Siemens Aktiengesellschaft

Oliver Meissner

Estelle Camus

Thomas Redel

Martin Ostermeier

Michael Maschke

Klaus Klingenbeck-Regn

Andreas Meyer

Anton Nekovar

Yu Deuerling-Zheng

Jessica Amberg

Sigrid Ferschel

Stefan Lautenschlaeger

In a method and system for planning and implementing a selective internal radiation therapy (SIRT), the liver volume and the tumor volume are automatically calculated in a processor by analysis of items segmented from images obtained from the patient using one or more imaging modalities, with the administration of a contrast agent. The volume of therapeutic agent that is necessary to treat the tumor is automatically calculated from the liver volume, the tumor volume, and the body surface area of the patient and the lung shunt percentage for the patient. The therapeutic agent can be administered via respective feeder vessels in respectively different amounts that correspond to the percentage of blood supply to the tumor from the respective feeder vessels, this distribution also being automatically calculated by analysis of one or more parenchymal blood volume (PBV) images.

Method and apparatus for selective internal radiation therapy planning and implementation

A medical treatment suite and method of use is described, having a projection X-ray apparatus mounted to a robot. The robot positions the projection X-ray apparatus with respect to a patient and data is taken in a form that is suitable for synthesizing computed tomographic images. The patient may be supported by a patient support apparatus, which may be mounted to another robot, which cooperates with the other robot so as to position the patient according to a selected treatment protocol. Each of the robots may be mounted to one of a floor, a ceiling or a wall of the room.

Robotic device and method for trauma patient diagnosis and therapy

A method for positioning a stent able to be deployed to support a vessel in a blood vessel, especially in the cardiology, with the stent after its provisional placement in a not yet deployed state in an area intended for the support of the vessel, being at least partly automatically deployed as a function of at least one triggering signal for final positioning in the blood vessel.

Method and associated device for positioning a stent deployed to support a vessel

In one embodiment, the present application is directed to a method. The method includes performing at least one of, or a portion of one of, a vertebroplasty procedure, a kyphoplasty procedure, an electroencephalography (EEG) procedure and intraoperative electromyography (EMG) on a patient, and using an imaging system to image at least a portion of the patient during performance of at least a portion of this procedure), the imaging system being arranged on a robot including at least four, preferably six axes of rotation. In another embodiment of the present application, an x-ray system is disclosed. The x-ray system includes an imaging system including an x-ray source and an x-ray detector; a table; and at least two robots. The table is movable by the at least one robot and the at least one other robot includes at least four, preferably six axes of rotation and controls movement of the imaging system.

System and method for performing at least one of a vertebroplasty procedure, a kyphoplasty procedure, an electroencephalography (EEG) procedure and intraoperative electromyography (EMG) procedure using a robot-controlled imaging system

A system and method for obtaining perfusion images is disclosed. The system and method includes hardware and software for determining physiological characteristics of a patient and determining imaging parameter values for an imaging modality based on the patient's physiological characteristics. The system also includes a controller operative to receive the imaging parameter values for controlling an X-ray device. The X-ray device is coupled with the controller and acquires projection images of the patient, and outputs the projection images to a perfusion evaluation computer for evaluating the perfusion of an region of interest represented in the projection images. The perfusion rate of the region of interest is then output to an output device, such as a display or printer.

Device for obtaining perfusion images

In a method and apparatus for optically-based acquisition of slice images from a vessel of a subject, and for combining the slice images to provide an intuitively recognizable visualization of a pathology in the vessel, slice images of the vessel are acquired during pullback of an optical probe of the optically-based slice imaging system, while simultaneously acquiring an ECG signal from the subject. The slice images and the ECG signal are registered, and slice images acquired at a selected cardiac phase are combined into a scene. The slice images in the scene are subjected to a first data transformation to shift the vessel midpoint in each slice image to the image center of each slice image. After the first data transformation, the slice images in the scene are subjected to a second data transformation to produce the visualization. The second transformation, for example, can be a curved planar reformation to allow the vessel to be shown in longitudinal section.

Method and apparatus for ECG-synchronized optically-based image acquisition and transformation

The invention relates to an arrangement for assisting a percutaneous intervention, comprising an imaging system for tomographic imaging, a robot registered therewith and devices for capturing movements of the patient. A processing unit registers a 4D image dataset recorded before the intervention with a 2D or 3D image dataset of the patient which was recorded immediately before the intervention by the imaging system at a defined respiratory position. From this image data, the access path is transmitted to the robot as a function of the movements captured during recording the 4D image dataset and registration, said robot in turn, depending on the instantaneous movement data, holding the instrument on a predetermined target path and preventing the instrument from being advanced by the person if and as long as the instantaneous movement data does not match the previously recorded movement data. The arrangement reduces the risk of puncture errors.

Arrangement for supporting a percutaneous intervention

In a multi-modality method for representing functional and morphological exposures of an extremity of patients exhibiting arthritis/arthrosis, and corresponding computer software, images obtained with different imaging modalities are supplied to a computer and displayed at the computer with a default line model of the extremity superimposed on each of the images. A user interacts with the computer to modify the line model as necessary, so that each of the images has a modified line model associated therewith. The images obtained from the different imaging modalities are then superimposed and registered with each other by conforming the respective modified line models with each other. One of the images can be composed of a number of sub-images, obtained at respective joints in the extremity. These individual images of the joint can be fused with the image of the complete extremity, so that in a display of such a fused image, the individual joint images can be selected and displayed.

Multi-modality method and software for representation and evaluation of extremity exposures of arthritis/arthrosis patients

A method and appertaining system permit a co-registration between points in a three-dimensional model of a vessel and vascular images obtained by an imaging catheter within the vessel at the respective points. The three-dimensional model is created by utilizing information from at least two external two-dimensional images produced by, e.g., one or more x-ray devices. The three-dimensional model is displayed on an analysis workstation, and a user may view the vascular images at particular points by selecting the appertaining points on the three-dimensional model.

Three-dimensional co-registration between intravascular and angiographic data

An optical coherence tomography system includes a catheter in which is arranged a plurality of light conducting fibers. It further includes a plurality of optical units. Light from the proximal end to the distal end and signals from the distal end to the proximal end can be transmitted simultaneously in different fibers. Time is saved through the simultaneous signal processing of signals from different fibers. That is advantageous particularly in the imaging, by means of coherence tomography, of blood vessels that have to be occluded for said imaging.

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Munich, Germany

Oliver Meissner