Abstract: An echogenic medical device, such as a needle catheter, which produces an improved ultrasonic image of the device, and a method of performing a medical procedure using a device of the invention. One aspect is directed to a catheter which reduces artifacts in the ultrasound image of the catheter. In one embodiment, the catheter has a spherical distal tip. Another aspect of the invention is directed to an echogenic catheter with echogenic portions arranged in an array to facilitate determination by ultrasonic imaging of the rotational orientation of the catheter relative to a desired location within the patient.

Abstract: The present invention generally relates to medical devices, and more particularly to an improved medical imaging device. In one embodiment, an imaging device includes a drive shaft having proximal and distal ends received within the lumen; an imaging transducer coupled to the distal end of the drive shaft and positioned at the distal portion of the elongate member; and a flow detector coupled to the imaging transducer. The flow detector may include a forward facing ultrasound transducer configured to emit energy in the direction of the longitudinal axis of the imaging device and detect a Doppler shift in the received echoes. In the case where the imaging device is located in a vessel having blood flow, such information may be used to calculate the velocity of the blood flow. The imaging device may be configured to be located in a catheter or guidewire.

Abstract: An image processor includes a signal processing circuit for performing signal processing on three-dimensional echo signals transmitted from an ultrasonic 3D probe, a memory for storing at least one set of plural sets of three-dimensional echo data converted by the signal processing circuit, a large capacity storage unit, a control circuit for controlling input/output signals from an input unit, an image processing circuit for performing image processing such as coordinate conversion based on the three-dimensional echo data stored in the memory, a display circuit for displaying the ultrasonic three-dimensional image processed by the image processing circuit, and a CPU for performing calculation for “volume measurement”. Accordingly, a tissue of interest can be easily and accurately measured.

Abstract: A system includes an acoustic radiation force source that is structured to generate an acoustic radiation force at one or more frequencies. A shear wave transmission device is embedded in a mass including a biologic material. The shear wave transmission device is responsive to the acoustic radiation force source to transmit shear waves through the biologic material. A Doppler ultrasonic device detects the shear waves and generates data representative of the shear waves. A processing device determines one or more mechanical properties of the biologic material from the data.

Abstract: An apparatus for detecting the presence of substances, compositions, constituents, proportionalities, of examined objects, and abnormalities and diseases associated with human tissue responsive to detected amplitudes and/or frequencies, such as resonant frequencies from the object/body being examined. Data in a database is utilized to identify the unbalanced condition, the foreign, toxic or harmful substance. The identified condition/substance may be used as an aid to select an appropriate treatment or corrective action.

Abstract: A site marker is provided that includes a generally hollow body defining a cavity. At least one marker element is captured within the cavity but is able to move within the cavity. The capturing prevents migration of the marker within a body. The site marker is formed into a predeployment configuration whereby the site marker is compressed into a predetermined size and shape to as to be readily positionable within a deployment device. The site marker expands from the predeployment position to a post deployment configuration upon insertion into the body.

Abstract: The invention relates to a method for reconstructing a 3D presentation of a hollow organ based on two-dimensional catheter images, comprising: detecting at least two fluoroscopy images at two different angles of the hollow organ; determining a start position of the catheter from the fluoroscopy images in a three-dimensional model of the hollow organ or a catheter guide; determining a probable withdrawal path of the catheter based on the three-dimensional model; withdrawing the catheter while recording the catheter images and assigning a withdrawal length to each catheter image; determining the deviation of the position of the catheter from a central path running through the middle of the hollow organ and the orientation of the catheter for each catheter image based on the withdrawal path and the withdrawal length; and reconstructing the 3D presentation from the two-dimensional catheter images as well as the deviation of the position of the catheter.

Abstract: An ultrasonic imaging system has an ultrasonic probe which improves poor harmonic performance of existing transmit circuits through the use of a linear high-voltage transmit amplifier on each sub-channel to amplify low-voltage arbitrary shape transmit waveforms generated by the ultrasonic system. The linear high-voltage amplifier of the ultrasonic probe amplifies low-voltage arbitrary shape transmit waveforms beamformed by a micro-beamformer of the ultrasonic system.

Abstract: Embodiments of the present invention provide for a photoacoustic imaging probe for use in a photoacoustic imaging system, said probe comprising a cohesive composite acoustic lens incorporating aspheric geometry and exhibiting low or practically no measurable dispersion of acoustic waves constructed of at least one material with a low acoustic impedance and attenuation and a relatively low acoustic velocity and at least one other material with a low acoustic impedance and attenuation and a relatively high acoustic velocity is immersed in preferably a low acoustic velocity and low acoustic impedance fluid. The lens may be designed as a single cohesive composite telecentric lens, an acoustic zoom lens, or a catadioptric lens. The lens focuses acoustic waves on an acoustic imager which detects the image. The lens may be considered to be essentially monochromatic.

Abstract: According to an exemplary embodiment of the present invention, a cardiac roadmapping technique is provided, in which a static roadmap is built onto which a view of the intervention device is projected at the correct location. This new viewing mode combines the advantages of both roadmapping, i.e. accurate localization, and the advantages of a motion-free view, i.e. maximum readability.

