Abstract: An imaging system (100) includes a sub-resolution luminal narrowing detector (112) which detects sub-resolution narrowing of a vessel lumen in an image volume by a centerline profile analysis and computes a sub-resolution determined diameter by modifying an approximated visible lumen diameter with the detected sub-resolution narrowing.

Abstract: A system (100) includes a computer readable storage medium (122) with computer executable instructions (124), including: a biophysical simulator component (126) configured to determine a fractional flow reserve value via simulation and a traffic light engine (128) configured to track a user-interaction with the computing system at one or more points of the simulation to determine the fractional flow reserve value. A processor (120) is configured to execute the biophysical simulator component to determine the fractional flow reserve value and configured to execute the traffic light engine to track the user-interaction with respect to determining the fractional flow reserve value and provide a warning in response to determining there is a potential incorrect interaction. A display is configured to display the warning requesting verification to proceed with the simulation from the point, wherein the simulation is resumed only in response to the processor receiving the requested verification.

Abstract: A system (100) includes a computer readable storage medium (122) with computer executable instructions (124), including: a biophysical simulator component (126) configured to determine a fractional flow reserve index. The system further includes a processor (120) configured to execute the biophysical simulator component (126) to determine the fractional flow reserve index with spectral volumetric image data. The system further includes a display configured to display the determine fractional flow reserve index.

Abstract: A computing system (126) includes a computer readable storage medium (130) with computer executable instructions (128), including: a segmentation standardizer (120) configured to determine a standardized vascular tree from a segmented vascular tree segmented of volumetric image data and a predetermined set of pruning rules (206), and a biophysical simulator (122) configured to perform a biophysical simulation based on the standardized vascular tree. The computing system further includes a processor (124) configured to execute the segmentation standardizer to determine the standardized vascular tree from the segmented vascular tree segmented of volumetric image data and the predetermined set of pruning rules, and configured to execute the biophysical simulator to perform a biophysical simulation based on the standardized vascular tree. The computing system further includes a display configured to display at least one of the standardized vascular tree and a result of the biophysical simulation.

Abstract: The present invention relates to an apparatus (26) and a method for determining a fractional flow reserve. For this purpose, a new personalized hyperemic boundary condition model is provided. The personalized hyperemic boundary condition model is used to condition a parametric model for a simulation of a blood flow in a coronary tree (34) of a human subject. As a basis for the personalized hyperemic boundary condition 5 model, a predefined hyperemic boundary condition model is used, which represents empirical derived hyperemic boundary condition parameters. However, these empirical hyperemic boundary condition parameters are not specific for a human subject under examination. In order to achieve a specification of the respective predefined hyperemic boundary condition model, specific human subject features are derived from a volumetric image of the coronary 10 tree of the human subject.

Abstract: A system includes memory (420) with instructions for at least one of processing spectral CT projection data to mitigate at least one of noise of the spectral CT projection data or a noise induced bias of the spectral CT projection data or generating a decomposition algorithm that mitigates the noise induced bias of the spectral CT projection data. The system further includes a processor (418) that executes the instructions and at least one of processes the spectral CT projection data or generates the decomposition algorithm and decomposes the spectral CT projection data to basis materials. The system further includes a reconstructor (434) that reconstructs the basis materials, thereby generating spectral images.

Abstract: The invention relates to an apparatus for determining a fractional flow reserve (FFR) value of the coronary artery system of a living being (3). A fractional flow reserve value determination unit (13) determines the FFR value by using an FFR value determination algorithm that is adapted to determine the FFR value based on a boundary condition and a provided representation of the coronary artery system, wherein the boundary condition is specific for the living being and determined by a boundary condition determination unit (12). Since the boundary condition determination unit determines a boundary condition, which is specific for the living being, and since the fractional flow reserve value determination unit not only uses the provided representation of the coronary artery system, but also the living being specific boundary condition for determining the FFR value, the accuracy of the FFR value, which is non-invasively determined, can be improved.

Abstract: A method includes obtaining volumetric image data that includes a coronary vessel of a subject. The method further includes identifying the coronary vessel in the volumetric image data. The method further includes identifying a presence of a collateral flow for the identified coronary vessel. The method further includes determining a boundary condition of the collateral flow. The method further includes constructing a boundary condition parametric model that includes a term that represents the boundary condition of the collateral flow. The method further includes determining a fractional flow reserve index for the coronary vessel with the boundary condition parametric model.

Abstract: An imaging system (100) includes a sub-resolution luminal narrowing detector (112) which detects sub-resolution narrowing of a vessel lumen in an image volume by a centerline profile analysis and computes a sub-resolution determined diameter by modifying an approximated visible lumen diameter with the detected sub-resolution narrowing.

Abstract: A system includes memory (420) with instructions for at least one of processing spectral CT projection data to mitigate at least one of noise of the spectral CT projection data or a noise induced bias of the spectral CT projection data or generating a decomposition algorithm that mitigates the noise induced bias of the spectral CT projection data. The system further includes a processor (418) that executes the instructions and at least one of processes the spectral CT projection data or generates the decomposition algorithm and decomposes the spectral CT projection data to basis materials. The system further includes a reconstructor (434) that reconstructs the basis materials, thereby generating spectral images.

Abstract: The invention relates to an apparatus for determining a fractional flow reserve (FFR) value of the coronary artery system of a livingbeing (3). A fractional flow reserve value determination unit (13) determines the FFR value by using an FFR value determination algorithm that is adapted to determine the FFR value based on a boundary condition and a provided representation of the coronary artery system, wherein the boundary condition is specific for the living being and determined by a boundary condition determination unit (12). Since the boundary condition determination unit determines a boundary condition, which is specific for the living being, and since the fractional flow reserve value determination unit not only uses the provided representation of the coronary artery system, but also the living being specific boundary condition for determining the FFR value, the accuracy of the FFR value, which is non-invasively determined, can be improved.