Abstract: The invention generally relates to medical imaging systems that instantly and/or automatically detect borders. Embodiments of the invention provide an imaging system that automatically detects a border at a location within a vessel in response only to navigational input moving the image to that location. In some embodiments, systems and methods of the invention operate such that when a doctor moves an imaging catheter to a new location with in tissue, the system essentially instantly finds, and optionally displays, the border(s), calculates an occlusion, or both.

Abstract: Systems, devices, and methods for displaying multiple intraluminal images in a luminal assessment are provided. An intraluminal imaging device is provided which is configured to be positioned within a body lumen of a patient and receive imaging data associated with the body lumen. The intraluminal imaging device may be in communication with a controller configured to display two or more transverse images of the body lumen on a single display device. The system may also be configured to automatically measure, display, and compare measurements of features, including misalignment or malapposition of a stent, the diameter and area of the stent at various locations along the stent, as well as the diameter and area of the lumen before the stent is positioned.

Abstract: Systems, devices, and methods for providing procedure-specific workflow guidance are provided. The workflow guidance may include providing selectable options on a display device to a user including a selectable option to select a target vessel and a prompt to move an intravascular imaging device within the selected target vessel. Imaging data is received from the intravascular imaging device within the selected target vessel. The workflow guidance may be used to identify an area of interest within the selected target vessel and automatically display vessel measurements corresponding with the area of interest on the display device.

Abstract: Systems and methods for multi-modality data processing are provided. Some embodiments are particularly directed to navigating sets of multi-modality medical data in a multi-modality processing system. In one embodiment, a method for navigating medical data in a medical processing system includes receiving a reference set of medical data by the medical processing system, where the medical data corresponds to a modality selected from the group consisting of: FFR, iFR, pressure, flow, IVUS, and OCT. The medical processing system also receives a navigation command. An enhancement and a subset of the reference set of medical data to enhance are identified based on the navigation command. The medical processing system performs the selected enhancement on the subset of data and the enhanced subset is displayed. The enhancement may include performing a single-axis zoom on the subset.

Abstract: An extension cable is adapted for use in an intravascular ultrasound system. It has a first connector, for connecting to a catheter and a second connector for connecting to a patient interface module. A cable arrangement provides power transmission, data transmission and data signal processing (amplification or regeneration) between the first and second connectors. The extension cable enables sterility to be maintained in a workflow in a time efficient and easy manner as the catheter to extension cable connection may remain in a sterile environment.

Abstract: A system includes a processor circuit in communication with an extraluminal imaging device and an intraluminal imaging device. The processor circuit obtains an enhanced stent deployment extraluminal image and a plurality of intraluminal images. The enhanced stent deployment extraluminal image and the each of the plurality of intraluminal images are associated with locations along a pathway. The pathway is overlaid over an extraluminal image. Based on the locations of the pathway, the processor circuit coregisters the plurality of intraluminal images to the enhanced stent deployment extraluminal image and outputs a screen display of one of the plurality of intraluminal images and the enhanced stent deployment extraluminal image with an indicator identifying the location at which the displayed intraluminal image was obtained.

Abstract: A system includes a processor circuit that receives a plurality of intraluminal images obtained by an intraluminal imaging device. The processor circuit determines a plaque burden for each of the plurality of intraluminal images and identifies a region of the body lumen within an image of the body lumen. The processor circuit then outputs to a display the image of the body lumen, a first plaque burden value corresponding to a distal end of the region, and a second plaque burden value corresponding to a proximal end of the region.

Abstract: A system includes a processor circuit in communication with an intraluminal imaging device and a laser atherectomy device. An intraluminal imaging procedure is performed within a lumen with the intraluminal imaging device. The processor circuit receives the intraluminal images acquired. The intraluminal images are analyzed to determine a tissue classification for each intraluminal image. One or more laser atherectomy settings are determined for each intraluminal image based on the tissue classification. The intraluminal images and corresponding tissue classifications and laser atherectomy settings are then associated with the location at which each intraluminal image was acquired along the lumen. A laser atherectomy procedure is then performed within the same lumen. As the laser atherectomy device is moved to positions within the vessel, the laser atherectomy setting associated with each position is retrieved from the memory and automatically applied to the laser atherectomy device.

Abstract: A system includes a processor circuit that receives an extraluminal image obtained without contrast. The processor circuit receives multiple additional extraluminal images obtained without contrast as an intraluminal device is moved through a body lumen of a patient. The locations of the intraluminal device are tracked and used to form a curve. The curve is overlaid over one of the extraluminal images obtained without contrast. The curve and extraluminal image are displayed to a user and modified or confirmed. The intraluminal data points acquired by the intraluminal device are then co-registered to the extraluminal image. The extraluminal image and intraluminal data are displayed to the user.

Abstract: A system includes a processor circuit in communication with an intraluminal imaging device. The processor circuit is configured to receive an intraluminal image obtained by the intraluminal imaging device while the intraluminal imaging device is positioned within a body lumen of a patient. The processor circuit also receive a user input selecting one location within the intraluminal image and another user input selecting another location within the intraluminal image. These two locations within the intraluminal image define boundaries of a sector of the intraluminal image associated with a tissue type. The processor circuit determines an angle of the sector defined by the two locations. The intraluminal image and a visual representation of the angle are displayed on a screen display.

