Abstract: A method is for the automatic regulation of radiation doses of a person for an examination with a medical X-ray device, which has a first dose regulation. In an embodiment, the method includes a specification of X-ray parameters of an X-ray examination based upon patient information and a specification of a dose regulation as a function of X-ray parameters as well as a limit value for deterministic radiation damage and/or a guide value for stochastic effective doses.

Abstract: A system for imaging a robotically moved medical object has a movement device for robotic movement of the medical object, a medical imaging device, and a processing unit. The processing unit is configured to receive a data set that maps a vessel structure of an examination object and is registered with the medical imaging device, and to determine an object path along the vessel structure toward a target region in the data set. The movement device is configured to move the medical object along the object path and provide an object parameter relating to a movement state of the medical object. The processing unit is further configured to control a positioning of the medical imaging device relative to the examination object as a function of object parameter and object path such that a predefined section of the medical object is mapped in image data acquired by the medical imaging device.

Abstract: A method for planning a remote-controlled navigation of medical objects in a hollow organ of a patient. The navigation is performable by robot or in a robot-supported manner using a robot system, and is visually monitored by an imaging system. The robot system includes a drive system, a robot control unit, and at least one input unit arranged at a distance from the robot control unit. At least one data transmission link is present. The method includes supplying data for a planned navigation procedure of an object through a hollow organ with at least one navigation step, evaluating, by an evaluation system, the supplied data in terms of a performability level of the navigation procedure. The evaluation is carried out based on a comparison with empirical data and/or based on a theoretical model, and/or using a learning-based algorithm. The method includes outputting an evaluation result to an output unit.

Abstract: A system and method for generating an actuation signal for a robotic system for robot-assisted navigation of a medical object with a curved tip in a hollow organ of a patient. An an X-ray system for image monitoring of the intervention is assigned to the robotic system.

Abstract: Systems and methods are provided for a patient support device for an x-ray device for use during an examination of a patient including a patient couch and at least one support (6) bearing the patient couch. The patient couch includes a first, x-ray-transparent material disposed in an at least partially flexible covering made from a second x-ray-transparent material. The first material includes a solid, dimensionally stable state and a deformable state, in particular at least partially liquid and/or gaseous state, that are linked by reversible phase transitions. The patient support device further includes at least one induction device for inducing at least one of the phase transitions of the first material between the states by applying and/or removing energy.

Abstract: A method for providing a prognosis data record includes receiving a first image data record relating to an examination region of an examination object, and receiving an operating parameter of a medical object that is arranged at the examination region of the examination object and positioning information of the medical object that is arranged at the examination region. The prognosis data record is created by applying a trained function to input data. The input data is based on the first image data record, the at least one operating parameter, and the positioning information of the medical object. At least one parameter of the trained function is based on a comparison with a first comparison image data record. As compared with the first image data record, the first comparison image data record includes changes influenced by the medical object at the examination region. The prognosis data record is provided.

Abstract: A device for moving a medical object includes a mover device for robotically moving the medical object. At least a predefined section of the medical object is arranged in an examination subject in an operating state of the device. The device is configured to receive a control preset. The control preset specifies a first movement for the predefined section of the medical object. The mover device is configured to move the medical object along a first movement direction in accordance with the control preset. The device is further configured to identify a deviation between a movement state of the predefined section of the medical object and the first movement and to determine a correction preset in order to minimize the deviation. The mover device is further configured to move the medical object at least partially counter to the first movement direction in accordance with the correction preset.

Abstract: An apparatus for moving a medical object includes a movement apparatus and a user interface. The apparatus is configured to receive dataset of the examination region and receive and/or determine positioning information about a positioning of the predefined section. The user interface is configured to display a graphic display of the predefined section with regard to the examination region, and to acquire a user input with regard to the graphic display, which specifies a target positioning and/or movement parameter for the predefined section. The apparatus is configured to determine a control instruction based on the user input, and the movement apparatus is configured to move the medical object in accordance with the control instruction.

Abstract: An apparatus for positioning a medical object includes a moving apparatus for robotically moving the medical object. The medical object includes a predefined section. The predefined section is at least partially arranged in an examination object. The apparatus is configured to receive a control specification. The moving apparatus is configured to position the predefined section based on the control specification. The apparatus is further configured to receive positioning information on the predefined section and determine a degree of deviation. The degree of deviation describes a deviation between the control specification and the positioning information. The apparatus is configured to determine a correction specification for minimizing the deviation based on the degree of deviation. The moving apparatus is further configured to reposition the predefined section based on the correction specification.

Abstract: Rapid and precise recording of a VOI is provided while monitoring a robot-assisted movement of a medical object through a hollow organ of a patient. For actuating an x-ray device that has a recording system, a user input for the recording of a recording region is accepted. A previously recorded three-dimensional volume image of at least part of the body, in particular of the hollow organ is provided. A length of travel covered by the object from measurement data and/or control data of the robotic system is ascertained. The current position of the object is ascertained on the basis of the three-dimensional volume image making use of the ascertained length of travel covered and a starting position of the object. The recording system of the imaging device is moved for isocentering and/or superimposing the recording region about the current position of the object. An image of the recording region is recorded.

