Abstract: A method for mapping coordinates between images and tracking systems includes providing a calibration tool having a fixed geometric shape. The calibration tool includes first sensors associated with an imaging mode and second sensors associated with a tracking mode. The first and second sensors are distributed and mounted at known locations on the fixed geometric shape. The first sensors are located in a field of view of an imaging system to determine a position of the calibration tool in image space. The second sensors are tracked to determine a same position of the calibration tool in tracking space. The image space and the tracking space are mapped in a common coordinate system based on artifacts of the calibration tool.

Abstract: In one aspect, an ultrasound receive beamformer is configured for one-way only beamforming of transmissive ultrasound using one-way delays. The receive beamforming in some embodiments is used to track, in real time, a catheter, needle or other surgical tool within an image of a region of interest. The tool can have embedded at its tip a small ultrasound transmitter or receiver for transmitting or receiving the transmissive ultrasound. Optionally, additional transducers are fixed along the tool to provide the orientation of the tool.

Abstract: A medical device includes a device body (14), a first sensor (10) formed on the device body and including a piezoelectric polymer as a sensor element, the piezoelectric polymer configured to receive ultrasonic energy and a first electrical trace (24) connecting to the first sensor and extending along the device body. A dummy sensor (11) is formed on the device body in proximity of the first sensor and includes a dummy sensor element. A second electrical trace (25) connects to the dummy sensor and extends along the device body in a configuration relative to the first electrical trace, wherein a signal event is discriminated between a signal and noise using a response measured on one or more of the first sensor, the dummy sensor or the second electrical trace.

Abstract: A connector includes an inner conductive body (34) for connecting to a sensor contact on a medical device. An insulator (40) is formed on the inner conductive body. An outer conductive body (32) is formed over the insulator and surrounds the inner conductive body but is electrically isolated from the inner conductive body. The outer conductive body is for making contact at two places on a medical device on opposite sides of the inner conductive body.

Abstract: A medical device includes an elongated body (14) and a plurality of sensors (10) conformally formed on the elongated body at a plurality of longitudinal positions along the elongated body. The plurality of sensors is configured to generate signals in accordance with detected energy for an imaging system. A single electrical trace (24) connects to each of the plurality of sensors, the plurality of sensors being connected in parallel to form an array of sensors along the elongated body.

Abstract: A system for tracking an instrument with ultrasound includes a probe (122) for transmitting and receiving ultrasonic energy and a transducer (130) associated with the probe and configured to move with the probe during use. A medical instrument (102) includes a sensor (120) configured to respond to the ultrasonic energy received from the probe. A control module (124) is stored in memory and configured to interpret the ultrasonic energy received from the probe and the sensor to determine a three dimensional location of the medical instrument and to inject a signal to the probe from the transducer to highlight a position of the sensor in an image.

Abstract: The invention relates to a temperature distribution determination apparatus for determining a temperature distribution within an object (20), while an energy application element (2) applies energy to the object, especially while an ablation procedure for ablating a tumor within an organ is performed. A time-dependent first ultrasound signal is generated for an ultrasound measurement region within the object and a temperature distribution within the object is determined based on the generated time-dependent first ultrasound signal and based on a position of the energy application element (2) relative to the ultrasound measurement region tracked over time. This can ensure that always the correct position of the energy application element, which may be regarded as being a heat source, is considered, even if the energy application element moves, for instance, due to a movement of the object. This can lead to a more accurate determination of the temperature distribution.

Abstract: A tool navigation system employing an ultrasound probe (20), an ultrasound scanner (60), an interventional tool (30) (e.g., a needle or a 41 catheter), a plurality of ultrasound transducers (21, 31), a tool tracker (70) and an image navigator. In operation, the ultrasound probe (20) generates an acoustic image plane for scanning an anatomical region, and the ultrasound scanner (60) generates an ultrasound image of the anatomical region from a scan of the anatomical region. During the scan, the interventional tool (30) is navigated within the anatomical region relative to the acoustic image plane, and the ultrasound transducers (21, 31) facilitate a tracks by the tool tracker (70) of a position of the interventional tool (30) relative to the acoustic image plane.

Abstract: A tool navigation system employing an ultrasound imager (21), a tool tracker (41), a tissue classifier (50) and an image navigator (60). In operation, ultrasound imager (21) generates an ultrasound image of an anatomical region from a scan of the anatomical region by an ultrasound probe (20). As an interventional tool (40) is navigated within the anatomical region, the tool tracker (41) tracks a position of the interventional tool (40) relative to the anatomical region, tissue classifier (50) characterizes the tissue of the anatomical region adjacent the interventional tool (40), and image navigator (60) displays a navigational guide relative to a display of the ultrasound image of the anatomical region.

Abstract: A radiation therapy delivery system (10) includes an ultrasound imaging unit (26), a radiation therapy delivery mechanism (12, 56, 70, 88), a plurality of fiducials (22, 90) located internal to the subject, an image fusion unit (40), and a delivery evaluation unit (38). The ultrasound imaging unit (26) includes a transducer (30) that emits ultrasonic sound waves to image in real-time an anatomic portion of a subject (16) in a first coordinate system. The radiation therapy delivery mechanism (12, 56, 70, 88) delivers amounts of therapeutic radiation in the anatomic portion of the subject in a second coordinate system. The fiducials (22, 90) include implants or a trans-rectal ultrasound probe (80). The image fusion unit (40) registers locations of the plurality of fiducials to at least one of the first and the second coordinate system and tracks the locations of the fiducials in real-time.

