A procedure can be assisted by a processor system, such as a computer system. A trajectory can be used to identify a selected trajectory or path of an instrument to reach a tumor within a brain of a subject, reach a selected portion of the anatomy (e.g. sub-thalamic nucleus (STN) or spinal cord), or other appropriate target. The planning algorithm can include both inputted data and learned rankings or ratings related to selected trajectories. The planning algorithm can used the learned ratings to rate and later determined trajectories.

One or more devices, systems, methods and storage mediums for performing medical procedure (e.g., needle guidance, ablation, biopsy, etc.) planning and/or performance, and/or for performing guidance of multiple probes or multiple needles, are provided. Examples of applications for such devices, systems, methods and storage mediums include imaging, evaluating and diagnosing biological objects, such as, but not limited to, lesions and tumors, and such devices, systems, methods and storage mediums may be used for radiotherapy applications (e.g., to determine whether to place seed(s) for radiotherapy). Even in instances where communication between a medical tool or needle guidance device and a system is wireless or wired, preferably guidance information is still gathered and transmitted, especially in instances where wireless or wired communication signals are intermittent or interrupted.

Systems and methods are disclosed for blood flow simulation. For example, a method may include performing a plurality of blood flow simulations using a first model of vascular blood flow, each of the plurality of blood flow simulations simulating blood flow in a vasculature of a patient or a geometry based on the vasculature of the patient; based on results of the plurality of blood flow simulations, generating a response surface mapping one or more first parameters of the first model to one or more second parameters of a reduced order model of vascular blood; determining values for the one or more parameters of the reduced order model mapped, by the response surface, from parameter values representing a modified state of the vasculature; and performing simulation using the reduced order model parameterized by the determined values, to determine a blood flow characteristic of the modified state of the vasculature.

A computer-implemented method plans a position of a tracking reference device for referencing a position in a medical environment. The method includes a determination of avoidance regions in which a tracking reference device should not be placed so as to safeguard proper tracking of the tracking reference device and/or an instrument tracking reference device which is attached to a medical instrument. The avoidance region is a region lying, from the point of view of a tracking device for tracking the tracking reference device, in the shadow of an envelope surrounding at least one medical instrument. Additionally or alternatively, an avoidance region may lie in between the position of the tracking device and the envelope to avoid a shadowing, by the tracking reference device, of an instrument tracking reference device attached to the medical instrument. Information describing the position of the at least one avoidance region is displayed to a user, and also information about the position of a region which is suitable for placement of the tracking reference device can be displayed to the user.

In an embodiment, a method (100) is described. The method comprises receiving (102) data corresponding to a plurality of radiographic imaging slices of a body. The method further comprises determining (104) a position of a needle inserted in the body. The determination is based on combining information from at least one of the radiographic imaging slices comprising an indication of a first portion of the needle outside the body and at least one other of the radiographic imaging slices comprising an indication of a second portion of the needle inside the body. A combined needle region is generated by merging data corresponding to a position of the first portion of the needle outside the body with data corresponding to a position of the second portion of the needle inside the body. The method further comprises generating (106) display data for providing a visual representation of the needle in an image of the body in combination with a visual representation of at least the first and second portions of the needle superimposed on the image. The image is in a plane that is digitally tilted with respect to a plane parallel to the plurality of radiographic imaging slices.

Computer-implemented methods for modeling a surgical correction for a patient, and associated systems are disclosed herein. In some embodiments, the method includes obtaining patient data. The image data can depict a native anatomical configuration of a region of a patient's spine. The method also includes generating a virtual model of the patient's spine in the native anatomical configuration and/or a corrected anatomical configuration. The method can also include identifying one or more soft tissue surgical steps, predicting an effect of the soft tissue surgical steps, and generating a surgical plan for achieving the corrected anatomical configuration. The soft tissue surgical step can adjust an intraoperative mobility of vertebrae of the spine to achieve the corrected anatomical configuration. The surgical plan includes at least one of the soft tissue surgical steps to help facilitate movement of the vertebrae to the corrected anatomical configuration.

The disclosure relates to a path planning device for multi-probe joint cryoablation, the device comprising a memory and a processor. The memory stores a computer program, and the processor, when executing the computer program, implements the following steps: acquiring a target region in a medical scanned image of a target object and corresponding to a target tissue to be cryoablated;

selecting a single-probe ablation region from the target region; for the single-probe ablation region, obtaining a puncture path of single-probe cryoablation and a corresponding ice ball coverage region; and if the ice ball coverage region does not completely cover target region, then taking the remaining region of the target region from which the ice ball coverage region is excluded as a new target region, and returning to the step of selecting the selecting the single-probe ablation region from the target region.

Systems and methods for planning and performing image free implant revision surgery are discussed. For example, a method for generating a revision plan can include collecting pre-defined parameters characterizing a target bone, generating a 3D model, collecting a plurality of surface points, and generating a reshaped 3D model. Generating the 3D model of the target bone can be based on a first portion of the pre-defined parameters. Generating the reshaped 3D model can be done based on the plurality of surface points collected from a portion of the surface of the target bone.

Techniques for segmenting a percutaneous medical procedure based on one or more determinable phases. The techniques may include obtaining a first set of features over a first time period. The first set of features may be derived from instrument telemetry data corresponding to an endoluminal scope instrument. The technique may also include obtaining a second set of features over the first time period. The second set of features may be derived from instrument telemetry data corresponding to a percutaneous needle instrument. Based on the first set of features and the second set of features, the techniques may classify at least a portion of the first time period as a first phase of the percutaneous medical procedure.

A robotic surgical system may be used to perform a surgical procedure. Providing guidance for the robotic surgical system includes integrating a Point of View (PoV) surgical drill with a camera to capture a PoV image of a surgical area of a subject patient; displaying an image of the surgical area, based on a viewing angle of the PoV surgical drill, thus enabling the surgeon to operate on the surgical area using the PoV surgical drill. The PoV surgical drill operates based on the surgeon's control of a guidance drill. The content of the images may change based on a change in the viewing angle of the PoV surgical drill.