Abstract: A system for planning and performing a repeat interventional procedure is provided which includes a registration device and an image generation device which map current targets in a reference image for a first interventional procedure to at least one guidance image acquired from a different imaging modality. Biopsy locations are recorded to the guidance images during the first interventional procedure and the biopsy locations are mapped to the reference image to provide a planning image for use in a subsequent interventional procedure on the patient. In a subsequent interventional procedure, the prior planning image (124) may be registered to a current reference image and the prior biopsy locations and prior and current targets are mapped to a guidance image acquired from a different imaging modality. Biopsy locations are then mapped to the guidance image and mapped back to the current reference image.

Abstract: A training system and method includes a subject phantom (102) capable of being visualized on a display (120). A spatial tracking system (104) is configured to track an interventional instrument (108) in subject phantom space. A simulation system (110) is configured to generate a simulated abnormality in the phantom space and to simulate interactions with the simulated abnormality to provide feedback and evaluation information to a user for training the user in an associated procedure related to the abnormality.

Abstract: A system and method for planning and performing an interventional procedure based on the spatial relationships between identified points. The system includes a storage device (102) having an image (104) which includes a plurality of targets (107). A spatial determination device (114) is configured to determine distances and/or orientation between each of the targets. The system is configured to compare the distances and generate a warning signal if at least one of the distances is less than a minimum threshold (128). An image generation device (116) is configured to generate a graphical representation for display to the user which shows the spatial information between a selected target with respect to the other targets. A planning device (126) is configured to modify or consolidate targets automatically or based on a user's input in order to more effectively plan or execute an interventional procedure.

Abstract: Described herein are X-ray imageable polymers such as polymeric particles comprising bismuth as a radiopacifying agent, methods of making the polymers, and methods of using the polymers. The imageable particles may comprise a covalently bound compound which chelates the bismuth, for example, through a combination of nitrogen and oxygen atoms.

Abstract: A system for planning and performing a repeat interventional procedure is provided which includes a registration device and an image generation device which map current targets in a reference image for a first interventional procedure to at least one guidance image acquired from a different imaging modality. Biopsy locations are recorded to the guidance images during the first interventional procedure and the biopsy locations are mapped to the reference image to provide a planning image for use in a subsequent interventional procedure on the patient. In a subsequent interventional procedure, the prior planning image (124) may be registered to a current reference image and the prior biopsy locations and prior and current targets are mapped to a guidance image acquired from a different imaging modality. Biopsy locations are then mapped to the guidance image and mapped back to the current reference image.

Abstract: The invention provides for a medical instrument (200) comprising a magnetic resonance imaging system (202) and a high-intensity focused ultrasound system (204) with an electronically controllable and a mechanically controllable focus.

Abstract: A system for planning and performing a repeat interventional procedure includes a registration device (116) and an image generation device (120) which map current targets in a reference image (104) for a first interventional procedure to at least one guidance image (112) acquired from a different imaging modality. Biopsy locations are recorded to the guidance images during the first interventional procedure and the biopsy locations are mapped to the reference image to provide a planning image for use in a subsequent interventional procedure on the patient. In a subsequent interventional procedure, the prior planning image (124) may be registered to a current reference image (126) and the prior biopsy locations and prior and current targets are mapped to a guidance image acquired from a different imaging modality. Biopsy locations are then mapped to the guidance image (115) and mapped back to the current reference image.

Abstract: A system and method for integrating diagnosis and treatment for internal tissues includes imaging at least a portion of an internal organ of a subject using a first technology capable of differentiating tissue types, and targeting and accessing biopsy sites using images of the first technology fused with images of a second technology capable of real-time image updates. Treatment of a biopsy site is planned using the images of the first technology. Instruments for treating the biopsy site are guided by fusing the images of the first technology with the images of the second technology.

Abstract: A system and method for integrating diagnosis and treatment for internal tissues includes imaging (202) at least a portion of an internal organ of a subject using a first technology capable of differentiating tissue types, and targeting (205) and accessing biopsy sites using images of the first technology fused with images of a second technology capable of real-time image updates. Treatment of a biopsy site is planned (207) using the images of the first technology. Instruments for treating the biopsy site are guided (210) by fusing (208) the images of the first technology with the images of the second technology.

Abstract: A computing device includes a thermal map generator (142) that generates a thermal map for image data voxels or pixels representing a volume or region of interest of a subject based on thermometry image data, which includes voxels or pixels indicating a change in a temperature in the volume or region of interest, and a predetermined change in value to temperature lookup table (144) and a display (145) that visually presents the thermal map in connection with image data of the volume of interest. A method includes generating a thermal map for image data voxels or pixels representing a volume or region of interest of a subject based on thermometry image data, which includes voxels or pixels indicating a change in a temperature in the volume or region of interest, and a predetermined change in voxel or pixel value to temperature lookup table.

