Abstract: Devices and methods for assessing tissue contact based on dielectric properties and/or impedance sensing are disclosed. In some embodiments, one or more probing frequencies are delivered via electrodes including an electrode in proximity to a tissue (for example, myocardial tissue). In some embodiments, dielectric parameter values, optionally together with other known and/or estimated tissue characteristics, are measured to determine a contact quality with the tissue. In some embodiments, dielectric contact quality is used, for example, in guiding the formation of a lesion (for example, RF ablation of heart tissue to alter electrical transmission characteristics).

Abstract: There is provided a computer implemented method of providing a client terminal with instructions for treatment of at least a portion of an organ of a patient, the method comprising: receiving electrical readings obtained by electrodes located within the portion of the organ, identifying by at least one classifier instructions for treatment of a region in the portion of the organ identified as an intervention target region, wherein the classifier identifies the instructions for treatment of the region based on electrical readings or a transformation thereof previously associated with treatment of intervention target regions in the portion of the organ of other patients, and marking on an image of the portion of the organ presented on a display, the instruction for treatment of the region identified by the classifier as an intervention target region.

Abstract: Devices and methods for tissue lesion assessment and/or creation based on dielectric properties are disclosed. In some embodiments, one or more probing frequencies are delivered via electrodes including an electrode in proximity to a tissue (for example, myocardial tissue). Measured dielectric properties (such as impedance properties), optionally together with other known and/or estimated tissue characteristics, are used to determine the lesion state of the tissue. In some embodiments, a developing lesion state is monitored during treatment formation of a lesion (for example, ablation of heart tissue to alter electrical transmission characteristics).

Abstract: Methods and systems for placement of and/or placement planning for body surface electrodes are described. In some embodiments, body surface electrodes are used to generate intra-body electromagnetic fields sensed by intra-body probes for applications such as electrical field-guided catheter navigation and/or dielectric property-based tissue lesion assessment. Sizes and/or positions of body surface electrodes are optionally selected based on the results of electromagnetic simulations. Criteria for selection include, for example, potential gradient uniformity and/or intensity. In some embodiments, body surface electrode placement is performed under automated optical guidance. For example, images are obtained and used to indicate and/or assess body surface electrode placement. Optionally, indication is with respect to fiducial marks placed on the body, to which an electromagnetic simulation is spatially registered.

Abstract: Methods and systems for position determination of an intrabody probe, targets of an intrabody probe, and or actions to be performed using an intrabody probe are described. In some embodiments, an anatomy being navigated and/or mapped is described by a rule-based schema relating different anatomically identified structures to one another according to their ability to help identify and/or locate one another. Additionally, in some embodiments, data recorded from the intrabody probe is processed according to schema rules in order to provide anatomical identification of the anatomical region which the intrabody probe is measuring, optionally without performing detailed mapping, and/or prior to the availability of detailed mapping of anatomical geometry.

Abstract: A method of reconstructing a shape of a volume of a part of a subject based on intrabody measurements of a plurality of crossing electromagnetic fields established within the volume, the method including: receiving, by computer circuitry, measurements of the crossing electromagnetic fields carried out using at least one sensor carried on an intrabody probe, the measuring being carried out with the probe at multiple locations in the volume, to provide a set of measurement samples, each taken at a location; generating, by computer circuitry and based on said measurement samples, a transformation that transforms measurement samples to geometric positions; transforming, using said generated transformation fewer than half of the measurements in said set of measurement samples into a set of geometric positions; and reconstructing the shape of said volume from said set of geometric positions.

Abstract: A method of data presentation in which NM data and x-ray data (or other structural and/or functional data sets) are combined for display. In some exemplary embodiments of the invention, the combination uses rules, for example Boolean rules to generate a display. In some exemplary embodiments of the invention, the combination uses a marker visible in the NM and x-ray modalities. Optionally, the marker includes a removable radioactive section.

Abstract: Methods for creation and use (e.g., for navigation) of displays of flattened (e.g., curvature-straightened) 3-D reconstructions of tissue surfaces, optionally including reconstructions of the interior surfaces of hollow organs. In some embodiments, data comprising a 3-D representation of a tissue surface (for example an interior heart chamber surface) are subject to a geometrical transformation allowing the tissue surface to be presented substantially within a single view of a flattened reconstruction. In some embodiments, a catheter probe in use near the tissue surface is shown in positions that correspond to positions in 3-D space sufficiently to permit navigation; e.g., the probe is shown in flattened reconstruction views nearby view regions corresponding to regions it actually approaches. In some embodiments, automatic and/or easily triggered manual view switching between flattened reconstruction and source reconstruction views is implemented.

