Systems and methods for instantaneous picture quality feedback - Patents.com

Abstract

An apparatus 1 for providing an image quality feed during a medical imaging examination has at least one electronic processor 20 programmed to receive a live video feed 17 of a display 6 of an imaging device controller 4 of an imaging device 2 performing the medical imaging examination, extract a preview image 12 from the live video feed, perform image analysis 38 on the extracted preview image to determine whether the extracted preview image meets warning criteria, and output a warning 30 if the image analysis determines that the extracted preview image meets the warning criteria.

Description

[Technical field]

[0001] The present invention generally relates to imaging technology, image evaluation technology, image quality judgment technology, real-time feedback technology, and related technologies. [Background technology]

[0002] Quality control in medical imaging is playing an increasingly important role. A common approach is to perform periodic quality reviews, where a small subset of imaging exams performed by an imager is reviewed to assess the quality and provide feedback to the imager. Summary of the Invention [Problem to be solved by the invention]

[0003] Performing quality assessment retrospectively can provide insight into recurring quality issues, while immediate alerting of quality concerns can allow for repeat imaging exams, if necessary, while the patient is still present. Near real-time image quality assessment can be performed using clinical images uploaded to a PACS (Picturing Archiving and Communication System) database. However, by the time the clinical images are uploaded, the patient has usually entered the post-examination period and has been unloaded from the imaging device, at which time it is inconvenient or impossible to obtain higher quality images.

[0004] In another possible approach to provide immediate image quality feedback, the imaging device controller can be modified to perform clinical image quality assessment on clinical images prior to upload to the PACS. However, such extensive modification of the imaging device controller may require recertification of the controller, which is a costly process. Furthermore, this approach cannot be applied in a modality- and vendor-independent manner.

[0005] The present invention discloses specific improvements to overcome these and other problems. [Means for solving the problem]

[0006] In one aspect, an apparatus for providing image quality feedback during a medical imaging examination has at least one electronic processor programmed to receive a live video feed of a display of an imaging device controller of an imaging device performing the medical imaging examination, extract a preview image from the live video feed, perform image analysis on the extracted preview image to determine whether the extracted preview image meets warning criteria, and output a warning if the extracted preview image is determined to meet the warning criteria.

[0007] In another aspect, an apparatus for providing image quality feedback for a set of images includes at least one electronic processor, at least one display device, and a video cable splitter through which a live video feed of an image capture device controller is received at the at least one electronic processor, the at least one electronic processor programmed to extract a preview image from the live video feed received through the video cable splitter, perform a image quality analysis on the extracted preview image, and output a warning if the image quality analysis indicates at least one image quality problem.

[0008] In another aspect, a method for providing image quality feedback for a set of images includes tapping a live video feed of an imaging device controller of an imaging device acquiring the images, applying a first trained ML component to detect a preview image from a video frame of the tapped live video feed, applying a second trained ML component to extract the preview image, performing image analysis on the extracted preview image to determine whether the preview image meets a warning criterion, and outputting a warning if the extracted preview image meets the warning criterion determined by the image analysis.

[0009] One advantage is that it provides real-time image quality feedback.

[0010] Another advantage resides in providing a system that provides real-time image quality feedback without having to configure the system for different imaging modalities and models.

[0011] Another advantage resides in providing image quality feedback on acquired images of a patient before the patient moves into a post-imaging procedure in the workflow.

[0012] Another advantage resides in providing image quality feedback regarding acquired images of the patient without modifying the imager controller.

[0013] A given embodiment may provide none of the above advantages, or may provide one, two, more, or all of the above advantages, and / or may provide other advantages, as will be apparent to one of ordinary skill in the art upon reading and understanding this disclosure.

