Abstract: Methods, devices, and systems for acquiring the volume of a catheter are disclosed. The system may comprise a catheter and a processor. The processor may be configured to receive a voxel grid comprising a plurality of voxels and a plurality three-dimensional coordinates of a location of a catheter. The processor may render the catheter on a display using the three-dimensional coordinates, wherein the catheter rendering comprises a plurality of shaded pixels. The processor may identify coordinates of one or more voxels of the voxel grid which overlap with at least one shaded pixel and mark the voxels of the voxel grid which overlap with at least one shaded pixel. As such, a voxel trail may be created wherever a catheter moves. The voxel trail may be used to define an internal volume within which the catheter is positioned, such as a chamber of a heart, blood vessel, or valve.

Abstract: A method includes receiving or generating a volume map of at least a portion of a cavity of an organ of a body including a plurality of mapped locations, and a point cloud of locations in the cavity marked for treatment. The volume map is updated by removing a portion of the mapped locations, so that the locations marked for treatment fall on a surface of the volume map. Using the updated volume map, a map of at least a portion of the cavity is generated, the map including the locations marked for treatment. The map is displayed to user.

Abstract: Image processing is carried out by accepting an array of voxels that include data representing a physical property of a 3-dimensional object, segmenting the array of voxels into a plurality of regional subarrays of voxels that respectively satisfy predetermined criteria, transforming the subarrays into respective triangular meshes, the meshes having triangles that surround the subarrays and intercept the outer voxels of the subarrays, and rendering the triangular meshes on a display

Abstract: Apparatus, consisting of a catheter that is configured to be inserted into a chamber of a heart and that has one or more electrodes configured to contact myocardial tissue at multiple locations in the chamber. The one or more electrodes receive electrical signals responsive to a conduction wave traveling through the tissue. The apparatus includes a display and a processor that is configured to receive the electrical signals from the catheter and to render to the display, responsively to the electrical signals, a map of the chamber including an indication of local times of occurrence of the conduction wave at the multiple locations. The processor is also configured to calculate, responsively to the local times of occurrence, a velocity of the conduction wave between the locations and to mark on the map one or more areas of the chamber in which the velocity is below a preset threshold.

Abstract: An apparatus acquires signals from thermal sensors on a probe and performs a first interpolation or a first extrapolation between temperatures determined from the signals based on the spatial locations of the thermal sensors to produce a temperature spatial distribution map, determines there is at least one malfunctioning thermal sensor, and assigns the malfunctioning thermal sensors a first arbitrary temperature and the correctly operating thermal sensors a second arbitrary temperature.

Abstract: A method includes calculating a medial-axis tree graph of a volume of an organ of a patient in a computerized anatomical map of the volume. A predefined number of major branches in the tree graph are identified. Using the identified major branches, one or more known anatomical opening regions of the volume are identified in the anatomical map.

Abstract: A method, consisting of acquiring signals, indicative of temperatures at respective locations in a biological tissue, from a plurality of thermal sensors mounted on a probe in contact with the tissue, interpolating between the temperatures so as to produce a temperature distribution map, and displaying the temperature distribution map on a screen. The method also includes determining that at least one of the thermal sensors is a malfunctioning thermal sensor, and that remaining thermal sensors of the plurality are correctly operating. The at least one malfunctioning thermal sensor is assigned a first arbitrary temperature and the correctly operating thermal sensors are assigned second arbitrary temperatures.

Abstract: A system includes an electrical interface for communicating with a probe, and a processor. The electrical interface is configured to be inserted into a heart of a patient. The processor is configured to (A) receive from the probe, via the electrical interface, (i) position-signals indicative of a position of a distal tip of the probe in the heart, (ii) a contact-force indication indicative of a contact force exerted on the distal tip, and (iii) an electrophysiological (EP) measurement acquired by the distal tip at the position, (B) calculate a contact-force vector based on the contact-force indication received from the distal tip, and (C) based on the position-signals and on the contact-force vector, estimate a location, on an electro-anatomical map of the heart, at which the distal tip touches tissue, and to update the electro-anatomical map with the EP measurement, associated with the estimated location.

Abstract: A method for producing an image of a body tissue surface. The method includes transforming a source 3-D model of the body tissue surface into a flattened model comprising details of the body tissue surface represented visually on an unwrapped and flattened surface, wherein the flattened model represents transformed positions of the source 3-D model of the body tissue surface defined between a first edge and a second edge. The first edge is formed about a lumen defined by the body tissue surface, and the body tissue surface projects about the lumen to the second edge. The method further includes producing an image from the flattened model.

Abstract: A method for data display includes acquiring a three-dimensional (3D) map of a lumen inside a body of a subject, transforming the 3D map of the lumen into a two-dimensional (2D) image by projecting the 3D map onto an annulus, and presenting the 2D image on a display screen.

Abstract: A method, including calculating locations of first sensors attached to a probe that has been inserted into a human patient, and calculating positions of second sensors attached to a sheath via which the probe is inserted. The method also includes calculating respective shapes of the probe and the sheath, to achieve a best fit to the calculated probe sensor locations and sheath sensor positions, while restricting the probe to pass through the sheath. The calculated respective shapes of the probe and the sheath are used to present an image of the sheath aligned with the probe.

