Abstract: The invention provides a system for investigating a tissue of a subject by way of diffuse reflectance spectroscopy, the tissue including a fluorescent agent adapted to absorb light in a first wavelength range and emit light in a second wavelength range, different to the first. The system includes a cannula having a distal end to be positioned adjacent the tissue and an internal cavity for providing a suction force to the tissue. The system further includes a light source adapted to generate light at the first wavelength range and a fiber optic element to be positioned adjacent the tissue. The fiber optic element is adapted to receive a light signal from the fluorescent agent, the light signal comprising light in the first and second wavelength ranges. The system further includes a processing system adapted to determine a concentration of the fluorescent agent in the tissue based on the light signal.

Abstract: Methods, image processing system, and computer program elements are provided for algorithmically determining optimal catheter types for use in traversing a determined vascular path. The algorithmic determination uses geometric values obtained from angiogram imaging data and a database of available catheter types and corresponding geometric values for the available catheter types.

Abstract: Needle interventions are widely used in the field of oncology for taking biopsies of tissue in order to inspect whether tissue is cancerous or not. To make these interventions more reliable feedback of what kind of tissue is in front of the needle is required. A way to achieve this is by making use of optical spectroscopy. This requires integration of fibers into the needle. These fibers are used to deliver light to illuminate the tissue in front of the needle and to collect back the reflected light from the tissue. The present invention proposes to integrate the fiber distal ends in the slanted bevel of the needle in such a way that at least one source-detector fiber pair has a distance that is larger than the outer diameter of the needle.

Abstract: Methods, image processing system, and computer program elements are provided for algorithmically determining optimal catheter types for use in traversing a determined vascular path. The algorithmic determination uses geometric values obtained from angiogram imaging data and a database of available catheter types and corresponding geometric values for the available catheter types.

Abstract: An image processing method and related system to register projection images (AG, MI) only with respect to a motion of a landmark across said images. The motion of the landmark relates to a motion of a region of interest, ROI. The so registered images (AG, MI) are then subtracted from each other to arrive at a difference image that is locally motion compensated and that represents the ROI at good contrast while subtraction artifacts can be avoided.

Abstract: The present invention relates to a system (10) for guiding an instrument (12, 100, 100A, 100B, 112) in a body (14). The system (10) records an image where the instrument (12, 100, 100A,100B, 112) is identifiable and the instrument (12, 100, 100A, 100B, 112) records signals indicative of the type of tissue at the instrument (12, 100, 100A, 100B, 112). The system (10) determines the tissue type based on a signal from the instrument (12, 100, 100A, 100B, 112). The system (10) displays an image being a combined image of the body (14) and instrument (12, 100, 100A, 100B, 112) and an indication of tissue type at a position where the tissue type was determined. The present invention further relates to a method of displaying an image comprising tissue-type and instrument position in a body. The present invention further relates to an instrument and a software implemented method for being executed on a digital processor.

Abstract: An interventional ablation device (1) is proposed to comprise an ablation needle (3) with an elongated body (5) and a handle (7). Adjacent to an ablation element (9) provided on the body (5), at least one or preferably two or more sensors (11-21) are provided, preferably at both of opposing sides of the ablation element (9). The ablation device (1) is adapted for detecting physiological information of tissue (27, 29, 31) surrounding an ablation site (33) based on measurement values provided by the sensors. E.g., optical sensors may be used to measure a reflectance spectrum indicating whether the adjacent tissue is healthy tissue (31), tumorous tissue (27) or ablated tissue (29). Using such information, an ablation process may be controlled.

Abstract: The invention relates to an imaging apparatus (1). First and second image providing units (2, 9) provide a first image showing a region of an object, which includes a resection part to be resected, and a second image showing the region of the object, after the resection procedure has been performed, or showing a resected part, which has been resected. A smallest margin determination unit (13) determines a smallest margin region being a region where a margin between the resection part and the resected part is smallest based on the first and second images. The smallest margin region is the region which most likely contains a part of the object, which should have been resected, like a cancerous part. An optionally following investigation of the resected part or of the remaining object can be more focused by considering this region, thereby allowing for faster corresponding assessing procedures.

Abstract: The present invention relates to an apparatus 100 and, a method and a computer program for determining a parameter indicative of a tissue type of an associated tissue 116. In particular, the invention relates to an apparatus 100 comprising a spectrometer 102, which spectrometer comprises a light source 104 and a detector 106, 108 arranged to measure an optical spectrum. This enables determination of a first parameter being indicative of a bile concentration. As the inventors of the present invention have made the insight that bile concentration may serve as a discriminative feature for different tissue types, the apparatus is arranged to determine a second parameter indicative of a tissue type based on a concentration of bile. According to a specific embodiment, the apparatus further comprises an interventional device 112.

Abstract: An image processing method and related system to register projection images (AG, MI) only with respect to a motion of a landmark across said images. The motion of the landmark relates to a motion of a region of interest, ROI. The so registered images (AG, MI) are then subtracted from each other to arrive at a difference image that is locally motion compensated and that represents the ROI at good contrast whilst subtraction artifacts can be avoided.

Abstract: The present invention relates to a system (10) for navigating and positioning an instrument (12, 40, 112) in a body (14). The instrument (12, 40, 112) is detectable by the system (10) and the system (10) displays a view to an operator. The instrument (12, 40, 112) is adapted to identify tissue parameters. The system (10) is adapted to display an image being a combined image of the interior of a body (14) and an indication of the tissue parameter at the appropriate earlier locations. The present invention further relates to a method (44) including determining tissue parameters and displaying the parameters in an image of a body (14). The present invention further relates to a software implemented method (44) for being executed on a digital processor. The present invention further relates to an instrument (12, 40, 112).

