Abstract: A method and system for segmentation and removal of pulmonary arteries, pulmonary veins, and a left atrial appendage from 3D medical image data, such as 3D computed tomography (CT) volumes, is disclosed. A global shape model is segmented for each of pulmonary arteries, pulmonary veins, and a left atrial appendage in a 3D volume. The segmented global shape model for each of the pulmonary arteries, pulmonary veins, and left atrial appendage is locally refined based in local voxel intensities in the 3D volume, resulting in a respective mask for each structure. The mask is used to remove voxels belonging to the pulmonary arteries, pulmonary veins, and left atrial appendage from the 3D volume in order to better visualize coronary arteries and bypass arteries.

Abstract: A device is disclosed for determining and visualizing the perfusion of the myocardial muscle with the aid of static CCTA images. In at least one embodiment, the device includes a segmentation unit for segmenting the coronary blood vessels and the left myocardial muscle from a CCTA image of the heart; a first simulation unit for simulating the blood flow through the coronary blood vessels; and a second simulation unit by which the local perfusion of the myocardial muscle is determined on the basis of the ascertained blood flow into different regions of the myocardial muscle. The perfusion of the different regions of the myocardial muscle is visualized in a schematized image on a visualization unit. By virtue of the proposed device it is possible to dispense with further imaging examinations after the performance of a CCTA scan, thereby relieving the pressure both on the part of the physician and on the part of the patient.

Abstract: In a method for visualizing at least one section of a wall of an atrium of the heart in a patient after an ablation for treatment of atrial fibrillation, a volume data record of at least the treated atrium of the heart in the patient is segmented to establish voxels that are of an inner surface, an outer surface, and a volume situated between the inner and outer surfaces of the wall of the treated atrium. The at least one section of the wall of the treated atrium of the heart is visualized by volume rendering or ray casting such that only voxel values of the established voxels that lie on the inner surface in the volume or on the outer surface of the wall of the treated atrium are used.

Abstract: A method and system for automated intervention planning for transcatheter aortic valve implantations using computed tomography (CT) data is disclosed. A patient-specific aortic valve model is detected in a CT volume of a patient. The patient-specific aortic valve model is detected by detecting a global location of the patient-specific aortic valve model in the CT volume, detecting aortic valve landmarks based on the detected global location, and fitting an aortic root surface model. Angulation parameters of a C-arm imaging device for acquiring intra-operative fluoroscopic images and anatomical measurements of the aortic valve are automatically determined based on the patient-specific aortic valve model.

Abstract: A device is disclosed for determining and visualizing the perfusion of the myocardial muscle with the aid of static CCTA images. In at least one embodiment, the device includes a segmentation unit for segmenting the coronary blood vessels and the left myocardial muscle from a CCTA image of the heart; a first simulation unit for simulating the blood flow through the coronary blood vessels; and a second simulation unit by which the local perfusion of the myocardial muscle is determined on the basis of the ascertained blood flow into different regions of the myocardial muscle. The perfusion of the different regions of the myocardial muscle is visualized in a schematized image on a visualization unit. By virtue of the proposed device it is possible to dispense with further imaging examinations after the performance of a CCTA scan, thereby relieving the pressure both on the part of the physician and on the part of the patient.

Abstract: A device is disclosed for determining and visualizing the perfusion of the myocardial muscle with the aid of static CCTA images. In at least one embodiment, the device includes a segmentation unit for segmenting the coronary blood vessels and the left myocardial muscle from a CCTA image of the heart; a first simulation unit for simulating the blood flow through the coronary blood vessels; and a second simulation unit by which the local perfusion of the myocardial muscle is determined on the basis of the ascertained blood flow into different regions of the myocardial muscle. The perfusion of the different regions of the myocardial muscle is visualized in a schematized image on a visualization unit. By virtue of the proposed device it is possible to dispense with further imaging examinations after the performance of a CCTA scan, thereby relieving the pressure both on the part of the physician and on the part of the patient.

Abstract: Heart valve operation is assessed with patient-specific medical diagnostic imaging data. To deal with the complex motion of the passive valve tissue, a hierarchal model is used. Rigid global motion of the overall valve, non-rigid local motion of landmarks of the valve, and surface motion of the valve are modeled sequentially. For the non-rigid local motion, a spectral trajectory approach is used in the model to determine location and motion of the landmarks more efficiently than detection and tracking. Given efficiencies in processing, more than one valve may be modeled at a same time. A graphic overlay representing the valve in four dimensions and/or quantities may be provided during an imaging session. One or more of these features may be used in combination or independently.

Abstract: A method and a data-processing system are disclosed for determining the proportion of calcium in coronary arteries using image data from CT angiography. In at least one embodiment of the method, anatomical landmarks are detected in the image data in the region of the heart and coronary arteries are segmented taking into account the detected landmarks. Regions with an increased HU value compared to a contrast agent surroundings are segmented in the segmented coronary arteries. A proportion of calcium respectively is calculated from the segmented regions for one or more of the segmented coronary arteries. At least the last two steps are carried out fully automatically by a data-processing system. Weighting factors for the individual regions are used when calculating the proportion of calcium, which weighting factors depend on both the threshold for segmenting the respective region and the volume of said region.

Abstract: A method and system for isolating the heart in a 3D volume, such as a cardiac CT volume, for patients with coronary artery bypasses is disclosed. An initial heart isolation mask is extracted from a 3D volume, such as a cardiac CT volume. The aortic root and ascending aorta are segmented in the 3D volume, resulting in an aorta mesh. The aorta mesh is expanded to include bypass coronary arteries. An expanded heart isolation mask is generated by combining the initial heart isolation mask with an expanded aorta mask defined by the expanded aorta mesh.

