Abstract: One or more techniques are provided for determining the overall motion of an organ of interest relative to a viewer or imager. Motion data is acquired for the organ of interest and/or for one or more proximate organs using sensor-based and/or image data-based techniques. The sensor-based techniques may include electrical and non-electrical techniques. The image data-based techniques may include both pre-acquisition and acquisition image data. The motion data for the organ of interest and proximate organs may be used to determine one or more quiescent periods corresponding to intervals of minimal motion for the organ of interest and the proximate organs. The one or more quiescent periods may be used to determine one or more gating points that may be used prospectively, i.e., during image acquisition, and retrospectively, i.e., after image acquisition.

Abstract: An X-ray CT apparatus detects a predetermined characteristic wave from each electrocardiographic waveform acquired from an electrocardiograph, predicts intervals with which the characteristic wave appears based on appearance times of the detected predetermined characteristic wave in each electrocardiographic waveform, and determines an X-ray irradiation start time based on the predicted interval time. After an instruction to start collection of X-ray intensity distribution data is received, if an appearance interval of a detected predetermined characteristic wave is within an acceptable normal-heartbeat range, it is determined as a normal heartbeat. If the appearance interval of the detected predetermined characteristic wave is outside the acceptable normal-heartbeat range, it is determined as an abnormal heartbeat.

Abstract: In a method for acquiring dynamically varying magnetic resonance signals, a respiration cycle of a patient is monitored in a learning phase. Acquisition of varying signals ensues with the highest possible temporal resolution in an initial phase with a breath-hold by the patient. Slowly varying signals are subsequently acquired with lower temporal resolution in a movement phase and with free respiration of the patient. The signal acquisitions are initiated by a pre-established trigger condition.

Abstract: The present invention is directed to a method and system of controlling rotation of a gantry to rotate at a rotational speed such that a desired relationship between center projection angles of neighboring partial scans is maintained.

Abstract: A target motion simulator system for use in verifying target tracking with a radiation therapy device. The system comprises a radiation detection target coupled to a first motion actuator simulating a first motion of a first tissue and a fiducial coupled to a second motion actuator simulating a second motion of a second tissue offset from the first tissue, a component of the first motion being asynchronous with the second motion. A synthetic physiological signal generator is synchronized with the component of the first motion, wherein an output signal from the generator, in combination with a sensed position of the fiducial, may be used by the radiation therapy device in tracking the target.

Abstract: The invention relates to a method and an arrangement for the intravascular or intracardial navigation of a catheter (5). Using an X-ray fluoroscopy device (1), firstly an image database of 2D images is generated, where at the same time as each 2D image (I) is taken the associated heartbeat phase is recorded using an ECG (8). During the catheter intervention, the position of the catheter (5) is measured by means of a position measurement unit (6), and at the same time the ECG and preferably also a signal that is dependent on the breathing movement are recorded. The current spatial position of the catheter (5) that is measured is then assigned the 2D image of the image database which corresponds in terms of the heartbeat phase and also possibly in terms of the breathing phase, on which image the position of the catheter can be represented.

Abstract: A method and appertaining system permit a co-registration between points in a three-dimensional model of a vessel and vascular images obtained by an imaging catheter within the vessel at the respective points. The three-dimensional model is created by utilizing information from at least two external two-dimensional images produced by, e.g., one or more x-ray devices. The three-dimensional model is displayed on an analysis workstation, and a user may view the vascular images at particular points by selecting the appertaining points on the three-dimensional model.

Abstract: An image system, notably an X-ray system and an ultrasound system, is provided in which images or sequences of images are generated and used to automatically change or optimize the operational behavior of individual image system components. Measurement fields are defined in the images of an image sequence by means of a data processing unit. Information is extracted from the measurement fields in order to adapt the system components. More specifically, in the course of a sequence of images the measurement fields are adapted or shifted in conformity with the motion of objects.

