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    • 4. 发明申请
    • REGISTRATION OF AORTA TO PATIENT VIA TWO 2D IMAGES FOR PLACEMENT OF A STENT
    • 通过用于放置一个STENT的两个2D图像将AORTA注册给患者
    • US20120022366A1
    • 2012-01-26
    • US12840649
    • 2010-07-21
    • Marcus Pfister
    • Marcus Pfister
    • A61B5/05
    • A61B6/032A61B6/12A61B6/481A61B6/504A61B6/5235G06T7/33G06T2207/10081G06T2207/10116G06T2207/20221G06T2207/30101
    • In a method for visualizing placement of a stent in an aorta of a patient with reduced use of contrast agent, a 3D volume image of the aorta of the patient is provided from a CT scan before placing the stent. An angiography system with a C-arm is provided to take 2D images of the patient. A computer is provided having registration software for registering the 3D volume image and 2D images taken by the angiography system. A first segmentation is performed on the 3D volume image to segment the aorta from remaining parts of the 3D image. A second segmentation is performed using the first segmentation on the 3D volume image to segment a bony structure of the patient from remaining parts of the 3D volume image. A first 2D image of the aorta is obtained from a first direction with use of a contrast agent. A second 2D image is obtained from a second direction but without use of contrast agent. The segmented aorta in the 3D volume image is registered to the C-arm to create a registered 3D volume image by registering the first 2D image to the segmented aorta and registering the second 2D image to the segmented bony structure. The stent is placed in the aorta while observing on the angiography system a third continuous 2D image taken by the angiography system superimposed on the registered 3D volume image.
    • 在使用造影剂的患者的主动脉中放置支架的可视化方法中,在放置支架之前,从CT扫描提供患者主动脉的3D体积图像。 提供具有C臂的血管造影系统以获取患者的2D图像。 提供具有注册软件的计算机,用于注册3D体积图像和由血管造影系统拍摄的2D图像。 在3D体积图像上执行第一分割,以从3D图像的其余部分分割主动脉。 使用3D体积图像上的第一分割来执行第二分割,以从3D体积图像的剩余部分分割患者的骨骼结构。 使用造影剂从第一方向获得主动脉的第一2D图像。 从第二方向获得第二2D图像,但不使用造影剂。 3D体积图像中的分割主动脉通过将第一2D图像注册到分割的主动脉并将第二2D图像注册到分段骨结构来登记到C臂以创建注册的3D体积图像。 将支架放置在主动脉中,同时在血管造影系统上观察血管造影系统拍摄的第三连续2D图像,该图像叠加在注册的3D体积图像上。
    • 5. 发明授权
    • Analytical method for a number of two-dimensional projection images of a three-dimensional examination object
    • 用于三维检查对象的多个二维投影图像的分析方法
    • US08036453B2
    • 2011-10-11
    • US11986857
    • 2007-11-27
    • Wolfgang HärerMarcus Pfister
    • Wolfgang HärerMarcus Pfister
    • G06K9/00
    • G06T11/006
    • A number of two-dimensional projection images of a three-dimensional examination object are assigned image times and imaging parameters. The projection images are combined into reconstruction groups including projection images with image times specifically assigned or within a time interval specific to the reconstruction groups. The reconstruction groups are determined in such a way that three-dimensional reconstructions of the examination object with direction-dependent local resolution can be determined based on the projection images of the reconstruction groups; it is not possible to determine three-dimensional reconstructions of the examination object with direction-independent local resolution. Three-dimensional reconstructions of the examination are determined based on the projection images of the reconstruction groups. Reconstruction times are determined based on the image times assigned to the projection images of the reconstruction groups and assigned to the three-dimensional reconstructions. Further analyses are performed as a function of the temporal sequence of the three-dimensional reconstructions.
