Abstract: The present invention relates to monitoring biological tissue during a delivery of energy. A probe-driving unit repeatedly drives an integrated push-and-track transducer unit, which is external to the control device, in repeatedly providing at least one ultrasonic push pulse (302) that is suitable for displacing biological tissue at a monitoring location (M), and in providing ultrasonic track pulses (301, 303) suitable for detecting tissue displacement occurring in response to the push pulse at the monitoring location, and in detecting and delivering ultrasonic tissue-response signals (R) relating to the track pulses. An evaluation unit receives the tissue-response signals, determines in real time whether a normalized displacement quantity has reached a threshold value, and provides an output signal when the threshold value has been reached.

Abstract: A diagnostic ultrasound system for carotid artery diagnosis has a two dimensional array probe with a low element count and relatively large element size which can cover an area of the carotid artery at its bifurcation. The elements are operated independently with no phasing, and detect Doppler flow spatially beneath each element. The system produces maps of carotid blood flow in two or three dimensions and can assemble an extended view of the flow by matching segments of the carotid flow as the probe is moved over the vessel. Once the carotid artery has been localized, the degree of stenosis is assessed by automated measurements of peak systolic velocity and blood flow turbulence.

Abstract: A method includes generating a hyperthermia heat plan for tissue of interest, generating a hyperthermia adapted radiation therapy plan for the tissue of interest, controlling a heat source (126) to deliver heat to the tissue of interest according to the hyperthermia heat plan, and controlling a radiation source of a radiation therapy system (100) to deliver radiation to the tissue of interest according to the hyperthermia adapted radiation therapy plan. A system includes a radiation treatment planner (124) configured to generate a hyperthermia adapted radiation therapy plan for the tissue of interest, a radiation therapy system (100) configured to deliver radiation in accordance with the hyperthermia adapted radiation therapy plan, and a hyperthermia heat delivery system (126) configured to deliver heat in accordance with a hyperthermia plan.

Abstract: Systems, devices, and methods are provided to provide workflow assistance to an operator during a medical imaging procedure, such as a Doppler ultrasound evaluation of a body vessel of a subject. A sensor such as a gyroscope (128) may be integrated in an external ultrasound probe (102). Workflow assistance may be provided to position the ultrasound probe (102) to make accurate flow measurements of fluid within the vessel, such as by coupling system color flow information with gyroscope angles. The workflow assistance may also assist a user in identifying a perpendicular orientation of the ultrasound to be used as a reference in making Doppler measurements. The system may also be used to create a vessel map.

Abstract: The invention relates to a heat sink parameter determination apparatus for determining a parameter of a heat sink like a blood vessel within an object such as a person (3) by minimizing a deviation between a measured temperature distribution, which has preferentially been measured by ultrasound thermometry, and a modeled temperature distribution, wherein the modeled temperature distribution is modeled based on a provided heat source parameter like the location of an ablation needle (2) and the heat sink parameter to be determined by using a given thermal model. This determination of heat sink parameters, which may be geometric and/or flow parameters, considers the real temperature distribution and is thus based on real heat sink influences on the temperature distribution. This can lead to an improved determination of heat sink parameters and hence to a more accurate temperature distribution which may be determined based on the determined heat sink parameters.

Abstract: A system and methods for adaptive placement of a treatment element include a placement device (134), and a localization system (120) configured to track progress of the placement device such that a position of a treatment element (146, 132) placed by or to be placed by the placement device is stored in memory. A computer system (142) includes a program (104) implemented in computer readable storage media and configured to compute an effect of the treatment element at the position and determine whether a dosage amount has been achieved by the treatment element for treatment of an organ.