Abstract: Described herein are X-ray imageable polymers such as polymeric particles comprising bismuth as a radiopacifying agent, methods of making the polymers, and methods of using the polymers. The imageable particles may comprise a covalently bound compound which chelates the bismuth, for example, through a combination of nitrogen and oxygen atoms.

Abstract: A system and method for ablation planning includes defining (502) shapes and sizes for one or more ablation volumes based on probability of treatment, and determining (510) a target volume to be treated. A procedure plan is provided (516) by determining a number and location of planned ablations within the target volume using the one or more ablation volumes. A joint probability distribution (520) is determined for at least two planned ablations in the target volume. A final configuration is visualized (530) to determine if plan objectives are met based on a probability of treatment for the target volume.

Abstract: A system and method for planning and performing an interventional procedure based on the spatial relationships between identified points. The system includes a storage device (102) having an image (104) which includes a plurality of targets (107). A spatial determination device (114) is configured to determine distances and/or orientation between each of the targets. The system is configured to compare the distances and generate a warning signal if at least one of the distances is less than a minimum threshold (128). An image generation device (116) is configured to generate a graphical representation for display to the user which shows the spatial information between a selected target with respect to the other targets. A planning device (126) is configured to modify or consolidate targets automatically or based on a user's input in order to more effectively plan or execute an interventional procedure.

Abstract: A system and method for image registration includes tracking (508) a scanner probe in a position along a skin surface of a patient. Image planes corresponding to the position are acquired (510). A three-dimensional volume of a region of interest is reconstructed (512) from the image planes. A search of an image volume is initialized (514) to determine candidate images to register the image volume with the three-dimensional volume by employing pose information of the scanner probe during image plane acquisition, and physical constraints of a pose of the scanner probe. The image volume is registered (522) with the three-dimensional volume.

Abstract: The invention provides a method for adjusting the calibration of a tracked ultrasound device using the measured difference between two sets of fiducial markings in two relative positions of a tracker and an scan head of the device. The invention also provides a trackable ultrasound device that enables repeatable attachment of a tracker to a scan head, thus preserving an initial calibration between the tracker and the scan head. Furthermore, the invention provides a calibration jig that can be used to repeatably attach a tracker to an ultrasound scan head or to measure the difference between two relative positions of a tracker and a scan head.

Abstract: A computing device includes a thermal map generator (142)that generates a thermal map for image data voxels or pixels representing a volume or region of interest of a subject based on thermometry image data, which includes voxels or pixels indicating a change in a temperature in the volume or region of interest, and a predetermined change in value to temperature lookup table (144) and a display (146) that visually presents the thermal map in connection with image data of the volume of interest. A method includes generating a thermal map for image data voxels or pixels representing a volume or region of interest of a subject based on thermometry image data, which includes voxels or pixels indicating a change in a temperature in the volume or region of interest, and a predetermined change in voxel or pixel value to temperature lookup table.

Abstract: The invention provides for a medical instrument (200) comprising a magnetic resonance imaging system (202) and a high-intensity focused ultrasound system (204) with an electronically controllable and a mechanically controllable focus.

Abstract: The invention provides systems, methods, and instrumentation for aiding the performance of an image guided procedure of the anatomy of a patient such as, for example, the prostate. The invention includes a plurality of lumens therein and a balloon portion or other fixating portion. In some embodiments, the catheter includes a lumen for introducing a contrast agent visible to an imaging modality external to the anatomy of the patient. Image space data of the catheter within the anatomy of the patient may be obtained using the imaging modality. The catheter also includes at least a lumen for inserting a registration device for obtaining patient space data regarding the anatomy of the patient. Other lumens and/or other elements visible to the imaging modality may be used. The image space data may be registered to the patient space data for use during an image guided procedure to the anatomy of the patient.

Abstract: A system (100) includes a CT scanner (101) with a radiation source (108) that emits radiation the traverses an examination region (112), a radiation sensitive detector array (110), located opposite the source across the examination region, which detects radiation traversing the examination region and a portion of a subject therein and generates a signal indicative thereof, and a subject support (114) that positions the subject in the examination. A HIFU apparatus (124) includes an ultrasound probe (126). A main controller (142) controls an operation of both the CT scanner and the HIFU apparatus. A treatment navigator (140) visually presents, in a graphical user interface, CT data of a location of the ultrasound probe with respect to at least one fiducial marker of the HIFU apparatus and obtained by the CT scanner overlaid over a previously generated HIFU procedure plan.

Abstract: A system and method for image registration includes tracking (508) a scanner probe in a position along a skin surface of a patient. Image planes corresponding to the position are acquired (510). A three-dimensional volume of a region of interest is reconstructed (512) from the image planes. A search of an image volume is initialized (514) to determine candidate images to register the image volume with the three-dimensional volume by employing pose information of the scanner probe during image plane acquisition, and physical constraints of a pose of the scanner probe. The image volume is registered (522) with the three-dimensional volume.