Abstract: This document relates to technologies of determining a configuration of a medical imaging system comprising an x-ray source and an x-ray detector mounted on a gantry and an x-ray source collimator for shaping the x-ray beam emitted by the x-ray source, wherein at least one of the x-ray source and the x-ray detector is movable along the gantry. The configuration of the medical imaging system comprises the position of the x-ray source, the position of the x-ray detector and the settings of the x-ray source collimator and is to be used for capturing a marker image, wherein the position of the marker device can be calculated using the marker image.

Abstract: A computer-implemented method plans a position of a tracking reference device for referencing a position in a medical environment. The method includes a determination of avoidance regions in which a tracking reference device should not be placed so as to safeguard proper tracking of the tracking reference device and/or an instrument tracking reference device which is attached to a medical instrument. The avoidance region is a region lying, from the point of view of a tracking device for tracking the tracking reference device, in the shadow of an envelope surrounding at least one medical instrument. Additionally or alternatively, an avoidance region may lie in between the position of the tracking device and the envelope to avoid a shadowing, by the tracking reference device, of an instrument tracking reference device attached to the medical instrument.

Abstract: The present invention relates to a method for determining the spatial position of objects, in particular medical objects. First position data is acquired that describes a spatial position of an object in a first coordinate system. First transformation data is acquired that transforms the object's position from the first coordinate system to a second coordinate system. Based on the foregoing data, second position data is acquired that specifies the spatial position of the object in the second coordinate system. Second transformation data is acquired that transforms the object's position from the second coordinate system to an inertial coordinate system. Based on the second position data and the second transformation data, inertial position data is determined that specifies a position of the object in the inertial coordinate system.

Abstract: The present invention relates to a method for registering a virtual representation of a patient anatomy with a coordinate system of a physical patient anatomy, comprising displaying first overlap data in a head-mounted device, wherein the first overlap data describe from a first perspective onto the physical patient anatomy a first visual overlap between the virtual representation of the patient anatomy and the physical patient anatomy, identifying at least a first area in the first visual overlap and/or at least a first anatomical feature of the patient anatomy in the first visual overlap having at least a minimum degree of alignment between the virtual representation and the physical patient anatomy, displaying second overlap data in the head-mounted device, wherein the second overlap data describe from a second perspective onto the physical patient anatomy a second visual overlap between the virtual representation of the patient anatomy and the physical patient anatomy, and taking into account, during the

Abstract: Disclosed is a computer-implemented method which encompasses registering a tracked imaging device such as a microscope having a known viewing direction and an atlas to a patient space so that a transformation can be established between the atlas space and the reference system for defining positions in images of an anatomical structure of the patient. Labels are associated with certain constituents of the images and are input into a learning algorithm such as a machine learning algorithm, for example a convolutional neural network, together with the medical images and an anatomical vector and for example also the atlas to train the learning algorithm for automatic segmentation of patient images generated with the tracked imaging device. The trained learning algorithm then allows for efficient segmentation and/or labelling of patient images without having to register the patient images to the atlas each time, thereby saving on computational effort.

Abstract: An articulated robotic platform is provided as an end-actuator intended to be fitted to an articulated robotic arm. One use of the articulated robotic platform is to more accurately guide surgical tools during a surgical intervention making it possible to achieve positional accuracy on the level of millimeters or fractions of a millimeter. The articulated robotic platform includes support members attached to the patient or anchoring the articulated robotic platform onto a clamp. The support members of the articulated robotic platform are capable of changing in length, and this change can be monitored by an extension measurement sensor fitted to one or more of the support members. The controller, when provided with feedback information of the extension measurement and direction of several of the legs, can calculate accurately the position of the articulated robotic platform relative to an intervention area of a patient.

Abstract: A computer-implemented medical method of determining a breathing signal of a patient is disclosed. The method includes determining a motion trajectory of a structure associated with at least one body part of the patient, the motion trajectory being indicative of a respiratory movement of the structure, acquiring surface data representative of a position of a surface region of the patient, computing an intersection of the determined motion trajectory and the acquired surface data, and determining a breathing signal of the patient based on the computed intersection. The breathing signal is indicative of a breathing state of the patient.

Abstract: A computer implemented method for determining a configuration of a medical robotic arm, wherein the configuration comprises a pose of the robotic arm and a position of a base of the robotic arm, comprising the steps of: acquiring treatment information data representing information about the treatment to be performed by use of the robotic arm; acquiring patient position data representing the position of a patient to be treated; and calculating the configuration from the treatment information data and the patient position data.