Abstract: A nuclear medical diagnostic equipment wherein radiation which is emitted by a nuclide administered into the body of a patient is detected as projection data by a gamma camera, and an image which indicates the distribution of the nuclide within the body of the patient is obtained on the basis of the projection data. The equipment comprises a rotation unit which rotates the radiation detector round the patient, a respiration identification unit which identifies breathing of the patient and non-breathing thereof based on breath holding, a data storage unit in which the radiation detection data acquired by the radiation detector are stored in an identifiable manner on the basis of a result of the identification by the respiration identification unit, and an image generation unit which generates the image from the radiation detection data stored in the data storage unit on the basis of the result of the identification by the respiration identification unit.

Abstract: An X-ray diagnostic apparatus includes an X-ray generating unit which generates X rays, an X-ray detecting unit which detects X rays transmitted through a subject, an X-ray exposure operating unit which is operated by an operator, and a system control unit which controls the X-ray generating unit in order to start the generation of the X rays from the X-ray generating unit at a time point when a heart rate phase of the subject reaches a specified phase after the X-ray exposure operating unit is operated.

Abstract: Method for ECG triggering a measuring sequence of a magnetic resonance device, with ECG signals of a patient being detected over two channels, with the triggering of the measuring sequence being carried out when the ECG signal of at least one channel, said ECG signal being subjected to a digital signal processing, exceeds a threshold value, and at the same time the derivation of the ECG signal or the norm of the derivation of the ECG signal lies within a defined interval in both channels.

Abstract: A method for analyzing stored frames of time-stamped imaging data and time-stamped physiologic data obtained during a study of a patient during a plurality of cardiac cycles. The imaging data includes frames representative of a succession of images of the patient's heart. These configurations use a computer to analyze the stored physiologic data to determine times of a selected phase in the plurality of cardiac cycles, select, in the plurality of cardiac cycles, stored images corresponding to the determined times of the selected phase, and align and average images corresponding to the selected phase across the plurality of cardiac cycles to produce a single representative frame of image data.

Abstract: An image guided navigation system for navigating a region of a patient includes an imaging device, a tracking device, a controller, and a display. The imaging device generates images of the region of a patient. The tracking device tracks the location of the instrument in a region of the patient. The controller superimposes an icon representative of the instrument onto the images generated from the imaging device based upon the location of the instrument. The display displays the image with the superimposed instrument. The images and a registration process may be synchronized to a physiological event. The controller may also provide and automatically identify an optimized site to navigate the instrument to.

Abstract: A medical imaging system generates 3D anatomical images from acquired 2D anatomical images. The system includes a synchronization processor for providing a synchronization signal identifying a particular phase of heart operation of a particular patient. An image acquisition device acquires 2D anatomical images of a patient heart in angularly variable imaging planes over multiple different heart cycles at the particular phase of heart operation in response to the synchronization signal and in response to recorded data indicating imaging previously being performed at particular imaging plane angles. An image processor stores the recorded data to prevent imaging overlap at the particular imaging plane angles and to prevent unnecessary radiation exposure of the patient.

Abstract: The invention relates to a method and a device for registering 2D projection images of an object relative to a 3D image data record of the same object, in which, from just a few 2D projection images, a 3D feature contained in an object, which is also identifiable in the 3D images, is symbolically reconstructed. The 3D feature obtained in this way is then registered by 3D-3D registration with the 3D image data record.

Abstract: A method is disclosed for providing tomographic pictures of a patient with the aid of a tomographic system by using contrast medium injections. The patient is firstly injected with a defined test bolus, while the temporal concentration profile of the contrast medium in at least one body region is determined in at least one scanning plane. The functional parameters of a prediction model that maps or at least approximates the relationship between the profile of a contrast medium injection and the temporal profile of the contrast medium concentration in the body region are determined from the measured profile of the contrast medium concentration in relation to the profile of the test bolus injection.

Abstract: A medical diagnostic imaging system (10) includes a diagnostic imaging scanner (12) that acquires imaging data of a medical imaging patient. A reconstruction processor (46) reconstructs at least a portion of the acquired imaging data into an image representation. A pair of electrodes (30, 32) contact a thoracic region of the patient. An electrical meter (34) measures electrical resistance R(t) or another time-varying electrical parameter (70) across the electrode pair (30, 32) during the acquiring of imaging data. A respiration monitor (36) extracts a time-varying respiration characteristic (90, 98, 110, 120) from the measured time-varying electrical parameter (70) to indicate respiratory cycle phase.

