Abstract: Original 2D rotational projections are combined preferably in an overlaying manner with corresponding viewings of a 3D reconstruction. By showing the 2D rotational projections in combination with the 3D reconstruction, 3D vessel information can be compared with the original 2D rotational image information over different rotational angles. In a clinical setup the combined visualization will allow for an easy check if findings in the 3D RA volume such as stenosis or aneurysms are not overestimated or underestimated due to e.g. an incomplete filling with contrast agent and/or a spectral beam hardening during the rotational scan.

Abstract: Prior to an intervention, a 3D rotational scan is acquired (at block 10) in respect of a body volume and reconstructed. In addition, three-dimensional image data in respect of the body volume is acquired (at block 12) using another modality, such as computerised tomography (CT) or magnetic resonance (MR), reconstructed, and prepared for visualisation. During the actual intervention, live two-dimensional fluoroscopic images are acquired (at block 14), using the imaging system employed to acquire the 3D rotational scan, and processed for visualisation.

Abstract: It is described an improved visualization of an object under examination (107). Thereby, original 2D rotational projections are combined preferably in an overlaying manner with corresponding viewings of a 3D reconstruction. By showing the 2D rotational projections in combination with the 3D reconstruction, 3D vessel information can be compared with the original 2D rotational image information over different rotational angles. In a clinical setup the combined visualization will allow for an easy check if findings in the 3D RA volume such as stenosis or aneurysms are not overestimated or underestimated due to e.g. an incomplete filling with contrast agent and/or a spectral beam hardening during the rotational scan.

Abstract: The present invention describes a method for rendering and displaying a curved planar reformat (CPR) view (7?) of a blood vessel's 3D tubular structure (1), wherein the viewing direction of the curved planar reformat view (7?) is coupled to the viewing angle on a segmented or raw representation of the 3D tubular structure's rendered voxel volume to be visualized or, alternatively, to the C-arm geometry of a 3D rotational angiography device's C-arm system (6). The proposed method thus enables measurements on the X-ray image which do not suffer from spatial foreshortening and do not need to be calibrated. Thereby, said coupling can be performed bidirectional. According to a first aspect of the proposed method, this means that the viewing direction of the aforementioned curved planar reformat view (7?) follows the viewing angle on a segmented or raw representation of the 3D tubular structure's rendered voxel volume to be visualized, or vice versa.

Abstract: This invention will introduce a fast and effective target approach planning method preferably for needle guided percutaneous interventions using a rotational X-ray device. According to an exemplary embodiment A targeting method for targeting a first object in an object under examination is provided, wherein the method comprises selecting a first two-dimensional image of an three-dimensional data volume representing the object under examination, determining a target point in the first two-dimensional image, displaying an image of the three-dimensional data volume with the selected target point.

Abstract: According to an exemplary embodiment a targeting method for targeting a first object from an entry point to a target point in an object (110) under examination is provided, wherein the method comprises selecting a two-dimensional image (301) of the object under examination depicting the entry point (305) and the target point (303) and determining a planned path (304) from the entry point to the target point, wherein the planned path has a first direction. Furthermore, the method comprises recording data representing a fluoroscopic image of the object under examination, wherein the fluoroscopic image is recorded under a second direction so that a normal of the image coincide with the first direction and determining whether the first object is on the determined planned path based on shape and/or position of the projection of the first object in the fluoroscopic image.

Abstract: It is described a method for determining and assessing the tissue surrounding an object being inserted into a patient. The method comprises acquiring a first dataset representing a first 3D image of the patient, acquiring a second dataset representing a second 3D image of the blood vessel structure of the patient and acquiring a third dataset representing a 2D image of the patient including the object. The method further comprises recognizing the object within the 2D image, registering two of the three datasets with each other, whereby the object is back-projected in the blood vessel structure, in order to generate a first combined dataset, and registering the first combined dataset with the remaining dataset in order to generate a second combined dataset representing a further image surrounding the object. The method allows for combining diagnostic scanning such as CT, 3D RA and real-time 2D fluoroscopy.

Abstract: In three-dimensional X-ray imaging, with C-arm systems, scan setup has to be performed manually under fluoroscopic control. According to an exemplary embodiment of the present invention, a scan planning system for planning a data acquisition process is provided, which is adapted to predict a field of view to be reconstructed and an image quality in the field of view with respect to the actual three-dimensional scan parameter set and previously acquired images or other information. The scan planning system may be accomplished by a stand control unit.

Abstract: To reduce the contrast fluid and X-ray load on patients during interventional procedures, a real-time visualisation architecture is proposed to combine 2D live images with 3D reconstructed volume information. In general, 2D X-ray images arc recorded from below (Posterior Anterior) and presented head up (Anterior Posterior) by applying a mirroring operation on the image data. In order to ensure a correct alignment of the 2D live images within the reconstructed 3D volume, as is proposed to display the 3D information under the same inverse viewing angle as the 2D live images by applying a mirroring around the Y-axis to the 3D information and by presenting the 3D information in a reverse sorting order. Furthermore, transparent surface/volume rendering may be combined with silhouette rendering to maintain the contrast in the 2D information while preserving the 3D impression.

Abstract: The invention relates to a method and an examination apparatus (10) for the observation of a catheter (43) in a vessel system. First, a 3D model of the vessel system is reconstructed with the help of differently oriented X-ray projections (P1A, . . .) generated by a C-arm system (20) during the injection of a contrast agent. Next, a movement corridor (M) of the catheter (43) is determined from the 3D model. During an examination procedure, current projections (P) are generated showing an image (43?) of the catheter that can be registered with the reconstructed 3D model and/or the movement corridor (M). Based on the known current location (43?) of the catheter in the 3D model of the vessel geometry or the movement corridor (M), an optimal projection direction (dopt) can be determined and assumed by the C-arm system (20) for the next projections to be generated.