Abstract: The present application provides an initial, or first, packed arc setup to be compared with predefined arc setup constraints. These predefined arc setup constraints constrain at least one or more of the number of patient table angles per target volume, the number of times the gantry moves along one arc per table angle, the sum of gantry span per metastasis over all arcs, and the minimum table span. Based on the result of the comparison between the packed first arc setup with the predefined arc setup constraints, a second arc setup is automatically suggested. The automatically suggested second arc setup may then be compared with the first arc setup by calculating a score for both setups. Several iterations of such a method can be carried out based on the comparison between an arc setup and the following, subsequent arc setup in the iteration.

Abstract: The disclosed method encompasses registering an augmented reality device such as augmented reality glasses with a tracking coordinate system associated with a position tracking system. This may be effected by different approaches, for example by using a distance measurement unit (depth sensor) of the augmented reality device to determine a position of the augmented reality device relative to an object in a medical environment such as in surgery or radiotherapy/radiosurgery. The object may additionally be tracked by the position tracking system so that on the basis of the distance measurement, a relative position between the augmented reality device and the tracking coordinate system can be determined in order to register the augmented reality device with the position tracking system. This registration allows displaying augmentation information in a desired context and/or at a desired location in the image of the medical environment captured by the augmented reality device.

Abstract: Disclosed is a computer-implemented method of overlaying a representation of a medical instrument over a two-dimensional medical image. It finds at least one feature point along a detection line which is defined relative to the medical instrument in the medical image, calculates a geometrical quantity based on this feature point and adds the geometrical quantity to the two-dimensional medical image.

Abstract: Disclosed is a computer-implemented method of segmenting a medical patient image using an atlas and relating the segmentation result to a model of possible geometric changes to the segmentation result (e.g. for correcting the position of the segmentation of anatomical structures) which consider for example anatomical limitations. The thus-related segmentation result may be used as a basis for changing and/or correcting the position, shape and/or orientation of at least parts of the segmentation result, e.g. by user interaction. The invention also relates to an atlas data set comprising information such as values of the variables of the model of possible geometric changes in relation to the positions of anatomical structures in the atlas.

Abstract: A camera assembly (3) for use in medical tracking applications, comprising a range camera (4) and a thermographic camera (5) in a fixed relative position.

Abstract: A method for automatic detection of a medical instrument orientation for robotic surgery is presented. The method determines the orientation of a marker device attached to the medical instrument in relation to the robotic system by comparing movement information. The method compares the information about a movement of the marker device from a tracking system with the information about a movement of the robotic arm, which movement data can be acquired by the robotic system. The orientation of the medical instrument with respect to the robotic system can be determined automatically and used for subsequent calculations such as an automatic and efficient precise alignment to a target trajectory or a correct positioning assistance for a mechatronic arm. A computer-implemented medical method of automatically determining an orientation of a medical instrument base in relation to a robotic system is provided.

Abstract: Disclosed is a computer-implemented method of determining a consensus plane for imaging an elongate medical device such as an electrode or a catheter. When positioning an analytical device such that its imaging plane is parallel to or coincides with the consensus plane, an optimal image of the elongate medical device can be generated. The consensus plane is determined by analyzing patient image data used for planning an imaging procedure, planned trajectory data defining a planned position of the elongate medical device relative to the position of an anatomical body part, imaging device constraint data describing machine constraints governing operation of the medical imaging device, avoidance region position data defining the position of anatomical regions of the patient's body, and orientation condition data defining a boundary condition for an angle between the orientation of the consensus plane and the orientation of the characteristic geometric quantity of the elongate medical device.

Abstract: A computer implemented method for determining a two dimensional DRR referred to as dynamic DRR based on a 4D-CT, the 4D-CT describing a sequence of three dimensional medical computer tomographic images of an anatomical body part of a patient, the images being referred to as sequence CTs, the 4D-CT representing the anatomical body part at different points in time, the anatomical body part comprising at least one primary anatomical element and secondary anatomical elements, the computer implemented method comprising the following steps: acquiring the 4D-CT; acquiring a planning CT, the planning CT being a three dimensional image used for planning of a treatment of the patient, the planning CT being acquired based on at least one of the sequence CTs or independently from the 4D-CT, acquiring a three dimensional image, referred to as undynamic CT, from the 4D-CT, the undynamic CT comprising at least one first image element representing the at least one primary anatomical element and second image elements represen

Abstract: The invention relates to a tracking reference, comprising: a reference array (1) featuring a positionally fixed arrangement of at least two tracking markers (3); and an interface (4A) for detachably coupling the reference array (1) to a base member (2), wherein the interface (4A) comprises at least one supporting surface (5) for contacting the base member (2), wherein the interface (4A) comprises magnetic means (6) which generate a force at the reference array, wherein the force (F) is directed away from the supporting surface (5).