Abstract: A medical image processing device includes a display device; and an electronic processor programmed to perform a medical image processing method including receiving a three dimensional (3D) medical image; computing least one 3D derivative image of the 3D medical image; identifying a set of fibers in the 3D medical image by tracing fibrous image features in the at least one 3D derivative image starting from respective seed locations in the least one 3D derivative image; and controlling the display device to display an anatomical representation comprising or derived from the set of fibers.

Abstract: A respiratory monitoring device includes an electronic controller configured to: analyze an audio signal triggered during inspiratory and expiratory phases of a patient receiving mechanical ventilation therapy from a mechanical ventilator, the audio signal being acoustically coupled into the airway of the patient, to determine resonant frequencies of the airway; determine a shift in the resonant frequencies between the inspiratory and expiratory phases to determine a presence of pendelluft inside of a lung of the patient; and output an indication of the presence of pendelluft.

Abstract: A mechanical ventilation assessment assistance device includes at least one electronic processor; and a non-transitory storage medium storing instructions readable and executable by the at least one electronic processor to perform a mechanical ventilation assessment assistance method including obtaining an image of a patient (P) receiving mechanical ventilation; generating or updating a patient-specific lung model of at least one lung of the patient based on the obtained image; simulating a response of the patient to a mechanical ventilation therapy using the generated or updated patient-specific lung model; comparing the simulated response with an actual response of the patient to the mechanical ventilation therapy; based on the comparison, determining an imaging recommendation for acquiring an image of at least one lung of the patient; and outputting the determined imaging recommendation.

Abstract: A mechanical ventilation assistance device includes at least one electronic controller configured to receive positional data of a patient; determine a position of an imaging device configured to obtain imaging data of the patient based on the received positional data; and display, on a display device, a representation of the determined position of the imaging device.

Abstract: A mechanical ventilation device comprising at least one electronic controller configured to receive imaging data and transpulmonary pressure data associated with a lung of a patient; perform deformable image registration of the inhalation image and the exhalation image to produce a relative compliance or elasticity map of the lungs; convert the relative compliance or elasticity map of the lungs to a quantitative compliance or elasticity map of the lungs based on the inhale transpulmonary pressure and the exhale transpulmonary pressure; and display the information relating to or derived from the quantitative compliance or elasticity map on a display device.

Abstract: A medical imaging device includes a display device; and at least one electronic processor programmed to perform an imaging method including controlling an associated medical imaging device to acquire a dynamic lung image including a time sequence of lung images depicting at least one lung of the patient; separating the dynamic lung image into a dynamic respiration image depicting density changes due to respiration and a dynamic perfusion image depicting density changes due to lung perfusion; at least one of: (i) generating a respiration delay image based on the dynamic respiration image; and (ii) generating a perfusion delay image based on the dynamic lung perfusion image; and displaying the respiration delay image and/or lung perfusion delay image on the display device.

Abstract: An intubation assistance device includes an electronic controller configured to: identify, from one or more images of a patient, information about the patient including at least a diameter of a trachea and a length of an intubation pathway; determine a recommended ETT size including an ETT diameter and an ETT depth of insertion from the determined diameter of the trachea and the determined length of the intubation pathway; and display the recommended ETT size on a display device.

Abstract: A diaphragm measurement device includes at least one electronic processor programmed to perform a diaphragm measurement method including receiving ultrasound imaging data of a dimension of a diaphragm of a patient during inspiration and expiration while the patient undergoes mechanical ventilation therapy with a mechanical ventilator; receiving respiratory data of the patient during inspiration and expiration while the patient undergoes the mechanical ventilation therapy; calculating a diaphragm thickness metric based on the received ultrasound imaging data of the diaphragm of the patient and the received respiratory data; and displaying, on a display device, a representation of the calculated diaphragm thickness metric.

Abstract: A non-transitory storage medium stores instructions readable and executable by at least one electronic processor to receive clinical data for a current patient (P); search a database of CT scans and/or patient-specific mechanical ventilation models for other patients using the clinical data for the current patient as a search criterion to identify a similar patient in the database and similar patient data (S) comprising a CT scan and/or a patient-specific mechanical ventilation model for the similar patient; determine a patient-specific mechanical ventilation model for the current patient based on the CT scan and/or patient-specific mechanical ventilation model for the similar patient; generate ventilator configuration data for mechanically ventilating the current patient based on the determined patient-specific mechanical ventilation model for the current patient.

Abstract: A mechanical ventilation device comprising at least one electronic controller is configured to receive images of lungs of a patient undergoing mechanical ventilation therapy with a mechanical ventilator, the images being acquired over time and having timestamps; process the images to generate timeline images at corresponding discrete time points; and display a timeline of the timeline images on a display device.

Abstract: An intubation assistance device includes an electronic controller configured to: generate a patient respiratory tract geometry model of at least a portion of a human respiratory tract by inputting one or more patient variables into a statistical shape model (SSM) of at least a portion of the human respiratory tract; select a recommended endotracheal tube (ETT) size by modeling at least one ETT model inserted into the patient respiratory tract geometry model to form a virtual fit model and estimating at least one fit parameter based on the virtual fit model; and display the recommended ETT size on a display device.