Abstract: Projection views of the moving heart and stationary background tissues are acquired and processed to provide corresponding moving tissue projection views. An average image is reconstructed in a conventional manner and a moving tissue image is reconstructed using a highly constrained backprojection method and a composite image formed from selected moving tissue projection views. The average image is then combined with the moving tissue image. The method is disclosed in a cardiac gated MRI scan.

Abstract: A method of generating an image of a coronary artery tree for a patient. The method can include acquiring data from the patient for coronary artery segments and generating a coronary artery tree image including the coronary artery segments. The method can also include accessing coronary artery tree patterns, comparing the coronary artery tree image to the coronary artery tree patterns, and automatically selecting one of the coronary artery tree patterns as a representative coronary artery tree image for the patient. The method can further include measuring lesions and automatically adding the lesion measurements to the coronary artery tree image for the patient.

Abstract: An electrical parameter imaging apparatus and method includes the acquisition of a charge distribution pattern on an array of electrodes that surround an object being imaged. In addition the exterior boundary, or contours of the object is measured by an array of light beams and associated light sensors. The contour measurement is employed to provide a first estimate of the object geometry needed to compute an electrical parameter image from the acquired charge distribution pattern.

Abstract: The invention relates to a method and a device for improved imaging by means of ECG triggering. A first trigger time A and a second trigger time B, as well as a threshold value for the heart rate variability is determined with the method according to the invention. The heart rate variability is subsequently calculated. Trigger time A is used as long as the threshold value is exceeded. Trigger time B is used when the threshold value is reached or exceeded.

Abstract: An X-ray CT apparatus can be configured such that an amount of artifacts of a tomographic image of a heart is reduced. For example, the X-ray CT apparatus can include detecting means for detecting a static cardiac time phase with a small amount of motion artifacts in a predetermined portion of the subject based on heartbeat information acquired in association with the projection data, and image reconstructing means for generating the tomographic image by reconstructing projection data corresponding to the static cardiac time phase detected by the detecting means.

Abstract: A method for retrospective internal gating is provided. The method includes scanning a patient to obtain projection data, generating images from the projection data, generating a signal representing information regarding a physiological cycle of an object within the patient, specifying at least one target phase based on which the images can be sorted, and sorting the images based on the target phase within a cycle of motion of the object to generate at least one series of images.

Abstract: Apparatus (2) is provided, including a heartbeat measurement device (3), which senses a cardiac parameter of a patient and generates a cardiac parameter signal responsively thereto. An optical measurement device acquires data by emitting towards tissue of the patient 400-1000 niti light, and receiving light reflected from the tissue. An integrator unit (10) receives the cardiac parameter signal and, in response thereto, actuates the optical measurement device to acquire the data.

Abstract: A method of imaging an object using a medical imaging system is provided. The imaging method acquires a stream of sinogram data. Changes in the stream of sinogram data corresponding to movement of the object are detected. The method selects portions of the stream of sinogram data. An image of the object based on the selected portions of the sinogram data is generated.

Abstract: A method for four-dimensional (4D) image verification in respiratory gated radiation therapy, includes: acquiring 4D computed tomography (CT) images, each of the 4D CT images representing a breathing phase of a patient and tagged with a corresponding time point of a first surrogate signal; acquiring fluoroscopic images of the patient under free breathing, each of the fluoroscopic images tagged with a corresponding time point of a second surrogate signal; generating digitally reconstructed radiographs (DRRs) for each breathing phase represented by the 4D CT images; generating a similarity matrix to assess a degree of resemblance in a region of interest between the DRRs and the fluoroscopic images; computing a compounded similarity matrix by averaging values of the similarity matrix across different time points of the breathing phase during a breathing period of the patient; determining an optimal time point synchronization between the DRRs and the fluoroscopic images by using the compounded similarity matrix;

Abstract: A method for planning atrial fibrillation (AF) intervention for a patient includes obtaining acquisition data from a medical imaging system, and generating a 3D model of the left atrium and pulmonary veins of the patient. One or more left atrial anatomical landmarks are identified on the 3D model, and saved views of the 3D model are registered on an interventional system. One or more of the registered saved views are visualized with the interventional system.

