Abstract: The present invention relates to an imaging system (10) for a vertebral level, an identification method for a vertebral level, a computer program element for controlling such system and a computer readable medium having stored such computer program element. The imaging system (10) comprises a determination unit (11), a definition unit (12), an imaging unit (13), and a processing unit (14). The determination unit (11) determines a target vertebral level. The definition unit (12) defines an anatomical landmark of a spine. The imaging unit (13) provides a series of X-ray images along the spine based on the landmark. The processing unit (14) identifies the target vertebral level in at least one of the X-ray images. The processing unit (14) further stitches the X-ray images to a continuous panoramic image of the spine and identifies the target vertebral level in the panoramic image.

Abstract: An interventional X-ray system is proposed, the system including a multi X-ray source unit positioned below a patient table. This ‘multiblock’ may comprise several x-ray sources with focal spot positions distributed along the x-y (table) plane. The x-ray sources are operable in a switching scheme in which certain x-ray sources may be activated in parallel and also sequential switching between such groups is intended. The switching may be carried out so that several images with different projection angles can be acquired in parallel. In other words, an optimal multi-beam X-ray exposure is suggested, wherein fast switching in one dimension and simultaneous exposure in the 2nd dimension is applied.

Abstract: Minimally-invasive spinal inventions are often performed using fluoroscopic imaging methods, which can give a real-time impression of the location of a surgical instrument, at the expense of a small field of view. When operating on a spinal column, a small field of view can be a problem, because a medical professional is left with no reference vertebra in the fluoroscopy image, from which to identify a vertebra, which is the subject of the intervention. Identifying contiguous vertebrae is difficult because such contiguous vertebrae are similar in shape. However, characteristic features, which differentiate one vertebra from other vertebra, and which are visible in the fluoroscopic view, may be used to provide a reference.

Abstract: The invention relates to an apparatus configured to display an aortic valve image and an indicator when the aortic valve is in its open-state and/or when the valve is in its closed-state. The indicator is supposed to be in an overlay to the image of the aortic valve, such that a physician can see on the same display image the information needed to advance a guide wire or catheter through the aortic valve of a heart. This may prevent damaging ensures not to damage the aortic valve. The physician receives the relevant information, when the aortic valve is in its open-state and thus being in a state to be passed by the catheter. The information, whether the aortic valve is in its open-state or in its closed-state, corresponds to the systolic phase and the distal phase of the heart, respectively. The information, when the heart is in its systolic phase and when it is in the diastolic phase may be extracted from an ECG measurement.

Abstract: The invention discloses an apparatus (2), a system (1) and a method (100) for characterization of vessels and for vessel modeling. The cross sectional area (A1) of the vessel is derived from pressure measurements (p1, p2) obtained by an instrument (3) from within the vessel. When multiple cross sectional areas (A1, A2) are derived for multiple reference positions (r1, r2) based on pressure measurements (p1, p2, p3) along the vessel, a representation (20, 30) of the vessel can be rendered, without requiring any imaging modality. Furthermore, the effect of the pulsatile blood flow on the elasticity of the vessel walls can be visualized, supporting assessment of a stenosis or an aneurysm formation along the vessel.

Abstract: The invention relates to a continuous flow cooling device (3) for cooling a metal strip (1), in particular a metal strip made of aluminum or an aluminum alloy, having at least one strip flotation cooler (4), which has several upper nozzles (5) distributed along the strip travel direction (B), and several lower nozzles (6) distributed along the strip travel direction (B), wherein the metal strip (1) can be transported in a floating manner between the upper nozzles (5) and the lower nozzles (6), and the upper side of the strip as well as the underside of the strip can be supplied with cooling air in the process, and having several water cooling units (7), by means of which the metal strip (1) can be supplied with cooling water. This device is characterized in that the water cooling units (7) are integrated in the strip flotation cooler (4).

Abstract: The present invention relates to a device (1) for fractional flow reserve determination, the device (1) comprising: a model source (10) configured to provide a first three-dimensional model (3DM1) of a portion of an imaged vascular vessel tree (VVT) surrounding a stenosed vessel segment (SVS) and configured to provide a second three-dimensional model (3DM2) of a pressure wire insertable into the vascular vessel tree (VVT); and a processor (20) configured to calculate a first blood flow (Q1) through the stenosed vessel segment (SVS) with the pressure wire (PW) inserted into the vascular vessel tree (VVT) based on the first and the second three-dimensional model and to calculate a second blood flow (Q2) through the stenosed vessel segment (SVS) without the pressure wire (PW) inserted into the vascular vessel tree (VVT) based on the first three-dimensional model (3DM1) and to determine a first fractional flow reserve value (FFR1) to be measured with the pressure wire (PW) inserted into the vascular vessel tree (

Abstract: The invention relates to an X-ray apparatus (10) and a method (64) for a depth localization of a catheter (12) within an object of interest (22), arranged at an object receiving space (14) of the X-ray imaging apparatus. The X-ray imaging apparatus comprises an X-ray source (16) and an X-ray detector (20). Between the X-ray source and the X-ray detector, at least one interferometer (24) formed by a phase grating is arranged. The X-ray detector is configured to detect X-ray radiation, which has been influenced by the phase grating and the object of interest and the catheter, which may also be arranged at the object receiving space and/or the object of interest. The X-ray detector is configured to provide a detector signal s. A signal component of the detector signal relates to a phase-contrast detector signal component, which may be calculated on the basis of the detector signal and may represent a visibility loss.

Abstract: A three-dimensional morphological vessel model (20) can be obtained by assigning diameters (14,15) along the vessel derived from a two-dimensional morphological projection (10) at locations in the three-dimensional model defined by the temporal locations (21,22) of a trackable instrument (5). An apparatus (7), a system (1) and a method (100) for use of the system (1) in characterizing the vessel of a living being (2) by rendering a three-5 dimensional morphological vessel model (20) are presented.

