Abstract: A computer-implemented method of performing motion compensation on a temporal sequence of digital subtraction angiography, DSA, images includes: inputting (S120) a temporal sequence of DSA images (110) into a neural network (120) trained to predict, from the inputted temporal sequence (110), a composite motion-compensated DSA image (130) representing the inputted temporal sequence (110) and which includes compensation for motion of the vasculature between successive contrast-enhanced images in the temporal sequence, and which also includes compensation for motion of the vasculature between acquisition of contrast-enhanced images in the temporal sequence and acquisition of the mask image; and outputting (S130) the predicted composite motion-compensated DSA image (130).

Abstract: An OSS animated display system for an interventional device (40) including an integration of one or more optical shape sensors and one or more interventional tools. The OSS animated display system employs a monitor (121) and a display controller (110) for controlling a real-time display on the monitor (121) of an animation of a spatial positional relationship between the OSS interventional device (40) and an object (50). The display controller (110) derives the animation of the spatial positional relationship between the OSS interventional device (40) and the object (50) from a shape of the optical shape sensor(s).

Abstract: An image processing apparatus (10) is disclosed that comprises a processor arrangement (16) adapted to receive image data corresponding to a region of interest (1) of a patients cardiovascular system, said image data comprising a temporal sequence (15) of intravascular ultrasound images acquired (150) at different phases of at least one cardiac cycle of said patient, said intravascular ultrasound images imaging overlapping volumes of the patient's cardiovascular system; implement a spatial reordering process of said temporal sequence of intravascular ultrasound images by evaluating the image data to select at least one spatial reference (6, Vref) associated with said temporal sequence of intravascular ultrasound images; estimating a distance to the at least one spatial reference for each of the intravascular ultrasound images of said temporal sequence; and reordering said temporal sequence of intravascular ultrasound images into a spatial sequence of intravascular ultrasound images based on the estimated dist

Abstract: The invention provides a processor for use in a system for obtaining a blood flow velocity measurement based on an angiogram obtained from a subject. The angiogram is representative of a vessel including a contrast agent therein, and wherein the contrast agent has been provided to the vessel in bursts at a given average frequency, thereby providing contrast data within the angiogram. The processor generates a velocity curve representing the blood flow velocity within the vessel over the cardiac cycle based on an estimated period of the cardiac cycle, an estimated instantaneous blood flow velocity of each angiogram image frame, a calculated confidence value of each angiogram image frame and the estimated point within the cardiac cycle represented by each angiogram image frame.

Abstract: An apparatus for determining a functional index for stenosis assessment of a vessel is provided. The apparatus comprises an input interface (40) and a processing unit (50). The input interface is configured to obtain image data (30) representing a two-dimensional representation of a vessel (6). The processing unit (50) is configured to determine a course of the vessel (6) and a width (w1, w2) of the vessel along its course in the image data and is further configured to determine the functional index for stenosis assessment of the vessel based on the width of the vessel in the image data.

Abstract: The present invention relates to annotating a medical image. For an improved manual insertion of information in a medical image, it is provided to display an image (130) of a tubular structure; and to display a graphical representation (132) of at least one segmented portion of the tubular structure; wherein the graphical representation comprises at least one indicator line representing the portion's shape and/or extension; and wherein the graphical representation is displayed in combination with the image of the tubular structure; and to generate and display at least one marker (128) overlaid to the image of the tubular structure; wherein the marker is movable (134) along the graphical representation; and to position the marker at a location along the graphical representation to indicate a predetermined feature of the tubular structure.

Abstract: The present invention relates to localizing stenoses. In order to provide improved and facilitated stenosis localization, a device (10) for localizing a stenosis in an angiogram is provided. The device comprises an image supply (12), a data processor (14) and an output (16). The image supply is configured to provide a first image (18) and a second image (20). The first image is an angiographic image that comprises image data representative of a region of interest of a vascular structure in a visible and distinct manner, wherein the vascular structure comprises at least one vessel with at least a part of a stenosis. The second image is a treatment X-ray image that comprises image data representative of at least a part of an interventional device arranged within the vascular structure in a state when the stenosis of the vascular structure is treated.

Abstract: An apparatus for determining a functional index for stenosis assessment of a vessel is provided. The apparatus comprises an input interface (40) and a processing unit (50). The input interface is configured to obtain image data (30) representing a two-dimensional representation of a vessel (6). The processing unit (50) is configured to determine a course of the vessel (6) and a width (w1, w2) of the vessel along its course in the image data and is further configured to determine the functional index for stenosis assessment of the vessel based on the width of the vessel in the image data.

Abstract: A system, device, and method for visualizing vascular structures is disclosed. According to some implementations, in order to provide further improved digital subtraction angiography, a device for visualizing vascular structures is provided that includes a data provision processor, an image processor, and an output. The data provision processor is configured to provide a first sequence of non-contrast X-ray images of a region of interest of a patient for use as raw X-ray mask images. The data provision processor is also configured to provide a second sequence of contrast X-ray images of the region of interest of a patient for use as raw X-ray live-images. The image processor is configured to perform a first spatial subtraction for the first sequence of non-contrast X-ray images resulting in a first sequence of spatial-subtracted mask images.

Abstract: An information retrieval system (IPS). The system comprises an input interface (IN) for receiving a query related to an object of interest. A concept mapper (CM) is configured to map the query to one or more associated concept entries of a hierarchic graph data structure (ONTO). The entries in said structure encode linguistic descriptors of components of a model (GM) for said object (OB). A metric-mapper (MM) is configured to map the query to one or more metric relationship descriptors. A geo-mapper (GEO) is configured to map said concept entries against the geometric model linked to the hierarchic graph data structure to obtain spatio-numerical data associated with said linguistic descriptors. A metric component (MTC) is configured to compute one or more metric or spatial relationships between said object components based on the spatio-numerical data and the one or more metric relationship descriptors.

