Abstract:
Apparatus and methods are provided for positioning a biopsy needle (19) for insertion into a tissue mass by correlating, in real-time, the actual needle position prior to insertion with its probable trajectory once inserted. In a preferred embodiment, the biopsy needle (19) location is tracked electronically and projected over a previously stored or real-time image of the tissue, thus allowing a clinician to observe which features of an imaged tissue the biopsy needle (19) is likely to intersect upon insertion. Continued ultrasound scanning of a selected trajectory may be provided to assess depth of penetration of the biopsy needle (19), when inserted. The apparatus is also provided for expanding the region scanned by an ultrasound transducer (13) beyond the periphery of a compression plate.
Abstract:
Apparatus and methods are provided for compressing biological tissue for use with a radiographic or sonographic imaging system that enhances imaging of the tissue near a patient's chest wall. The apparatus (10) includes a compression assembly having first (21) and second (22) compression surfaces, and structure (31) for positioning the first compression surface relative to the second compression surface, so that the first and second compression surfaces experience a lateral translation as they move towards one another. In addition, the first and second compression surfaces may be tilted slightly relative to a plane orthogonal to the patient's chest wall to enhance the traction effect, and to provide partial imaging within the patient's chest wall.
Abstract:
Apparatus and methods are provided for positioning a needle or cannula (54) of a biopsy device for insertion into a tissue mass by correlating, in real time, the actual needle or cannula position prior to insertion with its probable trajectory once inserted. In a preferred embodiment, a biopsy device suport block (53) is mechanically coupled to an ultrasound transducer (52) to provide alignment of the biopsy device with the ultrasound image in at least one plane. Continued ultrasound scanning of a selected trajectory may be provided to assess depth of penetration of the needle or cannula of the biopsy device when inserted.
Abstract:
Apparatus (10) and methods are provided for conducting an imaging examination and/or biopsy of biological tissue that enable a patient (P) to remain in an inclined, seated orientation, so that the tissue is readily presented for examination and biopsy, while the examination and biopsy site is screened from the patient's view. Apparatus and methods are also provided for enhancing imaging of the patient's tissue near the chest wall, and for conducting image guided biopsy.
Abstract:
Apparatus and methods are provided for correlating radiologic and ultrasonic images of biological tissue (22). An X-ray image and a plurality of corresponding ultrasound images are generated while the biological tissue remains immobilized. X-ray opaque indexing points (72, 74, 76) provide lateral registration of the X-ray film (28) with the ultrasound apparatus (19). The fan-out of X-ray beams penetrating the tissue from a point X-ray source (38) is determined and used to correlate the X-ray image data to the ultrasonic image data. Apparatus and methods are also provided for determining the location of the X-ray source (38) relative to the indexing points (72, 74, 76).
Abstract:
Apparatus and methods are provided for performing an in situ characterization of a tissue mass which may be normal, malignant, or benign, and, based on the measured characteristics of the tissue mass, therapeutically treating the tissue mass to cause necrosis of the tissue. In an illustrative preferred embodiment, the characterization of the tissue is accomplished by measuring an electrical property of the tissue, such as electrical impedance, while treatment is accomplished by supplying heat to the tissue to induce cauterization. A probe (20) includes a plurality of electrodes (51-56) to effect the characterization and treatment.
Abstract:
Apparatus (10) is provided that combines mammography equipment with an ultrasonic transducer (16) to generate ultrasonic images of the internal structure of breast tissue that are in geometric registration with a mammogram. The apparatus includes a radiolucent and sonolucent compression plate (15), and in alternative embodiments, a gantry driven ultrasound transducer (16) or a phased array ultrasonic transducer. Methods are provided for generating a mammogram and a plurality of corresponding ultrasound images without moving the breast between the mammogram exposure and the ultrasound imaging. Methods are also provided for viewing and analyzing the ultra sound images. Apparatus and methods are also provided for enhancing X-ray images obtained from conventional mammographic systems, and with reduced overall X-ray dosage to the patient.