[0014] The disclosure may take form in various components and arrangements of components, and in various steps and arrangements of steps. The drawings are only for purposes of illustrating preferred embodiments and are not to be construed as limiting the disclosure. [Brief description of the drawings]

[0015] [Figure 1] FIG. 1 is a schematic diagram of an exemplary apparatus for generating benchmarking metrics of a hospital department's current processing workflow performance, in accordance with the present disclosure. [Diagram 2] 2 illustrates an exemplary flow chart process performed by the device of FIG. 1; [Diagram 3] FIG. 2 shows an example of a warning displayed on the device of FIG. 1. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0016] The following discloses a system for providing instant image quality feedback to an imaging technician during an imaging examination. As recognized herein, for many types of image quality assessment, clinical images are not actually necessary. Rather, low-resolution preview images acquired before acquiring high-resolution clinical images in a typical workflow are in fact sufficient to perform the assessment. For example, low-resolution preview images are sufficient to detect image quality issues such as improper patient positioning, improper head angle settings in brain scans, certain motion artifacts, imaging settings that make anatomical features of interest too small, detection of occluding medical implants, etc.

[0017] The disclosed system is configured to tap a video feed of an imager controller, detect and extract a preview image from the video feed, and perform image quality analysis on the extracted preview image. The video feed can be tapped using a video cable splitter (e.g., a DVI splitter or an HDMI splitter, depending on the type of video feed) or by plugging into an "external video out" port, if one is available. This approach may be suitable for compact ultrasound units with integrated displays, where using a video splitter is not feasible. Video frames are extracted from the tapped video feed, which provides a basis for subsequent analysis. Since the video feed is typically 30 frames per second (fps), the frames analyzed are likely to be a fraction of this, e.g., the analysis may be, e.g., 5 fps.

[0018] Successive video frames are analyzed to detect and extract a preview image, which requires two parts: (i) determining the modality / anatomy being imaged (unless this information is known a priori or the system is designed only for use in connection with a particular imaging modality and / or a particular imaged anatomical structure), and (ii) analyzing successive video frames until a preview image is detected and extracted.

[0019] The first step (i) can be performed in a variety of ways. In one approach, the video frames are processed by optical character recognition (OCR) to detect relevant text identifying the modality and anatomical structure. This may also involve detecting graphical elements (e.g., vendor logos displayed on the screen, vendor specific terminology, graphical representations of the imaged anatomical structure displayed by the imager controller display, etc.) by image matching.

[0020] Next, step (ii) applies a convolutional neural network (CNN) or other machine learning (ML) component that is trained to detect preview images in video frames. Note that the CNN can process many (e.g., hundreds) of video frames until a video frame containing a preview image is detected in the live video feed. (The aforementioned video frames typically show GUI dialogs used in entering patient information and setting up for imaging exams.) Once a video frame containing a preview image is detected, the preview image is extracted. The detection of the video frame containing a preview image and the extraction of the preview image can be done by the same CNN or by different CNNs (e.g., a fast first CNN that processes the video frames to detect video frames containing preview images, and a slower second CNN that is applied only to the detected video frames to extract the preview image).

[0021] While training the CNN for step (ii) is an empirical process, the trained CNN is likely to utilize image characteristics to detect and extract the preview image, such as when the preview image is a rectangular grayscale region of a video frame with a dark border, along with size characteristics and possibly location characteristics (e.g., a particular vendor may always show the preview image on the left side of the screen). In a variant approach, step (i) may use a CNN trained to detect modality / anatomical structures. In this variant, the CNNs of steps (i) and (ii) may be combined to apply a single CNN. Furthermore, the use of other approaches besides ML to perform step (i) and / or step (ii) is contemplated, e.g., the viewport containing the preview image may be detected using pattern recognition, etc.

[0022] The extracted preview image is then processed by at least one, more typically modality / anatomy specific, various machine learning (ML) components (typically, but not necessarily, CNNs) trained to detect various types of image quality problems (improper patient positioning, improper head angle settings, motion blur, too small object size, occlusion of medical implants, etc.). The ML component is an exemplary embodiment, but more generally any type of image processing designed to detect image quality problems can be applied. For example, motion blur can be detected by applying an edge detection filter and analyzing edge strength statistics in the edge filtered image (under the assumption that motion blur averages out and weakens edge strength). Similarly, image segmentation can be applied to identify the boundaries of anatomical structures in the image, which can then be compared to the boundaries of the image as a whole to detect image quality problems such as improper patient positioning, or image settings that make the image of the anatomical structure too small. These are just examples.