Abstract: A method and system for non-invasive assessment of coronary artery stenosis is disclosed. Patient-specific anatomical measurements of the coronary arteries are extracted from medical image data of a patient acquired during rest state. Patient-specific rest state boundary conditions of a model of coronary circulation representing the coronary arteries are calculated based on the patient-specific anatomical measurements and non-invasive clinical measurements of the patient at rest. Patient-specific rest state boundary conditions of the model of coronary circulation representing the coronary arteries are calculated based on the patient-specific anatomical measurements and non-invasive clinical measurements of the patient at rest. Hyperemic blood flow and pressure across at least one stenosis region of the coronary arteries are simulated using the model of coronary circulation and the patient-specific hyperemic boundary conditions.

Abstract: A method and system for coronary artery detection in 3D cardiac volumes is disclosed. The heart chambers are segmented in the cardiac volume, and an initial estimation of a coronary artery is generated based on the segmented heart chambers. The initial estimation of the coronary artery is then refined based on local information in the cardiac volume in order to detect the coronary artery in the cardiac volume. The detected coronary artery can be extended using 3D dynamic programming.

Abstract: A method and system for non-invasive assessment of coronary artery stenosis is disclosed. Patient-specific anatomical measurements of the coronary arteries are extracted from medical image data of a patient acquired during rest state. Patient-specific rest state boundary conditions of a model of coronary circulation representing the coronary arteries are calculated based on the patient-specific anatomical measurements and non-invasive clinical measurements of the patient at rest. Patient-specific rest state boundary conditions of the model of coronary circulation representing the coronary arteries are calculated based on the patient-specific anatomical measurements and non-invasive clinical measurements of the patient at rest. Hyperemic blood flow and pressure across at least one stenosis region of the coronary arteries are simulated using the model of coronary circulation and the patient-specific hyperemic boundary conditions.

Abstract: A method and system for providing detecting and classifying coronary stenoses in 3D CT image data is disclosed. Centerlines of coronary vessels are extracted from the CT image data. Non-vessel regions are detected and removed from the coronary vessel centerlines. The cross-section area of the lumen is estimated based on the coronary vessel centerlines using a trained regression function. Stenosis candidates are detected in the coronary vessels based on the estimated lumen cross-section area, and the significant stenosis candidates are automatically classified as calcified, non-calcified, or mixed.

Abstract: A method and system for automatic aortic valve calcification evaluation is disclosed. A patient-specific aortic valve model in a 3D medical image volume, such as a 3D computed tomography (CT) volume. Calcifications in a region of the 3D medical image volume defined based on the aortic valve model. A 2D calcification plot is generated that shows locations of the segmented calcifications relative to aortic valve leaflets of the patient-specific aortic valve model. The 2D calcification plot can be used for assessing the suitability of a patient for a Transcatheter Aortic Valve Replacement (TAVI) procedure, as well as risk assessment, positioning of an aortic valve implant, and selection of a type of aortic valve implant.

Abstract: A method and system for automated intervention planning for transcatheter aortic valve implantations using computed tomography (CT) data is disclosed. A patient-specific aortic valve model is detected in a CT volume of a patient. The patient-specific aortic valve model is detected by detecting a global location of the patient-specific aortic valve model in the CT volume, detecting aortic valve landmarks based on the detected global location, and fitting an aortic root surface model. Angulation parameters of a C-arm imaging device for acquiring intra-operative fluoroscopic images and anatomical measurements of the aortic valve are automatically determined based on the patient-specific aortic valve model.

Abstract: A method is disclosed for highlighting local characteristics in anatomical volume renderings of vessel structures and a computer system is disclosed for carrying out this method.

Abstract: In a method to control a medical technology system with a projection image acquisition apparatus, planning images that were previously selected in a planning step and generated from previously generated volume data are used, and orientation data are associated with the planning images. For this purpose, an output of the planning images at a display device initially takes place. A selection signal to select a planning image is then registered, and acquisition parameters are determined using the orientation data of the selected planning image. The medical technology system is controlled based on the acquisition parameters to acquire a current projection image and the current projection image is displayed.

Abstract: A device for planning a transcatheter aortic valve implantation is disclosed. The device includes a segmentation module for segmenting the aorta ascendens with the aorta annulus, the aortic valves and the coronary ostia as well as the left ventricle; a determination module, which determines on the basis of the segmented data the aorta annulus plane and from this one or more angiography projections for setting an angiography device, with which the aorta annulus and the coronary ostia are able to be detected in the optimum manner for positioning the transcatheter heart valve; and an output module that outputs this information. The proposed device supports the user in the planning of a transcatheter aortic valve implantation.

Abstract: A visualization of an image data record of an organ enclosing a cavity, in particular a CT image data record of a colon, that is reliable and has a low level of computational complexity, is performed according to a method. In at least one embodiment of the method a virtual viewer position outside the organ tissue is defined; an interface between the organ tissue and the cavity is defined with the aid of the image data record; from the middle of the cavity local gradients, that specify the rise in the absorption behavior between a gas contained in the cavity and the organ tissue, are determined; starting from the viewer position, a search beam is defined and an angle between the search beam and the gradients is determined; and a transparency value is allocated to the organ tissue as a function of the angle during visualization.

Abstract: A method and a workstation are disclosed for visualizing a three-dimensional image data record having a multiplicity of voxels of a heart of a patient, recorded with the aid of an x-ray CT examination carried out with contrast agent present in the bloodstream. In at least one embodiment, the method includes saving the CT image data record including a multiplicity of voxels defined by absorption values, determining the voxels associated with the chamber of the heart by segmenting the chambers of the heart filled with blood containing the contrast agent, removing the image information from the voxels associated with the chambers of the heart, calculating a two-dimensional virtual projection from the remaining CT image data record, and displaying the virtual two-dimensional projection.