Abstract: An imaging system includes a source and a detector that can be quickly and easily moved out of the way after scanning. During scanning, the actual paths that the source and detector travel are tracked, such as by an associated surgical navigation system tracking system. The actual locations of the source and detector during each x-ray image are used in the image reconstruction algorithm. Since the actual locations are used in the algorithm, the locations do not have to be as precisely controlled. In one embodiment, the source and detector are mounted proximate outer ends of first and second c-arm sections. The first and second c-arm sections are extendable to form a complete c-arm and retractable to a collapsed position when not in use. In the disclosed embodiment, the c-arm sections are mounted to a base or carriage under the patient support surface (such as the surgical table).

Abstract: A CT scanner includes a pair of shields to protect an operator from x-rays from the CT scanner. The CT scanner has a gantry that provides structural support and housing for the components including an x-ray source and a detector arranged on the gantry to face one another. Lead shields are located on opposing sides of the x-ray source and extend between the x-ray source and the detector. The CT scanner further includes a computer located on an opposing side of the gantry from the x-ray source and the detector. The lead shields rotate with the gantry and prevent the x-ray from reaching the operator while the CT scanner is in operation.

Abstract: A CT scanner includes a pair of shields to protect an operator from x-rays from the CT scanner. The CT scanner has a gantry that provides structural support and housing for the components including an x-ray source and a detector arranged on the gantry to face one another. Lead shields are located on opposing sides of the x-ray source and extend between the x-ray source and the detector. The CT scanner further includes a computer located on an opposing side of the gantry from the x-ray source and the detector. The lead shields rotate with the gantry and prevent the x-ray from reaching the operator while the CT scanner is in operation.

Abstract: A CT scanner includes a gantry that supports and houses components of the CT scanner. A camera is mounted to the gantry. As the gantry rotates about an axis of rotation, the camera captures a photographic external image of the patient at a plurality of rotational positions. A computer generates a three dimensional external image from the plurality of external images. The three dimensional external image is registered relative to a three dimensional CT image generated from a plurality of x-ray images.

Abstract: A CT scanner system provides projection-like images of a patient volume. After a CT scan is obtained and a three-dimensional model of the patient is created, any synthetic view can be generated by choosing any array of projection lines, e.g. between a point and a surface (a flat plane, curved plane, spherical, etc) or between two surfaces (parallel or not) and summing across the projection lines. The synthetic projections can mimic certain traditional views, such as a ceph scan, Water's view, Caldwell's projection, etc or can provide a new view that is impossible or impractical with traditional x-ray equipment, such as a perfect parallel projection, or a projection that does not pass all the way through the patient.

Abstract: A CT scanner includes a gantry including a first arm and a second arm. The first arm houses an x-ray source that generate x-rays, and the second arm houses a complementary flat-panel detector. During a pre-operative CT scan, the CT scanner is positioned at a scanning position near the patient. An alignment feature ensures that the CT scanner is repeatably positionable in the scanning position. After the pre-operative scan is complete, the CT scanner is moved to a remote position. If an updated CT scan is needed during the surgical procedure, the CT scanner is moved from the remote position to the scanning position. The alignment feature ensures that the CT scanner is properly positioned in the scanning position.

Abstract: A CT scanner according to the present invention is particularly adapted for scanning the extremities of a patient. The CT scanner includes an x-ray source and x-ray detector mounted for rotation and translation along an axis parallel to a table for supporting the patient's extremity. The source and detector are mounted opposite one another on an inner circumference of an inner ring. The inner ring is rotatable about the axis within an outer ring mounted on at least one carriage. The carriage is movable parallel to the axis. During scanning, the inner ring rotates within the outer ring while the rings and carriage move along the axis, thereby producing a helical scan of the extremity.

Abstract: A camera mounted to a CT scanner can be used to provide technical assistance relating to the CT scanner. The camera captures an image of an operator of the CT scanner, and the image is provided to a technician at an off-site technical support center. The camera can take external images of a patient while the CT scanner captures x-ray images of the patient, and a computer registers the images relative to each other. The camera can be used when the CT scanner is operating in a fluoroscopy mode, for motion tracking or motion correction of a three dimensional CT image, or for soft-tissue simulation of an area of the patient that is to undergo surgery.

Abstract: A CT scanner system provides projection-like images of a patient volume. After a CT scan is obtained and a three-dimensional model of the patient is created, any synthetic view can be generated by choosing any array of projection lines, e.g. between a point and a surface (a flat plane, curved plane, spherical, etc) or between two surfaces (parallel or not) and summing across the projection lines. The synthetic projections can mimic certain traditional views, such as a ceph scan, Water's view, Caldwell's projection, etc or can provide a new view that is impossible or impractical with traditional x-ray equipment, such as a perfect parallel projection, or a projection that does not pass all the way through the patient.

