Abstract: A computer-implemented method for predetermining a location and/or a thickness of a slice, to be imaged of a patient during a tomosynthesis imaging to be parameterized by an imaging facility comprising the steps of obtaining three-dimensional image data of a preceding tomosynthesis imaging or of another three-dimensional imaging of the patient, wherein the three-dimensional image data depicts at least one part of an object located at least partly within the patient, evaluating the three-dimensional image data for establishing the location of a longitudinal axis of the object along which the part of the object extends, and establishing the location and/or the thickness of the slice to be imaged as a function of the established location of the longitudinal axis in such a way that the slice to be imaged images a predetermined target position within the patient and at least one longitudinal section of the object when the longitudinal axis of the object is located in the established location.

Abstract: A medical instrument arrangement includes: a medical instrument having a proximal operational section for moving the instrument; a robot for active manipulation of the medical instrument on the operational section; an operational capture device for capturing operator movement patterns of the operational section of the medical instrument generated manually; and a control device.

Abstract: For particularly good communication even with difficult patients, a monitoring system for monitoring a patient, such as during a medical diagnostic or therapeutic procedure, is provided. The monitoring system includes a voice cloning device having a voice generator. The voice cloning device is configured to replace a natural voice of a person with a cloned synthetic voice different from the voice of the person. At least two synthetic voices may be selected. The monitoring system also includes a measuring unit configured to record at least one physiological parameter of the patient, an evaluation unit configured to evaluate the at least one measured physiological parameter of the patient, and an actuation unit configured to actuate the voice cloning device such that a synthetic voice is selected or rejected depending on a result of the evaluation by the evaluation unit.

Abstract: The length of a stent for a branched vessel may be determined without a contrast agent if possible. To this end, a method includes: acquiring a projection recording of the vessel into which an instrument has been introduced; determining the instrument in the projection recording; estimating a 3D reconstruction of the determined instrument from the projection recording in order to obtain a virtual 3D instrument; establishing a start point and an end point on the virtual 3D instrument with reference to an overlay of the virtual 3D instrument and the projection recording; and automatically determining a distance between the start point and the end point along the virtual 3D instrument as the length for the stent.

Abstract: A method is provided for automatically setting image acquisition parameters of a medical X-ray system when acquiring X-ray images of a patient with an object arranged on or in the body of the patient. The method includes: providing an X-ray image of the object, wherein the object has X-ray visible markings on its surface with encoded information, in particular material data, relating to the object; determining the X-ray visible markings of the X-ray image of the object, (e.g., by image recognition); evaluating the X-ray visible markings with regard to the information contained therein relating to the object, (e.g., material data); assigning image acquisition parameters to the information; and automatically setting the assigned image acquisition parameters on the X-ray system.

Abstract: Systems and methods for more reliability located the distal end of a medical instrument. A data set is provided that describes a course of a main duct, of a first branch from the main duct, and of a second branch from the main duct. A course of the medical instrument in the main duct and in one of the first or second branches is moreover detected. The course of the main duct and of the two branches is brought into register with the course of the medical instrument. A first similarity measure relating to the end portion and the first branch and a second similarity measure of the end portion and the second branch are then calculated. An item of location information about the distal end of the medical instrument is determined from the similarity measures.

Abstract: For monitoring a room with a medical technology apparatus, a light projection that defines an areal region in the room is generated with light of a predetermined wavelength characteristic. Using a large number of optical detectors that are each mounted in the areal region and are configured for detecting light having the wavelength characteristic, at least one detector signal is generated. Dependent upon the at least one detector signal, a coverage of at least a portion of the large number of optical detectors by an object is recognized. Dependent upon the recognized coverage, a safety and/or warning measure is initiated.

Abstract: For particularly good communication even with difficult patients, a monitoring system for monitoring a patient, such as during a medical diagnostic or therapeutic procedure, is provided. The monitoring system includes a voice cloning device having a voice generator. The voice cloning device is configured to replace a natural voice of a person with a cloned synthetic voice different from the voice of the person. At least two synthetic voices may be selected. The monitoring system also includes a measuring unit configured to record at least one physiological parameter of the patient, an evaluation unit configured to evaluate the at least one measured physiological parameter of the patient, and an actuation unit configured to actuate the voice cloning device such that a synthetic voice is selected or rejected depending on a result of the evaluation by the evaluation unit.

Abstract: A method includes capturing time-resolved procedure data relating to a medical procedure, which includes procedure parameters and/or a device configuration and/or physiological data of an examination object and/or medical image data of the examination object. Time information relating to a target instant and a target procedure configuration for the target instant are provided by applying a trained function to input data. The input data is based on the procedure data. The target procedure configuration, including a target procedure parameter and/or a target device configuration, and the time information, designating an interval between an identified procedure event and the target instant and/or the target instant, is provided as the output data. At least one parameter of the trained function is adjusted based on a comparison of a training procedure configuration with a comparison procedure configuration and a comparison of training time information with comparison time information.

Abstract: A method for collision avoidance when positioning a medical imaging device and a patient positioning apparatus includes capturing a representation of an examination object, identifying an examination region based on representation, and identifying an initial acquisition trajectory around an initial isocenter, which enables a 3D reconstruction of the examination region. The imaging device and/or the patient positioning apparatus is positioned such that an isocenter of the medical imaging device coincides with the initial isocenter. A further acquisition trajectory is identified around one further isocenter, which enables a collision-free positioning of the imaging device and a 3D reconstruction of the examination region. The further isocenter specifies a permissible range for relative positionings of the imaging device and the patient positioning apparatus. The imaging device and/or the patient positioning apparatus is repositioned. Repositioning is limited to a permissible range of relative positionings.