Abstract: An ultrasonic imaging system acquires echo signals from an object being imaged such as a moving coronary artery and the cross-correlation between echo signals is employed as an objective measure of relative object location. The method is used in a prescan procedure to determine an optimal gating window to acquire image data during a cardiac gated scan, and it is used during the scan as a real time gating signal.

Abstract: The invention relates to an X-ray imaging device for visualizing the blood flow in a coronary vascular tree of a patient. According to the invention a first set (1) of X-ray projection images of the vascular tree is recorded during various phases of the heart cycle with simultaneous recording of the ECG (2) of the patient. By means of a suitable program control, computer means (17) of the device according to the invention a reconstruction then follows of the three-dimensional structure of the vascular tree during the various phases of the heart cycle. The invention proposes, to determine the time-dependent concentration of contrast agent within the reconstructed three-dimensional structure of the vascular tree, that local image areas within the X-ray projection images of the second set (6) assigned to individual vascular segments (5, 8) are located in accordance with the spatial positions of the vascular segments (5, 8) in the relevant phase of the heart cycle.

Abstract: The invention relates to a device and a method for producing an image of the heart (5), in which the image is preferably three-dimensional and is reconstructed from a series of X-ray projection pictures from various projection directions. In this connection, the electrocardiogram (7) is recorded in parallel with the X-ray pictures and used by a data processing device (10) to control the picture-taking rate, the X-ray pulse duration, the tube current and/or the tube voltage of the X-ray device (1) in such a way that, during the phase to be displayed of maximum movement of the heart, the mean X-ray exposure rate is higher than during the other phases. The data processing device (10) may furthermore use the electrocardiogram to drive an injection pump (8) for the contrast agent in such a way that an approximately constant contrast display of the vessels is produced with minimum contrast-agent injection despite a variable flowrate in the vascular system.

Abstract: In one embodiment, a method is provided for performing computed tomography (CT) imaging. The method includes obtaining EKG gating information from an object and obtaining attenuation measurements from the object utilizing a detector that is rotated in a scan plane around the object. The method further includes performing a first reconstruction based on a first portion of the attenuation measurements that are collected by a first region of the detector, where the first reconstruction is performed independent of the EKG gating information to obtain a first reconstruction data set. A second reconstruction is performed based on a second port of the attenuation measurements that are collected by a second region of the detector, where the second reconstruction is performed based on the EKG gating information to obtain a second reconstruction data set.

Abstract: The invention relates to a method and a device for the three-dimensional reconstruction of the flow conditions in a vascular system (3), in which, in a first phase after the beginning of a contrast-medium injection, X-ray projection pictures are produced from the same direction (A) at a high picture-taking rate in order to observe the inflow of the contrast medium. When the contrast medium fills the vascular system (3), a rotation of the Xray device (1) takes place during which projection pictures are produced at a lower picture taking rate and/or at a lower radiation dose, from which pictures the three-dimensional structure of the vascular tree can be reconstructed. Optionally, at the end of the rotation, projection pictures may again be taken from a fixed direction that observe the drainage of the contrast medium from the vascular system (3).

Abstract: A system including a first medical positioning system for detecting a first position and orientation of the body of a patient, a second medical positioning system for detecting a second position and orientation of the body, and a registering module coupled with a second imager and with the second medical positioning system, the first medical positioning system being associated with and coupled with a first imager, the first imager acquiring the first image from the body, the first imager producing the first image by associating the first image with the first position and orientation, the second medical positioning system being associated with and coupled with the second imager, the second imager acquiring the second image and associating the second image with the second position and orientation, the registering module registering the first image with the second image, according to the first position and orientation and the second position and orientation.

Abstract: An image processing apparatus includes a storage unit which stores the data of a plurality of images in an angiography sequence, and a computation unit which generates a reference time density curve concerning a reference region set in a blood supply region to a blood supplied region and a plurality of time density curves concerning a plurality of local regions set in the blood supplied region on the basis of the data of a plurality of images, and computes a plurality of indexes respectively representing the correlations of the plurality of time density curves with respect to the reference time density curve.

