Abstract: A medical imaging and therapy device is provided that may include any of a number of features. One feature of the device is that it can acoustically couple an ultrasound therapy transducer to a patient. In some embodiments, the medical imaging and therapy device is configured to conform to the anatomy of a patient's perineal area to acoustically couple an ultrasound therapy transducer to the patient for treatment of BPH. The medical imaging and therapy device can be used in therapeutic applications such as Histotripsy, Lithotripsy, and HIFU, for example. Methods associated with use of the medical imaging and therapy device are also covered.

Abstract: A medical imaging and therapy device is provided that may include any of a number of features. One feature of the device is that it can acoustically couple an ultrasound therapy transducer to a patient. In some embodiments, the medical imaging and therapy device is configured to conform to the anatomy of a patient's perineal area to acoustically couple an ultrasound therapy transducer to the patient for treatment of BPH. The medical imaging and therapy device can be used in therapeutic applications such as Histotripsy, Lithotripsy, and HIFU, for example. Methods associated with use of the medical imaging and therapy device are also covered.

Abstract: A medical imaging and therapy device is provided that may include any of a number of features. One feature of the device is that it can acoustically couple an ultrasound therapy transducer to a patient. In some embodiments, the medical imaging and therapy device is configured to conform to the anatomy of a patient's perineal area to acoustically couple an ultrasound therapy transducer to the patient for treatment of BPH. The medical imaging and therapy device can be used in therapeutic applications such as Histotripsy, Lithotripsy, and HIFU, for example. Methods associated with use of the medical imaging and therapy device are also covered.

Abstract: A Histotripsy therapy transducer is provided that can include any number of features. In some embodiments, the transducer is sized and configured to direct Histotripsy energy through the perineal window into the prostate. The Histotripsy therapy transducer can include a notch or opening near the periphery of the transducer to accommodate a transrectal imaging probe. The notch or opening in the therapy transducer allows for movement of the therapy with respect to the imaging probe without contact or interference from the imaging probe. In some embodiments, the transducer can be “heart-shaped” or round. Methods of use are also described.

Abstract: A head holder made of radiolucent material is attached near an end of a table to support a head of a patient during a CT scan. The head holder includes a base portion that supports the shoulders and upper back of the patient and a head rest that supports a patient's head. The head holder is moveable relative to the table in a direction that is generally parallel to a length of the table. A position of the head rest is adjustable in a vertical direction relative to the base portion. The radiolucent material of the head holder does not affect the quality of a resulting CT scan.

Abstract: A CT scanner includes a pair of shields to protect an operator from x-rays from the CT scanner. The CT scanner has a gantry that provides structural support and housing for the components including an x-ray source and a detector arranged on the gantry to face one another. Lead shields are located on opposing sides of the x-ray source and extend between the x-ray source and the detector. The CT scanner further includes a computer located on an opposing side of the gantry from the x-ray source and the detector. The lead shields rotate with the gantry and prevent the x-ray from reaching the operator while the CT scanner is in operation.

Abstract: A medical imaging and therapy device is provided that may include any of a number of features. One feature of the device is that it can acoustically couple an ultrasound therapy transducer to a patient. In some embodiments, the medical imaging and therapy device is configured to conform to the anatomy of a patient's perineal area to acoustically couple an ultrasound therapy transducer to the patient for treatment of BPH. The medical imaging and therapy device can be used in therapeutic applications such as Histotripsy, Lithotripsy, and HIFU, for example. Methods associated with use of the medical imaging and therapy device are also covered.

Abstract: A CT scanner includes a pair of shields to protect an operator from x-rays from the CT scanner. The CT scanner has a gantry that provides structural support and housing for the components including an x-ray source and a detector arranged on the gantry to face one another. Lead shields are located on opposing sides of the x-ray source and extend between the x-ray source and the detector. The CT scanner further includes a computer located on an opposing side of the gantry from the x-ray source and the detector. The lead shields rotate with the gantry and prevent the x-ray from reaching the operator while the CT scanner is in operation.

Abstract: A CT scanner includes a pair of shields to protect an operator from x-rays from the CT scanner. The CT scanner has a gantry that provides structural support and housing for the components including an x-ray source and a detector arranged on the gantry to face one another. Lead shields are located on opposing sides of the x-ray source and extend between the x-ray source and the detector. The CT scanner further includes a computer located on an opposing side of the gantry from the x-ray source and the detector. The lead shields rotate with the gantry and prevent the x-ray from reaching the operator while the CT scanner is in operation.

Abstract: A surgical navigation system includes a CT scanner that takes a plurality of x-ray images of a patient. A patient tracker including locators is attached to the patient, and a registration appendage is removably secured to the patient tracker in a known position and orientation. The registration appendage includes radio-opaque markers arranged in a predetermined geometric pattern. The registration appendage is viewable in a CT scan in situations where the locators of the patient tracker are outside of a field of view of the CT scanner.