Abstract: A method for providing a result data set includes: capturing a first medical image data set that maps an object under examination within a first temporal phase; capturing a second medical image data set that maps a flow of contrast agent in the object under examination within a second temporal phase in a time-resolved manner; identifying multiple partial image data sets in the second image data set, wherein the partial image data sets in each case map one of multiple physiological subphases within the second temporal phase; and providing the result data set including multiple subtraction image data sets, wherein each subtraction image data set of the multiple subtraction image data sets is determined based on the first medical image data set and a respective partial image data set of the multiple partial image data sets in the second medical image data set.

Abstract: A method for automatic position determination review during position tracking of an object inserted in a hollow organ of a patient by an electromagnetic tracking (EMT) system in the presence of an X-ray device with a movable acquisition system includes providing a registration of the EMT system to the acquisition system. A reference image of the hollow organ of the patient is provided, a registration of the reference image is provided to the acquisition system, a position of the object is determined by the EMT system, and an associated position on the reference image is determined. A plausibility criterion and/or a boundary condition is applied for reviewing a plausibility of the position determined by the EMT system based on the reference image. If the plausibility criterion and/or the boundary condition is violated, a position correction of the position determined by the EMT system and/or an alternative position determination is performed.

Abstract: The disclosure relates to a display apparatus for displaying an augmented and/or virtual reality. The display apparatus has a sensor unit configured to capture a user input. The display apparatus is further configured to receive a medical planning dataset and receive a medical image dataset having at least one projection mapping. The display apparatus is further configured to generate and display the augmented and/or virtual reality based on the planning dataset and the at least one projection mapping. The display apparatus is further configured to adapt a virtual spatial positioning of the planning dataset relative to the at least one projection mapping in the augmented and/or virtual reality based on the user input. The disclosure further relates to a system, a method for registering a planning dataset with an image dataset, and a computer program product.

Abstract: A system for monitoring a physiological state of an object under examination in remotely controlled procedures includes a remote control unit for remote control of a remote manipulation unit, the remote manipulation unit for performing a procedure step, a capture unit for capturing state data of the object under examination, and a provider unit for classifying the state of the object under examination. When an expected state is present, the remote manipulation unit performs the procedure step. When a deviating state is present, the provider unit provides a remote signal to the remote control unit and a local signal to the output unit, the output unit outputs to local operating personnel a first workflow notice, and the remote control unit adjusts the remote control of the remote manipulation unit, outputs a second workflow notice to the remote operating personnel, and/or provides an alternative remote control signal.

Abstract: A method for monitoring remote control suitability includes capturing an instantaneous suitability parameter of a member of remote operating staff. The member of remote operating staff is equipped to remotely control a medical device by a remote control unit. The remote control unit is configured to provide a control signal to the medical device. The suitability parameter is provided by the remote control unit and/or a sensor unit for capturing the member of remote operating staff. The method includes identifying, based on the suitability parameter, whether a reduction in the suitability of the member of remote operating staff exists. In the case of affirmation, the medical device is provided with an alternative control signal, and in the case of negation, the medical device is provided with the control signal.

Abstract: A method for providing a procedural signal includes receiving an item of procedural information including an item of information about at least one procedural step that has been carried out on an object under examination before the beginning of the method, and an item of information about at least one planned procedural step. A physiological patient parameter is received from the object, which has been acquired via a sensor unit during and/or subsequent to the procedural step that has been carried out. The method includes identifying, based on the patient parameter and/or a change in the patient parameter whether the at least one procedural step has been tolerated by the object under examination. A procedural signal is provided that, in the negative, includes an item of information for adapting the at least one planned procedural step based on the procedural information and, in the affirmative, includes approval of the at least one planned procedural step.

Abstract: A method for providing a collision model includes detecting an item of patient information that has an item of information on a spatial placement of an entry point of a medical object into an object undergoing examination. The item of patient information is registered with a movable medical device. The method also includes detecting an item of object information that has an item of information on a geometry and spatial position of a manipulator for moving the medical object. The manipulator includes a motion device and/or a member of technical medical personnel. A relative placement of the manipulator in relation to the object undergoing examination is determined based on the item of patient information and the item of object information. The collision model is provided for the purpose of moving the medical device based on the relative placement and the item of object information.

Abstract: An intervention system and method for performing an intervention, for example a medical intervention, for example on a patient, at a first location, this being an intervention location. The intervention system includes at least one drivable intervention device at the first location to be used for the intervention, a first operating device provided at the first location for control of the at least one intervention device by a local group of people situated at the first location, a second operating device provided at a second location which is remote from the intervention location, for control of the at least one intervention device by a remote group of people situated at the second location, and an authorization device for authorizing the control of the at least one intervention device by the operating devices.

Abstract: To enhance safety of interventional procedures, a method for monitoring an interventional procedure that is carried out using an artificial object, such as a catheter, is provided. At least one image of the interventional procedure is acquired. The at least one image is analyzed automatically with regard to a specified anomalous feature relating to a geometry and/or a time-dependent movement parameter and/or a flow behavior of the artificial object. A complication signal is automatically generated only if the specified anomalous feature is detected in the at least one image.

Abstract: A system and method for deformation simulation of a hollow organ able to be deformed by the introduction of a medical instrument. The method includes provision of a pre-trained machine-learning algorithm, provision of a 3D medical recording of the hollow organ with surrounding tissue, with the 3D recording having been recorded before the introduction of a medical instrument, segmentation or provision of a segmentation of the 3D medical recording of the hollow organ and establishment or provision of a three-dimensional model of the hollow organ, provision of information about a medical instrument introduced or to be introduced, and simulation of the deformation of the hollow organ to be expected from introduction of the instrument on the basis of the segmented 3D medical recording of the hollow organ and of the surrounding tissue and of the information about the instrument by using the pre-trained machine-learning algorithm.