Abstract: A system for establishing a contour of a structure is disclosed. An initialization subsystem (1) is used for initializing an adaptive mesh representing an approximate contour of the structure, the structure being represented at least partly by a first image, and the structure being represented at least partly by a second image. A deforming subsystem (2) is used for deforming the adaptive mesh, based on feature information of the first image and feature information of the second image. The deforming subsystem comprises a force-establishing subsystem (3) for establishing a force acting on at least part of the adaptive mesh, in dependence on the feature information of the first image and the feature information of the second image. A transform-establishing subsystem (4) is used for establishing a coordinate transform reflecting a registration mismatch between the first image, the second image, and the adaptive mesh.

Abstract: A method for assisting in navigation of a medical instrument such as a catheter inside a hollow body such as a vascular system based on a dataset provided by a sensor device of the medical instrument is provided The method includes determining, by a control device, an internal extent of the hollow body based on the provided dataset and determining, by the control device, a navigation path for an impending movement of the medical instrument through the hollow body based on the determined internal extent. The control device is able to generate a control signal that describes a movement along the navigation path.

Abstract: During the generation of a panoramic x-ray recording, the use of semi-transparent x-ray screens allows the patient's x-ray exposure to be reduced when partial x-ray images are created, in spite of relatively large overlapping areas between the partial x-ray images.

Abstract: A first interface for reading image data of an anatomical region obtained by means of a medical imaging method is provided. A modeling module serves for establishing a volumetric biomechanical structure model of the anatomical region on the basis of the image data. Moreover, provision is made of a tracking module, couplable with a camera, for video-based registration of spatial gestures of a user. Furthermore, a simulation module, based on the biomechanical structure model, serves to assign a registered gesture to a simulated mechanical effect on the anatomical region, simulate a mechanical reaction of the anatomical region to the simulated mechanical effect, and modify the biomechanical structure model in accordance with the simulated mechanical reaction. Moreover, provision is made for a visualization module for the volumetric visualization of the biomechanical structure model.

Abstract: A system comprises a catheter including a lens, for acquiring optical coherence tomography images within the vessel of interest as the catheter is being retracted from the vessel in the presence of contrast agent. An X-ray imaging system interface receives a first set of X-ray images of an anatomical region including the vessel of interest containing the catheter. The first set of X-ray images are acquired at points corresponding to the particular points within a heart cycle, while the catheter is stationary in the vessel, in response to a heart electrical activity representative signal and in the absence of contrast agent. An image data processor associates the received X-ray images and corresponding optical coherence tomography image data derived at corresponding time points within respective acquisition heart cycles.

Abstract: A system for establishing a contour of a structure is disclosed. An initialization subsystem (1) is used for initializing an adaptive mesh representing an approximate contour of the structure, the structure being represented at least partly by a first image, and the structure being represented at least partly by a second image. A deforming subsystem (2) is used for deforming the adaptive mesh, based on feature information of the first image and feature information of the second image. The deforming subsystem comprises a force-establishing subsystem (3) for establishing a force acting on at least part of the adaptive mesh, in dependence on the feature information of the first image and the feature information of the second image. A transform-establishing subsystem (4) is used for establishing a coordinate transform reflecting a registration mismatch between the first image, the second image, and the adaptive mesh.

Abstract: A method is for segmenting an object in a medical image with a plurality of iteration steps. In an embodiment of the method, each iteration step includes generating a plurality of patches, a portion of the input image and a patch location being assigned to each patch, the patch location being indicative of the location of the portion of the input image relative to the input image. For each patch of the plurality of patches, the method includes determining a vote location based on the portion of the input image assigned to that patch and determining a target location based on the vote location and the patch location assigned to that patch. Finally, in an embodiment the method includes generating a vote map, each patch of the plurality of patches contributing to a pixel value at the target location of the patch in the vote map.

Abstract: During the generation of a panoramic x-ray recording, the use of semi-transparent x-ray screens allows the patient's x-ray exposure to be reduced when partial x-ray images are created, in spite of relatively large overlapping areas between the partial x-ray images.

Abstract: Using computational models for the patient physiology and the various therapy options, a decision support system presents a range of predicted outcomes to assist in planning the therapy. The models are used in various experiments for the many therapy options to determine an optimal approach.

Abstract: A first interface for reading image data of an anatomical region obtained by means of a medical imaging method is provided. A modeling module serves for establishing a volumetric biomechanical structure model of the anatomical region on the basis of the image data . Moreover, provision is made of a tracking module, couplable with a camera, for video-based registration of spatial gestures of a user. Furthermore, a simulation module, based on the biomechanical structure model, serves to assign a registered gesture to a simulated mechanical effect on the anatomical region , simulate a mechanical reaction of the anatomical region to the simulated mechanical effect, and modify the biomechanical structure model in accordance with the simulated mechanical reaction. Moreover, provision is made for a visualization module for the volumetric visualization of the biomechanical structure model.

Abstract: A method and system for patient-specific planning and guidance of an ablation procedure for cardiac arrhythmia is disclosed. A patient-specific anatomical heart model is generated based on pre-operative cardiac image data. The patient-specific anatomical heart model is registered to a coordinate system of intra-operative images acquired during the ablation procedure. One or more ablation site guidance maps are generated based on the registered patient-specific anatomical heart model and intra-operative patient-specific measurements acquired during the ablation procedure. The ablation site guidance maps may include myocardium diffusion and action potential duration maps. The ablation site guidance maps are generated using a computational model of cardiac electrophysiology which is personalized by fitting parameters of the cardiac electrophysiology model using the intra-operative patient-specific measurements. The ablation site guidance maps are displayed by a display device during the ablation procedure.