Abstract: A method for associating EKG waveform data with computed tomography image data using a data synchronization scheme including generating the EKG waveform data using an electrocardiogram device, operating a computed tomography imaging system so as to create the computed tomography image data, communicating an exposure marker-in signal to the electrocardiogram device such that the exposure marker-in signal is associated with the EKG waveform data and processing the computed tomography image data, the EKG waveform data and the exposure marker-in signal, so as to correlate the EKG waveform data with the computed tomography image data. Also claimed is a medium encoded with a machine-readable computer program code for associating EKG waveform data with image data generated by an imaging system using a data synchronization scheme, the medium including instructions for causing controller to implement the aforementioned method.

Abstract: A method for medical imaging is provided, wherein a current position of a medical instrument inserted into a moving examination area of a patient is displayed. The medical instrument is displayed within a reconstructed three-dimensional image of the moving examination area based on position data of the instrument registered with a coordinate system of the reconstructed three-dimensional image. The reconstructed three-dimensional image is a simulation of the moving examination area using a pre-insertion 3D image of the examination area correlated with pre-insertion ECG data of the patient. A display of the reconstructed three-dimensional image is triggered by current ECG data of the patient.

Abstract: A system and method is provided directed to improved real-time image guidance by uniquely combining the capabilities of two well-known imaging modalities, anatomical 3D data from computer tomography (CT) and real time data from live fluoroscopy images provided by an angiography/fluoroscopy system to ensure a more efficient and safer intervention in treating punctures, drainages and biopsies in the abdominal and thoracic areas of the human body.

Abstract: A system for the collection, management, and dissemination of information relating at least to a medical procedure is disclosed. The system includes a user interface adapted to provide raw data information at least about one of a patient, the medical procedure, and a result of the medical procedure. A medical device communicates with the user interface, receives the raw data information from the user interface, and generates operational information during use. A central database communicates at least with the medical device and receives data from the medical device. The central database is used to create related entries based on the raw data information and the operational information and optionally transmits the related entry to the medical device or the medical device user. The related entry includes information that provides guidance based on previously tabulated, related medical procedures.

Abstract: A method for acquiring cardiac information from a patient having a pacer for pacing a heart rhythm, an abnormal EKG, or an abnormal heartbeat is disclosed. The method includes: placing a signal injection device proximate the pacer of the patient and injecting a signal across a skin barrier of the patient toward the pacer; in response to the signal received at the pacer, pacing the patient's heart in a fixed asynchronous pacing mode; and, acquiring cardiac information relating to the patient's fixed asynchronously paced heart.

Abstract: A device is disclosed for remote monitoring of breathing movements of a patient, comprising a sender transmitting a microwave signal toward the patient, a receiver arranged to receive a signal reflected by the patient, and a processor. The processor mixes the received signal with the transmitted signal and with a signal in quadrature with the transmitted signal to determine a breathing frequency of the patient. In some embodiments, two signals at different frequencies are emitted toward the patient and processed in order to compensate for breathing patterns that are not uniquely resolvable at a single frequency.

Abstract: Certain embodiments include a method and system for measuring and imaging local lung function. The method includes triggering an image scan of at least a lung cross-section of a patient, scanning the lung cross-section during at least one of an inspiration and an expiration of air by the patient to obtain lung image data and measuring a lung function during at least one of an inspiration and an expiration of air by the patient to obtain lung function data. The method may also include performing a preview scan of the patient to identify the lung cross-section for imaging. Additionally, the lung image data and lung function data may be combined for use in diagnosis of the patient. The lung image data and lung function data may also be output. The method may further include processing the lung function data to generate a plot of lung attenuation versus time.

Abstract: Systems, methods, and other embodiments associated with gated optical coherence tomography (OCT) are described. One example method includes generating an image control signal to control an OCT apparatus to acquire an image of an embryonic heart at a specified point in time during a cardiac cycle of the embryonic heart. The method may also include controlling the OCT apparatus to acquire the image based on the image control signal. In different examples, the image may be acquired in vivo or from an excised heart that is paced. The OCT apparatus and the embryonic heart may be housed in an environmental chamber having a set of controllable environmental factors. Therefore, the method may include detecting and controlling the set of controllable environmental factors.