Abstract: An electromagnetic tracking coil arrangement, comprising three co-planar electromagnetic sensors and a fourth electromagnetic sensor that is not co-planar with the three co-planar sensors, wherein the three co-planar electromagnetic sensors and the fourth electromagnetic sensor are each located at a vertex of a tetrahedron.

Abstract: A method and system for three dimensional scanning, imaging and/or therapy are provided. In accordance with one aspect, an exemplary method and system are configured to facilitate controlled scanning within one-degree of freedom. For example, an exemplary method and system can enable multiple two-dimensional image planes to be collected in a manner to provide an accurate and computationally efficient three-dimensional image reconstruction while providing the user with a user-friendly mechanism for acquiring three-dimensional images. In accordance with an exemplary embodiment, an exemplary scanning and imaging system comprises an imaging probe, a control system, a positioning system and a display system. In accordance with an exemplary embodiment, the positioning system comprises a guide assembly and a position sensing system.

Abstract: Systems and methods for tracking targets in real time for radiation therapy and other applications. In one embodiment, a method includes collecting position information of a marker implanted within a patient at a site relative to the target at a time tn, and providing an objective output indicative of the location of the target based on the position information collected at time tn. The objective output is provided to a memory device, user interface, and/or radiation delivery machine within 1 ms to 2 seconds of the time tn when the position information was collected. This embodiment of the method can further include providing the objective output at a periodicity of 10-200 ms during at least a portion of a treatment procedure.

Abstract: An embodiment of the invention is to make possible a non-invasive grading of a tumor based on parameters determined from a frequency distribution (histogram) of values in a map representing cerebral blood volume (CBV) or cellular metabolism in the tumor. The method is especially applicable to brain tumors such as gliomas where histological grading is difficult. The invention provides a precise and consistent grading since it relies on values selected from the whole tumor (not just from hot spots); since it takes the diversity or heterogeneity of the vascularization into account by analyzing the frequency distribution (not just a mean value); and since it involves and allows for a more automated procedure wherein any subjective contributions from human operators is not critical to the resulting grading. CBV maps may be obtained by perfusion imaging using MRI or CT scanning. Cellular metabolism maps may be obtained from a glucose metabolism map obtained by positron emission tomography (PET).

Abstract: A method and apparatus for identifying a member used in a navigation system. The navigation system can determine the identification of an instrument via an input. The input can be substantially automatic when an instrument is introduced into the navigation system field or assembly.

Abstract: A hand held ultrasonic instrument is provided in a portable unit which performs both B mode and Doppler imaging. The instrument includes a transducer array mounted in a hand-held enclosure, with an integrated circuit transceiver connected to the elements of the array for the reception of echo signals. A digital signal processing circuit performs both B mode and Doppler signal processing such as filtering, detection and Doppler estimation, as well as advanced functions such as assembly of multiple zone focused scanlines, synthetic aperture formation, depth dependent filtering, speckle reduction, flash suppression, and frame averaging.

Abstract: Time-resolved optical tomography systems using a short pulse laser, may be used in detection and treatment of cancer and tumors. Information is conveyed about tissue interior by the temporal variation of the observed scattered, and reflected measured when short-pulse lasers interact with scattering-absorbing media like tissue. Multiple scattering-induced temporal signature that persists for time periods greater than the duration of the source pulse and is a function of the source pulse width, the scattering and absorbing properties of the medium, and the location in the medium where the properties undergo changes. If the detection is carried out on the same short time scale (comparable to the order of the pulse width), the signal continues to be observed even for long durations after the pulse has been off due to the time taken for the photons to migrate to the detector after multiple scattering in the tissue media.

Abstract: In the acquisition of magnetic resonance imaging or spectroscopic data, 2D PACE is employed to identify an acceptance or shimming window within which the magnetic resonance data are acquired, and to trigger the acquisition of the magnetic resonance data at the same position of the patient's diaphragm in each respiratory cycle. The patient is thereby allowed to freely breath during the data acquisition procedure, but the acquisition of the magnetic resonance data is always able to take place with the patient's diaphragm in the same physical position in each respiratory cycle.

Abstract: A medical instrument that comprises: a first-stage optic responsive to a tissue surface of a patient; a spectral separator optically responsive to the first stage optic and having a control input; an imaging sensor optically responsive to the spectral separator and having an image data output; and a diagnostic processor having an image acquisition interface with an input responsive to the imaging sensor and a filter control interface having a control output provided to the control input of the spectral separator.

Abstract: Methods are disclosed for assessing the condition of a cartilage in a joint, particularly in a human knee. The methods include converting an image such as an MRI to a three dimensional map of the cartilage. The cartilage map can be correlated to a movement pattern of the joint to assess the affect of movement on cartilage wear. Changes in the thickness of cartilage over time can be determined so that therapies can be provided. Information on thickness of cartilage and curvature of cartilage or subchondral bone can be used to plan therapy. Information on movement pattern can be used to plan therapy.