    • 将三维检查对象的多个二维投影图像分配给图像时间和成像参数。 将投影图像组合成重建组,包括具有特定分配的图像时间的投影图像或者在重建组特有的时间间隔内。 确定重建组,使得可以基于重建组的投影图像来确定具有方向依赖性局部分辨率的检查对象的三维重建; 不可能用方向独立的局部分辨率来确定检查对象的三维重建。 根据重建组的投影图像确定检查的三维重建。 基于分配给重建组的投影图像的图像时间并分配给三维重建来确定重建时间。 作为三维重建的时间序列的函数进行进一步的分析。
    • 9. 发明授权
    • Method for locating a medical instrument during an intervention performed on the human body
    • 在对人体进行的干预中定位医疗器械的方法
    • US07778690B2
    • 2010-08-17
    • US11805215
    • 2007-05-22
    • Jan BoeseMarcus Pfister
    • Jan BoeseMarcus Pfister
    • A61B5/05H01J35/00
    • A61B5/063A61B5/06A61B5/062A61B6/12A61B34/20A61B90/36A61B2034/2051A61B2090/376G06F19/00
    • The invention relates to a method for locating a medical instrument during an intervention performed on the human body using an X-ray image recording system and an electromagnetic locating system whose systems of coordinates have been or will be mutually registered, with a first item of positional information about the instrument being obtained continuously by means of the locating system and in each case two two-dimensional X-ray images positioned at an angle to each other being intermittently recorded by means of the X-ray image recording system, from which images a second item of positional information about the instrument is determined and compared with the first item of positional information, after which the first item of positional information will be corrected depending on the comparison result taking account of the second item of positional information obtained from the X-ray images.
    • 本发明涉及一种用于在使用X射线图像记录系统对人体进行的干预期间定位医疗器械的方法以及其坐标系统已经或将要相互注册的电磁定位系统,其中第一项位置 关于通过定位系统连续获得的仪器的信息,并且在每种情况下,通过X射线图像记录系统间歇地记录彼此成角度定位的两个二维X射线图像,图像a 确定与仪器相关的位置信息的第二项,并将其与位置信息的第一项进行比较,之后根据从X轴获得的位置信息的第二项目考虑的比较结果来修正位置信息的第一项, 射线图像。
    • 10. 发明申请
    • SYSTEM AND METHOD FOR A MEDICAL PROCEDURE USING COMPUTED TOMOGRAPHY
    • 使用计算机图形医学程序的系统和方法
    • US20090281452A1
    • 2009-11-12
    • US12429546
    • 2009-04-24
    • Marcus PfisterNorbert Strobel
    • Marcus PfisterNorbert Strobel
    • A61B10/02A61B6/08
    • A61B6/12A61B6/4441A61B6/5229A61B90/11A61B90/13A61B2034/107A61B2090/364A61B2090/376A61N2005/1061
    • A system and method for planning and performing a percutaneous medical procedure is described. A three dimensional data set of a patient is registered with respect to a patient position and an interventional apparatus, which may be a C-arm X-ray device. A target within the patient is identified in the image data, and a skin entry point chosen for planning the procedure. The image data set is processed so as to compute a two dimensional fluoroscopic overlay image upon which the target and the skin entry point are displayed. The angulation of the volumetric representation of the C-arm is controlled so as to plan the guiding path for an interventional device, and the planning attempts to achieve one of a bull's eye orientation or a generalized bull's orientation. The interventional device is aligned with the guiding axis to perform the procedure, which may be monitored using X-ray progression views.
    • 描述了一种用于规划和执行经皮医疗过程的系统和方法。 关于患者位置和介入装置登记患者的三维数据集,其可以是C臂X射线装置。 在图像数据中识别患者内的目标,以及为规划程序而选择的皮肤入口点。 对图像数据集进行处理,以计算显示目标和皮肤入口点的二维荧光透视叠加图像。 控制C臂的体积表示的角度,以便计划介入装置的引导路径,并且规划尝试实现公牛的眼睛取向或广义的公牛方位。 介入装置与引导轴对齐以执行该过程,其可以使用X射线进程视图来监视。