Abstract: A device for positioning of an X-ray imaging system. The device comprises a processor configured to obtain 3D image data of a spine region of interest of a subject comprising a spine structure. The processor is further configured to select at least one vertebra of the spine structure as target vertebra; segment the target vertebra in the 3D image data including identifying at least one anatomic feature of the target vertebra; define a position of a predetermined reference line based on a spatial arrangement of the at least one anatomic feature; determine a target viewing direction of the X-ray imaging system based on the predetermined reference line; and provide the target viewing direction for the X-ray imaging system.

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 invention is directed towards an improved image-guided therapy system.

Abstract: A system (100) for providing a normalised microcirculatory resistance value for a vessel (110), is provided. The system includes one or more processors (120) configured to: compute (S110) a microcirculatory resistance value for the vessel (110) based on a transit time (TT) taken for an injected bolus to travel between a proximal position (Posa) in the vessel, and a distal position (Posd) in the vessel; and divide (S120) the computed microcirculatory resistance value by a transit length (dT) representing a length of the vessel between the proximal position (Posa) and the distal position (Posd), to provide the normalised microcirculatory resistance value.

Abstract: A system (100) for determining flow parameters of a lumen (110) in a hyperemic state induced subsequent to a contrast agent injection (Inj 1) into the lumen in a basal state, is provided. The system comprising one or more processors (120) configured to: determine (S110), based on received angiographic data representing the injected contrast agent and/or received injector data representing the injected contrast agent, a temporal window (TH0, TH1) representing a duration of the induced hyperemic state; and output (S120) a signal (Sh) indicative of the temporal window (TH0, TH1).

Abstract: The present invention relates to image processing of angiograms. In order to provide improved angiograms, a device (10) for enhancing angiograms is provided. The device comprises a data input (12), a data processor (14) and an output interface (16). The data input is configured to provide at least one angiographic image showing a vascular structure of interest comprising a plurality of vessel branches. The data processor is configured to determine at least one branch of interest from the angiographic image. The data processor is configured to segment the angiographic image for identifying possible branches of the vascular structure. The data processor is configured to select branches based on the identified possible branches and the determined branch of interest. The data processor is configured to estimate attenuation values of the selected branches.

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 positioning of stents or other medical interventional devices. In order to provide an improved marker detection suitable for smaller markers, a device (10) for positioning a medical interventional device is provided. The device comprises a data input interface (12), a data processing unit (14) and a data output interface (16). The data input interface is configured to provide at least one image of a region of interest of a subject. In the at least one image, at least a part of a guiding apparatus for a medical interventional device is arranged in the region of interest, which part of the guiding apparatus comprises at least one apparatus position marker visible in the at least one image. Further, in the at least one image, a medical interventional device is arranged at least partly in the region of interest, which medical interventional device comprises device position markers, which are less visible in the image than the at least one apparatus position marker.

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 (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 subtraction imaging. In order provide further improved accuracy of masking images, a device (10) for digital subtraction imaging is provided comprising an image data input (12), a data processor (14) and an output interface (16). 3D image data (22) of a region of interest of an object is received that comprises a 3D representation of the object based on a reconstruction from a plurality of 2D projection images. Further, a 2D live X-ray image (24) of the region of interest is received. The 3D image data and the 2D live X-ray image are registered, wherein a matching pose of the 3D image data corresponding to the 2D live X-ray image is determined. A digitally reconstructed radiography is computed from the 3D image data based on the determined matching pose to generate a 2D mask image.

Abstract: The invention relates to a navigation assistance system for assisting in navigating an interventional instrument within a subject. An implanted object opening model (21) and a vessel opening model (27) are generated based on a provided interventional image data set, wherein the models define a respective position, shape and dimension in a frame of reference. These models and a position, which is also provided in the frame of reference, and optionally also a shape (25) of the interventional instrument are used for generating a graphical representation showing the implanted object opening model, the vessel opening model and the provided position and optionally shape of the interventional instrument, thereby providing guidance for a physician, which allows the physician to relatively easily navigate the interventional instrument such that it is moved through the opening of the implanted object and through the opening of the vessel.

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.