Abstract: Systems and methods for ascertaining an item of torsion information of a bone of a patient, wherein an X-ray facility with adjustable projection geometry of a recording arrangement described by projection parameters is used. A first X-ray image is recorded of an end region of the bone in a first projection geometry in which a torsion direction defined relative to at least one torsion landmark and used for ascertaining a roll angle lies in a first computing plane, which is formed by the focal point of the X-ray source and a reference direction which may be determined in the first X-ray image by at least one reference landmark. A second X-ray image is recorded of the end region of the bone in a second projection geometry with a direction of projection deviating from the direction of projection of the first projection geometry, and forming a second computing plane from the reference direction which may be determined in the second X-ray image likewise by the at least one reference landmark, and the focal point.

Abstract: The disclosure relates to a medical engineering robot, a medical system, a method for operation thereof, a corresponding computer program, and a corresponding computer-readable storage medium. By controlling a pose of an instrument arm of the robot relative to a respective examination object to be treated or to be examined by the robot, the disclosure makes provision for automatically bringing the instrument arm into contact with the examination object and through this for setting a predetermined pose of the examination object.

Abstract: A method, computer system, and a computer-readable medium for registering one or more structures to a desired orientation for planning and guidance for surgery is provided. The method includes in a preoperative stage, obtaining one or more 3D models of one or more structures from one or more CT images using an image processing segmentation technique or a manual segmentation technique; in the preoperative stage, registering the one or more structures to a template that is adapted to an alternating registration for a patient-specific shape and pose for a desired reduction and corresponding reduction transformations; in an intraoperative stage, mapping the one or more structures to one or more radiographs via a 3D-2D registration that iteratively optimizes a similarity metric between acquired and simulated radiographs; and in the intraoperative stage, providing an output that is representative of a radiograph or a 3D tomographic representation to provide guidance to a user.

Abstract: A method for establishing a three-dimensional tomosynthesis data record of a target volume from two-dimensional projection images recorded with a recording arrangement including an X-ray source and an X-ray detector in different recording geometries is provided. During or after a reconstruction step, a deconvolution technique is used for reducing image artifacts of the tomosynthesis data record occurring due to lacking information. The projection images are recorded along a linear recording trajectory of the X-ray source. The reconstruction and the use of the deconvolution technique take place in a plurality of different two-dimensional reconstruction planes that are spanned by the recording trajectory and, in each case, a definition point in the target volume.

Abstract: A method for increasing accuracy of positioning an X-ray device relative to an examination subject using a camera system includes recording a first data set, acquiring original positioning information pertaining to the X-ray device and specifying a target position of the X-ray device relative to the original position. The X-ray device is positioned out of the original position into a first approach position using the original positioning information, and a second data set is recorded. A deviation between the target position and the first approach position is determined by a reconciliation between the first data set and the second data set. The X-ray device is positioned out of the first approach position into a second approach position using the determined deviation.

Abstract: Evaluating the reliability of a computed tomography (CT) volume image includes acquiring a first CT volume image and a modified CT volume image that are reconstructed from scanned projection images. From the first CT volume image and the modified CT volume image, digitally reconstructed X-ray images are then calculated. A respective similarity with a corresponding one of the scanned projection images is then determined. Based on a comparison of these similarities with one another, the reliability of the CT volume images is then evaluated.

Abstract: A method for localization and identification of a structure in a projection image with a system having a known system geometry, includes acquiring a preoperative computer-tomography or CT image of a structure, preprocessing the CT-image to a volume image, acquiring an intraoperative two dimensional or 2D X-ray image, preprocessing the 2D X-ray image to a fix image, estimating an approximate pose of the structure, calculating a digitally reconstructed radiograph or DRR using the volume image, the estimated pose and the system geometry, and calculating a correlation between the generated DRR and the fix image, with a correlation value representing matching between the generated DRR and the fix image. The method significantly decreases the number of wrong-level surgeries and is independent of the surgeon's ability to localize and/or identify a target level in a body.

Abstract: A medical assistance device, a system, and a method are provided for determining a deformation of a subject. Undisturbed image data of the subject and pose data of a robotic instrument are acquired. The medical assistance device is configured to determine the deformation of the subject due to a physical contact between the subject and the robotic instrument based on a biomechanical model. The undisturbed image data and a pose and/or motion of the robotic instrument are provided as input to the biomechanical model. The biomechanical model is predetermined or generated and/or updated based on a strain and/or a stiffness measured by a sensor.

Abstract: The disclosure relates to a method for recording a panorama dataset of an examination object by a movable medical x-ray device, to a medical x-ray device, and to a computer program product for carrying out the method. The medical x-ray device has an x-ray source, which emits a bundle of x-rays, wherein a first image segment, which maps at least one part of the examination object, is recorded at a first point in time. Position data is acquired, which maps the spatial position of the x-ray device at this first point in time. At least one further image segment along an imaging path is recorded after there has been a movement of the x-ray device, wherein the imaging path lies in one plane, wherein a central ray of the bundle of x-rays emitted by the x-ray source does not run in parallel to the plane in which the imaging path lies. Additionally, position data is acquired, which maps the spatial position of the x-ray device at the time of the recording of the at least one further image segment.