Abstract: The invention relates to an adaptation system for adapting a deformable model comprising a plurality of model elements to an object of interest in an image data set, the adaptation system comprising a selector for selecting at least one image- driven model element from the plurality of model elements and an adapter for adapting the deformable model on the basis of optimizing a model energy of the deformable model, the model energy comprising an internal energy of the plurality of model elements and an external energy of the at least one image-driven model element, thereby adapting the deformable model. By enabling the adaptation system to selectively choose the image- driven model elements, the adaptation system of the current invention allows excluding a poorly adaptable model element from interacting with the image data set and thus from being pulled and/or pushed by the image data set into a wrong location.

Abstract: A method for assisting in navigation of a medical instrument such as a catheter inside a hollow body such as a vascular system based on a dataset provided by a sensor device of the medical instrument is provided The method includes determining, by a control device, an internal extent of the hollow body based on the provided dataset and determining, by the control device, a navigation path for an impending movement of the medical instrument through the hollow body based on the determined internal extent. The control device is able to generate a control signal that describes a movement along the navigation path.

Abstract: A method and system for patient-specific planning and guidance of an ablation procedure for cardiac arrhythmia is disclosed. A patient-specific anatomical heart model is generated based on pre-operative cardiac image data. The patient-specific anatomical heart model is registered to a coordinate system of intra-operative images acquired during the ablation procedure. One or more ablation site guidance maps are generated based on the registered patient-specific anatomical heart model and intra-operative patient-specific measurements acquired during the ablation procedure. The ablation site guidance maps may include myocardium diffusion and action potential duration maps. The ablation site guidance maps are generated using a computational model of cardiac electrophysiology which is personalized by fitting parameters of the cardiac electrophysiology model using the intra-operative patient-specific measurements. The ablation site guidance maps are displayed by a display device during the ablation procedure.

Abstract: A system comprises a catheter including a lens, for acquiring optical coherence tomography images within the vessel of interest as the catheter is being retracted from the vessel in the presence of contrast agent. An X-ray imaging system interface receives a first set of X-ray images of an anatomical region including the vessel of interest containing the catheter. The first set of X-ray images are acquired at points corresponding to the particular points within a heart cycle, while the catheter is stationary in the vessel, in response to a heart electrical activity representative signal and in the absence of contrast agent. An image data processor associates the received X-ray images and corresponding optical coherence tomography image data derived at corresponding time points within respective acquisition heart cycles.

Abstract: A method and system for co-registration of angiography data and intra vascular ultrasound (IVUS) data is disclosed. A vessel branch is detected in an angiogram image. A sequence of IVUS images is received from an IVUS transducer while the IVUS transducer is being pulled back through the vessel branch. A fluoroscopic image sequence is received while the IVUS transducer is being pulled back through the vessel branch. The IVUS transducer and a guiding catheter tip are detected in each frame of the fluoroscopic image sequence. The IVUS transducer detected in each frame of the fluoroscopic image sequence is mapped to a respective location in the detected vessel branch of the angiogram image. Each of the IVUS images is registered to a respective location in the detected vessel branch of the angiogram image based on the mapped location of the IVUS transducer detected in a corresponding frame of the fluoroscopic image sequence.

Abstract: Scattered radiation has non-intuitive properties. A signalling system (28) is presented which provides a perceptible signal (34) being indicative of a predicted or measured spatial distribution of scattered radiation. An embodiment provides for easy assessment of the individual risk of scattered radiation exposure for personnel working in an environment exposed to scattered radiation. A method for predicting a distribution of scattered radiation takes into account at least one object related parameter (18) and at least one radiation related parameter (22) and, in response hereto, predicts a distribution of scattered radiation.

Abstract: A method allowing display of time-varying merged high resolution and low resolution image data with a smooth frame rate. In one embodiment the high resolution data is structural image data and the low resolution image data is functional image data. The functional image data is gathered (20) into groups and each group is rendered and merged (24) together. The merged images produced are then stored (28) in a First In First Out (FIFO) buffer for display. While the merged images are displayed the next set of functional image data is merged and rendered and supplied to the FIFO buffer, allowing a smooth frame rate to be achieved. A computer program and a medical imaging apparatus using the method are also disclosed.

Abstract: The invention relates to a method (100) of adapting a geometric model to an image data comprising determining a first partial transformation for mapping a first part of the geometric model into the image data and a second partial transformation for mapping a second part of the geometric model into the image data. By determining the first partial transformation of the first part of the geometric model and the second partial transformation of the second part of the geometric model, the geometric model can assume more shapes and therefore can be more accurately adapted to an object comprised in the image data.

Abstract: The invention relates to a system (100) for registering a vessel model with an image data set based on a joined model comprising a reference object model and the vessel model, the system comprising: a placement unit (110) for placing the joined model in a space of the image data set, thereby creating a placed joined model comprising a placed reference object model and a placed vessel model; a computation unit (120) for computing a deformation field based on a landmark displacement field comprising displacements of landmarks of the placed reference object model relative to corresponding landmarks in the image data set; a transformation unit (130) for transforming the placed joined model using the deformation field, thereby creating a transformed joined model comprising a transformed reference object model and a transformed vessel model; and a registration unit (140) for registering the transformed vessel model with the image data set based on modifying the transformed vessel model and optimizing an objective f