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Comparing medical images better

Comparing medical images better | healthcare technology | Scoop.it

Combining multiple medical images from one patient can provide important information. This is not always easy to do with the naked eye. This is why we need software that can compare different medical images. To do so, so-called image registration methods are used, which basically compute which point in one image corresponds to which point in another image.

 

Current solutions are often not always suitable for use in a medical setting, which is why AMC and CWI together with companies Elekta and Xomnia will develop a new image registration method.

 

Suppose you have multiple CT and/or MRI images of a patient, made at different points in time. Medical staff wants to compare these images, for example to see how certain irregularities have developed over time. But these images are often fundamentally different (e.g., patients never lie in a scanner in the exact same manner) and when different imaging methods are used this is even more complicated.

 

So how can one determine precisely what has changed?

 

With the software that is currently available this can be very hard, or even impossible, to accomplish in practice.

 

This project has 2 major challenges. The models and algorithms for large deviations have to be improved. Next to that, the software has to be designed so that it is intuitive to use and helps medical practitioners get the results they want. By combining new deformable image registration models and algorithms with machine learning, the software can be trained on example cases to work even better. The focus of the project will be on supporting better radiotherapy treatment, with validations in the real world (i.e., the clinic), but the method will also be applicable to other (medical) areas.

 

more at https://www.cwi.nl/news/2017/comparing-medical-images-better

 

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The roll of Medical imaging in personalized medicine

The roll of Medical imaging in personalized medicine | healthcare technology | Scoop.it

The future of personalized medicine comprise quantifiable diagnosis and tailored treatments; i.e. delivering the right treatment at the right time. To achieve standardized definition of what “right” means, the designated treatment location and lesion size are important factors.


This is unrelated to whether the treatment is focused to a location or general. The roll of medical imaging is and will continue to be vital in that respect: Patients’ stratification based on imaging biomarkers can help identify individuals suited for preventive intervention and can improve disease staging. In vivo visualization of loco-regional physiological, biochemical and biological processes using molecular imaging can detect diseases in pre-symptomatic phases or facilitate individualized drug delivery.


Furthermore, as mentioned in most of my previous posts, imaging is essential to patient-tailored therapy planning, therapy monitoring, quantification of response-to-treatment and follow-up disease progression. Especially with the rise of companion diagnostics/theranostics (therapeutics & diagnostics), imaging and treatment will have to be synchronized in real-time to achieve the best control/guidance of the treatment.


It is worthwhile noting that the new RECIST 1.1 criteria (used in oncological therapy monitoring) have been expanded to include the use of PET (in addition to lymph-node evaluation).


more at http://pharmaceuticalintelligence.com/2014/01/13/the-roll-of-medical-imaging-in-personalized-medicine/

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