Abstract: A 3-dimensional image is displayed in high resolution colors by generating a 3-dimensional model as a triangular mesh, converting the mesh into a grid of voxels, and assigning attribute values to a portion of the voxels. Laplacian interpolation based on the portion of the voxels is applied for iteratively calculating interpolated attribute values of other voxels. The voxels are rendered as a colored image according to the attribute values on a display.

Abstract: Methods, apparatus, and systems for medical procedures include receiving a first ultrasound slice from an ultrasound transducer, the first ultrasound slice corresponding to a first ultrasound position. A second ultrasound slice is received from the ultrasound transducer, the second ultrasound slice corresponding to a second ultrasound position. The first ultrasound slice and the second ultrasound slice are stored in memory. A first catheter position of a catheter is received. The first catheter position is determined to correspond to the first ultrasound position and the first ultrasound slice is provided based on the determination. The determination that the first catheter position corresponds to the first ultrasound position may be made based on locations, orientations, or may be based on the number of voxels that overlap between the first catheter position and ultrasound positions.

Abstract: Methods, apparatus, and systems for medical procedures are disclosed herein and include receiving a first electrical activity at a first time for a plurality of points on an intrabody surface. A first cluster of points is identified from the plurality of points, based on the first electrical activity, the first cluster of points each exhibiting electrical activity above an activity threshold. A second electrical activity is received at a second time for the plurality of points on the intra-body surface. A second cluster of points is identified from the plurality of points, based on the second electrical activity. The first cluster of points and the second cluster of points are determined to be related based on a propagation threshold. A first visual indication for a first propagation route is provided from the first cluster of points to the second cluster of points.

Abstract: As part of a real-time three-dimensional (3D) cardiac imaging system and method, anatomical data of a cardiac structure may be acquired and a 3D model of the cardiac structure may be generated. Visual data relevant to a cardiac procedure may be generated, such as location and orientation of a catheter, tags, points, color-coded temperature information, and/or color-coded local activation times (LAT) for the cardiac structure. The visual data superimposed on the 3D model of the cardiac structure may be visually displayed on a visual display device. A glass state view may be generated by generating a modified set of the visual data that includes removing at least a portion of the visual data that obscures a view of an anatomical feature of interest and/or the catheter, and adding edge enhancement to the cardiac structure. The glass state view may be requested to be visually displayed on the visual display device.

Abstract: A method, including receiving from mapping electrodes positioned at locations within a heart, signals indicating electrical activity in tissue contacting the electrodes, and processing the signals to identify, for each location, at least one corresponding LAT in a cycle of a heart. For each location, an earliest LAT in the cycle is identified, and an electroanatomical map including mapping points having respective locations and showing the earliest LAT at each location is generated and rendered. An input selecting a subset of the points is received, and a time range containing the earliest LAT of a majority of the points in the subset is identified. One or more outlying points in the subset are identified, and a second LAT, later than the earliest LAT in the cycle is found among the at least one identified LAT identified at the outlying points. The map is updated to display the found second LAT.

Abstract: A method includes assigning, to first voxels in a model of tissue of a chamber of a heart, respective first values of a parameter at respective locations on the tissue, the first voxels representing the locations, respectively. Some of the locations are on an endocardial surface of the tissue, and others of the locations are on an epicardial surface of the tissue. The method further includes assigning respective second values to second voxels in the model, a subset of which represent a portion of the tissue between the endocardial surface and the epicardial surface, by interpolating the first values. Other embodiments are also described.

Abstract: Image processing is carried out by accepting an array of voxels that include data representing a physical property of a 3-dimensional object, segmenting the array of voxels into a plurality of regional subarrays of voxels that respectively satisfy predetermined criteria, transforming the subarrays into respective triangular meshes, the meshes having triangles that surround the subarrays and intercept the outer voxels of the subarrays, and rendering the triangular meshes on a display

Abstract: A system includes a balloon catheter having a shaft, an inflatable balloon fitted at a distal end of the shaft, and multiple electrodes disposed on the inflatable balloon, a display, and a processor configured to receive signals that are indicative of respective electrode positions of the multiple electrodes in 3D space, compute the respective electrode positions of the multiple electrodes based on the received signals, from among a plurality of virtual planes defined by different respective groups of the electrode positions, select a virtual plane that contains a maximum number of the electrode positions to within a given tolerance, fit a virtual circle to the electrode positions that are within the given tolerance of the selected virtual plane, and render to the display a 3D representation of the balloon catheter based on a position and orientation of the fitted virtual circle in 3D space.

Abstract: Cardiac catheterization is carried out by inserting a multi-electrode probe into a heart, constructing a position map of the electrodes, and simulating a 3-dimensional surface of the heart. The method is further carried out by placing the position map in registration with an acquired image of the heart, constructing, based on the position map, a mesh that models the 3-dimensional surface of the heart, and adjusting positions of vertices of the mesh relative to mapped points in the position map to improve a registration of the mesh with the acquired image.