Abstract: The invention relates to a patient positioning device (1, 6, 28, 35) for an x-ray imaging apparatus (23), comprising an x-ray-transparent patient positioning board (5) for positioning a patient (21) in a longitudinal direction (8), and at least one carrier device (3) at least partially supporting the patient positioning board (5). The patient positioning board (5) is subdivided into at least two partial boards (4), wherein each partial board (4) is mounted on a carrier device (3) assigned to the partial board (4). Each carrier device (3) has at least one pivot joint for pivoting the partial boards (4) about a transverse axis (20) which extents horizontally perpendicularly to the longitudinal direction (8).

Abstract: An X-ray apparatus includes an X-ray source embodied to generate X-rays; an X-ray detector; and an X-ray reflector. The X-ray reflector is embodied to reflect X-rays generated by the X-ray source such that the reflected X-rays hit the X-ray detector. The X-ray detector is in particular embodied to detect the X-rays. The X-ray apparatus can, on the one hand, enlarge the available space above a patient. Furthermore, focusing via the X-ray reflector enables the power of the X-ray source to be increased while retaining a constant spatial resolution or the spatial resolution to be improved while retaining a constant power of the X-ray source.

Abstract: A threading support facility is for threading an object into a guide apparatus. The threading support facility is connectable to the guide apparatus and is configured to support threading of the object into the guide apparatus. In an embodiment, the threading support facility includes a wall connecting a first aperture of the threading support facility and a second aperture of the threading support facility. The first aperture is embodied as an inlet for insertion of the object into the threading support facility and the second aperture is embodied as an outlet out of the threading support facility. Further, a sub-guide runs along the wall of the threading support facility and runs in a direction from the first aperture to the second aperture. The sub-guide is configured to support guiding of the object, after insertion through the first aperture, into the threading support facility in a direction of the second aperture.

Abstract: A method for automatically monitoring a robot-assisted movement of a medical object through a hollow organ of a medical object of a patient performed by a robotic system is provided. The method includes tracking movement of the medical object using a medical imaging device such that the medical object and/or the hollow organ is at least partially arranged in a recording region that is mappable by the imaging device. The tracking is effected by a relative movement between the recording system of the imaging device and the patient. An image of the recording region is recorded during the tracking. In each case, a further image is recorded at regular intervals. The current image in each case and/or sensor data from a sensor assigned to the robotic system or the object is evaluated to determine whether a situation relevant to decision-making and/or safety with respect to the robotic system is present.

Abstract: A medical imaging system includes a medical imaging device to map a mapping region inside an examination object, the medical imaging device being designed such that a location of the mapping region is changable in respect of the examination object; and a processing device, including a data interface, to robotically position a medical object inside the examination object, via a movement device. In an embodiment, the processing device is configured to determine an instantaneous position of the medical object; specify a target position for the medical object, the target position being defined relative to the mapping region; determine one or more control signals, configured to cause a movement of the medical object via the movement device from the instantaneous position to the target position; and provide the one or more control signals, via the data interface, to the movement device.

Abstract: A system for imaging a robotically moved medical object has a movement device for robotic movement of the medical object, a medical imaging device, and a processing unit. The processing unit is configured to receive a data set that maps a vessel structure of an examination object and is registered with the medical imaging device, and to determine an object path along the vessel structure toward a target region in the data set. The movement device is configured to move the medical object along the object path and provide an object parameter relating to a movement state of the medical object. The processing unit is further configured to control a positioning of the medical imaging device relative to the examination object as a function of object parameter and object path such that a predefined section of the medical object is mapped in image data acquired by the medical imaging device.

Abstract: For improved treatment of occlusions, a microcatheter guidewire unit for use in a hollow organ including a catheter body with a distal end, a proximal end, and at least two guidewires with guidewire tips is provided. The first guidewire and/or a tip of the first guidewire has a higher rigidity than a second guidewire and/or a tip of the second guidewire. The first guidewire and the second guidewire are passed through the catheter body and arranged such that the tip of the first guidewire and the tip of the second guidewire may be advanced or retracted independently of one another along longitudinal axes.

Abstract: A method is for the automatic regulation of radiation doses of a person for an examination with a medical X-ray device, which has a first dose regulation. In an embodiment, the method includes a specification of X-ray parameters of an X-ray examination based upon patient information and a specification of a dose regulation as a function of X-ray parameters as well as a limit value for deterministic radiation damage and/or a guide value for stochastic effective doses.

Abstract: Methods, systems, and computer program products are provided for supporting medical personnel during a resection. In the method, a preoperative three-dimensional (3D) data set of an examination object on which the resection is to be carried out is acquired. Furthermore, a resection surface is acquired by ultrasound to generate an ultrasound data set describing the resection surface. The ultrasound data set is registered with the respective current 3D data set. The current 3D data set is updated with the resection surface acquired by ultrasound.

Abstract: A method for providing a prognosis data record includes receiving a first image data record relating to an examination region of an examination object, and receiving an operating parameter of a medical object that is arranged at the examination region of the examination object and positioning information of the medical object that is arranged at the examination region. The prognosis data record is created by applying a trained function to input data. The input data is based on the first image data record, the at least one operating parameter, and the positioning information of the medical object. At least one parameter of the trained function is based on a comparison with a first comparison image data record. As compared with the first image data record, the first comparison image data record includes changes influenced by the medical object at the examination region. The prognosis data record is provided.