Abstract: Provided herein are systems and methods (i.e., utilities) that are directed to correcting misalignments or offsets between a series or sequence of medical images. The utility corrects offsets between a series of medical images obtained where an imaging device (e.g., ultrasound probe) is supported by a positioning mechanism where there is misalignment between an imaging axis or other reference point of the imaging device and the axis of movement of the positioning device. The determination of this offset between these axis allows for calculating a transformation that allows for placing each of the series images into a common frame of reference.

Abstract: The invention presents tools to improve a 3-D image aided biopsy or treatment procedure for prostate gland by providing additional functionality and additional visual cues on an output image of the prostate, which may be generated substantially in real-time. The tools include i) the identification of various parts of prostate to classify as per regular classification in pathological reports, ii) Computing and displaying the insertion depth of needle with respect to a selected target point during the procedure, iii) Computing and displaying the distance from needle tip to prostate surface following a procedure and, iv) Calibration for misalignment of a 2-D imaging transducer when used under tracked motion for a procedure.

Abstract: The invention presents tools to improve a 3-D image aided biopsy or treatment procedure for prostate gland by providing additional functionality and additional visual cues on an output image of the prostate, which may be generated substantially in real-time. The tools include i) the identification of various parts of prostate to classify as per regular classification in pathological reports, ii) Computing and displaying the insertion depth of needle with respect to a selected target point during the procedure, iii) Computing and displaying the distance from needle tip to prostate surface following a procedure and, iv) Calibration for misalignment of a 2-D imaging transducer when used under tracked motion for a procedure.

Abstract: An improved apparatus and method for position sensing of a medical tracker device are presented. The apparatus and method are designed to constrain, rotate, and track the position of a medical tool. To improve the position sensing of the tracker, a joint that provides two degrees of freedom may use a revolute gear pair together with a rotary sensor for angular motion sensing and a sliding/prismatic assembly together with a linear magnetic sensor for linear position sensing. Thus, the linear motion sensing and the angular motion sensing are decoupled.

Abstract: An image guidance system is provided for improving tissue culture extraction where the tissue is extracted under the guidance of first and second knowledge-based systems. The first knowledge-based system provides initial suggested regions of interest for tissue biopsy in an internal organ. These regions of interest are then confirmed as being of interest of being benign by the second knowledge-based system. Information from two different sources may provide a more accurate, intelligent and robust method that helps in selecting biopsy sites accurately, such that suspicious regions are not overlooked and the benign regions are not unnecessarily operated upon. This not only helps in better diagnosis and treatment, but also helps reduce pain to the patient, in addition to reducing wastage of resources and invaluable time.

Abstract: Systems are provided for managing, planning and displaying the location of biopsy core sites across multiple same-patient visits or other stored biopsy plans to increase the confidence and accuracy of biopsy results. The systems may allow the operator to fuse multiple predefined and/or automatically generated biopsy core site plans in addition to previous biopsy sites with a current prostate image to assist in creating a final new biopsy core site plan. Further, the system may allow the operator to selectively view singular parts of the final plan to simplify the planning process. Further, the systems may assist the operator during the navigation phase of the biopsy by hiding biopsy core sites from the final plan that are not of immediate interest during the biopsy phase and thereby reducing clutter and distraction during biopsy sample acquisition.

Abstract: Systems and method are provided for registering medical images to reduce movement between the images. In one arrangement, a hierarchical image registration is performed where regions of the largest differences between images are identified and utilized to drive the deformation of one of the images. Such regions are identified in one arrangement by determining intensities and gradient magnitudes for corresponding regions of the images. In another arrangement, a multi-resolution registration strategy is applied.

Abstract: This application presents a new system and method for image acquisition of internal human tissue, including but not limited to the prostate, as well as a system and method for the guidance and positioning of medical devices relative to the internal tissue. In the presented systems and methods, ultrasound scanned data (e.g., 2-D B-mode images) are acquired freehand absent a mechanical armature that constrains an ultrasound acquisition probe in a known spatial framework. To allow for reconstruction of the scanned data into a 3-D image, multiple tracker sensors that provide position/location information are used with a freehand acquisition probe (e.g., handheld ultrasound probe). The position of such tracker sensors can be calculated when disposed in an electromagnetic field.

Abstract: An improved system and method (i.e. utility) for registration of medical images is provided. The utility registers a previously obtained volume (s) onto an ultrasound volume during an ultrasound procedure to produce a multimodal image. The multimodal image may be used to guide a medical procedure. In one arrangement, the multimodal image includes MRI information presented in the framework of a TRUS image during a TRUS procedure.