Abstract: A CT scanning system provides the ability to scan a patient's lower extremities while the patent is upright, i.e. either standing on the foot, or at least putting some load on the foot, or with the ankle at a given angle. The CT scanning system provides a generally horizontal upper support surface on which the patient's foot is supported. A gantry supporting an x-ray source and x-ray detector are rotated about a z-axis through the support surface. With the CT scanning system, the patient's lower extremities can be scanned while under load.

Abstract: A CT scanner according to the present invention is particularly adapted for scanning the extremities of a patient. The CT scanner includes an x-ray source and x-ray detector mounted for rotation and translation along an axis parallel to a table for supporting the patient's extremity. The source and detector are mounted opposite one another on an inner circumference of an inner ring. The inner ring is rotatable about the axis within an outer ring mounted on at least one carriage. The carriage is movable parallel to the axis. During scanning, the inner ring rotates within the outer ring while the rings and carriage move along the axis, thereby producing a helical scan of the extremity.

Abstract: A CT scanner takes a three-dimensional CT image, and a right sinus cavity and a left sinus cavity of a patient are identified in the CT image. The sinus cavities can be manually or automatically identified. When the sinus cavities are clear, the sinus cavities appear black in the CT image. When fluid or static polyps fill the sinus cavities, the sinus cavities appear gray in the CT image. A computer evaluates the CT image to quantify the amount of fluid or static polyps in the sinus cavities.

Abstract: A CT scanner includes a gantry that supports and houses components of the CT scanner. A camera is mounted to the gantry. As the gantry rotates about an axis of rotation, the camera captures a photographic external image of the patient at a plurality of rotational positions. A computer generates a three dimensional external image from the plurality of external images. The three dimensional external image is registered relative to a three dimensional CT image generated from a plurality of x-ray images.

Abstract: A surgical imaging system includes a CT scanner and an image exchange system. A computer interfaces with an image exchange server over the Internet or over another wide area network. The image exchange server provides an offsite backup of images, provides a complete project management for medical procedures involving the images, and provides software available for trial and purchase for use on the surgical imaging system or other computers.

Abstract: An example CT scanner assembly includes a gantry having a first end and a second end rotatable about a first axis, an x-ray detector adjacent the first end, and an x-ray source adjacent the second end. The x-ray source directs an x-ray beam toward a portion of the x-ray detector. The x-ray source translates along a second axis aligned with the first axis when the gantry rotates.

Abstract: A CT scanner automatically determines a volume of change based upon anatomical changes in a patient. During surgery, the CT scanner takes a sufficient number of two-dimensional initial images using a full field of view. The CT scanner compares the initial images to pre-operative data. Based upon the comparison, the CT scanner automatically determines the volume of change plus some margin to define a volume of interest. The CT scanner then collimates an x-ray source to perform an intra-operative updated CT scan of the volume of interest. The CT scanner updates the pre-operative data with the data from the intra-operative updated CT scan of the volume of interest to form a fully updated three-dimensional CT image. The initial images and the pre-operative data can be taken at a lower resolution than the intra-operative updated CT scan of the volume of interest to reduce the x-ray exposure of the patient.

Abstract: A CT scanner according to the present invention is particularly useful for scanning the spine and extremities, such as knees, and ankles, especially while the patient is in an upright position. The CT scanner generally includes a source and detector that are rotatable about a generally upright axis. The source and detector are also moved along the upright axis during rotation to perform a helical scan. The source and detector are mounted to an inner ring, which is rotatably mounted within an outer ring. The outer ring is fixedly mounted to a carriage that is movable along an upright rail.

Abstract: A surgical imaging system includes spaced-apart first and second x-ray sources mounted above a patient support surface. An x-ray detector mounted below the patient support surface generates first x-ray images based upon x-rays from the first x-ray source and second x-ray images based upon x-rays from the second x-ray source. These first and second x-ray images are used to generate a stereofluoroscopic image via a stereo display for a surgeon performing image-guided surgery. The stereofluoroscopic imaging system may be used in conjunction with robotic surgery. A surgical robot operatively controls a surgical tool in an area between the first x-ray source and the x-ray detector, and between the second x-ray source and the x-ray detector. The system may optionally include a first video camera mounted proximate the first x-ray source and a second video camera mounted proximate the second x-ray source.

Abstract: A CT scanner includes a plurality of cone-beam x-ray sources offset along a CT axis. A detector is positioned opposite the x-ray sources. The x-ray sources and detector are rotatable about the CT axis. The x-ray sources direct x-rays through the patient that are received by the detector at a plurality of rotational positions, thereby generating projections from the plurality of x-ray sources that are used to construct the three-dimensional CT image of the patient.

Abstract: A CT scanning system provides the ability to scan a patient's lower extremities while the patent is upright, i.e. either standing on the foot, or at least putting some load on the foot, or with the ankle at a given angle. The CT scanning system provides a generally horizontal upper support surface on which the patient's foot is supported. A gantry supporting an x-ray source and x-ray detector are rotated about a z-axis through the support surface. With the CT scanning system, the patient's lower extremities can be scanned while under load.