Abstract: Disclosed herein is a medical system (100, 300) comprising a display (112) and a user interface (114). The execution of machine executable instructions (120) causes a processor (104) to: receive (200) three-dimensional medical image data (122) of an anatomical structure (128, 322); receive (202) a three-dimensional segmentation (124) with one or more reference locations (800); display (204) at least one two-dimensional slice (126) of the three-dimensional medical image data; render (206) a cross section (134) of the three-dimensional segmentation, provide (208) a control element (130) of the user interface that is configured for receiving a one-dimensional position of the at least one reference location along a predetermined one-dimensional path (806); receive (210) the one-dimensional position (137) from the control element; adjust (212) the three-dimensional segmentation (124) using the one-dimensional position; and update (214) the rendering of the cross section of the three-dimensional segmentation.

Abstract: Disclosed herein is a medical system (100, 300, 400) comprising a memory (110) storing machine executable instructions (120). The medical system further comprises an anatomical detection module (122). The anatomical detection module is configured for detecting an anatomical deviation in response to inputting tomographic medical scout image data (124). The anatomical detection module is configured for outputting a localization (126) of the anatomical deviation in the tomographic medical scout image data if the anatomical deviation is detected. The medical system further comprises a processor (104) configured for controlling the medical system.

Abstract: An apparatus includes an imaging probe and is configured for dynamically arranging presentation of visual feedback for guiding manual adjustment, via the probe, of a location, and orientation, associated with the probe. The arranging is selectively based on comparisons between fields of view of the probe and respective results of segmenting image data acquired via the probe. In an embodiment, the apparatus includes a sensor which guides a decision that acoustic coupling quality is insufficient, the apparatus issuing a user alert upon the decision.

Abstract: The invention relates to a system and computer-implemented method for enabling correction of a segmentation of an anatomical structure in 3D image data. The segmentation may be provided by a mesh which is applied to the 3D image data to segment the anatomical structure. The correction may for example involve a user directly or indirectly selecting a mesh part, such as a mesh point, that needs to be corrected. The behaviour of the correction, e.g., in terms of direction, radius/neighbourhood or strength, may then be dependent on the mesh normal direction, and in some embodiments, on a difference between the mesh normal direction and the orientation of the viewing plane.

Abstract: The invention relates to a system for determining a radiation therapy plan for a radiation therapy system (100), comprising a multi-leaf collimator. The radiation therapy plan determination system (110) comprises a therapy system characteristics providing unit (111), wherein the characteristics comprise possible leaf positions and possible radiation fluence values, a planning objectives providing unit (112), wherein the planning objectives are indicative of a desired therapeutic radiation dose distribution, an optimization function providing unit (113), wherein the optimization function is indicative of a deviation of a radiation dose distribution from the planning objectives and of an uncertainty of the radiation dose distribution at edges of the possible apertures, and a therapy plan optimization unit (114) adapted to determine a sequence of possible apertures and possible radiation fluence values for which the optimization function is optimized.

Abstract: Some embodiments are directed to a segmentation of medical images. For example, a medical image may be registering to multiple atlas images after which a segmentation function may be applied. Multiple segmentation may be fused into a final overall segmentation. The atlas images may be selected on the basis of high segmentation quality or low registration quality.

Abstract: An imaging steering apparatus includes sensors and an imaging processor configured for: acquiring, via multiple ones of the sensors and from a current position (322), and current orientation (324), an image of an object of interest; based on a model, segmenting the acquired image; and determining, based on a result of the segmenting, a target position (318), and target orientation (320), with the target position and/or target orientation differing correspondingly from the current position and/or current orientation. An electronic steering parameter effective toward improving the current field of view may be computed, and a user may be provided instructional feedback (144) in navigating an imaging probe toward the improving. A robot can be configured for, automatically and without need for user intervention, imparting force (142) to the probe to move it responsive to the determination.

Abstract: A system and method are provided for display of medical image data, with the display of the medical image data being determined on the basis of schematic image data of a schematic representation of an anatomical structure. The schematic representation may provide a particular view of the anatomical structure. The type of anatomical structure and the view of the anatomical structure provided by the schematic representation may be determined based on one or more image features in the schematic image data. The view may be characterized as a geometrically-defined perspective at which the anatomical structure is shown in the schematic representation. An output image may be generated showing the anatomical structure in the medical image data in accordance with said determined geometrically-defined perspective. A user may thus be provided with a display of medical image data which is easier to interpret having considered said schematic representation.

Abstract: Systems and methods are provided for generating and using statistical data which is indicative of a difference in shape of a type of anatomical structure between images acquired by a first imaging modality and images acquired by a second imaging modality. This statistical data may then be used to modify a first segmentation of the anatomical structure which is obtained from an image acquired by the first imaging modality so as to predict the shape of the anatomical structure in the second imaging modality, or in general, to generate a second segmentation of the anatomical structure as it may appear in the second imaging modality based on the statistical data and the first segmentation.

