Abstract: Systems and methods for determining a heath status of a patient through an automated interview. One of the systems include one or more computers in one or more locations and one or more storage devices storing instructions that, when executed by one or more computers, cause the one or more computers to perform operations including: providing, to a user interface of a user device, questions for a user to respond to in an interactive manner, in which each of the questions following the first questions is adaptive based on the user's response to one or more of the previous questions; capturing motion and appearance of the user in a video sequence while the user is responding to the questions; and analyzing the motion of the user in the video sequence to determine one or more indications of a disease or of a change in a disease progression.

Abstract: Described herein are systems and methods for image-based (e.g., MRI-based) spatial and temporal mapping of macrophages and other cell types, without the need for image contrast agents. These systems and methods are particularly useful for imaging macrophages because they naturally store metabolites, such as iron. Alternatively, the systems and methods described herein can be used where contrast agents are administered, rather than looking only at endogenous metabolite deposits.

Abstract: A description is provided of a wearable device that is made up of a display device and a securing device that provides at least an overlay portion to provide electrical connection to the display device. The display device and the securing device may both contain electrical circuitry. The overlay connection to the display device can create an electrical connection between the electrical circuitry on the display device and the electrical circuitry in the securing device.

Abstract: A watch-type terminal including a main body; a sensing unit disposed on the main body; a display unit; and a controller. Further, the sensing unit includes at least one green light-emitting element to output green light; a light-receiving sensor spaced apart from the at least one green light-emitting element to receive green light reflected from one part of the human body; a red light-emitting element spaced apart from the light-receiving sensor to output red light; and an infrared (IR) sensor spaced apart from the light-receiving sensor to output IR light. In addition the controller calculates an oxygen saturation of blood in a human body wearing the watch-type terminal based on an oxygen absorbance of hemoglobin in the human body through reflectance of the red light and the IR light.

Abstract: A system for control of a device includes at least one sensor module detecting orientation of a user's body part. The at least one sensor module is in communication with a device module configured to command an associated device. The at least one sensor module detects orientation of the body part. The at least one sensor module sends output signals related to orientation of the user's body part to the device module and the device module controls the associated device based on the signals from the at least one sensor module.

Abstract: A biosignal measuring method and system using an earphone are provided, in which the biosignal measuring method includes sensing the earphone being connected to a user terminal, in which the earphone includes a measuring unit for measuring a biosignal, transferring a sensor driving signal from the user terminal to the connected earphone during a predetermined interval, and driving the measurement unit according to the sensor drive signal to measure the biosignal.

Abstract: Certain embodiments described herein pertain to optical sensors, systems and methods for continuous glucose monitoring. In some embodiments, methods of preparing a layered optical sensor are disclosed. The optical sensor can be formed by laminating a plurality of sheets together to form a final sensor. In some embodiments, the sensor tip comprises a oxygen conduit, an enzymatic layer, and an sensing layer. In some embodiments, the sensor includes a plurality of waveguides configured to direct light to and from a target material, such as an oxygen sensing polymer. Systems are also disclosed for an adhesive system for attaching an optical sensor-transmitter system. Methods and systems are also disclosed for a sensor inserter system. The inserter can include a lancet tip that includes a convex feature attached to a first surface of the lancet tip.

Abstract: At least one of at least one data-dependent scale factor or at least one data-dependent detection threshold is determined responsive to at least one block of time-series data of an auscultatory-sound signal generated by an auscultatory-sound sensor operatively coupled to a portion of the skin of a test-subject, wherein the at least one data-dependent scale factor or at least one data-dependent detection threshold provides a measure of a range of values of the at least one block of time-series data in relation to a predetermined metric, and is used to determine whether or not the auscultatory-sound sensor is either debonded or detached from the skin of the test-subject.

Abstract: A mobile device, having a processor, includes an accelerometer configured to generate acceleration data, the acceleration data including a plurality of acceleration measurements. The mobile device also includes a memory having embodied thereon computer-executable instructions that are configured to, when executed by the processor, cause the processor to: obtain the acceleration data from the accelerometer; and generate, based on the acceleration data, heart sound data, the heart sound data including data associated with one or more heart sounds.