Abstract: Provided herein are devices and methods for mounting variously configured medical imaging probes for imaging applications. In one aspect, a holding device allows for interfacing/holding most conventional ultrasound probes such that the probes may be attached to a positioning device using a common interface. As ultrasound probes come in various sizes and lengths, the device may adjust to different lengths, widths and shapes of different probes. Hence, the device may work in a substantially universal manner while securely holding probes with little wobble or other problems.

Abstract: Systems are provided for managing, planning and displaying the location of biopsy core sites across multiple same-patient visits or other stored biopsy plans to increase the confidence and accuracy of biopsy results. The systems may allow the operator to fuse multiple predefined and/or automatically generated biopsy core site plans in addition to previous biopsy sites with a current prostate image to assist in creating a final new biopsy core site plan. Further, the system may allow the operator to selectively view singular parts of the final plan to simplify the planning process. Further, the systems may assist the operator during the navigation phase of the biopsy by hiding biopsy core sites from the final plan that are not of immediate interest during the biopsy phase and thereby reducing clutter and distraction during biopsy sample acquisition.

Abstract: Provided herein are devices and methods for supporting and positioning a tracking assembly for mounting variously configured medical devices for prostate imaging, biopsy, and other therapeutic applications. In one aspect, a support assembly provides multiple degrees of freedom for positioning a tracking assembly and mounted probe relative to a patient on a patient support structure such as an examination table or a gurney bed and/or maintaining a tracking assembly and mounted probe in a desired location throughout the rendering of imaging, biopsy, or other therapeutic procedures.

Abstract: An improved system and method (i.e. utility) for segmentation of medical images is provided. The utility fits an estimated boundary on a structure of interest in an automated selection and fitting process. The estimated boundary may be a model boundary that is generated actual boundaries of like structures. In one arrangement, the boundaries may be selected based on the age and/or ethnicity of a patient. In further arrangements, narrow band processing is performed to estimate the actual boundary of the structure of interest.

Abstract: An improved system and method (i.e. utility) for segmentation of medical images is provided. The utility fits an estimated boundary on a structure of interest in an automated selection and fitting process. The estimated boundary may be a model boundary that is generated actual boundaries of like structures. In one arrangement, the boundaries may be selected based on the age and/or ethnicity of a patient. In further arrangements, narrow band processing is performed to estimate the actual boundary of the structure of interest.

Abstract: One object of the present disclosure is to provide an interpolation method for reconstructing an imaged object with the image edge as sharp as possible and the image itself as smooth as possible. An The EM (Expectation Maximization) image reconstruction is provided that suitable for freehand ultrasound systems.

Abstract: The invention presents tools to improve a 3-D image aided biopsy or treatment procedure for prostate gland by providing additional functionality and additional visual cues on an output image of the prostate, which may be generated substantially in real-time. The tools include i) the identification of various parts of prostate to classify as per regular classification in pathological reports, ii) Computing and displaying the insertion depth of needle with respect to a selected target point during the procedure, iii) Computing and displaying the distance from needle tip to prostate surface following a procedure and, iv) Calibration for misalignment of a 2-D imaging transducer when used under tracked motion for a procedure.

Abstract: The present invention includes a utility for determining the severity of a stenosis in a blood vessel. In one aspect, a method for improving DSA image quality includes: (1) registration of the mask and bolus images prior to subtracting procedure to reduce the artifacts from misalignment; (2) enhancement of the registered DSA image by an anisotropic diffusion technique and a nonlinear normalization technique; and (3) detecting the boundary of blood vessel and quantitatively measuring percentage stenosis, which may be done automatically.

Abstract: Provided herein are devices and methods for supporting and positioning a tracking assembly for mounting variously configured medical devices for prostate imaging, biopsy, and other therapeutic applications. In one aspect, a support assembly provides multiple degrees of freedom for positioning a tracking assembly and mounted probe relative to a patient on a patient support structure such as an examination table or a gurney bed and/or maintaining a tracking assembly and mounted probe in a desired location throughout the rendering of imaging, biopsy, or other therapeutic procedures.

Abstract: Provided herein are devices and methods for supporting and positioning a tracking assembly for mounting variously configured medical devices for prostate imaging, biopsy, and other therapeutic applications. In one aspect, a support assembly provides multiple degrees of freedom for positioning a tracking assembly and mounted probe relative to a patient on a patient support structure such as an examination table or a gurney bed and/or maintaining a tracking assembly and mounted probe in a desired location throughout the rendering of imaging, biopsy, or other therapeutic procedures.

Abstract: Provided herein are devices and methods for mounting variously configured medical imaging probes (“ultrasound probes”) to a positioning device for imaging applications. One aspect provides a probe holder that has a recessed surface adapted to securely support a particular ultrasound probe for interfacing the probe with a positioning device. Another aspect provides a probe holder that interconnects with a flexible joint to allow the probe holder to securely support a variety of different ultrasound probes and interface those probes with a positioning device.