Abstract: Featured is a system to determine the three-dimensional position and orientation of an effector (a needle, probe, or other medical instrument) relative to a subject using cross-sectional images (e.g. from a CT or MRI scanner). Also provided is a method for image guided effector placement that requires no immobilization of the patient or fiducial implantation. A localization module (fiducial object) is integrated or associated with the effector allowing for the localization of the effector in the image space using a single cross-sectional image.

Abstract: The invention described herein provides systems and methods for multi-modal imaging with light and a second form of imaging. Light imaging involves the capture of low intensity light from a light-emitting object. A camera obtains a two-dimensional spatial distribution of the light emitted from the surface of the subject. Software operated by a computer in communication with the camera may then convert two-dimensional spatial distribution data from one or more images into a three-dimensional spatial representation. The second imaging mode may include any imaging technique that compliments light imaging. Examples include magnetic resonance imaging (MRI) and computer topography (CT). An object handling system moves the object to be imaged between the light imaging system and the second imaging system, and is configured to interface with each system.

Abstract: Methods are disclosed for assessing the condition of a cartilage in a joint and assessing cartilage loss, 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. The amount of cartilage tissue that has been lost, for example as a result of arthritis, can be estimated.

Abstract: A therapeutic system comprising a therapeutic applicator for treating living tissues and an observation unit for determining the position of the applicator. The therapeutic energy applied from the applicator to the living tissues is controlled in accordance with data representing the position of the applicator, determined by the observation unit. It is therefore easy to operate the system even if the applicator and the observation unit (e.g., an MRI apparatus) are used at the same time. The image of the living tissues remains clear during the use of the therapeutic applicator.

Abstract: Systems and methods are provided for positioning a therapy device, such as an ultrasound transducer, using a tilt sensor carried by the transducer and a positioner coupled to the transducer. The positioner provides roll and pitch control as well as translating the transducer in lateral and longitudinal directions. A processor receives signals from the tilt sensor corresponding to the actual rotational orientation of the transducer and controls the positioner to adjust the orientation of the therapy device until a desired position is achieved.

Abstract: New devices and methods are provided for noninvasive and noncontact real-time measurements of tissue blood velocity. The invention uses a digital imaging device such as a detector array that allows independent intensity measurements at each pixel to capture images of laser speckle patterns on any surfaces, such as tissue surfaces. The laser speckle is generated by illuminating the surface of interest with an expanded beam from a laser source such as a laser diode or a HeNe laser as long as the detector can detect that particular laser radiation. Digitized speckle images are analyzed using new algorithms for tissue optics and blood optics employing multiple scattering analysis and laser Doppler velocimetry analysis. The resultant two-dimensional images can be displayed on a color monitor and superimposed on images of the tissues.

Abstract: A system and method for the in situ discrimination of healthy and diseased tissue. A fiberoptic based probe is employed to direct ultraviolet illumination onto a tissue specimen and to collect the fluorescent response radiation. The response radiation is observed at three selected wavelengths, about 403 nm, about 414 nm, and about 431 nm. The intensities of the 403 nm and 414 mn radiation are normalized using the 431 nm intensity. A score is determined using the ratios in a linear discriminant analysis (LDA). The tissue under examination is resected or not, based on the outcome of the LDA.

Abstract: A fluid injection arrangement in the context of patient imaging systems, in which phases of contrast medium injection and flushing medium injection can be freely and selectably ordered as to make available to the operator and patient a vast array of possible protocols that has hitherto been essentially unattainable. The arrangement provides a programmable KVO phase and the ability to program a first phase of injection procedure as a flushing medium phase.

Abstract: A method is provided for operating a magnetic resonance apparatus comprising a magnetic stimulation device, the method comprising bearing a region of a central nervous system of a living examination subject in an imaging volume of the magnetic resonance apparatus, whereby this region is to be imaged, operating the magnetic stimulation device for stimulating at least one prescribable location of the examination subject outside of the region to be imaged and generating a functional magnetic resonance image of the region to be imaged for imaging a neuronal activity of the central nervous system, whereby said neuronal activity is initiated by the stimulation.

Abstract: A fluorescence image display apparatus is provided; wherein, when a pseudo color image representing the tissue state of a target subject is obtained, based on a fluorescence image emitted from the target subject upon the irradiation thereof by an excitation light, the tissue state can be recognized regardless of the intensity of the fluorescent light. Based upon the statistical quantity of a wide band fluorescence image computed by a statistical quantity computing means, a gain that the wide band and narrow band fluorescence image data are to be multiplied by is computed by a gain computing means. A gain multiplying means multiplies the wide band and narrow band fluorescence image data by the gain, whereby a green gradation is assigned to the wide band fluorescence image and a red gradation is assigned to the narrow band fluorescence image, and a composite image data is obtained by an image composing means.

