Abstract:
In a method for automatically determining coordinates, relative to a reference coordinate system, of markers contained in a 3D volume data set of a subject provided with markers imaged in 2D projections of the 3D volume data set are detected, the centers of gravity of the imaged markers are determined, and back projection straight lines through the markers are established. The intersection points of the back projection straight lines with each other are identified, or the points with the smallest distance from one another on different back projection straight lines are determined if the back projection lines arc skewed. Spatially limited areas are identified, which contain an accumulation of intersection points of back projection straight lines or an accumulation of points with the smallest distance from one another. The coordinates of the centers of gravity of these spatially limited areas are calculated and are used as the coordinates for the respective markers.
Abstract:
In a method and operating system for conducting a surgical intervention, respective position sensors are mounted at a laparoscope and a surgical instrument used to conduct the intervention, and a navigation system is supplied with orientation information from these position sensors. Based on this orientation information, the navigation system automatically controls a robot arm, to which the laparoscope is mounted, to always maintain the surgical instrument in the field of view of the laparoscope.
Abstract:
In an apparatus and method for cardiological ablation an endoscope with an integrated optical camera and an instrument access channel is guided in a patient by an endoscope control and processing device and an endoscope visualization device, and an RF ablation wire is actively navigated by means of a magnetic navigation system into the instrument access channel.
Abstract:
In a system, method and workstation, images of a first subject are acquired with an image signal acquisition unit, the position of the image signal acquisition unit is determined, the position of a second subject is determined and the position of the second subject relative to the image signal acquisition unit is also determined and an image of the second subject is mixed into an image of the first subject acquired with the image signal acquisition unit.
Abstract:
In a method and a system for visualizing the position and orientation of an object that is penetrating, or that has penetrated, into a subject, a first set of image data are produced from the interior of the subject before the object has penetrated into the subject, a second set of image data are produced from the interior of the subject during or after the penetration of the object into the subject, the sets of image data are connected and are superimposed to form a fused set of image data, and an image obtained from the fused set of image data is displayed. The system has an x-ray computed tomography apparatus, and an x-ray apparatus, and/or an ultrasound apparatus for producing the first and second sets of data, respectively.
Abstract:
In a method and apparatus for catheter navigation in three-dimensional vascular tree exposures, particularly for intercranial application, the catheter position is detected and mixed into the 3D image of the pre-operatively scanned vascular tree reconstructed in a navigation computer and an imaging (registering) of the 3D patient coordination system ensues on the 3D image coordination system prior to the intervention using a number of markers placed on the patient's body, the position of these markers being registered by the catheter. The markers of a C-arm x-ray device for 3D angiography are detected in at least two 2D projection images, from which the 3D angiogram is calculated, and are projected back on to the imaged subject in the navigation computer and are brought into relation to the marker coordinates in the patient coordinate system, using projection matrices applied to the respective 2D projection images, these matrices already having been determined for the reconstruction of the 3D volume set of the vascular tree.
Abstract:
In a system and a method for generating an image that contains superimposed or fused image data, a first system acquires an image dataset from a subject and a second system obtains a video image of the subject. The positions of the first, the second systems in the acquisition of the image datasets are determined with the an arrangement for position determination, such as a navigation system, with reference to which the position of the image dataset acquired with the first system and the position of the video image dataset can be determined in space, so that the two image datasets can be superimposed or fused with one another. An arrangement also can be provided for generating a video image expanded with image data of the image dataset acquired with the first system.
Abstract:
In a visualization system and method for visualization of data that relate to a medical intervention at a patient, a surgeon has no visual contact with a surgical instrument but can visualize in the form of a projected geometrical shape by a visualization device, the geometrical shape corresponding to the position and orientation of the surgical instrument onto the body surface of the patient under which the surgical instrument is located with a characteristic of the geometrical shape indicating the distance of the surgical instrument from the body surface.
Abstract:
A method for determining the location, in a coordinate system, of a target position for an invasive medical procedure on a patient. An entry mark that defines the coordinate system and indicates an entry position for the procedure is affixed to the patient. A site marker, which can be identified in a radioscopy image, is fixed in a known relative location in the coordinate system. At least two 2D radioscopy images of the patient, which both depict the respective site marker and the target position, are recorded from different recording directions. The location of the target position in the coordinate system is determined from the representation of the target position and from the representation of the site marker in the 2D radioscopy images and from the relative location of the site marker in the coordinate system.
Abstract:
A layer orientation is determined for a 2D layer image that is to be generated from 3D image data of an anatomical object in the body of a patient. First, a model resembling the object that is imaged in the 3D image data is selected from a model pool. The model has an assigned default orientation in a permanently selected relative position with respect to the model. While the relative position is being maintained, the model is aligned with the 3D image data so as to match the model to the object with maximum coincidence. The default orientation established relative to the 3D image data is then selected as the layer orientation for the 3D image data.