[0023] If the ML component detects an image quality problem, a warning is issued. In various approaches, this can be from a simple text warning stating the image quality problem accompanied by an audible alarm, to a complex graphical warning where the captured preview image is displayed with a superimposed graphical annotation highlighting the image quality problem (e.g., if an occluding implant is detected, a superimposed red arrow can point to the implant). In some cases, the warning can provide advice determined from the ML component analysis, such as "the patient should be positioned further to the right so that he is in the center of the FOV" and / or the guideline position can be indicated by a superimposed box.

[0024] The disclosed system can be a computing device (e.g., a notebook computer, a Raspberry Pi, or other single board computer, etc.) and a (possibly integrated) display. These components are separate from the imager controller, and the system is connected to the imaging controller's video feed by a DVI splitter or DVI cable. The display selection depends on the alert display selected and can range from a compact text-only LCD display for simple text alerts to a larger color monitor for displaying graphic alerts. Even in the latter case, since the preview images are low resolution (compared to clinical images), the color monitor does not need to be a large high-resolution monitor; rather, a small 5-inch or 7-inch monitor would suffice. Optionally, if there is any other type of auxiliary computer in the control room that is separate from, but located near, the imager controller, this computer can be fed with the controller video feed and programmed to provide immediate image quality feedback as disclosed.

[0025] In some embodiments disclosed herein, the ML components that detect image quality problems may be extended by additional ML components that provide (limited) computer-aided diagnosis (CAD) capabilities. Because the preview images are low resolution, it is not envisioned that these CAD ML components will be used to provide clinical diagnosis (e.g., to develop a patient treatment) or even diagnostic recommendations for physician approval. However, the CAD ML components applied to the low resolution preview images are expected to be sufficient to detect certain clinical problems, such as possible tumors or lesions, cardiac enlargement, etc., and a corresponding warning may recommend obtaining an immediate radiologist review of the clinical images to evaluate the possible detected clinical problems before completing the imaging exam. (Alternatively, the warning may recommend obtaining additional clinical images, such as higher resolution images of possible detected tumors. However, in many imaging labs, imaging technicians are not allowed to obtain images beyond those specified in the exam order without the permission of the radiologist, etc. Thus, it may be more appropriate to recommend immediate radiologist review, if the radiologist has the authority to order additional images.)

[0026] In other embodiments disclosed herein, if the imaging exam acquires a cinematic (CINE) clinical image sequence and the preview indicates a cine preview image sequence, the CINE preview image sequence can be extracted from the live video feed. In this case, the extracted cine preview image sequence can itself be treated as a video segment (i.e., a video segment that is cropped to the preview image viewport, possibly at a frame rate other than 30 fps or other live video feed frame rate) and fed as an input to an appropriately trained image quality ML component to detect CINE image quality issues such as use of insufficient CINE frame rate, inadequate detected motion (e.g., in the example of a cardiac cine image sequence expected to capture a beating heart, if insufficient motion is detected, this may indicate a problem).

[0027] With reference to FIG. 1, an exemplary apparatus 1 is shown that provides instant image quality feedback to an imaging technician during an imaging examination. The apparatus 1 is used with an image acquisition device 2, which may be (as non-limiting illustrative examples) a magnetic resonance (MR) image acquisition device, a computed tomography (CT) image acquisition device, a positron emission tomography (PET) image acquisition device, a single photon emission computed tomography (SPECT) image acquisition device, an X-ray image acquisition device, an ultrasound (US) image acquisition device, or a medical imaging device of another modality. The imaging device 2 may also be a hybrid imaging device, such as a PET / CT or SPECT / CT imaging system. The medical imaging device 2 is controlled via an imaging device controller 4, which has a display 6 on which a graphical user interface (GUI) 8 is presented to a user (e.g., an imaging technician) and one or more user input devices 10 (e.g., a keyboard, a trackpad, a mouse, etc.) through which the user interacts with, sets up, and controls the medical imaging device 2 to acquire clinical images.

