A method of the present disclosure includes performing, by a processing device, a first image registration between a reference image of a patient and a motion image of the patient to perform alignment between the reference image and the motion image, wherein the reference image and the motion image include a target position of the patient. The method further includes performing, by the processing device, a second image registration between the reference image and a motion x-ray image of the patient, via a first digitally reconstructed radiograph (DRR) for the reference image of the patient. The method further includes tracking at least a translational change in the target position based on the first registration and the second registration.

Provided is a method of generating a virtual x-ray image, the method including: obtaining a 3-dimensional (3D) image of a patient; determining a projection direction of the 3D image in consideration of a position relationship between an x-ray source of an x-ray device and the patient; and generating a virtual x-ray image by projecting the 3D image on a 2D plane in the determined projection direction.

A two-dimensional image acquisition unit acquires a plurality of two-dimensional images generated from a three-dimensional image of a patient in a case where an observation target is viewed from a plurality of different viewpoints, and a surface data acquisition unit acquires surface data of each of a plurality of structures on the patient from the three-dimensional image. A composite image generation unit generates a composite image in which a composite target image generated from the surface data and the two-dimensional image are composed, and a display switching control unit receives an operation of displaying or non-displaying any of the structures and performs display by switching between the composite image of the composite target image and the two-dimensional image corresponding to the structure to be displayed and the two-dimensional image of the structure to be non-displayed.

A non-transitory computer-readable storage medium storing a program causes a computer to perform an analysis process based on a radiation moving image in which a dynamic state of a specific site of a subject is captured. The program includes the analysis process in which, an analysis is performed based on the radiation moving image wherein when a plane in which the specific site is movable is to be a movable plane, the radiation moving image is obtained by irradiating radiation on the specific site in a state in which the radiation is orthogonal to the movable plane.

The present disclosure directs to a method for image processing. The method may include obtaining scanning data of a spine of a subject, determining one or more centrum parameters of each of a plurality of centrums of the spine based on the scanning data, and identifying at least one intervertebral disc based on the one or more centrum parameters.

Each of the at least one intervertebral disc may be between a pair of neighboring centrums of the plurality of centrums. The method may include determining an intervertebral disc reconstruction protocol of each of the at least one intervertebral disc, determining a target intervertebral disc of the at least one intervertebral disc, and reconstructing one or more images of the target intervertebral disc based on an intervertebral disc reconstruction protocol of the target intervertebral disc. The intervertebral disc reconstruction protocols may relate to MPR.

Systems and methods for breast x-ray tomosynthesis that enhance spatial resolution in the direction in which the breast is flattened for examination. In addition to x-ray data acquisition of 2D projection tomosynthesis images ETp1 over a shorter source trajectory similar to known breast tomosynthesis, supplemental 2D images ETp2 are taken over a longer source trajectory and the two sets of projection images are processed into breast slice images ETr that exhibit enhanced spatial resolution, including in the thickness direction of the breast. Additional features include breast CT of an upright patient's flattened breast, multi-mode tomosynthesis, and shielding the patient from moving equipment.

A non-transitory computer readable storage medium stores instructions causing a computer that processes information stored in an image management apparatus to execute: creating a synthesized image by synthesizing a scout image in a predetermined region of a slice image, the slice image and the scout image being stored in the image management apparatus, and the scout image specifying a cross-section position of the slice image.

A computer implemented method for determining a two dimensional DRR referred to as dynamic DRR based on a 4D-CT, the 4D-CT describing a sequence of three dimensional medical computer tomographic images of an anatomical body part of a patient, the images being referred to as sequence CTs, the 4D-CT representing the anatomical body part at different points in time, the anatomical body part comprising at least one primary anatomical element and secondary anatomical elements, the computer implemented method comprising the following steps: acquiring the 4D-CT; acquiring a planning CT, the planning CT being a three dimensional image used for planning of a treatment of the patient, the planning CT being acquired based on at least one of the sequence CTs or independently from the 4D-CT, acquiring a three dimensional image, referred to as undynamic CT, from the 4D-CT, the undynamic CT comprising at least one first image element representing the at least one primary anatomical element and second image elements representing the secondary anatomical elements; acquiring at least one trajectory, referred to as primary trajectory, based on the 4D-CT, the at least one primary trajectory describing a path of the at least one first image element as a function of time; acquiring trajectories of the second image elements, referred to as secondary trajectories, based on the 4D-CT; for the image elements of the undynamic CT, determining trajectory similarity values based on the at least one primary trajectory and the secondary trajectories, the trajectory similarity values respectively describing a measure of similarity between a respective one of the secondary trajectories and the at least one primary trajectory; determining the dynamic DRR by using the determined trajectory similarity values, and, in case the planning CT is acquired independently from the 4D-CT, further using a transformation referred to as planning transformation from the undynamic CT to the planning CT, at least a part of image values of image elements of the dynamic DRR being determined by using the trajectory similarity values.

A method for performing a CT imaging process based on an individual respiration behaviour of a patient, comprises: recording a respiratory movement of the patient by monitoring an intrinsic respiratory surrogate. In the context of recording the intrinsic respiratory surrogate, CT raw data are acquired from an examination volume of the patient, and 3D-CT images of subsequent stacks of the examination volume at different z-positions are reconstructed. An automatic organ segmentation is performed based on the reconstructed 3D-CT images of the subsequent stacks, wherein at least a portion of the examination volume is segmented. Furthermore, a respiratory movement of at least the portion of the examination volume is detected and determined as the intrinsic respiratory surrogate. The CT imaging process is then adapted based on the intrinsic respiratory surrogate of the patient.

A region correction device, method, and program make it possible to, when one of a plurality of regions is corrected to be reduced, determine the boundaries of a plurality of regions adjacent to the reduced region. A processor reduces a first region among a plurality of regions in response to an instruction to reduce the first region, the instruction being provided for a target image in which the plurality of regions are adjacent to each other, the plurality of regions being three or more regions different from each other. The processor derives a difference region representing a difference between the first region before reduction and the first region after reduction, the difference region being composed of a plurality of small regions. The processor assigns a plurality of adjacent regions adjacent to the first region to the difference region by sequentially expanding, in the difference region, the plurality of adjacent regions in units of the small regions from a boundary between the difference region and the plurality of adjacent regions.