A method and system for determining fractional flow reserve (FFR) for a coronary artery stenosis of a patient is disclosed. In one embodiment, medical image data of the patient including the stenosis is received, a set of features for the stenosis is extracted from the medical image data of the patient, and an FFR value for the stenosis is determined based on the extracted set of features using a trained machine-learning based mapping. In another embodiment, a medical image of the patient including the stenosis of interest is received, image patches corresponding to the stenosis of interest and a coronary tree of the patient are detected, an FFR value for the stenosis of interest is determined using a trained deep neural network regressor applied directly to the detected image patches.

A surgical image acquisition system includes multiple illumination sources, each source emitting light at a specified wavelength, a light sensor to receive light reflected from a tissue sample illuminated by each of the illumination sources, and a computing system. The computer system may receive data from the light sensor when the tissue sample is illuminated by the illumination sources, determine a depth of a structure within the tissue sample, and calculate visualization data regarding the structure and its depth within the tissue. The visualization data may have a format for use by a display system. The structure may include vascular tissue. The illumination sources may include red, green, blue, infrared, ultraviolet, and white light sources. The structure depth may be determined by a spectroscopy method or a Doppler shift method. The system may include a controller and computer enabled instructions to accomplish the above.

The invention relates to an apparatus (1) and method for automatically determining the blood flow direction (42) in a blood vessel (14) using the fluorescence light from a fluorophore (16). Blood flow direction (42) is determined by first identifying a blood vessel structure (38) in an input frame (6) from a camera assembly (2) using a pattern recognition module (26). Blood flow direction (42) is determined from the spatial gradient (dI/dx) of the fluorescence intensity (I) along the identified blood vessel structure (38) and the temporal gradient (dI/dt). An output frame (48) is displayed on a display (36) with time-varying marker data (52) overlaid on the identified blood vessels structure (38) and representative of the blood flow direction (42).

Embodiments include a system for determining cardiovascular information for a patient. The system may include at least one computer system configured to receive patient-specific data regarding a geometry of the patient's heart, and create a three-dimensional model representing at least a portion of the patient's heart based on the patient-specific data. The at least one computer system may be further configured to create a physics-based model relating to a blood flow characteristic of the patient's heart and determine a fractional flow reserve within the patient's heart based on the three-dimensional model and the physics-based model.

The disclosure relates generally to the field of vascular system and peripheral vascular system data collection, imaging, image processing and feature detection relating thereto. In part, the disclosure more specifically relates to methods for detecting position and size of contrast cloud in an x-ray image including with respect to a sequence of x-ray images during intravascular imaging. Methods of detecting and extracting metallic wires from x-ray images are also described herein such as guidewires used in coronary procedures. Further, methods for of registering vascular trees for one or more images, such as in sequences of x-ray images, are disclosed. In part, the disclosure relates to processing, tracking and registering angiography images and elements in such images. The registration can be performed relative to images from an intravascular imaging modality such as, for example, optical coherence tomography (OCT) or intravascular ultrasound (IVUS).

A method of assessing stenosis severity for a patient includes generating a three dimensional model of a lesion specific vessel tree of the patient. A plurality of inlet and outlet positions are identified in the lesion tree. A total flow rate from the vessel tree model is estimated. A processor and task specific software are utilized to perform computational fluid dynamic simulation on the vessel tree. A flow rate and apparent flow resistance for each of the outlets is then determined. At least one ideal model is generated. A computational fluid dynamic simulation is performed on the at least one ideal model. A level of stenosis severity is determined for each of the outlets.

A system and method includes reception of a plurality of fill frames of a patient volume, each of the plurality of fill frames depicting a contrast medium within the patient volume at a respective time, identification, for each pixel location of the fill frames, of a fill frame whose pixel at the pixel location is associated with a pixel value which represents a greater level of contrast medium than the pixel values of pixels at the pixel location within the others of the plurality of fill frames, generation of a peak contrast fill frame corresponding to each fill frame, the peak contrast fill frame corresponding to a given fill frame including, at pixel locations for which the given fill frame was identified, pixels associated with pixel values of the given fill frame, and storage of the plurality of peak contrast fill frames.

A method for determining respiratory induced blood mass change from a four-dimensional computed tomography (4D CT) includes receiving a 4D CT image set which contains a first three-dimensional computed tomographic image (3D CT) and a second 3D CT image. The method includes executing a deformable image registration (DIR) function on the received 4D CT image set, and determining a displacement vector field indicative of the lung motion induced by patient respiration. The method further includes segmenting the received 3D CT images into a first segmented image and a second segmented. The method includes determining the change in blood mass between the first 3D CT image and the second 3D CT image from the DIR solution, the segmented images, and measured CT densities.

Embodiments include a system for determining cardiovascular information for a patient. The system may include at least one computer system configured to receive patient-specific data regarding a geometry of the patient's heart, and create a three-dimensional model representing at least a portion of the patient's heart based on the patient-specific data. The at least one computer system may be further configured to create a physics-based model relating to a blood flow characteristic of the patient's heart and determine a fractional flow reserve within the patient's heart based on the three-dimensional model and the physics-based model.

The present application relates to a method and system for analyzing blood flow conditions. The method includes: obtaining images at multiple time phases; constructing multiple vascular models corresponding to the multiple time phases; correlating the multiple vascular models; setting boundary conditions of the multiple vascular models respectively based on the result of correlation; and determining condition of blood vessel of the vascular models.