Abstract: A method, computer system, and a computer-readable medium for registering one or more structures to a desired orientation for planning and guidance for surgery is provided. The method includes in a preoperative stage, obtaining one or more 3D models of one or more structures from one or more CT images using an image processing segmentation technique or a manual segmentation technique; in the preoperative stage, registering the one or more structures to a template that is adapted to an alternating registration for a patient-specific shape and pose for a desired reduction and corresponding reduction transformations; in an intraoperative stage, mapping the one or more structures to one or more radiographs via a 3D-2D registration that iteratively optimizes a similarity metric between acquired and simulated radiographs; and in the intraoperative stage, providing an output that is representative of a radiograph or a 3D tomographic representation to provide guidance to a user.

Abstract: During the generation of a panoramic x-ray recording, the use of semi-transparent x-ray screens allows the patient's x-ray exposure to be reduced when partial x-ray images are created, in spite of relatively large overlapping areas between the partial x-ray images.

Abstract: A method for determining an alignment between at least two bone parts of an elongated bone system of a patient includes recording a plurality of partially spatially overlapping projection images by a recording system of an x-ray device during a translational movement of the x-ray device or the recording system in a direction of or parallel to a longitudinal axis of the bone system. Tomosynthesis image data of the bone parts is reconstructed from the recorded projection images, and an alignment angle between the at least two bone parts is determined or estimated at least partially based on the reconstructed tomosynthesis image data and/or the plurality of projection images.

Abstract: A method for establishing a three-dimensional tomosynthesis data record of a target volume from two-dimensional projection images recorded with a recording arrangement including an X-ray source and an X-ray detector in different recording geometries is provided. During or after a reconstruction step, a deconvolution technique is used for reducing image artifacts of the tomosynthesis data record occurring due to lacking information. The projection images are recorded along a linear recording trajectory of the X-ray source. The reconstruction and the use of the deconvolution technique take place in a plurality of different two-dimensional reconstruction planes that are spanned by the recording trajectory and, in each case, a definition point in the target volume.

Abstract: A method for increasing accuracy of positioning an X-ray device relative to an examination subject using a camera system includes recording a first data set, acquiring original positioning information pertaining to the X-ray device and specifying a target position of the X-ray device relative to the original position. The X-ray device is positioned out of the original position into a first approach position using the original positioning information, and a second data set is recorded. A deviation between the target position and the first approach position is determined by a reconciliation between the first data set and the second data set. The X-ray device is positioned out of the first approach position into a second approach position using the determined deviation.

Abstract: The disclosure relates to a method for recording a panorama dataset of an examination object by a movable medical x-ray device, to a medical x-ray device, and to a computer program product for carrying out the method. The medical x-ray device has an x-ray source, which emits a bundle of x-rays, wherein a first image segment, which maps at least one part of the examination object, is recorded at a first point in time. Position data is acquired, which maps the spatial position of the x-ray device at this first point in time. At least one further image segment along an imaging path is recorded after there has been a movement of the x-ray device, wherein the imaging path lies in one plane, wherein a central ray of the bundle of x-rays emitted by the x-ray source does not run in parallel to the plane in which the imaging path lies. Additionally, position data is acquired, which maps the spatial position of the x-ray device at the time of the recording of the at least one further image segment.

Abstract: The disclosure relates to a mobile X-ray device having an equipment cart that is movable on wheels and has a lifting device on which a support assembly is arranged. A C-arm is mounted to the support assembly so as to be displaceable along the circumference of the support assembly, wherein the C-arm has an X-ray source and an X-ray receiver arranged opposite the X-ray source. In order to simplify the handling of a mechanical zoom on mobile X-ray devices, a motion controller is provided by which, in any given pose of the C-arm, a movement of the C-arm is controlled in such a way that the central axis extending between X-ray source and X-ray receiver is fixed in space.

Abstract: The disclosure relates to a medical engineering robot, a medical system, a method for operation thereof, a corresponding computer program, and a corresponding computer-readable storage medium. By controlling a pose of an instrument arm of the robot relative to a respective examination object to be treated or to be examined by the robot, the disclosure makes provision for automatically bringing the instrument arm into contact with the examination object and through this for setting a predetermined pose of the examination object.

Abstract: A medical assistance device, a system, and a method are provided for determining a deformation of a subject. Undisturbed image data of the subject and pose data of a robotic instrument are acquired. The medical assistance device is configured to determine the deformation of the subject due to a physical contact between the subject and the robotic instrument based on a biomechanical model. The undisturbed image data and a pose and/or motion of the robotic instrument are provided as input to the biomechanical model. The biomechanical model is predetermined or generated and/or updated based on a strain and/or a stiffness measured by a sensor.

Abstract: A method is provided for operating a medical imaging device when performing an imaging examination. In order to allow an improved preparation of images in the context of such an imaging examination, the method includes: providing an original image of a body region; recording an updated image of the body region; and generating a three-dimensional subsequent image from the original image and from the updated image using a previously trained artificial neural network.

Abstract: In a method of image support for a person carrying out a minimally invasive procedure with an instrument in a procedure site of a patient, one two-dimensional X-ray image respectively of the procedure site is recorded by an X-ray apparatus in at least two recording geometries implementing different projection directions and chosen specific to the procedure, in particular by the person. A three-dimensional model data set of the procedure region is reconstructed by iterative reconstruction from the X-ray images. At least one two-dimensional supporting image corresponding to one of the recording geometries is determined by incorporating at least one item of further information by re-projection of the model data set supplemented by the further information and is displayed for the user.