[0028] During the process of setup to acquire clinical images, the GUI 8 can be operated to cause the medical imaging device 2 to acquire and display a preview image 12. The preview image 12 is typically acquired and displayed at a lower resolution than the clinical images that will be acquired subsequently, but is sufficient for the user to verify that the correct anatomical structures are being imaged, that the anatomical structures are correctly positioned, that the size within the image is usefully large (but not too large), etc. Once the user is satisfied based on the preview image 12 and other information that the imaging device 2 is properly set up to acquire the desired clinical images, the user can operate the GUI 8 to initiate clinical imaging, review the acquired clinical images on the display 6, and finally store the final clinical images in a Picture Archiving and Communication System (PACS) 14 or other clinical image repository.

[0029] FIG. 1 also shows an apparatus 1 for providing immediate image quality feedback to a user (e.g., an imaging technician) during an imaging examination. The apparatus 1 is preferably, but not necessarily, a separate device from the imaging device controller 4. For example, the apparatus 1 may comprise a computer 20 embodied as a notebook computer, tablet computer, Raspberry Pi or other single board computer, etc., having a display 22, an electronic processor (e.g., one or more microprocessors) 24, and a non-transitory storage medium 26 (note that the electronic processor 24 and the non-transitory storage medium 26 are shown in FIG. 1 in a schematic manner, but are typically internal components housed within, for example, the housing of the computer 20). The display 22 presents one or more warnings 30 when a possible image quality problem is detected. Optionally, the apparatus 1 further comprises a loudspeaker 28, for example mounted in or on the computer 20, to provide an audible indication when the warning 30 is presented.

[0030] Although the device 1 typically uses a standalone computer 20 or the like as a data processing device, it is contemplated that some data processing involved in providing real-time image quality feedback (e.g., computationally complex image analysis) is performed on a remote server (not shown) connected to the local electronic processing device 20 via a wired or wireless data communication connection. The remote server may be a hospital server, a cloud computing resource, etc. connected to the local computer 20 via a hospital electronic network and / or the Internet. For example, the standalone computer 20 communicates with one or more imager controllers 4 (operated by a corresponding number of local operators or technicians). The standalone computer 20 can monitor images acquired at each location of the one or more imager controllers 4 and issue a respective alert 30 for each corresponding local operator when an image quality problem is detected at that local operator's site.

[0031] Display 22 may be of any size, but in order to provide device 1 as a compact unit that can be conveniently located next to (or otherwise near) imager controller 4, display 22 is typically relatively small, e.g., a 5-inch display, a 10-inch display, a 12-inch display, etc. In some embodiments, stand-alone computer 20 does not have any user input devices (i.e., nothing similar to the keyboard, mouse, or other user input device 10 of imager controller 4), although it is contemplated that computer or other electronic processing device 20 may alternatively have a keyboard, etc., for setting up image quality feedback software or for other purposes. Non-transitory storage medium 26 may include, as non-limiting illustrative examples, one or more of a hard disk or other magnetic storage medium, a solid state drive (SSD), flash memory or other electronic storage medium, an optical disk or other optical storage medium, various combinations thereof, and the like.

[0032] The electronic processing device 20 of the instantaneous image quality feedback device 1 is operatively connected to receive a live video feed 17 of the display 6 of the imaging device controller 4. The live video feed 17 is provided by a video cable splitter 34 (e.g., DVI splitter, HDMI splitter, etc.) in an exemplary embodiment. In other embodiments, the live video feed 17 may be provided by a video cable connecting an auxiliary video output (e.g., aux vid out) port of the imaging device controller 4 to the electronic processing device 20 of the instantaneous image quality feedback device 1. This latter approach may be useful, for example, when the imaging device 2 is a compact ultrasound imaging device with an integrated display. In this case, it may not be convenient to connect a video cable splitter since the display wiring is to an ultrasound display that is entirely inside the ultrasound imaging device cabinet. However, such a portable ultrasound imaging device may be provided with an "Aux vid Out" port). In another possible embodiment, screen sharing software running on the imaging device controller 4 and the electronic processing device 20 provides the live video feed 17 to the electronic processing device 20. These are merely illustrative examples.