Abstract: Disclosed is a method of removing motion artifacts from functional near-infrared spectroscopy (fNIRS) signals. The method includes: disposing N optodes at a plurality of locations on a scalp, and forming a plurality of channels between the N optodes; calculating a correlation coefficient difference index of a neighbor channel around each receiver optode, and detecting a receiver optode in which a motion artifact has occurred based on the correlation coefficient difference index; and removing motion artifacts based on the detected receiver optode and an arrangement structure of the N optodes.

Abstract: This document discusses, among other things, systems and methods to produce a combined heart sound signal of a patient using a first signal including heart sound information over a first physiologic interval and a second signal including heart sound information over the first physiologic interval.

Abstract: This document discusses, among other things, systems and methods to produce a composite heart sound signal of a patient using a first signal including heart sound information over a first physiologic interval and a second signal including heart sound information over the first physiologic interval.

Abstract: The invention relates to a determination system for determining a heart failure risk for a subject (4). The determination system (1) comprises a photoplethysmogram providing unit for providing a photoplethysmogram of the subject and a heart failure risk determination unit for determining the heart failure risk based on the provided photoplethysmogram. A photoplethysmogram can be provided in an unobtrusive way by using a photoplethysmogram sensor without requiring a physician's attendance. In particular, it is not necessarily required to measure electrocardiograms, to carry out blood tests and to perform a coronary angiography for determining the heart failure risk. The heart failure risk can therefore be determined in a technically relatively simple way without requiring a physician's attendance.

Abstract: Apparatus is provided for monitoring a female subject. During a first menstrual cycle of the subject a computer processor predicts an upcoming ovulation of the subject, generates an output, on at least one user interface device, in response to predicting the upcoming ovulation, and receives from the subject, via the user interface device, an indication of one or more sensations that are sensed by the subject during a time period that is in temporal proximity to the predicted upcoming ovulation. During a second menstrual cycle of the subject, subsequent to the first menstrual cycle, the computer processor predicts an upcoming ovulation of the subject, at least partially based upon the indication received from the subject during the first menstrual cycle, and generates, on the user interface device, an output in response to predicting the upcoming ovulation of the subject. Other applications are also described.

Abstract: Disclosed are methods for determining physiological parameters of an individual including blood pressure, arterial compliance, flow velocity, and pressure wave velocity. A noninvasive method for determining the blood pressure of a patient is based on measurements of flow velocity, pulse wave velocity and arterial compliance. A noninvasive method for determining the arterial compliance of a patient is based on measurements of blood pressure, flow velocity, and pulse wave velocity.

Abstract: Devices, systems, and methods for evaluating a vessel of a patient are provided. The method includes outputting, to a touch-sensitive display of a bedside controller, a screen display including: a visual representation of a first pressure ratio of pressure measurements obtained by first and second instruments positioned within a vessel while the second instrument is moved from a distal position to a proximal position relative a stenosis and the first instrument remains stationary; and a first proximal pressure waveform and a first distal pressure waveform; receiving, through the touch-sensitive display of the bedside controller, a user touch input on the first proximal pressure waveform and/or the first distal pressure waveform identifying a time at which pressure measurements were obtained; and modifying the screen display, in response to the user touch input, to further include a visual representation of the obtained pressure measurements corresponding to the identified time.

Abstract: Methods and apparatus for determining radiation doses based on phantom matching are disclosed. An example apparatus includes an image processor to process a scout image to determine the first dimensions of an anatomical landmark of the scout image file; a comparator to select a phantom model based on the first dimensions, the phantom model including the anatomical landmark with second dimensions substantially similar to the first dimensions; and a dose calculator to calculate a radiation dose for an organ in the anatomical landmark based on the selected phantom.

Abstract: A system is described for multi-frequency ultrasonically-encoded tomography of a target object. One or more probe inputs generate probe input signals to the target object. An ultrasound transducer array is placed on the outer surface of the target object and has multiple ultrasound transducers each generating a different time-dependent waveform to form a plurality of ultrasound input signals to a target probe volume within the target object. One or more sensors sense tomography output signals from the target probe volume, wherein the tomography output signals contain an interaction component generated by interaction of the probe input signals with the ultrasound input signals. A tomography analysis of the tomography output signals is performed to create a three-dimensional object map representing structural and/or functional characteristics of the target object.

