Abstract: The present invention relates to an ultrasound imaging system (100) for producing spatially compounded 3D ultrasound image data, comprising: —an ultrasound acquisition unit (16) for acquiring a plurality of 3D ultrasound image data having different but at least partially overlapping field of views, —a tracking unit (62) adapted to determine a relative spatial position of each of the plurality of 3D ultrasound image data with respect to each other, and —a stitching unit (64) adapted to compound the plurality of 3D ultrasound image data by stitching them to each other in order to generate compounded 3D ultrasound image data, wherein the stitching unit (64) is adapted to calculate a stitching order of the plurality of 3D ultrasound image data based on the determined relative spatial position of the 3D ultrasound image data by minimizing an overlapping area of the different field of views of the plurality of 3D ultrasound image data, and wherein stitching unit (64) is adapted to stitch the plurality of 3D ultraso

Abstract: A segmentation selection system includes a transducer configured to transmit and receive imaging energy for imaging a subject. A signal processor is configured to process imaging data received to generate processed image data. A segmentation module is configured to generate a plurality of segmentations of the subject based on features or combinations of features of the imaging data and/or the processed image data. A selection mechanism is configured to select one of the plurality of segmentations that best meets a criterion for performing a task. A graphical user interface permits a user to select features or combinations of features of imaging data or processed image data to generate the plurality of segmentations and to select a segmentation that best meets criterion for performing a task.

Abstract: It is an object of the present invention to provide a system allowing to provide improved template treatment parameters for ablation treatment allowing an optimized ablation treatment. A system for assisting in providing template treatment parameters is presented. The system comprises a treatment parameter providing unit (101) providing treatment parameters, a patient data providing unit (102) providing technical patient outcome data and/or clinical patient outcome data, a template treatment parameter determining unit (104) for determining template treatment parameters based on a relation between any of the treatment parameters, the technical patient outcome data and/or the clinical patient outcome data. Thus, the template treatment parameters can be optimized in accordance with the technical and/or clinical outcome of the treatment applied using the treatment parameters.

Abstract: A segmentation selection system includes a transducer (14) configured to transmit and receive imaging energy for imaging a subject. A signal processor (26) is configured to process imaging data received to generate processed image data. A segmentation module (50) is configured to generate a plurality of segmentations of the subject based on features or combinations of features of the imaging data and/or the processed image data. A selection mechanism (52) is configured to select one of the plurality of segmentations that best meets a criterion for performing a task.

Abstract: The invention relates to a system for assisting a user in positioning a thermal ablation device (1) on the basis of a planned ablation position. The system comprises an evaluation unit (6) adapted to (i) compute an optimized thermal dose distribution deliverable to the treatment region by means of the device (1) operating at a current position thereof, (ii) determine a path for steering the device (1) from the current position to the planned position and to assign a cost to the determined path, the cost quantifying estimated detrimental effects of steering the device (1) along the computed path, and (iii) present information about the optimized thermal dose distribution and about the cost assigned to the computed path to the user.

Abstract: The invention relates to a delivery assistance device for assisting in a brachytherapy procedure. The invention provides for an output of an optimized treatment plan, taking into considering the portions of the procedure already carried out. The invention provides for an update of the sequence and the dosing after, for example, each needle insertion. The sequence of the treatment plan is determined such that, for example, steps of the procedure in which an error may have a larger impact, which needs to be corrected by modifying later steps, are provided earlier than steps in which an error is less likely and/or may have a lesser impact.

Abstract: A registration apparatus registers an elongated introduction element (18), like a catheter or a needle, during an interventional procedure, for instance, a brachytherapy or a biopsy. A guide element (13) includes at least one opening which guides the introduction element when being introduced into a living being (2) through the opening. A temperature profile generation element (14) associated with the opening generates a characteristic temperature profile at the opening for being transferred to the introduction element when being present in the opening. A temperature determination unit (15) determines a temperature along the introduction element, and a registration unit (16) registers the introduction element. The registering includes identifying the transferred characteristic temperature profile on the introduction element based on the determined temperature. This allows the registration unit to register the introduction element during the introduction process in a simple and efficient manner.

