Abstract: A method (10) to compensate for cardiac and respiratory motion in cardiac imaging during minimal invasive (e.g., trans-catheter) AVI procedures by image-based tracking (20, 25) on fluoroscopic images.

Abstract: A method and system for determining an angulation of a C-arm image acquisition system for a cardiac intervention is disclosed. A 3D ultrasound image including a cardiac region is received. The 3D ultrasound image is registered to a 3D coordinate system of the C-arm image acquisition system. A cardiac structure of interest is detected in the registered 3D ultrasound image. An angulation of the C-arm image acquisition system is determined based on the detected structure of interest in the registered 3D ultrasound image.

Abstract: A method for displaying a motion compensated overlay includes receiving a model of a structure of interest, capturing an image depicting a region of interest and an instrument, determining whether the structure of interest is visible in the image, registering the model of the structure of interest to the image upon determining that the structure of interest is visible, and combining the model of the structure of interest with the image according to a registration to determine an overlay image.

Abstract: A method for displaying a motion compensated overlay includes receiving a model of a structure of interest, capturing an image depicting a region of interest and an instrument, determining whether the structure of interest is visible in the image, registering the model of the structure of interest to the image upon determining that the structure of interest is visible, and combining the model of the structure of interest with the image according to a registration to determine an overlay image.

Abstract: A method for guiding transcatheter aortic valve implantations includes receiving an interventional 3D image of an aortic root reconstructed from a sequence of 2D images acquired from a C-arm computed tomography (CT) system being rotated about a patient through a predetermined number of degrees, segmenting the aortic root and detecting aortic root landmarks in the 3D image, where the aortic root landmarks include three lowest points of aortic root cusps, two coronary artery ostia, and three commissures points where the cusps meet, cropping an area inside the segmented aortic root out of the 3D volume for volume rendering, centering the 3D image on an intersection of two orthogonal planes, each containing the two detected coronary ostia, that are orthogonal to a plane spanned by three lowest points of the aortic root cusps, and volume rendering the 3D cropped aortic root image together with the detected landmarks onto a 2D image.

Abstract: A method for assisting a person performing a minimally invasive intervention with a catheter involving a puncture of a septum, in particular of a heart, is proposed. A three-dimensional image data record is recorded showing an anatomical structure in the region of the septum. An item of septum information showing the position of the septum is determined in the image data record and additional information is derived from the position of the anatomical structure influencing or showing the selection of a puncture site. During the intervention, the fluoroscopic images of the region are continuously recorded and a current fluoroscopic image is displayed and superimposed with the septum information and/or the additional information based on a registration of the image data record with the fluoroscopic images.

Abstract: A method for centering a left atrium and pulmonary veins at an isocenter of an imaging device is provided. The method includes positioning an injection catheter at a bifurcation of a pulmonary artery; obtaining an anterior or posterior flouroscopic image of area including and/or surrounding the left atrium and pulmonary veins; and moving the imaging device, patient support, or the combination thereof, such that the injection catheter and a spine of a patient are displayed in the fluoroscopic image.

Abstract: A method as a workflow for imaging for a heart valve implant procedure includes positioning the patient and an articulated imaging apparatus relative to one another, inducing rapid ventricular pacing in the patient, and imaging a region of the patient's heart to obtain image date for a three-dimensional image. The three-dimensional data is used to construct a three-dimensional image of the region of the patient's heart an the three-dimensional image is displayed for use in the implanting of the replacement heart valve. Optional steps may include obtaining a real time two-dimensional image of the patient's heart and superimposing the real time two-dimensional image with the constructed three dimensional image. The replacement valve is moved into position in the patient's heart during rapid ventricular pacing and breath hold using the superimposed two-dimensional and three-dimensional image information.

Abstract: A method for guiding transcatheter aortic valve implantations includes receiving an interventional 3D image of an aortic root reconstructed from a sequence of 2D images acquired from a C-arm computed tomography (CT) system being rotated about a patient through a predetermined number of degrees, segmenting the aortic root and detecting aortic root landmarks in the 3D image, where the aortic root landmarks include three lowest points of aortic root cusps, two coronary artery ostia, and three commissures points where the cusps meet, cropping an area inside the segmented aortic root out of the 3D volume for volume rendering, centering the 3D image on an intersection of two orthogonal planes, each containing the two detected coronary ostia, that are orthogonal to a plane spanned by three lowest points of the aortic root cusps, and volume rendering the 3D cropped aortic root image together with the detected landmarks onto a 2D image.

Abstract: A method (10) to compensate for cardiac and respiratory motion in cardiac imaging during minimal invasive (e.g., trans-catheter) AVI procedures by image-based tracking (20, 25) on fluoroscopic images.