Abstract: Imaging systems and methods for imaging assisted interventional procedure that receive images of a region of interest, that automatically detect in the images a contrast agent puff as it courses through the region of interest, and that generate a display including a video replay loop of contrast enhanced images based on the automatic detection of the contrast agent puff.

Abstract: The present invention relates to an image processing system (10), comprising: a processor unit (20) arranged to receive imaging data associated with an imaging system (40) and optical shape sensing data associated with an optical shape sensing system (50) registered with the imaging system (40) such that the optical shape sensing data can be positioned in the imaging system; wherein the processor unit (20) is configured to define in the imaging data a region of interest based on the imaging data and/or the optical shape sensing data and further configured to use the optical shape sensing data as markers within the region of interest such that the processor unit applies image enhancement of imaging data on the region of interest based on received optical shape sensing data.

Abstract: During a medical intervention such as an angiography, the X-ray examination equipment (such as that mounted on a C-arm) produces a very large number of imaging frames of the intervention, as it progresses. This information contains frame sequences which can be effectively used to improve a medical report of the intervention. The sequence will contain sequences which contain similar clinical information though, and these frames may be considered to be redundant and not useful for inclusion in the medical report. The aspects detailed herein enable a selection of non-redundant sequences and/or frames, based on contextual information, obtained from the sequence of images, and/or other medical equipment, during an intervention. In this way, the redundancy inherent in the original frame sequence can be removed, leaving a set of prepared candidate sequences for insertion into a multimedia or documentary medical report.

Abstract: The invention is directed to a system (100) for image processing, which is capable of improving an usability of an imaging device during an intervention.

Abstract: The present invention relates to a device (1) for fractional flow reserve determination. The device (1) comprises a model generator (10) configured to generate a three-dimensional model (3DM) of a portion of an imaged vascular vessel tree (VVT) surrounding a stenosed vessel segment (SVS), based on a partial segmentation of the imaged vascular vessel tree (VVT). Further, the device comprises an image processor (20) configured to calculate a blood flow (Q) through the stenosed vessel segment (SVS) based on an analysis of a time-series of X-ray images of the vascular vessel tree (VVT). Still further, the device comprises a fractional-flow-reserve determiner (30) configured to determine a fractional flow reserve (FFR) based on the three-dimensional model (3DM) and the calculated blood flow.

Abstract: According to some implementations, a n medical interventional imaging device for monitoring an interventional procedure is described. The medical interventional imaging device includes a temporary data buffer configured to temporarily store medical interventional fluoroscopic image data, a signal processor configured to detect if an abnormal state occurs during an intervention and to record an instant at which the abnormal state has occurred, and a permanent data storage configured to permanently store at least a part of the medical interventional fluoroscopic image data stored temporarily before and/or at the recorded instant if the abnormal state is detected.

Abstract: The present invention relates to a device for interacting with vessel images, the device (14) comprising: an interface unit (22); a processing unit (20); wherein the interface unit (22) comprises: a display (21); and an input setup (23); wherein the display (21) is configured to display a vessel image (24); wherein the input setup (23) is configured to receive a user input in relation to the vessel image (24); wherein the processing unit (20) is configured to: determine, for at least one vessel (26) in the vessel image (24), a vessel contour (30); determine, from the user input, an identifier position (36) in the vessel image (24); indicate at least a portion (38) of the vessel contour (30) in the vessel image (24), if the determined identifier position (36) is spaced apart from the vessel contour (30) by a distance (37) within a predefined distance range; determine, from the user input, a drag direction (42); and move the indicated portion (38) along the vessel contour (30) based on the determined drag direc

Abstract: The present invention relates to image processing for enhancing ultrasound images. In order to provide image data showing the current situation, for example in a region of interest of a patient, an image processing device (10) for enhancing ultrasound images is provided that comprises an image data input unit (12), a central processing unit (14), and a display unit (16). The image data input unit is configured to provide an ultrasound image of a region of interest of an object, and to provide an X-ray image of the region of interest of the object. The central processing unit is configured to select a predetermined image area in the X-ray image, to register the ultrasound image and the X-ray image, to detect the predetermined area in the ultrasound image based on the registered selected predetermined image area, and to highlight at least a part of the detected area in the ultrasound image to generate a boosted ultrasound image.

Abstract: A system (IPS) for supporting image-based navigation, comprising: an input interface (IN) for reviving one or more input images acquired by an X-ray imager (IA) whilst two or more medical devices (GW1, GW2) are present in a field of view (FoV) of the X-ray imaging apparatus. An image identifier (ID) identifies the two or more medical devices based on image information in the one or more images. A tagger (TGG) associates a respective, unique, tag with each of at least two of the two or more medical devices (GW1, GW2) so identified. A graphics display generator (GDG) effects displaying on a display device (DD) the one or more input images in a video feed, with the tags included.

Abstract: The present invention relates to positioning of an X-ray imaging system. In order to provide an improved relative positioning of the X-ray imaging system for spine interventions, a device (10) for positioning of an X-ray imaging system is provided. The device comprises a data storage unit (12), a processing unit (14) and an output unit (16). The data storage unit is configured to store and provide 3D image data (18) of a spine region of interest of a subject comprising a part of a spine structure, the spine structure comprising at least one vertebra.