Abstract: Disclosed is a system and method for registering images from two medical imaging modalities in a six-degree-of-freedom coordinate space, for the purpose of providing real time registered imagery for optimization of medical procedures. The system and method uses fiducial that is visible to the first imager and in a fixed position and orientation relative to the second imager. The first imager may be an X-ray device such as a C-arm fluoroscope, and the second imager may be a Transrectal Ultrasound (TRUS) device.

Abstract: The end-effector (150) includes a sheath (152) and a medical device or needle carrier (154) that is disposed within the interior compartment (166) of the sheath. Aperture (162) is located in a portion of the sheath proximal a distal end of the sheath that is inserted into a natural or artificial cavity. This device is guided by a real-time imager.

Abstract: Disclosed is a system and method for providing ultrasound strain imaging of a soft tissue, such as a prostate, so that the soft tissue may be more precisely targeted during radiation treatment. The system includes a mechanical arm with a pressure interface for applying incremental pressure to the patient's abdomen, and a data system for correlating the ultrasound signals acquired before and after each application of incremental pressure. By correlating the pre and post-pressure ultrasound signals, acoustic interfaces corresponding to the prostate, which define the contours of the prostate, may be displayed. Further, data corresponding to the contours of the prostate may be provided to a linear accelerator to enable the linear accelerator to more precisely target the prostate.

Abstract: Disclosed is a system and method for providing image guidance for medical procedures in which an interstitial ultrasound probe is inserted into the tissue surrounding a tumor. The interstitial ultrasound probe is designed to “ride” in the surrounding tissue so that it may move in conjunction with the tumor and provide intra-operative imagery. A surgeon may guide a surgical instrument and perform interventions such as ablation while tracking the tumor in the ultrasound imagery. The position and orientation of the interstitial ultrasound probe and the surgical instrument are measured throughout the medical procedure to enable either the surgeon, or a robotic arm, to guide the surgical instrument such that it may move in conjunction with the tumor.

Abstract: Disclosed is a transcavital needle insertion device that incorporates a transrectal ultrasound (TRUS) probe; a support sheath incorporated with, but mechanically decoupled from the TRUS probe to substantially stabilize the target tissue being imaged; and a needle guide sheath that moves relative to the TRUS probe. The device substantially enables a practitioner to more accurately and precisely insert a therapeutic needle into a target tissue, such as a prostate, in a decoupled three degree of freedom coordinate space that is registered to the imagery generated from the TRUS probe. The support sheath may enable the practitioner to move the TRUS probe, and independently position and insert the needle, without problems brought about by variable deformation of the target tissue, which would otherwise result from motion of the TRUS probe and the needle.

Abstract: A robotic 5D ultrasound system and method, for use in a computer integrated surgical system, wherein 3D ultrasonic image data is integrated over time with strain (i.e., elasticity) image data. By integrating the ultrasound image data and the strain image data, the present invention is capable of accurately identifying a target tissue in surrounding tissue; segmenting, monitoring and tracking the target tissue during the surgical procedure; and facilitating proper planning and execution of the surgical procedure, even where the surgical environment is noisy and the target tissue is isoechoic.

Abstract: Transrectal ultrasound guided transperineal low dose-rate brachytherapy has been emerged as one of the definitive treatments of low-risk prostate cancer. Ultrasound has been an excellent tool in guiding the implant needles with respect to prostate anatomy, yet it cannot show reliably the location of radioactive seeds after they are released in the prostate. Intraoperative C-arm fluoroscopy can show the implanted seeds, but it cannot detect prostate anatomy. Intra-operative fusion of these two complementary modalities offers significant clinical benefit by allowing for real-time optimization of the brachytherapy implant as the procedure progresses in the operating room. Disclosed is a system and method for mitigating this problem and providing registration of seeds seen by fluoroscopy with live prostate anatomy visualized by transrectal ultrasound.

Abstract: A method and system for laser based instrument registration. The system including an operating table coupled with a robot holding an instrument, and CT scanner. The CT scanner haves first and second laser markers. The method includes moving the robot to align the instrument in a first position wherein a tip of said instrument is disposed within a first laser plane created by the first laser marker. Then, the robot is moves the instrument in a second position wherein the entire instrument in disposed within the first laser plane. Coordinate data of the robot in the second position is obtained. Image data of a first slice is obtained from the CT scanner. The registration data is calculated based on the coordinate data and the image data.

Abstract: Featured is an apparatus that places or locates a proximal end portion of a penetrating member in a target area of a body. Such an apparatus or needle driver is particularly suited for locating a percutaneous needle in a soft tissue target area of a body particularly a body having inhomogenous soft tissues. The apparatus includes a first arm that is configured and arranged so as to support a distal portion of the penetrating member and a first drive mechanism that is coupled to the first arm. The first drive mechanism is configured and arranged to move or translate the first arm from an initial position to any of a number of other positions that are spaced from the initial position and correspondingly translate the proximal end portion of the penetrating member.