure, the existing 3D CT dataset is first resolved into separate volumes according to method step S1 in FIG. 5, each of these volumes completely containing a complete sub-structure or a discrete subject. In the aforementioned example, thus, such a partial volume comprises an individual bone or an individual bone fragment. To that end, each discrete subject identified in the 3D CT dataset is advantageously circumscribed by a cuboid in conformity with its spatial expanse.

[0020] Many individual subjects are in immediate proximity to one another, for which reason component parts of neighboring subjects are also generally contained in the individual partial volumes in addition to the desired individual subject. In the next step S2, the partial volumes are therefore cleaned in that the data of the neighboring subjects are eradicated in each of the partial volumes until the described partial volume ultimately contains only the individual subject allocated to it, the dislocated bone fragment in the example of FIG. 2. Advantageously, the data partial volumes produced in this way are stored together with the coordinate information allocated to them.

[0021] This advanced segmenting is implemented for all bones or, respectively, bone fragments of the 3D CT dataset S21, S22 and S23 so that the original dataset can be presented from the sum of the data partial volumes that are generated. The visual presentation of this sum S3 is initially the same as before the beginning of the segmentation of the anatomical structure into its isolatable subjects.

[0022] However, the fixed geometrical reference of the discrete subjects relative to one another has been eliminated at this point in the method.

[0023] As can be seen in the result thereof, for example in FIG. 3, the individual subjects can now be individually selected and newly aligned. In this presentation, the dislocated bone fragment is aligned such that the two fracture surfaces reside parallel opposite one another. Compared to this illustration, the bone fragment was displaced farther in FIG. 4, so that the two fracture surfaces have been brought into coincidence. It is only the inventive segmenting of the original 3D CT dataset that makes this virtual repositioning of bone fragments possible.

[0024] FIG. 5 outlines the implementation of the described method in an apparatus 50 for medical image processing. The 3D dataset supplied by the medical analysis device in an examination is transmitted to the apparatus 50. The transmission can ensue arbitrarily, for example with the assistance of a data carrier or via a data bus or, respectively, a network. The further-processing of the dataset with the processing device 55 ensues according to method steps S0 through S3. Proceeding from the anatomical structure S0 that has already been segmented, the volume covering this structure is divided into a plurality of partial volumes in the first method step S1, whereby each partial volume completely envelopes a discrete subject of the structure of interest. The cleaning S2 ensues for all partial volumes S1 and S2 in that all data not belonging to the discrete subject of a partial volume are eradicated therefrom S23. Finally, all partial volumes and, thus, all discrete subjects of the anatomical structure of interest are displayed S3 on the display device 53. The operator can influence the presentation via commands or control signals that are given to the processing device via an input device. The memory device 52 accepts the original datasets and the data that arise during the course and as a result of the described image processing process.

[0025] Although modifications and changes may be suggested by those skilled in the art, it is the invention of the inventor to embody within the patent warranted heron all changes and modifications as reasonably and properly come within the scope of his contribution to the art.