Abstract: An apparatus for deriving tissue temperature from thermal strain includes a thermal strain measuring module. The module uses ultrasound (156, 158) to measure thermal strain in a region, within a subject, that surrounds a location (166a, 166f) where a temperature sensor is disposed. Also included is a temperature measurement module configured for, via the sensor, measuring a temperature at the sensor while the sensor is inside the subject. Further included is a patient-specific thermal-strain-to-temperature-change proportionality calibration module. The calibration module is configured for calibrating (S238) a coefficient and for doing so based on a measurement of a temperature parameter at that location derived from output of the temperature measurement module and on a measurement of thermal strain at that location obtained via the strain measuring module.

Abstract: The invention relates to a temperature distribution measuring apparatus for measuring a temperature distribution within an object caused by heating the object. A temperature distribution measuring unit (13, 71) measures the temperature distribution in a measurement region within the object, while the object is heated, and a temperature measurement control unit (22) controls the temperature distribution measuring unit such that the measurement region is modified depending on the measured temperature distribution, in order to measure different temperature distributions in different measurement regions.

Abstract: A system (100) includes an imaging system (130), and a therapy control device (122). The imaging system (130) generates temperature maps (140) and strain maps (142) of localized tissues of a patient. The therapy control device (122) includes one or more computer processors configured to detect at least one failure mode (300, 302, 304, 400) of generated mild hyperthermia in the localized tissues of the patient according to at least one of the temperature maps, the strain maps, or a signal indicative of detected inertial cavitation. In some embodiments, the therapy control device either halts therapy or issues a warning.

Abstract: A system for boundary identification includes a memory (42) to store shear wave displacements through a medium as a displacement field including a spatial component and a temporal component. A directional filter (206, 208) filters the displacement field to provide a directional displacement field. A signal processing device (26) is coupled to the memory to execute a boundary estimator (214) to estimate a tissue boundary in a displayed image based upon a history of the directional displacement field accumulated over time.

Abstract: The invention relates to a system, an ultrasound probe and a corresponding method for measuring arterial parameters using non-imaging ultrasound. The system comprises an acquisition unit for acquiring doppler ultrasound signal from a blood vessel and a processing unit for processing the acquired doppler ultrasound signal and to determine the changes in the blood vessel through the N measurements of at least Peak Systolic Velocity (PSV) and Pulse Wave Velocity (PWV). The acquisition unit comprises an ultrasound probe having a plurality of transducer elements arranged in a grid configuration, and comprising a first probe (102a) and a second probe (102b) detachably connected to each other. In the split configuration the ultrasound probe is provided to measure the PWV globally between the carotid and femoral arteries, or the PSV and PWV locally and simultaneously. In the integrated configuration the PSV or PWV may be measured locally.

Abstract: A method includes generating a hyperthermia heat plan for tissue of interest, generating a hyperthermia adapted radiation therapy plan for the tissue of interest, controlling a heat source (126) to deliver heat to the tissue of interest according to the hyperthermia heat plan, and controlling a radiation source of a radiation therapy system (100) to deliver radiation to the tissue of interest according to the hyperthermia adapted radiation therapy plan. A system includes a radiation treatment planner (124) configured to generate a hyperthermia adapted radiation therapy plan for the tissue of interest, a radiation therapy system (100) configured to deliver radiation in accordance with the hyperthermia adapted radiation therapy plan, and a hyperthermia heat delivery system (126) configured to deliver heat in accordance with a hyperthermia plan.

Abstract: A system for performing ablation includes an ablation device (102) configured to ablate tissue in accordance with control parameters and configured to make measurements during the ablation process. An imaging system (104) is configured to measure an elastographic related parameter to monitor ablation progress. A parameter estimation and monitoring module (115) is configured to receive the measurements from the ablation device and/or the elastographic related parameter to provide feedback to adaptively adjust imaging parameters of the imaging device at different times during an ablation process.

Abstract: A device, system and method for accessing internal tissue include a probe (108) disposed on a distal end portion of a medical device and configured to be inserted into a body along a trajectory path. A sensor (102) is mounted on a displacement tracker portion (104) of the medical device which is disposed on a proximal end portion of the device. The sensor is configured to measure a distance parallel to the probe between the displacement tracker portion and a tissue surface such that a position of the probe is determinable relative to the tissue surface upon advance or retraction of the probe along the trajectory path.