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: A medical ultrasound acquisition-data analysis device acquires channel data (144) via ultrasound received on the channels, uses the acquired channel data to estimate data coherence and derive dominance of an eigen-value of a channel covariance matrix and, based on the estimate and dominance, distinguishes microcalcifications (142) from background. Microcalcifications may then be made distinguishable visually on screen via highlighting, coloring, annotation, etc. The channel data operable upon by the estimating may have been subject to beamforming delays and may be summed in a beamforming procedure executed in the estimating. In the estimating and deriving, both field point-by-field point, multiple serial transmits (116, 118) may be used for each field point. In one embodiment results of the estimating and deriving are multiplied point-by-point and submitted to thresholding.

Abstract: A system and method for tracking an interventional tool (50) based on a spatial alignment of two or more acoustic sensors (20, 21) relative to the interventional tool (50) (e.g., acoustic sensors attached to or embedded in a distal tip of a needle or a catheter). The method can include operating an acoustic imaging device (10) (e.g., a 2D ultrasound probe having a 1D array, linear or curved) to generate an acoustic image plane (11) and operating each acoustic sensor (20, 21) to output an composite acoustic sensing waveform (40, 41) derived from an acoustic sensing of the acoustic beam array. Each composite acoustic sensing waveform (40, 41) can include an array of acoustic beam sensing waveforms (30, 31, 32). The method can further include operating a tracking workstation (70) to track a position of the interventional tool (50) relative to the acoustic image plane (11) derived from a waveform profile analysis of the composite acoustic sensing waveforms (40, 41).

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: The invention relates to a system and method in which a Foley catheter (70) or other medical tool which is equipped with ultrasound (US) sensor(s) (72) is inserted into the prostatic urethra. Based on analysis of the US signal received by these US sensors (72) as the US beams from a transrectal US (TRUS) probe (40) or other ultrasound probe sweep the field of view, it is possible to precisely detect and track these US sensors (72) in the same frame of reference as the TRUS images, thereby precisely delineating the Foley catheter and the course of the prostatic urethra. During the procedure, before each seed is dropped, the delivered dose to the prostatic urethra can be computed based on real-time tracking and segmentation of prostatic urethra and dose radiation based on previously dropped seeds and if necessary, the procedure can be re-planned automatically.

Abstract: An apparatus for ultrasound irradiation of a body part (208) includes a first ultrasound transducer (216), and a second ultrasound transducer (212) mounted oppositely, and is configured: a) such that at least two ultrasound receiving elements, for determining a relative orientation of the first to the second transducer, are attached to the first transducer; b) for a beam, from the first transducer, causing cavitation, and/or bubble destruction of systemically circulating microbubbles, within the body part; or c) both with the attached elements and for the causing. The apparatus registers, with said first transducer, the second transducer, by using as a reference respectively the features a) and/or b).

Abstract: The invention relates to an imaging apparatus (24) for imaging an introduction element (17) like a needle or a catheter for performing a biopsy or a brachytherapy. The introduction element (17) comprises at least one ultrasound receiver (21) arranged at a known location thereof. An ultrasound probe (12) for being inserted into a living being (2) emits ultrasound signals for acquiring ultrasound data of an inner part (19) of the living being (2). A first tracking unit (3) tracks the location of the introduction element (17) based on a reception of the emitted ultrasound signals by the at least one ultrasound receiver (21), an imaging unit (4) generates an indicator image showing the inner part (19) and an indicator of the introduction element (17) based on the tracked location, and a display (5) displays the indicator image. This allows receiving a feedback about the location of the introduction element (17).

Abstract: Guidance in acquiring ultrasound imaging of a subject to achieve a target view, such as a standard view, entails emitting ultrasound to the subject and receiving, in response, a current ultrasound view (502);matching the received image to a pre-existing image, such as a three-dimensional reference image (503); and, for user assistance, generating, based on the matching, feedback (514-528) for the guidance. The reference image may be a statistical atlas or it may be derived from patient-specific CT or MR scans. The pre-existing image may instead stead be a database image corresponding to a state in a state space. The feedback can be an image derived from the reference image;a graphic indication (508) of a plane of the target view; the received view fused (512) to an image derived from the reference image; or the received view and an image derived from said reference image, the derived image appearing concurrently and enhanced to spatially indicate where the received view registers to the reference image.

Abstract: A system for highlighting an instrument in an image includes a probe (122) for transmitting and receiving ultrasonic energy and a marker device (120) configured to respond to a received ultrasonic signal and emit an ultrasonic signal after a delay. A medical instrument (102) includes the marker device. A control module (124) is stored in memory and configured to interpret the ultrasonic energy received from the probe and from the marker device at the probe to determine a three dimensional location of the medical instrument to highlight a position of the marker device in an image.

Abstract: A system for highlighting an instrument in an image includes a probe (122) for transmitting and receiving ultrasonic energy to and from a volume and a marker device (120) configured to respond to a received ultrasonic signal and emit an ultrasonic signal after a delay. The ultrasonic signal includes one or more pulses configured to generate a marker, when rendered, of a given size at a position within an image. A medical instrument (102) is disposed in the volume and includes the marker device. A control module (124) is stored in memory and is configured to interpret the ultrasonic energy received from the probe and from the marker device to determine a three dimensional location of the medical instrument and to highlight the three dimensional location of the marker device with the marker in the image.