Abstract: A system and corresponding method are described for multi-frequency ultrasonically-encoded tomography of a target object. One or more probe inputs generate probe input signals to the target object. An ultrasound transducer array is placed on the outer surface of the target object and has multiple ultrasound transducers each generating a different time-dependent waveform to form a plurality of ultrasound input signals to a target probe volume within the target object. A photorefractive crystal mixes scattered light output signals from the target probe volume with an optical reference beam input to produce optical tomography output signals including ultrasound sum frequencies components. A photodetector senses the optical tomography output signals from the photorefractive crystal.

Abstract: A mobile CBCT imaging system is constructed on a mobile base. A scanning ring having an x-ray source and one or more curved detectors is connected to the mobile base. The scanning ring is configured to be spatially positioned as desired by an operator. The source is configured to revolve about an imaging axis and to emit radiographic energy toward the imaging axis, and the one or more detectors has an array of photosensors disposed along a curved surface facing the imaging axis.

Abstract: A breast imaging device for rotating a radiation detection unit configured to detect radiation irradiated from a radiation generation unit configured to generate the radiation with the radiation detection unit and the radiation generation unit facing each other includes a ray sum image generation unit configured to generate a ray sum image based on an addition value of at least one pixel value in a visual line direction from volume data reconstructed from a projection image output from the radiation detection unit, a maximum intensity projection image generation unit configured to generate a maximum intensity projection image based on the maximum pixel value in the visual line direction from the volume data, and a synthesizing unit configured to synthesize the ray sum image and the maximum intensity projection image.

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: In accordance with the present approach, a kV switched X-ray source, such as a kV switched X-ray tube, is used in conjunction with a dual-layer detector. In such approaches, the dual-layer detector may be operated so as to ignore or discard signal attributable to low-energy photons generated during a high kV emission interval or view.

Abstract: A frequency decomposition unit performs frequency decomposition for a first radiographic image to acquire a plurality of band images. A scattered radiation removal unit calculates a scattered radiation component that is caused by a subject and is included in a second radiographic image which has a linear relationship with the amount of radiation, using the second radiographic image, and removes the scattered radiation component from the second radiographic image to acquire a scattered-radiation-removed radiographic image. A conversion function determination unit determines a conversion function for converting at least one of the band images according to the scattered radiation component included in the second radiographic image. A reconstruction unit converts the band image, using the conversion function, and generates a converted band image. The reconstruction unit reconstructs the scattered-radiation-removed radiographic image and the converted band image to acquire a processed radiographic image.

Abstract: A universal C-ARM calibration seat includes a base, at least three action units, and a driving and positioning device. The base is annular and has a central axis. The base includes a correction plate mounting area. The at least three action units is mounted on a side of the base opposite to the correction plate mounting area. Each of the at least three action units includes a sliding member. The driving and positioning device is coaxially mounted to and rotatable relative to the base about the central axis. The driving and positioning device includes a rotating unit configured to actuate each sliding member. When the driving and positioning device rotates relative to the base, the rotating unit actuates each sliding member to simultaneously move toward the central axis.

Abstract: The present invention provides a method to convert any passive stethoscope into a wireless and tubeless stethoscope. A device is mounted onto an exit port on the stethoscope chest piece. The device transduces the acoustic signals from the chest piece into electrical signals, and then wirelessly transmits the signals to a second location to be amplified, filtered, recorded, and played back for the operator with improved sound quality and level. The elimination of tubing further decreases infection risk, increases mobility for the operator, provides a means for telemedicine, and extends access to patient health information and history through electronic medical records.

Abstract: Medical systems and devices adapted to deliver a fluid agent to target tissue within a patient.

Abstract: A combination of an ultrasonic scanner and an omnidirectional receive transducer for producing a two-dimensional image from received echoes is described. Two-dimensional images with different noise components can be constructed from the echoes received by additional transducers. These can be combined to produce images with better signal to noise ratios and lateral resolution. Also disclosed is a method based on information content to compensate for the different delays for different paths through intervening tissue is described. The disclosed techniques have broad application in medical imaging but are ideally suited to multi-aperture cardiac imaging using two or more intercostal spaces. Since lateral resolution is determined primarily by the aperture defined by the end elements, it is not necessary to fill the entire aperture with equally spaced elements. Multiple slices using these methods can be combined to form three-dimensional images.