Abstract: A probe including a shaft on which an ultrasound element is mounted, an outer sheath and an acoustic membrane surrounding the shaft and the ultrasound element such that the shaft and ultrasound element are rotatable therein. Passages may supply a cooling and acoustic coupling fluid to an inlet and outlet adjacent the acoustic element to cool the acoustic element and fill a volume between the acoustic element and the acoustic sheath with the fluid. A balloon may be mounted on the probe to be selectively inflated to fix a position of the probe. A drain for urine and other bodily fluids may be provided through the probe.

Abstract: The invention relates to a temperature distribution determining apparatus (21) for determining a temperature distribution within an object, to which energy is applied, by using an energy application element (2). A first temperature distribution is measured in a first region within a first temperature range and a model describing a model temperature distribution in the first region and in a second region depending on modifiable model parameters is provided. A second temperature distribution is estimated in the second region within a second temperature range, while the energy is applied to the object, by modifying the model parameters such that a deviation of the model temperature distribution from the first temperature distribution in the first region is minimized.

Abstract: A medium of interest is interrogated according to ultrasound elastography imaging. A preliminary elasticity-spatial-map is formed. This map is calibrated against a reference elasticity-spatial-map that comprises an array (232) of different (240) elasticity values. The reference map is formed to be reflective of ultrasonic shear wave imaging of a reference medium. The reference medium is not, nor located at, the medium of interest, and may be homogeneous. Shear waves that are propagating in a medium are tracked by interrogating the medium. From tracking locations on opposite sides of an ablated-tissue border, propagation delay of a shear wave in the medium and of another shear wave are measured. The two shear waves result from respectively different pushes (128) that are separately issued. A processor decides, based on a function of the two delays, that the border crosses between the two locations.

Abstract: An apparatus for deriving tissue temperature from thermal strain includes a thermal strain measuring module. The module uses ultrasound (156, 158) to measure thermal strain in a region, within a subject, that surrounds a location (166a, 166f) where a temperature sensor is disposed. Also included is a temperature measurement module configured for, via the sensor, measuring a temperature at the sensor while the sensor is inside the subject. Further included is a patient-specific thermal-strain-to-temperature-change proportionality calibration module. The calibration module is configured for calibrating (S238) a coefficient and for doing so based on a measurement of a temperature parameter at that location derived from output of the temperature measurement module and on a measurement of thermal strain at that location obtained via the strain measuring module.

Abstract: The present invention relates to a system for measuring the arterial parameters. The system of the invention comprises a signal unit for providing radio frequency (RF) ultrasound signal and demodulated RF ultrasound signal and of the data relating thereto from the signal acquired therefrom; a detection unit for detecting the presence of blood flow in an artery; an identification unit for identifying the said artery; a processing unit for processing the said data and for providing the distension waveform of the said artery; and an estimating unit for estimating at least one of a plurality of localized arterial parameters of the said artery. The invention also relate to a method for measuring the arterial parameters by the system of the invention. The invention has the advantage of measuring localized blood pressure continuously and also other localized arterial parameters such as Peak Systolic Velocity, Pulse Wave Value and arterial compliance measures, in a non-imaging, non-invasive and cuff-less manner.

Abstract: Movement (204) of an object is detected and, based on the detected movement, imaging of the object is selectively commenced (228). The imaging is interrupted such that the commencing and interrupting result in temporally spaced apart (216) periods of the imaging. Content of images acquired in respectively different periods is compared (238), to match the images based on content. The movement may have a cyclical component. The object may include body tissue for ablating by applying energy from an energy source. The images to be compared can depict respective regions of the ablating, with the comparing being confined to outside the regions. The detecting, the selecting, the comparing, and the matching may be performable in real time. In one embodiment, an image has portions having respective spatial locations, and respective temperature values at the locations of the object are determined in forming a temperature map of the image.