Abstract: A system includes a processor circuit that receives intraluminal images of a body lumen. The processor circuit identifies a stent edge within the intraluminal images and calculates a distance between the stent edge and the vessel wall. The processor circuit additionally compares the distance between the stent edge and the vessel for the intraluminal images to a threshold distance and identifies which intraluminal images correspond to a distance exceeding the threshold. The processor circuit further outputs to a display a longitudinal view of the body lumen identifying locations along the stent at which the distance between the stent and the vessel wall exceeds the threshold distance.

Abstract: A system includes a processor circuit that receives physiology measurements obtained by an intraluminal physiology measurement device within a body lumen. The processor circuit automatically segments the body lumen into a plurality of segments based on the physiology measurements. The processor circuit then determines a change in the physiology measurements corresponding to each segment and determines a recommended position for a treatment device within the body lumen based on the change for each segment. The processor circuit provides an output associated with the recommended position on a display.

Abstract: A system includes a processor circuit that receives intravascular imaging data from an intravascular imaging catheter, an x-ray image from an x-ray imaging device, and intravascular pressure data from an intravascular pressure-sensing guidewire. The processor circuit correlates the intravascular imaging data and the intravascular pressure data to locations along a body lumen shown in the x-ray image. The processor circuit generates a longitudinal view of the body lumen based on the intravascular imaging data and outputs a screen display including the longitudinal view of the body lumen with an overlaid graphical representation corresponding to the intravascular pressure measurements.

Abstract: Systems, devices, and methods for providing procedure-specific workflow guidance are provided. The workflow guidance may include providing selectable options on a display device to a user including a selectable option to select a target vessel and a prompt to move an intravascular imaging device within the selected target vessel. Imaging data is received from the intravascular imaging device within the selected target vessel. The workflow guidance may be used to identify an area of interest within the selected target vessel and automatically display vessel measurements corresponding with the area of interest on the display device.

Abstract: Systems, methods, and devices are provided for automatically adjusting the scale or magnification of an intraluminal image on a display of an intraluminal imaging system based on a measured or computed size of the vessel. For example, a system may include a processor configured to receive, from an intraluminal imaging catheter or guidewire, a first intraluminal image of a body lumen, and compute a dimension of an anatomical feature of the body lumen based on the first intraluminal image. The processor computes a scaling factor for the first intraluminal image based on the dimension of the body lumen, scales the first intraluminal image by the scaling factor, and outputs the scaled first intraluminal image to a display in communication with the processor circuit.

Abstract: Disclosed is an intraluminal imaging system that includes an intraluminal imaging catheter or guidewire configured to obtain imaging data associated with a lumen of a patient while positioned within the lumen, and a processor in communication with the intraluminal imaging catheter or guidewire. The processor is configured to generate aplurality of image frames using on the imaging data, automatically measure an anatomical feature in the image frames, identify a target frame representative of a region of interest, identify a proximal reference frame located proximal of the target frame, and identify a distal reference frame located distal of the target frame. The processor is also configured to output a single screen display including the proximal reference frame, target frame, distal reference frame, and a longitudinal representation of the lumen showing the respective positions of the proximal refernce frame, the target frame, and the distal refernce frame.

Abstract: Devices, systems, and methods for evaluating a vessel of a patient are provided. The method includes outputting, to a touch-sensitive display of a bedside controller, a screen display including: a visual representation of a first pressure ratio of pressure measurements obtained by first and second instruments positioned within a vessel while the second instrument is moved from a distal position to a proximal position relative a stenosis and the first instrument remains stationary; and a first proximal pressure waveform and a first distal pressure waveform; receiving, through the touch-sensitive display of the bedside controller, a user touch input on the first proximal pressure waveform and/or the first distal pressure waveform identifying a time at which pressure measurements were obtained; and modifying the screen display, in response to the user touch input, to further include a visual representation of the obtained pressure measurements corresponding to the identified time.

Abstract: Devices, systems, and methods for evaluating a vessel of a patient are provided. The method includes outputting, to a touch-sensitive display of a bedside controller, a screen display including: a visual representation of a first pressure ratio of pressure measurements obtained by first and second instruments positioned within a vessel while the second instrument is moved from a distal position to a proximal position relative a stenosis and the first instrument remains stationary; and a first proximal pressure waveform and a first distal pressure waveform; receiving, through the touch-sensitive display of the bedside controller, a user touch input on the first proximal pressure waveform and/or the first distal pressure waveform identifying a time at which pressure measurements were obtained; and modifying the screen display, in response to the user touch input, to further include a visual representation of the obtained pressure measurements corresponding to the identified time.

Abstract: The invention generally relates to medical imaging systems that instantly and/or automatically detect borders. Embodiments of the invention provide an imaging system that automatically detects a border at a location within a vessel in response only to navigational input moving the image to that location. In some embodiments, systems and methods of the invention operate such that when a doctor moves an imaging catheter to a new location with in tissue, the system essentially instantly finds, and optionally displays, the border(s), calculates an occlusion, or both.

Abstract: The invention generally relates to medical imaging systems that instantly and/or automatically detect borders. Embodiments of the invention provide an imaging system that automatically detects a border at a location within a vessel in response only to navigational input moving the image to that location. In some embodiments, systems and methods of the invention operate such that when a doctor moves an imaging catheter to a new location with in tissue, the system essentially instantly finds, and optionally displays, the border(s), calculates an occlusion, or both.