Abstract: Methods and apparatus for achieving a compound ultrasound imaging mode are disclosed. The methods include a step of firing a plurality of ultrasound beams at a single location, receiving first and second echoes, and combining the first and second echoes to form a composite scan line. The following beam parameters may be varied: transmission focus depth, transmission aperture, transmission frequency, and transmission burst length. Echoes may vary in one or both of receive bandwidth and receive center frequency. In one embodiment, transmission focus depth, transmission aperture, and receive center frequency all differ between the beams. A weighting step may be performed before or after the summing step. The apparatus may include vector memory, a compound logic processor for weighting and summing the vectors, and memory for storing the summed vectors.

Abstract: A clip and a bioabsorbable marker are employed to mark a biopsy site. The former provides a permanent marker that is clamped onto tissue and that cannot migrate from the site over time. The latter is gradually bioabsorbed over time but the time may vary widely from weeks to months. In most embodiments, the clip and marker are integrally formed with one another at the time of manufacture. In one embodiment, the clip and marker are independently made but are joined to one another during the site-marking process. The markers are deployed by core biopsy needles of the type employing a vacuum, of the type that does not employ a vacuum, and by coaxial biopsy needles.

Abstract: The invention provides a device and method for monitoring inflammation of the epithelium. The device consists of a head region, a handle region and an optical bundle. At least two of the optical fibers in the bundle are utilized as a source of radiation, these two fibers are at two different angles from normal. At least one of the other optical fibers is utilized as a detector for the reflected radiation, or alternatively an image guide can be used as the detector. The device of the invention can be part of an external or internal system that can include a light source, the device, a multiplexer, a spectrometer, and a computer for data analysis. The method of the invention allows for the detection and monitoring of general inflammation of the oral epithelium. The inflammation of the epithelium can be detected or monitored to diagnose diseases of the oral epithelium, monitor such diseases, monitor treatment of such diseases, or pre-screen for and monitor preventative treatments of such diseases.

Abstract: A technique is set forth for MR spectroscopy that is capable of reducing signal overlap between metabolite signals for improved clinical analysis of metabolite content. The technique includes varying an echo time across a scanning dimension. Once a span of echo time for an acquisition dimension is determined, and the number of acquisition data points is known, a variance between echo times can be determined. A pulse sequence with differing echo times is then applied for each frame, and after data is acquired, an image is reconstructed that significantly improves metabolite signal separation.

Abstract: A body fat measuring apparatus is provided with a light emitting device 1 for projecting light rays to a subject's tissue, light receiving devices 3 and 4 for detecting a transmitted light ray having passed through the subject's tissue and/or a reflected light ray reflected inside the subject's body, and a CPU 6 for calculating the subject's subcutaneous fat thickness and/or body fat percentage by performing an operation by use of the detection results of the light receiving devices 3 and 4. The light receiving devices 3 and 4 are situated at different distances from the light emitting device 1.

Abstract: This invention is a method for multi-slice CBF imaging using continuous arterial spin labeling (CASL) with an amplitude modulated control which is both highly effective at controlling for off resonance effects, and efficient at doubly inverting inflow spins, thus retaining the signal advantages of CASL versus pulsed ASL techniques.

Abstract: The invention provides method, system and device for determining trabecular bone structure and strength by digital topological analysis, and offers, for the first time, a demonstration of superior associations between vertebral deformity and a number of architectural indices measured in the distal radius, thus permitting reliable and noninvasive detection and determination of the pathogenesis of osteoporosis. A preferred embodiment provides imaging in three dimension of a region of trabecular bone, after which the 3D image is converted into a skeletonized surface representation. Digital topological analysis is applied to the converted image, and each image voxel is identified and classified as a curve, a surface, or a junction; and then associated with microarchitectural indices of trabecular bone to quantitatively characterize the trabecular bone network. The invention is applicable in vivo, particularly on human subjects, or ex vivo.

Abstract: An intraoperative or endocavity ultrasound probe for insertion into a patient is provided. An adaptable or adjustable section is provided between the handle and the transducer for rotating the transducer relative to the handle prior to insertion within the patient. The adjustable or adaptable section maintains the adjusted or rotated position while the probe is in use within the patient. The adjustable or adaptable section stays in the same pre-bent position, such as by using a memory-less device or material, and is free of user adjustment while the probe is in use.

Abstract: Apparatus and methods for spatially resolved Raman detection of molecules indicative of the borders of lesions with normal tissue are disclosed. A region of biological tissue was illuminated with monochromatic light. A Raman shifted light signal is detected from endogenous molecules in the region, the molecules being spatially organized in a localized first area of the region. These molecules are indicative of a border between normal tissue and a lesion. The Raman shifted light signal is then spatially resolved in at least one direction.

Abstract: Apparatus and methods for spatially resolved Raman detection of calcification in tissues are disclosed. A region of soft non-arterial biological tissue is illuminated with monochromatic light. A spatially organized first area of calcified tissue is then detected in the region by detecting a Raman shifted light signal. The Raman shifted light signal is spatially resolved in at least one direction.