Abstract: Systems and methods are provided for imaging a target anatomy of a patient. The systems and methods can include generating and updating a 3D model of the target anatomy. In some embodiments, the target anatomy can be a heart of the patient. The 3D model can be updated with image slices obtained with a catheter based imaging system, such as a TEE imaging system. In some examples, the images can be applied to a classifier to determine if the present view corresponds to a user-selected or desired view. The classifier score can be used to provide instructions to a control system to move the imaging system until the desired view is obtained.

Abstract: By combining acoustic ablation and ultrasound imaging on a catheter with needle guidance, a transseptal puncture needle may be guided using real-time imaging, and puncture by the guided needle is aided by acoustic ablation. Acoustic ablation may be controlled spatially and/or for dosage and may not require contact with the tissue.