Abstract: A scanner takes an initial image of a patient, and a known structure in the initial image is identified. Based on the initial image, a location for injection of a chemical with a medical instrument can be determined. During a medical procedure, the scanner operates in a fluoroscopy mode, and real-time images of the patient are displayed. The medical instrument includes two markers having a fixed and known relationship and orientation relative to each other and a tip of the medical instrument Movement of the tip is monitored as it is inserted into the patient, and the location of the tip relative to the injection location is tracked based on the detected relationship of the markers of the medical instrument and the known structure. When the computer determines that the tip is at the injection location, the computer provides an alert to inject the chemical.

Abstract: A CT scanner includes a gantry including a first arm and a second arm. One of the first arm and the second arm houses an x-ray source that generates x-rays, and the other of the first arm and the second arm houses a complementary flat-panel x-ray detector. The first arm is rotatable about an axis relative to the second arm. During a CT scan, the first arm is in a CT scanning position. When the CT scanner is no longer needed, the first arm is rotated relative to the second arm about the axis, allowing the first arm to move to a collapsed position. If another CT scan is required during a surgical procedure, the first arm is rotated about the axis from the collapsed position to the CT scanning position.

Abstract: A CT scanner includes a gantry including a first arm and a second arm. The first arm houses an x-ray source that generate x-rays, and the second arm houses a complementary flat-panel detector. During a pre-operative CT scan, the CT scanner is positioned at a scanning position near the patient. An alignment feature ensures that the CT scanner is repeatably positionable in the scanning position. After the pre-operative scan is complete, the CT scanner is moved to a remote position. If an updated CT scan is needed during the surgical procedure, the CT scanner is moved from the remote position to the scanning position. The alignment feature ensures that the CT scanner is properly positioned in the scanning position.

Abstract: A CT scanner includes a base, two fixed portions extending transversely from the base, and a rocking beam pivotally attached to the base about an axis. The CT scanner includes four wheels that allow the CT scanner to move over a floor. A wheel is attached to each fixed portion, and a wheel is attached to each end of the rocking beam. If the CT scanner is positioned on a floor with an unlevel portion, the rocking beam rotates about the axis. One wheel attached to the rocking beam raises in a generally vertical direction, and the other beam attached to the rocking beam lowers in a generally vertical direction so all four wheels contact the floor, stabilizing the CT scanner and preventing rocking.

Abstract: A head holder made of radiolucent material is attached near an end of a table to support a head of a patient during a CT scan. The head holder includes a base portion that supports the shoulders and upper back of the patient and a head rest that supports a patient's head. The head holder is moveable relative to the table in a direction that is generally parallel to a length of the table. A position of the head rest is adjustable in a vertical direction relative to the base portion. The radiolucent material of the head holder does not affect the quality of a resulting CT scan.

Abstract: A CT scanning system provides the ability to scan a patient's lower extremities while the patent is upright, i.e. either standing on the foot, or at least putting some load on the foot, or with the ankle at a given angle. The CT scanning system provides a generally horizontal upper support surface on which the patient's foot is supported. A gantry supporting an x-ray source and x-ray detector are rotated about a z-axis through the support surface. With the CT scanning system, the patient's lower extremities can be scanned while under load.

Abstract: A CT scanner includes a base, two fixed portions extending transversely from the base, and a rocking beam pivotally attached to the base about an axis. The CT scanner includes four wheels that allow the CT scanner to move over a floor. A wheel is attached to each fixed portion, and a wheel is attached to each end of the rocking beam. If the CT scanner is positioned on a floor with an unlevel portion, the rocking beam rotates about the axis. One wheel attached to the rocking beam raises in a generally vertical direction, and the other beam attached to the rocking beam lowers in a generally vertical direction so all four wheels contact the floor, stabilizing the CT scanner and preventing rocking.

Abstract: A surgical navigation system includes a CT scanner that takes a plurality of x-ray images of a patient. A patient tracker including locators is attached to the patient, and a registration appendage is removably secured to the patient tracker in a known position and orientation. The registration appendage includes radio-opaque markers arranged in a predetermined geometric pattern. The registration appendage is viewable in a CT scan in situations where the locators of the patient tracker are outside of a field of view of the CT scanner.

Abstract: A surgeon selects a volume of interest by placing an untracked “marker” in a patient near an area where an update is desired. During surgery, when an updated CT scan is requested, the CT scanner performs a scan of the patient using a full field of view to take a series of two-dimensional initial images of the patient from a plurality of angularly spaced positions about the patient. The position of the untracked marker is determined by the CT scanner in or more of the initial images. The volume of interest is defined as the position of the untracked marker, plus some margin. The CT scanner then collimates the x-ray source to scan only the volume of interest. The CT scanner then completes the update scan of the volume of interest and updates a previous CT scan(s) to create a fully updated CT image, reducing x-ray exposure of the patient.

Abstract: A CT scanner includes a pair of shields to protect an operator from x-rays from the CT scanner. The CT scanner has a gantry that provides structural support and housing for the components including an x-ray source and a detector arranged on the gantry to face one another. Lead shields are located on opposing sides of the x-ray source and extend between the x-ray source and the detector. The CT scanner further includes a computer located on an opposing side of the gantry from the x-ray source and the detector. The lead shields rotate with the gantry and prevent the x-ray from reaching the operator while the CT scanner is in operation.