Abstract: A system and corresponding method are described for multi-frequency ultrasonically-encoded tomography of a target object. One or more probe inputs generate probe input signals to the target object. An ultrasound transducer array is placed on the outer surface of the target object and has multiple ultrasound transducers each operating at a different ultrasound frequency to generate ultrasound input signals to a target probe volume within the target object. A photorefractive crystal mixes scattered light output signals from the target probe volume with an optical reference beam input to produce optical tomography output signals including ultrasound sum frequencies components. A photodetector senses the optical tomography output signals from the photorefractive crystal. A tomography analysis of the tomography output signals including the ultrasound sum frequencies components is performed to create a three-dimensional object map representing structural and/or functional characteristics of the target object.

Abstract: A tissue positioning system for contouring a patient tissue volume includes an axially displaceable interface having a surface configured to engage a breast or other tissue volume. A low pressure source applies a partial low pressure to the surface of the displaceable interface to secure the tissue volume to the surface, and the axially displaceable interface is biased to pull and contour the tissue volume when the tissue volume is secured to the surface. The axially displaceable interface is typically mounted on a telescoping support and the biasing is provided by the same low pressure used to secure the tissue volume.

Abstract: Systems and methods described herein allow for compact calibration of three-dimensional (3D) ultrasound probes. In one embodiment, a calibration device for an ultrasound probe has an open end to receive a nose portion of the ultrasound probe; a closed end including an inner surface; and a target secured to the inner surface, the target includes an echo-absorbing or echo-reflective material with different acoustic properties than the inner surface. The calibration device has an inner width dimension that is no more than two times the maximum nose diameter of the ultrasound probe.

Abstract: A method of imaging a vessel with a catheter includes positioning an imaging tip in a reinforced terminal section of an outer sheath of the catheter, inserting the catheter into a vessel, and performing near infrared spectroscopy of the vessel by retracting the imaging tip to a retracted position proximally spaced from the reinforced terminal section of the outer sheath, transmitting near infrared light from the imaging tip to the vessel wall via the outer sheath, and collecting near infrared light from the vessel wall at the imaging tip via the outer sheath. Transmitting and collecting may be performed after retracting the cable and while the imaging tip is rotated and translated proximally from the retracted position along the outer sheath. Ultrasound energy may be transmitted to the vessel from a transducer on the imaging tip and received from the vessel at the transducer.

Abstract: A catheter including a sheath configured to be inserted into a lumen; a drive shaft inserted into the sheath; an image information acquiring unit fixed to a distal end of the drive shaft and acquires image information; a hub which moves the drive shaft in an axial direction of the sheath; an outer tube on a proximal end side of the sheath and includes a first connector at a proximal end thereof; a second connector which includes on a proximal end side of the outer tube a male connector able to be connected to and disconnected from the first connector; and an inner tube on a distal end side of the hub, that moves with respect to the outer tube along with the movement of the hub.

Abstract: A diagnostic ultrasound system has a 2D array transducer which is operated with 1×N patches, patches which are only a single element wide. The “N” length of the patches extends in the elevation direction of a scanned 2D image plane, with the single element width extending in the lateral (azimuth) direction. Focusing is done along each patch in the elevation direction by a microbeamformer, and focusing in the lateral (azimuth) direction is done by the system beamformer. The minimal width of each patch in the azimuth direction enables the production of images highly resolved in the azimuthal plane of a 2D image, including the reception of highly resolved multilines for high frame rate imaging.

Abstract: Various approaches for detecting cavitation signals from a target region of a patient during a focused ultrasound procedure include an ultrasound transducer; an imaging device for acquiring physiological characteristics of multiple anatomical regions through which the cavitation signals from the target region travel; a controller configured to select one or more of the anatomical regions based at least in part on the physiological characteristics thereof and map the selected anatomical region(s) to one or more corresponding skin regions; and one or more cavitation detection devices attached to the corresponding skin region(s).