[0033] The non-transitory storage medium 26 of the instant image quality feedback device 1 stores instructions readable and executable by at least one electronic processor 24 of the device 1 (which, as mentioned above, is contemplated to include one or more remote servers on a local area network or the Internet) to perform the disclosed operations, including performing a method or process 100 for providing instant image quality feedback to an imaging technician during an imaging examination. The feedback method or process 100 includes a preview image extraction method or (sub)process 36 and one or more image analyses 38. In some embodiments, the at least one electronic processor 20 of the workstation 12 is programmed to implement at least one machine learning ML component 40, 42 (e.g., one or more convolutional neural networks (CNN)) to extract the preview image 12 from the tapped live video feed 17. In some examples, a first trained ML component 40 is programmed to detect the preview image 12 in a frame of the live video feed 17, and a second ML component 42 is programmed to extract the preview image 12 from that frame of the live video feed. In some examples, the method 100 may be performed at least in part by cloud processing.

[0034] 2 and with continued reference to FIG 1, an exemplary embodiment of a method 100 is shown generally as a flow chart. Method 100 occurs over the course of a medical imaging examination performed using medical imaging device 2. In operation 102, electronic processing device 20 is programmed to receive a live video feed 17 of imager controller 10 of medical imaging device 2, for example via video cable splitter 34.

[0035] In operation 104, the electronic processing device 20 is programmed to extract the preview image 12 from a video frame of the tapped live video feed 17 that includes the preview image. To do so, the at least one electronic processor 20 is programmed to determine at least one of the modality of the imaging device 2 and / or the anatomical structure of the patient being imaged by the imaging device. For example, an OCR process can be performed on associated text in the live video feed 17 that identifies the modality and / or the anatomical structure. In another example, an image matching process can be performed on graphical elements in the live video feed 17 that identify the modality and / or the anatomical structure.

[0036] Process 104 advantageously allows device 1 to be used in conjunction with a number of different modalities / imaged anatomies. In one example, the detected modality may be mammography, in which case the positioning quality is evaluated by known methods including detection and evaluation of anatomical landmarks (e.g., pectoral muscles, skin lines, nipples, inferior mammary angle, etc.). In another example, the detected modality may be radiography, in which case the detected anatomical structure is the chest, and after automatic identification of the lung region, clavicle, and ribs, the field of view, patient angle, and inhalation status are evaluated. In another example, the detected modality may be CT, in which case the detected modality may be the head, and given sagittal slices, the accuracy of the patient positioning can be evaluated. These are merely non-limiting examples. In an alternative approach, if device 1 is designed to operate only with a specific imaging modality, there is no need to determine the modality, and this aspect of process 104 can be omitted. Similarly, if the device 1 is designed to operate only with a particular imaged anatomical structure (e.g., in the case of a dedicated mammography imaging system, the anatomical structure is the breast), then there is no need to determine the imaged anatomical structure and this aspect of operation 104 can be omitted.

[0037] Based on the determined modality or imaged anatomical portion, the video frames from the tapped live video feed 17 are analyzed to detect video frames including the preview image 12. To this end, at least one trained ML component (e.g., CNN) 40, 42 is applied to the tapped live video feed 17 to detect and extract the preview image 12. In one example, the CNN 40, 42 is configured to detect the preview image 12 by identifying at least one of a rectangular grayscale region with a dark border, a size characteristic of the preview image, and a position characteristic of the preview image in the tapped live video feed 17. In another example, a first CNN 40 is applied to detect the preview image 12 in the video frames of the tapped live video feed 17, and a second CNN 42 is applied to extract the preview image.

