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InterView ™ FUSION multimodality image processing workstation for clinical applications Visualizing and post processing your clinical SPECT-CT-PET-MRI images

InterView ™ FUSION InterView™ FUSION is a multi-modal visualization and evaluation software. Developed by Mediso, built on state-of-the-art technologies, novel image processing algorithms and tools for evaluating different medical imaging modalities. Multi-modal registration and fusion of SPECT, PET, CT and MRI studies is a core functionality of InterView™ FUSION. Evaluation can be performed with the help of several specialized viewers and automated algorithms. Statistical measurements by ROIs, VOIs are available, as well as SUV representation for PET and even SPECT images. A wide range of...

Multiple workspaces, Toolbars, Toolboxes Workspaces act like virtual screens organized on separate tabs. Whenever you are out of space on your screen, just open a new workspace and continue your work. Inter-workspace synchronization will be under your control to keep your work consistent. Add/remove workspace User-defined layouts on workspaces, customizable User-Toolbars, Toolboxes Quick duplication of a viewer to a new workspace Quick workspace closing Inter-workspace synchronization of viewer arguments such as palette values and cursor position Multi-workspace handling, saving up to...

Flexible layout management InterView™ FUSION layouts help organizing your viewers and provide saving and loading your own layouts. There is a wide variety of predefined layouts specialized for representing standalone modalities, multi-modal fusion, follow-up study pairs and general comparisons. An intelligent layout selector will automatically match and suggest default and user-defined layouts every time you load a new case. If you just want to see all your loaded images and fuse hybrid camera-made studies automatically, you will find a one-click solution for that too. Automatic layout...

Viewers – from basic to extended Viewers are core functionalities of InterView™ FUSION covering a wide range of features from basic interactions to advanced extended fusion techniques. There are several image and plot viewers for image and derived data representation that aid proper evaluation. All image viewers provide Extended Fusion functionality by the extended fusion engine (see page 9). Single / dual / triple / quadruple fusion of multi-modal static and dynamic images User defined labels of text information inside the viewers (user can define the list of labels) Grouping of viewers to...

Viewers – from basic to extended Volume Rendering (VR) and surface rendering viewer Displays images in a three dimensional real-time, free rotational volume rendering and surface rendering view with predefinable presets. Left: Soft tissue highlighted VR CT image, whole volume is cut in screen plane Middle: General Whole volume CT VR image display Right: Combined contrast agent and soft tissues highlighted VR CT image Maximum Intensity Projection (MIP) viewer Displays images in a three dimensional real-time, free rotational maximum intensity projection view. 6 An 18F-FDG PET (standalone), AC...

Time Activity Curve Viewer -- Displays multiple statistics of ROIs/VOIs in the following ways: -- Multiple Column, Line or Line with markers statistical representation of static image derived ROI/VOI values -- Multiple Time Activity Curves (TAC) of ROIs/VOIs derived from dynamic data with multiple statistics (sum, mean, stdev., etc.) -- Exports TAC values to Excel compatible file format -- Handles the statistic and dynamic windows Display Time Activity Curve (TAC) for dynamic images. Profile Curve Viewer ----- Displays multiple Profile Curves of Rulers User-defined radius to determine...

Fusion – extended fusion engine InterView™ FUSION operates with a state-of-the-art extended, modality independent image registration engine, which supports automated group-wise registration [1][2][3][4][5], palette threshold driven registration and advanced plane sampling techniques [6]. The engine is optimized to operate with any kind of modalities and with up to 4 images in parallel. Manual and automated registrations can be performed in any combination, while an automated logging system stores all interactions and provides saving or undoing registration steps. The group-wise framework...

Automated quadruple registration of a primary and interim 18F-FDG PET-CT image pairs Automated triple registration of a brain MRI, an 18F-FDG PET and a 99mTc-Neurolite SPECT

Measurements An extensive ROI and VOI arsenal is available in InterView™ FUSION to support the evaluation process. Detailed statistical values can be accessed in our ROI/VOI table, which supports Excel-compatible calculations. Scope of the ROI/VOI calculations can be changed from an image even to the whole application. Beyond regional measurement tools, markers, rulers, bevels are also accessible in InterView™ FUSION. Exporting all measurements to Excel as well as saving the ROIs/VOIs are provided. Exporting ROIs/VOIs to standard DICOM RT format for radiation therapy planning is a basic...

Toolboxes control, manipulate, change or modify the visuals or data in the viewers. Toolboxes can be floating or docked into one of the side panels. The stage of a toolbox is saved to the user’s settings, hence every InterView™ FUSION user can create his own views. Toolbars include buttons and they are easily customizable. The following toolboxes are available in InterView™ FUSION: Quick functions Invert palette, zoom tools, reset view, set common zoom, lock cursors, overlay On/Off, change orientation, reorient, move view to center, etc. Mouse modes 3D cursor, slice navigation, translate,...

Image manipulation Volume modification tool -- Erase inside / outside: Inner or outer voxels of the projected freehand shape are deleted. -- ROI/VOI Erase inside/outside: Based on any existing ROIs/VOIs the inner or outer voxels are deleted. -- Crop: 3D bounding box based erase outside (Crop) function. Easy lung segmentation with ROI/VOI Erase outside function Reorientation -- Two reorientation modes: arrow (heart and general) and grid (brain) -- Reorient fused images together 12 Freehand cut of the patient bed on an axial volume viewer and reorientation of the fused images. Synchronized...