Abstract: The present invention provides a pulsed Doppler ultra-high spectral resolution imaging processing method and processing system. The method includes: acquiring IQ signals corresponding to N sampling points respectively on each scan line; in a fast time direction, performing wall filtering processing to form an IQ signal wall filtering sequence; performing FFT on each sampling point in the IQ signal wall filtering sequence in a slow and a fast time direction, respectively, to obtain an energy distribution matrix at different frequency shifts; acquiring a velocity distribution matrix; and retrieving a velocity sequence for display, querying the velocity distribution matrix and the energy distribution matrix according to the velocity sequence, and acquiring an energy sequence corresponding to the velocity sequence for displaying a final spectrum. When a transmit signal bandwidth is wider or a scatterer velocity is faster, the velocity resolution is greatly guaranteed.

Abstract: Methods and systems relate to correcting one-dimensional (1D) shear wave data of an anatomical structure. The methods and systems obtaining a 1D shear wave data from an ultrasound probe of the anatomical structure. The methods and systems adjust a velocity or a pressure of the 1D shear wave data based on the correction model to form adjusted 1D shear wave data. The adjustment of the velocity or the pressure of the 1D shear wave data is based on weights applied to the 1D shear wave data from hidden layers of the correction model. The methods and systems generate a 1D shear wave image based on the adjusted 1D shear wave data.

Abstract: The systems and methods generally relate to blood speckle imaging. The systems and methods transmit a plurality of transmit (Tx) beams from an ultrasound probe to a region of interest (ROI). The plurality of Tx beams are transmitted successively with respect to each other. At least two of the plurality of Tx beams overlap at a common position. The systems and methods estimate velocity fields from the speckle tracking, and weight the velocity fields based on weighting signals to form weighted velocity fields. The weighting signal being centered at transmit beam axes of the plurality of Tx beams. The systems and methods interpolate the weighted velocity fields that overlap at the common position to adjust a portion of the weighted velocity fields, and generate an image on a display of a combined velocity field by combining the weighted velocity fields.

Abstract: A device for determining the presence and/or quantity of one or more analytes in a sample of human body fluid has a container for receiving a sample of body fluid, with an interior that is delimited by a base and by a circumferential surface. It further comprises at least one test strip and a holding element for receiving and holding the one or more test strips. The holding element is designed such that it has a shape corresponding and adapted to the peripheral circumferential surface of the container. The device further comprises an elongate sampling element having an absorbent sampler that takes up the sample of body fluid and by means of which the sample of body fluid is transferred into the container. The sampling element can include an indicator strip for determining whether the amount of liquid sample sufficient for carrying out an assay.

Abstract: An intraosseous needle set is provided for penetrating a target area. The intraosseous needle set includes a cannula having a first end, a second end, and a bore. The bore may accommodate an intraosseous device, such that the intraosseous device and the cannula are operable to penetrate the target area. The bore has a length extending from the second end of the cannula through the first end of the cannula. The bore has a first cross-section with a substantially constant diameter along a majority of the length and extends from the second end of the cannula toward the first end of the cannula. The bore has a second cross-section along a minority of the length and extends from the first end of the cannula toward the second end of the cannula. The second cross-section may have a different shape than the first cross-section.

Abstract: A bi-directional depth stop for use with biopsy instrument including a body and a pair of blades. The body defines a channel sized to receive a cannula associated with the biopsy instrument. The channel includes a first pair of opposing concave surfaces and a second pair of opposing concave surfaces. The first pair and second pair of opposing concave surfaces together form a superimposed bi-oval-shaped cross-section. Each blade of the pair of blades projects inwardly into a concave surface of the first pair of opposing concave surfaces such the pair of blades are disposed on an opposing side of the body. In some instances, the concave surfaces may be beneficial to provide rotation of the dept stop in two directions rather than a single direction.

Abstract: The present subject matter discloses a wire guided device, including a sheath, a working assembly, and a wire guide. The working assembly includes a working portion, configured to contact an intended tissue, and a connector, connecting the working portion and the sheath. The wire guide is disposed at and connected to the working assembly. The wire guide is configured to allow a guide wire to pass through, wherein the wire guide is disposed at a predetermined distance from a distal end of the working assembly. The wire guide and the guide wire do not interfere with an operation of the working portion.

