Abstract:
The present disclosure provides apparatus and methods to generate a three-dimensional (3D) model of the physiology of a vessel from a single angiographic image and a series of intravascular images as well as another physical characteristic of the vessel, such as, for example, pressure.
Abstract:
This disclosure provides alternative medical imaging systems and methods for vascular imaging co-registration. Methods include obtaining extravascular imaging data of a portion of a blood vessel including an extravascular image showing an intravascular imaging device disposed within the vessel with an imaging element disposed at a starting location for a translation procedure. The extravascular image also includes an extravascular contrast image showing the portion of the blood vessel with contrast showing a visualized anatomical landmark. Intravascular imaging data is obtained during the translation procedure that includes one or more intravascular images showing a detected anatomical landmark. The starting location and the ending location of the imaging element on the extravascular imaging data is marked, and the predicted location of the detected anatomical landmark on the extravascular imaging data is marked. The predicted location of the detected anatomical landmark is then aligned with the visualized anatomical landmark.
Abstract:
Embodiments herein relate to intravascular imaging display systems and related methods. In an embodiment, an intravascular imaging display system is included having a control circuit and a video output circuit. The video output circuit can be configured to generate a display output including a user interface. The user interface can include graphical elements related to a vessel being imaged. The graphical elements can include a first detected feature portion at least partially defined by a first graphic indicator and a second detected feature portion at least partially defined by a second graphic indicator. The first graphic indicator can be visually distinct from the second graphic indicator. The first detected feature portion and the second detected feature portion can be assigned to represent one or more locations along a vessel wall by the control circuit based on a degree of attenuation of an ultrasound return signal crossing a threshold value.
Abstract:
The present disclosure provides apparatus and methods to both infer stent expansion (vessel expansion or compliance) and probability of procedural success (vessel patency) from pretreatment diagnostic imaging at the point-of-care and also train an inference model to generate such an inference, thus allowing a physician to choose with greater certainty an optimal treatment tool and treatment protocol for treating a vessel of a patient.
Abstract:
A method, device, and system for evaluating a vessel of a patient, and in particular the hemodynamic impact of a stenosis within the vessel of a patient. Proximal and distal pressure measurements are made using first and second instrument while the first instrument is moved longitudinally in the vessel and the second instrument remains in a fixed position. A series of pressure ratio values are calculated, and a pressure ratio curve is generated. The pressure ratio curve may be output to a display. One or more stepped change in the pressure ratio curve are identified using an Automatic Step Detection algorithm. An image is obtained showing the position of the first instrument within the vessel that corresponds to the identified stepped change. The image is registered to the identified stepped change in the pressure ratio curve. The image may be output to the display.
Abstract:
Systems and methods for automatic lesion assessment and/or processing imaging data are disclosed. An example intravascular imaging system may include a catheter including an imaging device. A processor may be coupled to the catheter. The processor may be configured to process imaging data received from the imaging device. The processor may be configured to generate a longitudinal section view of a blood vessel from the imaging data received from the imaging device. The processor may be configured to identify a minimum lumen area along the longitudinal section view of the blood vessel, a distal reference point, and a proximal reference. A display unit may be coupled to the processor. The display unit may be configured to show a display including the longitudinal section view of the blood vessel.
Abstract:
Systems for determining fractional flow reserve are disclosed. An example system may include a pressure sensing guidewire for measuring a first pressure, a second pressure sensing medical device for measuring a second pressure, and a processor coupled to the pressure sensing guidewire and coupled to the second pressure sensing medical device. The processor may be designed to generate a plot of the magnitude of the second pressure over time, identify one or more time intervals of the plot that have a slope less than zero, determine a mean of the second pressure, and calculate the ratio of the first pressure to the second pressure when (a) the second pressure is less than or equal to the mean of the second pressure and (b) during the one or more time intervals when the slope of the plot is less than zero.
Abstract:
A method for real-time displaying of cross-sectional images during an intravascular ultrasound (IVUS) imaging procedure includes, during an intravascular ultrasound imaging procedure, receiving electrical signals from at least one transducer in a catheter as the at least one transducer rotates and moves longitudinally along a lumen of a patient blood vessel; during the intravascular ultrasound imaging procedure, processing the received electrical signals to form a series of cross-sectional images that are longitudinally-offset from one another along a length of the lumen; during the intravascular ultrasound imaging procedure, concurrently displaying i) a most recent image and ii) a previous image that is either a) selected by the operator or b) automatically selected as having a maximum or minimum of a selected image characteristic; and, during the intravascular ultrasound imaging procedure, updating the display of the most recent image as a new image from the series of cross-sectional images is processed.