Abstract: Diagnostic and Therapy apparatus and methods use non-ionizing radiations which are based on integration of nuclear magnetic resonance and radiation manipulation. Quantitative diagnostics integrate the following devices: manual control digital filter/selector (18), frequency matrix monitor (25), frequency image monitor (26), and control panel (28). Therapy integrates the following devices: resonating antenna for radio frequency (4), low radio frequency signal processor/modulator (10), radio frequency pulse amplifier (13) and central pulse control (16). Internal parameters of the emission, such as frequency, power and polarity are selectively manipulated to personalize the therapy and to significantly improve the levels of selectivity and/or differentiation of all the processes.

Abstract: Methods and apparatus for delivering radiation therapy to patients during suspended ventilation are provided. The apparatus includes a ventilator assembly having first and second selectively operable valves that independently control inhalation and exhalation of the patient. Both valves are shut to suspend patient ventilation for a period of time. In the methods of the present invention, radiation therapy is administered during this period of suspended patient ventilation.

Abstract: Obtainment of a present image, in which the arrangement of structural elements of a subject within the image approximates that of a past image of the same subject, and which is suitable for a temporal subtraction process, is enabled. A plurality of preliminary images of the subject are obtained, by a control unit controlling an imaging system constituted by an X-ray tube and an X-ray detector, to perform imaging at a plurality of imaging angles. An optimal imaging angle calculating unit calculates an optimal imaging angle, based on characteristic anatomical points of the subject that reflect changes in the subject's position, which is optimal for obtaining a present image having the least differences, due to the position of the subject, from a past image. The control unit controls the imaging system to perform imaging employing the optimal imaging angle.

Abstract: Medical imaging and navigation system including a processor, a display unit, a database, a medical positioning system (MPS), a two-dimensional imaging system, an inspected organ monitor interface, and a superimposing processor, the MPS including a transducer MPS sensor and a surgical tool MPS sensor, the two-dimensional imaging system including an imaging transducer, the processor being connected to the display unit, to the database, to the MPS, to the two-dimensional imaging system, to the inspected organ monitor interface, and to the superimposing processor, the inspected organ monitor interface being connected to an organ monitor, the surgical tool MPS sensor being firmly attached to a surgical tool, the transducer MPS sensor being firmly attached to the imaging transducer, the organ monitor monitoring an organ timing signal associated with an inspected organ.

Abstract: A C-arm X-ray system includes synchronized ECG gating for enhanced cardiac soft-tissue imaging. The system includes an X-ray source disposed on a C-arm for rotation in a circular path about a patient and configured to release X-ray radiation synchronously with an ECG-gating signal, an X-ray image sensor disposed on the C-arm in a fixed opposing position to the X-ray source and configured to rotate with the source and receive the X-ray radiation and an ECG unit for acquiring ECG data from the patient. The system also includes a digital image acquisition processor arranged in communication with the X-ray source, X-ray image sensor and ECG unit for acquiring 2D projection images at predetermined C-arm angulations in the presence of the ECG-gating signal and an image processor arranged in communication with the digital image acquisition processor to receive and process the series of 2D projection images and reconstruct a continuous 3D volumetric image of the patient's cardiac soft tissue therefrom.

Abstract: A method is provided to image an organ of the human or animal body using and acquisition device rotating over an angle, in that the rotation speed of the rotating acquisition device is modulated dependent on a reference signal that represents a current movement state of the organ to be imaged. Additionally or alternatively, the measurement interval in which the acquisition of the organ ensures during the rotation can respectively be adapted using the reference signal to a cycle duration of the movement of the organ to be imaged. Moreover, a corresponding apparatus to implement such a method is provided.

Abstract: DIR imaging of blood vessels by administering a series of DIR preparation pulse modules at a repetition interval short enough that at least two DIR preparation pulse modules generally occur within each RR interval, and by acquiring image data for a plurality of slices following each DIR module.

Abstract: A method and a tomography unit are disclosed for taking tomographic pictures of a patient's beating heart, in particular X-ray CT pictures. In such a method and tomography unit, only detector data or image data of a portion of the cardiac phase from one or more heart beats is used for taking a picture. Further, at least one pressure signal, produced by the mechanical cardiac pulse and varying temporally with the cardiac cycle, is used for determining the cardiac phase.