Abstract: A system and a method for brachytherapy treatment are provided, in which tracking data is used to reconstruct one or more guide wires employed for positioning one or more in vivo dosimetry (ID) measurement devices used to measure the radiation emitted by one or more sources of radioactive radiation. The reconstruction enables a positioning of the measurement device without the necessity of tracking the measurement device directly.

Abstract: A system and methods for adaptive placement of a treatment element include a placement device (134), and a localization system (120) configured to track progress of the placement device such that a position of a treatment element (146, 132) placed by or to be placed by the placement device is stored in memory. A computer system (142) includes a program (104) implemented in computer readable storage media and configured to compute an effect of the treatment element at the position and determine whether a dosage amount has been achieved by the treatment element for treatment of an organ.

Abstract: A system and a method for brachytherapy treatment are provided, in which a plurality of drive wires are driven inside a plurality of guiding tubes by a drive unit. The plurality of drive wires comprises at least one source wire for driving at least one source of radioactive radiation and at least one measurement wire for driving at least one measurement device for measuring radiation data. The drive unit is controlled by a control unit, whereby the controlling is comprises receiving source position data and measurement position data indicating the position of the source and the measurement device respectively, thereby allowing to control the driving in accordance with these positions. The control unit is configured to drive the at least one source wire and the at least one measurement wire independently from each other.

Abstract: The present invention relates to an ultrasound imaging system (100) for producing spatially compounded 3D ultrasound image data, comprising: —an ultrasound acquisition unit (16) for acquiring a plurality of 3D ultrasound image data having different but at least partially overlapping field of views, —a tracking unit (62) adapted to determine a relative spatial position of each of 5 the plurality of 3D ultrasound image data with respect to each other, and —a stitching unit (64) adapted to compound the plurality of 3D ultrasound image data by stitching them to each other in order to generate compounded 3D ultrasound image data, wherein the stitching unit (64) is adapted to calculate a stitching order of the plurality of 3D ultrasound image data based on the determined relative spatial position of the 3D 10 ultrasound image data by minimizing an overlapping area of the different field of views of the plurality of 3D ultrasound image data, and wherein stitching unit (64) is adapted to stitch the plurality of 3D ul

Abstract: An applicator device (100, 200, 300) for use in interventional brachytherapy, wherein the applicator device (100, 200, 300) is configured to be inserted in, or near a region of interest within a living body, and the applicator device is defining a lumen (101, 201, 301) for receiving a radiation source (103, 203, 303), characterized in that the applicator device (100, 200, 300) comprises one or more sensor elements (102, 202, 302) each configured to generate an output signal indicative of whether or not the radiation source (103, 203, 303) is at a predetermined position in the lumen (101, 201, 301).

Abstract: A brachytherapy method and apparatus include implanting an applicator having at least one radiation source or seed receiving channel (62) into soft tissue adjacent a target region (40) to be irradiated. A high resolution planning image (64) of the target region including the applicator is generated, wherein the high resolution planning image is used for determining a three-dimensional treatment plan (66). A position of the applicator is tracked relative to the target region (40) and the treatment plan (66). Tracking the position includes measuring, via shape-sensing, a location and shape of the at least one radiation source or seed receiving channel (62).

Abstract: The invention relates to a system (10) for providing an object (2) in a body (1), a processor (18) arranged to be used in the system (10) for providing an object (2) in a body (1), an instrument (12) for providing an object (2) into a body (1), a method for detecting a providing of an object (2) in a body (1) and a software product for detecting a providing of an object (2) in a body (1). In order to allow for a providing of an object (2) in a body (1) and a detecting hereof while avoiding the drawbacks on the known approaches, e.g. giving an opportunity for reliable localization in ultrasound images used for real-time monitoring of a medical procedure with reduced error proneness to electromagnetic interference, the invention utilizes the finding that the characteristics of a reception or transmission of an ultrasound transducer (24, 26) are influenced by the surrounding environment of the ultrasound transducer (24, 26).