Abstract: The invention relates to a computed tomography method. The airgap associated with a projection direction is determined by determining, in the projection images, edge pixels which map object edges on a detector. By back-projecting the edge pixels in an object image space it is possible to determine an envelope polygon for an outline contour of the examination object. The width of the airgap associated with a specific projection direction can then be determined on the basis of the envelope polygon. Exact knowledge of the current airgap serves to improve the scattered radiation correction.

Abstract: A method and system for determining an angulation of a C-arm image acquisition system for aortic valve implantation is disclosed. One or more landmarks of the aortic root is detected in a 3D image. A plane representing an aortic annulus direction is defined in the 3D image based on the detected anatomic landmarks. A viewing angle is determined that is perpendicular to the defined plane.

Abstract: A method as a workflow for imaging for a heart valve implant procedure includes positioning the patient and an articulated imaging apparatus relative to one another, inducing rapid ventricular pacing in the patient, and imaging a region of the patient's heart to obtain image date for a three-dimensional image. The three-dimensional data is used to construct a three-dimensional image of the region of the patient's heart an the three-dimensional image is displayed for use in the implanting of the replacement heart valve. Optional steps may include obtaining a real time two-dimensional image of the patient's heart and superimposing the real time two-dimensional image with the constructed three dimensional image. The replacement valve is moved into position in the patient's heart during rapid ventricular pacing and breath hold using the superimposed two-dimensional and three-dimensional image information.

Abstract: A method and an X-ray image acquisition system for the acquisition of X-ray images of a region of interest of an examination object from a multiplicity of angles of view for an 3-D image reconstruction are provided. The X-ray image acquisition system comprises an X-ray focus and an X-ray detector, which can be separately positioned and oriented relative to each other. The X-ray focus is moved along a combination of straight line segments and/or arc segments for the acquisition of X-ray images. The X-ray detector is oriented relative to the X-ray focus and moved in such a way that the region of interest is projected completely onto the X-ray detector upon each image acquisition.

Abstract: The invention relates to a method for speeding up the scattered radiation correction in a computed tomography system with a radiation source and a detector constructed in large-area format with a number of rows of detectors, by which an object is scanned from numerous projection angles, uses the measured values for the attenuation of the radiation in generating projection data which is postprocessed for the purpose of reconstructing tomographic views, in doing which a beam hardening correction is applied directly to the projection data, whereby according to the invention the scattered radiation correction is also applied directly to the projection data.

Abstract: The invention relates to an angiographic x-ray diagnostic device for rotation angiography with an x-ray emitter which can be moved on a circular path about a patient located on a patient support table, with an image detector unit which can moved on the circular path facing the x-ray emitter, with a digital image system for recording a plurality of projection images by means of rotation angiography, with a device for image processing, by means of which the projection images are reconstructed into a 3D volume image, and with a device for correcting physical effects and/or inadequacies in the recording system such as truncation correction, scatter correction, ring artifact correction, correction of the beam hardening and/or of the low frequency drop for the soft tissue display of projection images and the 3D volume images resulting therefrom.

Abstract: The invention relates to a method and an apparatus for reconstructing a three-dimensional image volume from two-dimensional projection images of a subject which have been taken from different projection directions by rotating the recording system around the subject, wherein the grayscale values of the voxels of the image volume are calculated by back projection of the projection images. The invention is characterized in that prior to back projection at least one projection image is modified in such a way that it corresponds to a projection image taken with a virtual detector whose axes are aligned parallel to the rotational axis of the recording system.

Abstract: A system and method of treating a patient is described, where an implantable device is introduced into the patient and guided to an appropriate location using a 2-dimentsional X ray taken prior to the introduction of the device, and a fluoroscopic image taken from the same aspect during the procedure, and using the same portion of a physiological cycle. The implantable device may be a percutaneous aortic heart valve (PHV), and the location of the device may be determined with respect to specific bodily structures identified in the 2-dimensional X-ray, such as the aortic valve and the coronary ostia. The installation position of the device is selected so as to avoid obstruction of the coronary ostia.

Abstract: In a presentation device for the two-dimensional presentation of the volume data elements of a volume dataset, parts of the volume dataset can be selected by prescribing boundary surfaces. The boundary surfaces are displaceable. The selected volume can be presented as a perspective image rotating around a basic rotational axis. The rotational axis is selectable dependent on the positions of the volume data elements of the selection dataset. The rotational axis can be automatically determined by a computer unit.

Abstract: In a presentation device for two-dimensional, perspective projection of volume data elements of a volume dataset, the point of vision can be displaced along an optical axis and the point of vision and, with it, an acquired spatial angle can be rotated around at least one rotational axis with interactive inputs. The rotational axis intersects the optical axis in a pivot point that is determined dependent on the data values of volume data elements that lie within the acquired spatial angle, particularly on the optical axis or in the proximity thereof.