Abstract: A system includes a computing system with a processor and computer readable storage medium with computer readable and executable instructions, including a radiation plan module, a radiation plan optimization module and a radiation plan visualization module. The processor is configured to execute the instructions, which causes the processor to construct and visually present, via a display monitor, a two-dimensional plot with three-dimensions of data from a radiation plan, and two dimensions along two axes of the plot and a third dimension represented through intensity.

Abstract: In a method of segmenting a tubular feature in an image, a sequence of overlapping portions of the image are segmented using a trained model. The overlapping portions are positioned along the length of the tubular feature and combined to determine a segmentation of the tubular feature.

Abstract: A system (SYS) for supporting a medical procedure, comprising an interface (IN) for receiving at least one medical input signal that describes a state of a target anatomy. A signal analyzer (SA) is configured to analyze the medical input signal to determine a time window for deployment of a cardio-vascular device (CL) to be deployed by a deployment.

Abstract: Systems and methods are provided for generating and using statistical data which is indicative of a difference in shape of a type of anatomical structure between images acquired by a first imaging modality and images acquired by a second imaging modality. This statistical data may then be used to modify a first segmentation of the anatomical structure which is obtained from an image acquired by the first imaging modality so as to predict the shape of the anatomical structure in the second imaging modality, or in general, to generate a second segmentation of the anatomical structure as it may appear in the second imaging modality based on the statistical data and the first segmentation.

Abstract: The invention relates to a system for assisting in evaluating a contour of an anatomic structure (22) with respect to a dose distribution corresponding to a treatment plan for a radiation therapy treatment of a patient. The system comprises an evaluation unit particularly configured to evaluate the dose distribution in varying distances from the contour of the anatomic structure (22) to determine at least one point where the evaluated dose distribution fulfills a predetermined condition, and to determine the distance between the at least one point and the contour and/or to visualize the at least one point to a user of the system.

Abstract: The invention relates to a planning apparatus for planning a radiation therapy. A medical image, in which a target to be irradiated is indicated, is reformatted based on ray geometries to be used during the radiation therapy to be planned, resulting in several reformatted medical images. Radiation therapy parameters being indicative of intensities of rays 5 to be used for irradiating a target 4 are determined based on the reformatted medical images by using a neural network unit. This allows to determine high quality radiation therapy parameters and hence allows for an improved planning of a radiation therapy. In particular, radiation and absorptions physics can be captured better, which can lead to the improved quality.

Abstract: The invention relates a system for assisting in planning a radiation therapy treatment provided using a treatment plan comprising irradiation parameters for controlling a delivery of radiation. The system is configured to (i) receive a first dose distribution, (ii) obtain a first objective function, which depends upon at least one parameter and a dose distribution, (iii) determine a first value of the parameter such that the first objective function fulfills a predefined criterion when being evaluated for the first value of the parameter and for a second dose distribution derived from the first dose distribution, (iii) provide the first objective function in connection with the first value of the at least one parameter to a user for modifying the first objective function to generate a second objective function, and (v) determine the treatment plan using the second objective function. Further, the invention relates to a corresponding method and computer program.

Abstract: The invention relates to a segmentation system for segmenting an object in an image. The segmentation system is configured to place a surface model comprising surface elements within the image, to determine for each surface element a respective sub volume (6) of the image and to use a neural network (51) for determining respective distances between the surface elements and the boundary of the object in the image based on the determined subvolumes. The surface model is then adapted in accordance with the determined distances, in order to segment the object. This segmentation, which is based on the subvolumes of the image and the neural network, is improved in comparison to known techniques which rely, (10) for instance, on a sampling of candidate points along lines being perpendicular to the respective surface element and on a determination of likelihoods for the candidate points that they indicate a boundary of the object.

Abstract: A device for optimizing a radiation therapy plan (30) for delivering therapeutic radiation to a patient using a therapeutic radiation source (16) while modulated by a multi-leaf collimator (MLC) (14) includes at least one electronic processor (25) connected to a radiation therapy device (12). A non-transitory computer readable medium (26) stores instructions readable and executable by the at least one electronic processor to perform a radiation therapy plan optimization method (102) including: optimizing MLC settings of the MLC respective to an objective function wherein the MLC settings define MLC leaf tip positions for a plurality of rows of MLC leaf pairs at a plurality of control points (CPs). The optimizing is performed in two or more iterations with a resolution of the MLC settings increasing in successive iterations.

Abstract: There is provided a method and apparatus for refining a model of an anatomical structure in an image. A model for the anatomical structure in the image is acquired. The model comprises a plurality of control points, each control point corresponding to a feature in the anatomical structure. The model is placed in the image with respect to the anatomical structure. Based on a user input received to adjust the model in the image, a position of at least one of the plurality of control points is adjusted to alter a shape of the model to the anatomical structure in the image, wherein adjustment of the position of one or more of the at least one control points is restricted based on information relating to the at least one control point.

Abstract: The present invention relates to the field of medical ultrasound imaging, and in particular to a medical ultrasound image processing device for supporting reproducible acquisition of 2D ultrasound images.