Abstract: The invention relates to a property determination apparatus (1) for determining a property of an object (3). Optical sensing data being indicative of an optical property of the object and ultrasound sensing data being indicative of an ultrasound property of the object are generated, and a property determination unit (75) determines a property of the object based on at least one of the optical sensing data and the ultrasound sensing data. Since light and ultrasound have generally different penetration depths and scattering properties with respect to the object, a property of the object can be determined with good quality, even if the quality of one of the optical sensing data and the ultrasound sensing data is reduced by, for example, a relatively small penetration depth, or if one of the optical sensing data and the ultrasound sensing data is less suitable for determining a desired property of the object.

Abstract: Needle interventions are widely used in the field of oncology for taking biopsies of tissue in order to inspect whether tissue is cancerous or not. To make these interventions more reliable feedback of what kind of tissue is in front of the needle is required. A way to achieve this is by making use of optical spectroscopy. This requires integration of fibers into the needle. These fibers are used to deliver light to illuminate the tissue in front of the needle and to collect back the reflected light from the tissue. The present invention proposes to integrate the fiber distal ends in the slanted bevel of the needle in such a way that at least one source-detector fiber pair has a distance that is larger than the outer diameter of the needle.

Abstract: The present invention deals with discrimination of malignant tissue from normal and benign tissue in a single patient on the basis of optical spectroscopic measurements. Starting from spectroscopic measurements in normal tissue, reference values are obtained for the normal class. With spectroscopic measurements in other tissues data points can be assigned to new class(es) when the spectral characteristics fall outside a threshold defining the reference class. Thresholds between different classes can also be defined. Finding (the transition to) malignant tissue is based on comparing the spectroscopic values to the classification threshold discriminating normal and benign versus malignant tissue. Thus, the basis of normal spectroscopic measurements is tuned to the individual patient characteristic. Discriminating the normal plus benign and malignant from that reference is more efficient compared to the reference of the all patient database.

Abstract: The present invention relates to an apparatus, a method and a computer program for determining a lipid-water ratio and a scattering parameter of a sample. In particular, the invention relates to an apparatus comprising a light source and a detector arranged to measure an optical parameter at various wavelengths, where the wavelengths are selected so that at two of the wavelengths the absorption coefficients for both water and lipids are substantially identical. This enables determination of a scattering parameter. A further measurement at a third wavelength enables determination of a water-lipid ratio. According to a specific embodiment, the light source and the detector are arranged in relation to an interventional device, so as to be able to examine a tissue in terms of lipid-water ratio and scattering during an intervention.

Abstract: A needle comprises an elongated first shaft element with a C-shaped cross section and an elongated second shaft element with a C-shaped cross section. The first shaft element and the second shaft element are adapted to be detachably connected to each other. This is achieved by an overlap of respective end sections of the first and second shaft elements. Within the channel formed by the shaft elements, an optical probe may be accommodated from which the shaft elements may be removed by separating the two shaft elements from each other.

Abstract: The present invention relates to a system (10) for guiding an instrument (12, 100, 100A, 100B, 112) in a body (14). The system (10) records an image where the instrument (12, 100, 100A,100B, 112) is identifiable and the instrument (12, 100, 100A, 100B, 112) records signals indicative of the type of tissue at the instrument (12, 100, 100A, 100B, 112). The system (10) determines the tissue type based on a signal from the instrument (12, 100, 100A, 100B, 112). The system (10) displays an image being a combined image of the body (14) and instrument (12, 100, 100A, 100B, 112) and an indication of tissue type at a position where the tissue type was determined. The present invention further relates to a method of displaying an image comprising tissue-type and instrument position in a body. The present invention further relates to an instrument and a software implemented method for being executed on a digital processor.

Abstract: The present invention relates to a system (10) for navigating and positioning an instrument (12, 40, 112) in a body (14). The instrument (12, 40, 112) is detectable by the system (10) and the system (10) displays a view to an operator. The instrument (12, 40, 112) is adapted to identify tissue parameters. The system (10) is adapted to display an image being a combined image of the interior of a body (14) and an indication of the tissue parameter at the appropriate earlier locations. The present invention further relates to a method (44) including determining tissue parameters and displaying the parameters in an image of a body (14). The present invention further relates to a software implemented method (44) for being executed on a digital processor. The present invention further relates to an instrument (12, 40, 112).

Abstract: The present invention relates to an apparatus 100 and, a method and a computer program for determining a first parameter indicative of a concentration of lycopene. In particular, the invention relates to an apparatus 100 comprising a spectrometer 02, which spectrometer comprises a light source 104 and a detector 106, 108 arranged to measure an optical spectrum via an interventional device 112. This enables determination of a first parameter being indicative of a lycopene concentration. Lycopene concentration may serve as a discriminative feature for different tissue types, such as the prostate organ and associated structures. The apparatus may in a specific embodiment be arranged to determine a second parameter indicative of a tissue type based on a concentration of lycopene. According to a specific embodiment, the apparatus relies on Diffuse Reflectance Spectroscopy (DRS).

Abstract: The invention relates to an imaging apparatus (1). First and second image providing units (2, 9) provide a first image showing a region of an object, which includes a resection part to be resected, and a second image showing the region of the object, after the resection procedure has been performed, or showing a resected part, which has been resected. A smallest margin determination unit (13) determines a smallest margin region being a region where a margin between the resection part and the resected part is smallest based on the first and second images. The smallest margin region is the region which most likely contains a part of the object, which should have been resected, like a cancerous part. An optionally following investigation of the resected part or of the remaining object can be more focused by considering this region, thereby allowing for faster corresponding assessing procedures.