A particle beam therapy apparatus 10 includes: a particle beam irradiator 16 outputting a particle beam B; a movable supporting structure 21 supporting the particle beam irradiator 16; movable plates 37 disposed on a displacement trajectory of the particle beam irradiator 16, forming a substantially horizontal enveloping surface below a table 18 for placing an irradiation object 13, and including first and second floor members in at least one of the movable plates 37, the second floor member being larger in X-ray transmittance than the first floor member; an X-ray generator 27a provided in a non-collision area 31 where the X-ray generator 27a does not collide with any of the particle beam irradiator 16, the supporting structure 21, and the movable plates 37; and an X-ray detector 27b installed at a position where the X-ray detector 27b faces the X-ray generator 27a.

Systems and methods for tracking a target volume, e.g., tumor, in real-time during radiation treatment are provided. The system includes a memory to store a pre-acquired 3D image of the anatomy of interest in a first reference frame and a processor, operative coupled with the memory, to receive, from an ultrasound probe, a set-up ultrasound image of the anatomy of interest in a second reference frame. The processor further to establish a transformation between the first and second reference frames by registering the set-up ultrasound image with the pre-acquired 3D image and receive, from the ultrasound probe, an intrafraction ultrasound image of the anatomy of interest. The processor further to register the intrafraction ultrasound image with the set-up ultrasound image and track motion of the anatomy of interest based on the registered intrafraction ultrasound image.

An image acquisition unit acquires a radiographic image set including a plurality of radiographic images, which have been generated by alternately irradiating a subject with radiation emitted from a plurality of radiation sources provided at different positions and alternately detecting the radiation transmitted through the subject using one detection unit, at a predetermined time interval. A feature point detection unit detects at least one common feature point in the subject from each of the plurality of radiographic images included in the radiographic image set. A positional information derivation unit derives three-dimensional positional information of the at least one feature point in the subject using a positional relationship between a position of the at least one feature point detected from each of the plurality of radiographic images on a detection surface of the detection unit and positions of the plurality of radiation sources.

A method for increasing accuracy of positioning an X-ray device relative to an examination subject using a camera system includes recording a first data set, acquiring original positioning information pertaining to the X-ray device and specifying a target position of the X-ray device relative to the original position. The X-ray device is positioned out of the original position into a first approach position using the original positioning information, and a second data set is recorded. A deviation between the target position and the first approach position is determined by a reconciliation between the first data set and the second data set. The X-ray device is positioned out of the first approach position into a second approach position using the determined deviation.

A first positional information derivation unit derives three-dimensional positional information of at least one target point of a target structure in a subject as first positional information. A second positional information derivation unit derives three-dimensional positional information of at least one feature point on an insertion structure inserted to the target structure in the subject as second positional information. A display control unit displays a positional information screen indicating a positional relationship between the target point and the feature point on a display unit.

In an embodiment, a medical system is disclosed. One embodiment of the medical system comprises a medical processing unit in communication with an intravascular instrument configured to be moved longitudinally within a body lumen and in further communication with a radiographic imaging source configured to obtain radiographic images of the intravascular instrument while the intravascular instrument is moved longitudinally within the body lumen. The medical processing unit is configured to receive radiographic images obtained by the radiographic imaging source, track the intravascular instrument within the radiographic images while the intravascular instrument is moved longitudinally within the body lumen, calculate a movement speed based on the tracking, compare the calculated movement speed to a predefined target movement speed, generate a speed-adjustment suggestion based on the comparison, and output the speed-adjustment suggestion to a display for review by a user.

To improve breast mammography imagery via use of a digital slot scanning imaging system that accommodates the changing thickness of the breast from the chest wall to the nipple by scanning the breast from the chest outward to the nipple or vice versa instead of the side-to-side methodology and using Automatic Exposure Control or AEC parameters optimized for the changing thickness and composition of the breast at each scan location and an improved breast compression device, wherein uniform breast compression mechanism includes a first breast plate and a second breast plate, wherein at least one of said first breast plate and said second breast plates includes an angle adjustment or tilt to account for the high variability in breast sizes and configurations while maintaining optimal immobilization with excellent patient comfort.

The disclosure provides a method and device for performing three-dimensional blood vessel reconstruction using projection images of a patient. The computer-implemented method includes receiving a first two-dimensional image of a blood vessel in a first projection direction and a three-dimensional model of the blood vessel. The method further includes determining, by a processor, a first optical path length at a selected position of the blood vessel based on the first two-dimensional image. The method also includes determining, by the processor, a second optical path length at the selected position of the blood vessel in the three-dimensional model. The method additional includes adjusting the three-dimensional model of the blood vessel, based on a comparison of the first optical path length and the second optical path length.

A system for constructing fluoroscopic-based three-dimensional volumetric data of a target area within a patient from two-dimensional fluoroscopic images including a structure of markers, a fluoroscopic imaging device configured to acquire a sequence of images of the target area and of the structure of markers, and a computing device. The computing device is configured to estimate a pose of the fluoroscopic imaging device for at least a plurality of images of the sequence of images based on detection of a possible and most probable projection of the structure of markers as a whole on each image of the plurality of images. The computing device is further configured to construct fluoroscopic-based three-dimensional volumetric data of the target area based on the estimated poses of the fluoroscopic imaging device.

A method is provided for determining a relative position of an object in relation to an x-ray imaging apparatus for creating an x-ray and a recorded image. The method includes brining an object in a ray path of the x-ray into a first position. The x-ray is created with a first focus point by an x-ray source and a first recorded image of the object in the first position is created by the x-ray focused on a first focus point. In the first recorded image, at least one defined geometry in and/or on the object is imaged. A measure for a change in the focus point towards a second focus point is undertaken at the x-ray source. The x-ray with the second focus point is created by the x-ray source and a second recorded image of the object in the first position is created by the x-ray focused on the second focus point. In the second recorded image, the at least one defined geometry is imaged. A distance from the object to the x-ray source and/or to the x-ray detector is determined based on the change in the focus point, as well as on the basis of the imagings of the at least one defined geometry in the first and the second recorded image.