Abstract: A method for controlling a ventilator to provide variable volume (VV) with average volume assured pressure support (AVAPS), including: producing a VV target volume using a VV distribution function; producing a volume error Verror that is the difference between the VV target volume and a measured volume of the previous breath; scaling the volume error Verror; producing a VV target difference as the difference between VV target volume and the VV target volume of the previous breath; producing a modified volume error by adding the VV target difference to the scaled volume error Verror; producing a delta pressure support ?PS based upon the modified volume error and a dynamic compliance; and producing a current pressure support value based upon the delta pressure support ?PS and the pressure support value of the previous breath.

Abstract: An embodiment includes use of a predictive model to ascertain a likelihood of a patient having expiratory flow limitation (EFL) to adjust the application of ventilator-based therapy. An embodiment may operate one or more predictive model on patient data alone to obtain a prediction of EFL for the patient, avoiding a need to perform invasive or ventilator based EFL detection, e.g., via a forced oscillation technique (FOT). An embodiment may be used in a system or method that adjusts ventilator settings for respiratory therapy, for example to abolish detected EFL in a patient having a positive classification for EFL.

Abstract: A medical imaging device includes a display device; and at least one electronic processor programmed to perform an imaging method including controlling an associated medical imaging device to acquire a dynamic lung image including a time sequence of lung images depicting at least one lung of the patient; separating the dynamic lung image into a dynamic respiration image depicting density changes due to respiration and a dynamic perfusion image depicting density changes due to lung perfusion; at least one of: (i) generating a respiration delay image based on the dynamic respiration image; and (ii) generating a perfusion delay image based on the dynamic lung perfusion image; and displaying the respiration delay image and/or lung perfusion delay image on the display device.

Abstract: A medical image processing device includes a display device; and an electronic processor programmed to perform a medical image processing method including receiving a three dimensional (3D) medical image; computing least one 3D derivative image of the 3D medical image; identifying a set of fibers in the 3D medical image by tracing fibrous image features in the at least one 3D derivative image starting from respective seed locations in the least one 3D derivative image; and controlling the display device to display an anatomical representation comprising or derived from the set of fibers.

Abstract: X-ray sources emit X-rays into an examination region along different projection views. An X-ray detector array detects the X-rays emitted by the X-ray sources after passing through the examination region. X-ray imaging data are acquired by cycling through the X-ray sources with each step of the cycle including: switching an active X ray source on to emit X-rays and the other X ray sources off to not emit X rays, and acquiring X ray imaging data along the projection view corresponding to the active X-ray source that is switched on. Tomosynthesis image reconstruction is performed on the X ray imaging data to generate at least one volumetric image. A time sequence of spatially aligned images is produced from the time sequence of volumetric images. A perfusion image and/or a ventilation image is generated based on voxel intensity variation over time of the time sequence of spatially aligned images.

Abstract: A mechanical ventilation device includes at least one electronic controller configured to receive two or more respiratory data streams, each spanning multiple breath cycles; generate a confidence band over a breath cycle for each data stream based on statistics of the data stream determined from the multiple breaths spanned by the data stream; and on a display, plot the confidence bands for the data streams on a common graph.

Abstract: A proning assessment method includes determining, from received respiratory and/or body position data, a flipping time (tflipping) when a patient is placed in a partial or full prone position; determining a target imaging time (timg,target) for acquiring imaging data to assess an impact of proning on mechanical ventilation therapy as the flipping time (tflipping) plus a predetermined time interval (?t); receiving at least one lung image of at least one lung of the patient, the at least one lung image being timestamped with an image acquisition time (timg,actual); and at least one of: (i) displaying the at least one lung image; and/or (ii) analyzing the at least one lung image to generate a proning recommendation for the patient, and displaying, on a display device, a representation of the proning recommendation.

Abstract: A respiration monitoring device includes at least one electronic processor programmed to perform a respiration monitoring method including receiving ultrasound imaging data of a diaphragm of a patient as a function of time during inspiration and expiration while the patient undergoes mechanical ventilation therapy with a mechanical ventilator; receiving respiratory data of the patient as a function of time during the inspiration and expiration while the patient undergoes the mechanical ventilation therapy; calculating an intrinsic positive end-expiratory pressure (iPEEP) value for the patient based on the ultrasound imaging data and the respiratory data; and displaying, on a display device, a representation of the calculated iPEEP value.

Abstract: A respiration monitoring device for monitoring a respiratory system of a patient includes an electronic controller configured to receive first ultrasound imaging data as a function of time acquired of a first portion of the respiratory system of the patient over a first time interval; receive second ultrasound imaging data as a function of time acquired of a second portion of the respiratory system of the patient over a second time interval wherein the second portion of the respiratory system of the patient is contralateral to the first portion of the respiratory system of the patient; and present a graphical user interface (GUI) displaying a visualization including simultaneous display of an image of the first portion of the respiratory system of the patient and an image of the second portion of the respiratory system of the patient respectively.