Abstract: The present invention relates to stenosis therapy planning. A first volumetric data set is received by medical imaging of at least part of an artery comprising a stenosis. At least one two-dimensional image data (of the stenosis is received. A first arterial pressure drop is determined around the stenosis. A second volumetric data set is generated by registering the at least one two-dimensional image data with the first volumetric data set. A third volumetric data set is generated by simulating a geometry modification of the stenosis in the second volumetric data set and a second arterial pressure drop is estimated around the stenosis in the third volumetric data set.

Abstract: Minimally-invasive spinal inventions are often performed using fluoroscopic imaging methods, which can give a real-time impression of the location of a surgical instrument, at the expense of a small field of view. When operating on a spinal column, a small field of view can be a problem, because a medical professional is left with no reference vertebra in the fluoroscopy image, from which to identify a vertebra, which is the subject of the intervention. Identifying contiguous vertebrae is difficult because such contiguous vertebrae are similar in shape. However, characteristic features, which differentiate one vertebra from other vertebra, and which are visible in the fluoroscopic view, may be used to provide a reference.

Abstract: A brake caliper, for example a floating caliper, with a caliper housing and a guide element. The guide element fixed on one side to the caliper housing and moveably supported at a free end in a guide bushing. The guide bushing having a return mechanism that deflects with and returns the guide element to an initial position. The return mechanism also automatically adjusts when the guide element exceeds a predetermined amount of deflection.

Abstract: The invention relates to a device for continuous treatment of a metal strip (1), in particular a metal strip consisting of aluminum or an aluminum alloy, or consisting of a non-ferrous metal or a non-ferrous metal alloy, said device comprising at least one temperature control device (2) through which the metal strip (1) is guided in a floating manner, and comprising at least one strip position regulation unit (7), by means of which the position of the metal strip (1) can be controlled or regulated on the belt movement plane (E) and transversely to the strip running direction (B), wherein the temperature control device (2) has at least one entry-side heating section (3) and an exit-side cooling section (4).

Abstract: A method for four dimensional reconstruction of regions exhibiting multiple phases of periodic motion includes the operation of building one or more 3-D reconstructions using a set of 2-D projections. The method further includes the operation of deriving one or more 3-D model segments from each of the one or more 3-D reconstructions, wherein a plurality of 3-D model segments are formed thereby, and wherein each of the one or more 3-D model segments is derived from a single one of the one or more 3-D model segments. The plurality of derived 3-D model segments forms a 4-D reconstruction of the region of interest.

Abstract: The present invention relates to an imaging system (10) for a vertebral level, an identification method for a vertebral level, a computer program element for controlling such system and a computer readable medium having stored such computer program element. The imaging system (10) comprises a determination unit (11), a definition unit (12), an imaging unit (13), and a processing unit (14). The determination unit (11) determines a target vertebral level. The definition unit (12) defines an anatomical landmark of a spine. The imaging unit (13) provides a series of X-ray images along the spine based on the landmark. The processing unit (14) identifies the target vertebral level in at least one of the X-ray images. The processing unit (14) further stitches the X-ray images to a continuous panoramic image of the spine and identifies the target vertebral level in the panoramic image.

Abstract: The present invention relates to stenosis therapy planning. A first volumetric data set is received by medical imaging of at least part of an artery comprising a stenosis. At least one two-dimensional image data (of the stenosis is received. A first arterial pressure drop is determined around the stenosis. A second volumetric data set is generated by registering the at least one two-dimensional image data with the first volumetric data set. A third volumetric data set is generated by simulating a geometry modification of the stenosis in the second volumetric data set and a second arterial pressure drop is estimated around the stenosis in the third volumetric data set.

Abstract: The present invention refers to an angiographic image acquisition system and method which can beneficially be used in the scope of minimally invasive image-guided interventions. In particular, the present invention relates to a system and method for graphically visualizing a pre-interventionally virtual 3D representation of a patient's coronary artery tree's vessel segments in a region of interest of a patient's cardiovascular system to be three-dimensionally reconstructed. Optionally, this 3D representation can then be fused with an intraoperatively acquired fluoroscopic 2D live image of an interventional tool.

Abstract: A method includes generating with a processor (122) a three-dimensional subject specific model of structure of interest of a subject to be scanned based on a general three-dimensional model and pre-scan image data acquired by an imaging system (100) generating with the processor (122) an imaging plan for the subject based on the three-dimensional subject specific model.

Abstract: Computed tomography (CT) reconstruction includes reconstructing an axially extended reconstructed image from a measured cone beam x-ray projection data set (Pm), optionally having an off-center geometry. The reconstructing is performed for an extended volume (eFOV) comprising a reconstructable volume (rFOV) of the measured cone beam x ray data set that is extended along the axial direction. The projection data set may be weighted in the volume domain. Iterative reconstruction may be used, including initializing a constant volume and performing one or more iterations employing a first iterative update followed by one or more iterations employing a second, different iterative update.

Abstract: An adaptive roadmapping device and method for examination of an object include providing pre-navigation image data representing part of the object being a vascular structure including an element of interest and having a tree-like structure with a plurality of sub-trees; generating a vessel representation based on the pre-navigation image data; acquiring live image data of the object; determining spatial relation of the pre-navigation image data and the live image data; analyzing the live image data by identifying and localizing the element in the live image data; determining a sub-tree in which the element is positioned, where the determining is based on the localization of the element and on the spatial relation; selecting a portion of the vascular structure based on the determined sub-tree; generating a combination of the live image data and an image of the selected portion of the vascular structure; and displaying the combination as a tailored roadmap.