Abstract: Various embodiments are described herein for a device and method for an ingestible medical device with a rotatable element. In some described embodiments, the ingestible medical device includes a storage sub-unit with multiple chambers each having an opening for collecting or dispensing substances from the GI tract. The device further comprises a chamber enclosure with an access port. One of the chamber enclosure and the storage sub-unit are rotatable to allow for aligning the access port with a chamber opening. The ingestible medical device includes a sensor for positioning the access port of the chamber enclosure or the storage sub-unit as one of these elements rotates.

Abstract: A dental device that firmly mates and rotationally orients the proximal end of a suction (evacuation) straw of a high volume extraction unit to a rigid, disposable tongue retractor firmly enough that it cannot be dislodged therefrom. This allows the device to direct the forcible movement and retention of the tongue while suctioning out saliva, water and debris from the dental patient's mouth. The device has a unique four point capture collar with two upper bands and two lower bands separated by open voids. The half bands each half encircle the shaft of the suction straw with the proximal void providing an easy connection of the straw's locking orifice to the retention post on the retractor.

Abstract: An example occlusive implant is disclosed. The example occlusive implant includes an expandable framework configured to shift between a collapsed configuration and an expanded configuration, an occlusive member disposed along at least a portion of the expandable framework and a sealing member disposed along the occlusive member.

Abstract: Devices and methods for treating a sinus venosus atrial septal defect. A treatment device may have a tubular shape and may be configured to be arranged to provide a conduit between an upper right pulmonary vein (PV) and a left atrium (LA). The device may have a proximal portion comprising a flexible mesh configured to anchor within the LA, a distal portion comprising a flexible mesh configured to anchor within the target PV, and a central portion having a plurality of elongate parallel bars. A method for treating a sinus venosus atrial septal defect may include percutaneously advancing the device through the femoral vein and inferior vena cava (IVC), and into the right atrium (RA). The method may include creating a trans-septal opening, passing the device through the opening into the LA, and toward the upper right PV to treat the defect.

Abstract: A device comprises a tubular member with a longitudinal axis having a proximal end and a distal end, at least one partial cut located at, along or near the distal end of the tubular member, the at least one partial cut comprising an orientation that is angled relative to both the longitudinal axis and an axis transverse to the longitudinal axis, a pusher member positioned within an interior of the tubular member and configured to selectively advance the distal end of the tubular member longitudinally, wherein the distal end of the tubular member is configured to at least partially rotate when the pusher member is advanced relative to the tubular member so at to facilitate placement of the distal end in a particular branch of a subject's intraluminal network, wherein the distal end of the tubular member is configured to longitudinally elongate along or near an area of the at least one partial cut.

Abstract: A medical manipulator includes: an insertion portion, an end effector, a bend restraining unit, a position detector, an operation unit, a first drive unit, and a control unit. The control unit is configured to generate the first drive signal based on an output and the position of the bend restraining unit which is detected by the position detector. The output is output from the operation unit that operates the bending portion.

Abstract: A medical retractor is capable of ensuring visibility in a field of operation and in the periphery of the field of operation while realizing the reduction of weight of the retractor compared to a conventional steel-made retractor. A medical retractor includes: a grip portion; and a resin functional portion made of a transparent resin and extending from the grip portion. The resin functional portion has: a trunk portion which has a proximal end thereof connected to the grip portion; and a hook-shaped portion extending in a hook shape from a distal end of the trunk portion. The resin functional portion is configured to allow the viewing of an affected part which opposedly faces a back surface of the resin functional portion from a front surface side in a see-through manner.

Abstract: A joint balancing insert with sensors and an actuated mechanism is disclosed. The joint balancing insert is used to balance a joint during arthroplasty surgery, as the sensors provide force, position and angular data relating to the movement of the joint, while the actuated mechanism allows for highly accurate and dynamic adjustments of the joint based on the data from the sensors. Various configurations of actuated mechanisms and sensors may be implemented in the insert to provide for manual or real time control of the insert, and customized interfaces are provided for visualized feedback of adjustments. Sensor data may also be collected and compared with expected or preferred data sets to provide adjustment recommendations and achieve better outcomes based on historical data.