The present invention comprises a novel method to utilize the diameter of the internal jugular vein, obtained using an ultrasound machine, to estimate a patient's volume status and cardiac ventricular function. In this technique, the ultrasound machine is used to measure the diameter of the internal jugular vein (IJV) lumen. In addition, the ultrasound machine is used to measure the respiratory variation in the IJV lumen diameter, measured as the difference between the maximum and minimum diameter divided by the maximum diameter and expressed as a percentage. The ultrasound machine is also used to identify a complete approximation of the IJV diameter into 0 millimeters with deep breathing and/or sniff. The above information is used to estimate the patient's volume and cardiac function status.

Methods for processing two-dimensional ultrasound images from an intracardiac ultrasound imaging catheter provide improved image quality and enable generating three-dimensional composite images of the heart. Two-dimensional ultrasound images are obtained and stored in conjunction with correlating information, such as time or an electrocardiogram. Images related to particular conditions or configurations of the heart can be processed in combination to reduce image noise and increase resolution. Images may be processed to recognize structure edges, and the location of structure edges used to generate cartoon rendered images of the structure. Structure locations may be averaged over several images to remove noise, distortions and blurring from movement.

Disclosed is an ultrasound image processing apparatus (5) comprising an image processor arrangement (50) adapted to receive a first sequence (100′) of ultrasound images (150) imaging an anatomical feature of interest (151) during a first full cardiac cycle in the absence of an invasive medical device (15) in said ultrasound images, each ultrasound image corresponding to a different phase of said cardiac cycle; receive a further sequence (100) of ultrasound images (150) imaging the anatomical feature of interest (151) during a further full cardiac cycle in the presence of the invasive medical device (15) in said ultrasound images, each ultrasound image corresponding to a different phase of said cardiac cycle said invasive medical device (15) at least partially obscuring the anatomical feature of interest, and for each ultrasound image of the further sequence: track the location of the invasive medical device in the ultrasound image; isolate the invasive medical device from the ultrasound image; and insert the isolated invasive medical device into an ultrasound image of the first sequence of a corresponding phase of the cardiac cycle in the tracked location; and control a display device to display the first sequence of ultrasound images including the inserted invasive medical device. Also disclosed are an ultrasound imaging system comprising such an ultrasound image processing apparatus and a computer program product facilitating the configuration of such an image processing apparatus in accordance with embodiments of the present invention.

Real time strain imaging is provided by acquiring a sequence of cardiac image frames and estimating tissue displacement in the myocardium over a heart cycle. The displacements are used to calculate strain over the myocardium and a color map is formed of the strain values. During the next heart cycle the color map is warped to fit the myocardium in each image frame and the warped color map is displayed as a color overlay over the myocardium of each image of the new heart cycle as they are displayed in real time. A new color map is also produced over the new heart cycle for use with the following heart cycle. An ultrasound system which performs real time strain imaging is also described.

Apparatus and methods are described for use with an imaging device (12) configured to acquire a set of angiographic images of a lumen. At least one processor (10) includes blood-velocity-determination functionality (16) that determines blood velocity within the lumen, via image processing. Current-flow-related-parameter-determination functionality (18) determines a value of a flow-related parameter at the location based upon the determined blood velocity. Flow-related-parameter-receiving functionality (19) receives an indication of a value of a second flow-related parameter of the subject, and index-determination functionality (21) determines a value of a luminal-flow-related index of the subject at the location, by determining a relationship between the value of the current flow-related parameter and the value of the second flow-related parameter. Other applications are also described.

An ultrasound imaging system performs spectral Doppler processing in a manner that considers a physiological cycle of a subject. In one embodiment, gaps in a spectral Doppler signal are filled taking by a processor that analyzes changes in the spectral Doppler signal caused by a physiological cycle. Spectral Doppler data are scaled to fit with the data occurring before and after a gap. The firing order of an interleaved imaging mode can also be adjusted so that spectral Doppler imaging is not interrupted during pre-defined or user defined portions of a physiological cycle.

Systems and methods for triggering the acquisition of elastography measurements based on motion data are disclosed. Motion data may be acquired by Doppler mode imaging in some embodiments. The motion data may be used to generate a trigger signal. The trigger signal may be provided to a transmit controller. The transmit controller may cause an ultrasound transducer to acquire elastography measurements responsive to the trigger signal.

A method and system are disclosed for radiosurgical treatment of moving tissues of the heart, including acquiring at least one volume of the tissue and acquiring at least one ultrasound data set, image or volume of the tissue using an ultrasound transducer disposed at a position. A similarity measure is computed between the ultrasound image or volume and the acquired volume or a simulated ultrasound data set, image or volume. A robot is configured in response to the similarity measure and the position of the transducer, and a radiation beam is fired from the configured robot.

An ultrasound diagnostic apparatus according to an embodiment includes processing circuitry. The processing circuitry calculates, based on first ultrasound information relating to a displacement over time of an organ that makes a periodic movement, a function relating to a clutter component originating from the organ, and calculates, based on the function and second ultrasound information relating to a displacement over time of the organ after pressure is applied to the organ, a shear wave that propagates through the organ by the applied pressure.

A method for measuring viscoelastic properties of a viscoelastic medium, the method including positioning a probe in contact with the viscoelastic medium, the probe extending along a longitudinal axis and being adapted to carry out transient elastography measurements and including a casing, at least one ultrasound a transducer arranged at a tip of the probe and adapted to generate ultrasounds, a force sensor configured to measure a force applied by the tip of the probe, and a vibrator arranged in the casing and adapted to generate a low-frequency wave, measuring a contact force by the force sensor; generating a measurement ready signal by the probe when the measured contact force is higher than a minimum measurement force threshold, and when the measurement ready signal has been generated, triggering a transient elastography measurement.