Abstract: A method of NM image reconstruction, including: (a) acquiring a first set of NM data of a part of the body; (b) collecting a probe position and/or probe NM data from an intrabody probe; (c) reconstructing an NM image from said NM data using said collected probe data. Also described is a method of navigating to a target in a body, including: (a) acquiring a NM image of a part of the body; (b) collecting NM data from an intrabody probe; (c) correlating said image and said data; and (d) extracting location information of said probe relative to said target based on said correlated data.

Abstract: In some embodiments, data sensed and/or operational parameters used during a catheterization procedure are used in the motion frame-rate updating and visual rendering of a simulated organ geometry. The organ geometry is rendered as a virtual material using a software environment (preferably a graphical game engine) which applies simulated optical laws to material appearance parameters affecting the virtual material's visual appearance, as part of simulating a scene comprising the simulated organ geometry, and optionally also comprising simulated views of a catheter probe used for sensing and/or treatment. Optionally, measurements of and/or effects on tissue by sensing and/or commanded probe-tissue interactions are converted into material appearance changes, allowing dynamic visual simulation of intra-body states and/or events based on optionally non-visual input data.

Abstract: Methods and systems for position determination of an intrabody probe, targets of an intrabody probe, and or actions to be performed using an intrabody probe are described. In some embodiments, an anatomy being navigated and/or mapped is described by a rule-based schema relating different anatomically identified structures to one another according to their ability to help identify and/or locate one another. Additionally, in some embodiments, data recorded from the intrabody probe is processed according to schema rules in order to provide anatomical identification of the anatomical region which the intrabody probe is sampling, optionally without performing detailed mapping, and/or prior to the availability of detailed mapping of anatomical geometry.

Abstract: A method of estimating a spatial relationship between at least a part of a patient esophagus and a heart chamber, including :measuring at least one electric parameter at one or more positions within the heart chamber to obtain measured values; and estimating the spatial relationship based on the measured values.

Abstract: Methods for estimating of the effectiveness of catheter ablation procedures to form lesions. Lesion effectiveness parameters are received, and effectiveness of a corresponding ablation (optionally planned, current, and/or already performed) is estimated. The estimating is based on use by computer circuitry of an estimator constructed based on observed associations between previously analyzed lesion effectiveness parameters, and observed lesion effectiveness. The estimator is used by application to the received lesion effectiveness parameters.

Abstract: Methods for estimating of the effectiveness of catheter ablation procedures to form lesions, and particular lesions which together form an ablation segment of an ablation line. Lesion effectiveness parameters are received, and effectiveness, optionally the joint effectiveness, of corresponding ablations (optionally planned, current, and/or already performed) is estimated. In some embodiments, estimating is based on use by computer circuitry of an estimator constructed based on observed associations between previously analyzed lesion effectiveness parameters, and observed lesion effectiveness. Additionally or alternatively, estimators may be constructed based on analytic functions. The estimator is used by application to the received lesion effectiveness parameters.

Abstract: Methods and systems for position determination are described for using an intrabody probe having a plurality of electrodes to generate a plurality of different electrical fields, and to also measure, using the plurality of electrodes, a measurement set (a Ve-e measurement set) comprising a plurality of measurements of the plurality of different electrical fields while the probe remains in one position. From the Ve-e measurement set, spatial position coordinates for the intrabody probe are estimated within an intrabody coordinate system, using an established mapping between previously observed Ve-e measurement sets and positions in the intrabody coordinate system. Systems and methods for generating and selecting such mappings are also described.

Abstract: In some embodiments, a body cavity shape of a subject is reconstructed based on intrabody measurements of at least one property of an electromagnetic field by an intrabody probe (for example, a catheter probe) moving within a plurality of electrical fields intersecting the body cavity. In some embodiments, the electrical fields are generated at least in part from electrodes positioned in close proximity, for example, within 1 cm, of the body cavity. In some embodiments, the body cavity is a chamber of a heart (for example, a left atrium or left ventricle), and the electrodes used to generate the electrical field are positioned in the coronary sinus, a large vein occupying the groove between the left atrium and left ventricle. In some embodiments, known distances between measuring electrodes are used in guiding reconstruction, potentially overcoming difficulties of reconstruction from measurements of non-linear electrical fields.