Abstract: When performing a therapeutic procedure, like a high dose rate (HDR) brachytherapy, an elongate introduction element is introduced into a body, a temperature is determined along the introduction element, and it is determined which part of the introduction element is within the body based on the determined temperature. A therapeutic procedure is performed by using the introduction element depending on the determination which part of the introduction element is within the body. This can ensure that the therapeutic procedure is only performed within the body, thereby reducing the likelihood of involuntary affecting, for instance, a patient's outer skin, especially by ionizing radiation which may be used during a HDR brachytherapy.

Abstract: The invention relates to a HDR brachytherapy system comprising an ultrasound sensor for being arranged at the location of a brachytherapy catheter (12), wherein the ultrasound sensor is adapted to generate an ultrasound signal based on ultrasound radiation, which has been sent by an ultrasound imaging device preferentially comprising a TRUS probe (40) and which has been received by the ultrasound sensor. The position of the ultrasound sensor is determined based on the generated ultrasound signal, and based on this position of the ultrasound sensor the pose and shape of the brachytherapy catheter and/or the position of a HDR radiation source are determined. This allows for a very accurate determination of the pose and shape of the brachytherapy catheter and/or of the position of the HDR radiation source, which in turn can lead to an improved HDR brachytherapy.

Abstract: A system (100) for and a method of visualizing quality information to a person performing a procedure of temporarily or permanently placing energy provision sources in a part of a body of a living being are provided. The body comprises a volume of interest. The system (100) comprising an input (104) for receiving a treatment plan (102), a data storage (108) for storing positions (P1, P2) of previously placed energy provision sources, a sub-system (106) for determining a shape and a position of the volume of interest, a tracking system (107) for obtaining tracking information relating to a placement tool for guiding a to-be-placed energy provision source towards a specific position, a processing device (110) configured for calculating a dose-volume histogram (114) for the volume of interest, and a display device (112) for presenting the dose-volume histogram (114) to the person.

Abstract: The invention relates to a system for applying radiation to a target region within a subject. An introduction element (12) like a brachytherapy catheter is inserted into the subject and a radiation source (10) is moved within the introduction element such that it is located within or close to the target region. The target region is heated, wherein the movement of the radiation source within the introduction element is controlled depending on the temperature along the introduction element. The susceptibility of the subject for the radiation emitted by the radiation source at a respective location along the length of the introduction element can depend on the temperature at the respective location such that by controlling the movement of the radiation source depending on the temperature along the length of the introduction element the application of the radiation can be optimized.

Abstract: A treatment device (100) and a treatment system are provided. The treatment device (100) is suitable for temporarily or permanently placing a therapeutic device (112) in a part of a corpus of a living being. The treatment device (100) comprises an elongated body (102) for being inserted in the part of the corpus. The elongated body (102) comprises a channel (110) and an impedance sensor element (104). The channel (110) is for guiding the therapeutic device (112) to a specific position (PI) within the channel (110) and/or for holding the therapeutic device (112) at a specific position (PI) within the channel (110). The impedance sensor element (1040) is configured to be coupled to a detection device for detecting the presence of the therapeutic device (112) at the specific position (PI) on basis of a change of a signal provided by the impedance sensor element (104).

Abstract: The invention relates to a delivery assistance device for assisting in a brachytherapy procedure. The invention provides for an output of an optimized treatment plan, taking into considering the portions of the procedure already carried out. The invention provides for an update of the sequence and the dosing after, for example, each needle insertion. The sequence of the treatment plan is determined such that, for example, steps of the procedure in which an error may have a larger impact, which needs to be corrected by modifying later steps, are provided earlier than steps in which an error is less likely and/or may have a lesser impact.