[0038] In process 106, the workstation 12 is programmed to perform image analysis 38 on the extracted preview image 12 to determine whether the preview image meets warning criteria. Typically, the image analysis 38 is an image quality analysis performed on the extracted preview image 12 to determine whether the extracted preview image has an image quality problem. For example, the image quality analysis can include applying at least one trained ML component 40, 42 to the extracted preview image to determine whether the extracted preview image 12 has an image quality problem. In another example, the image quality problem includes image blur, and the image quality analysis includes analyzing edge strength statistics in the preview image 12 filtered by an edge detection filter to detect motion blur in the preview image. In another example, the image quality problem includes improper patient positioning, and the image quality analysis includes identifying anatomical structure boundaries in the preview image and comparing the anatomical structure boundaries to the remainder of the image to detect improper patient positioning in the imaging device 2. In another example, the image quality issue includes a size issue, and the image quality analysis includes identifying an anatomical structure boundary in the preview image 12 and comparing the anatomical structure boundary to the remainder of the image to detect an anatomical structure image size below a size threshold. In another example, the image quality issue includes an occluding implant, and the image quality analysis includes identifying an implant in the preview image 12, identifying an anatomical structure of interest in the preview image, and detecting that the identified implant occludes the identified anatomical structure of interest in the preview image. These are only illustrative examples of image quality analyses to detect various image quality issues. It will be appreciated that process 106 can perform various image quality analyses to detect different types of image quality issues and provide comprehensive immediate image quality feedback. In some embodiments, the image analysis is selected (in process 104) based on the determined modality and / or the imaged anatomical structure.

[0039] To provide additional and / or alternative functionality, image analysis 106 can optionally include computer-aided diagnosis (CAD) image analysis to detect warning criteria including a suggested clinical diagnosis output by the CAD image analysis. Examples of clinical diagnoses can include one or more messages such as, for example, "Possible lesion detected in lung. Recommended to have radiologist review before completing imaging exam" or "Possible aortic valve stenosis detected. Recommended to have radiologist review before completing imaging exam."

[0040] In some embodiments, the extraction process 104 includes extracting a preview image 38 including a cinematic (CINE) preview image sequence including a plurality of consecutive video frames from the tapped live video feed 17. In this case, the image analysis process 106 can include performing image analysis on the extracted CINE preview image 38 to determine whether the preview image meets warning criteria. For example, image analysis can be performed on the extracted cinematic preview image to determine whether the anatomical motion captured by the extracted cinematic preview image meets warning criteria (e.g., too much motion or too little motion depending on the clinical application for which the imaging is intended). Some non-limiting examples of anatomical motion can be cardiac cycle motion, and the warning criteria can be if the intensity of the cardiac cycle motion captured by the cinematic preview is too weak (or too strong if the goal is to image areas not affected by cardiac cycle motion).

[0041] In process 108, the workstation 12 is programmed to output a warning 30 when the extracted preview image meets warning criteria determined by image analysis. To do this, image analysis is performed to detect at least one image quality problem in the extracted preview image 38. The CNN 36 can be applied to detect the at least one image quality problem. For example, the CNN 36 is programmed to perform processes including (i) analyzing edge strength statistics in the preview image filtered by an edge detection filter to detect motion blur in the preview image 38, (ii) identifying anatomical structure boundaries in the preview image and comparing the anatomical structure boundaries with the remainder of the image to detect improper patient positioning in the imaging device 2, (iii) identifying anatomical structure boundaries in the preview image and comparing the anatomical structure boundaries with the remainder of the image to detect image settings below a size threshold, etc.

[0042] The warning 30 is output to indicate that at least one image quality problem meets the warning criteria. The warning 30 may be any suitable warning including, for example, a text warning on the display device 24 of the workstation 12 or screen 32, an audible warning via the speaker 28, a graphical annotation on an extracted preview image displayed on the display 22 of the device 1, etc.

[0043] 3 shows an example of a warning 30 shown on the display device 22. As shown in FIG. 3, the warning 30 can be a text message (e.g., "breast is clipped laterally", "nipple is not in profile", etc.). Additionally, the warning 30 can include advice to the local operator of the imaging device 2 to resolve the problem (e.g., "consider re-positioning").

[0044] The present disclosure has been described with reference to the preferred embodiment. Modifications and alterations may occur to others upon reading and understanding the preceding detailed description. It is intended that the exemplary embodiments be construed as including all such modifications and alterations insofar as they come within the scope of the appended claims or the equivalents thereof. Various aspects of the present invention will be described below. (Item 1) 1. An apparatus for providing image quality feedback during a medical imaging examination, comprising: receiving a live video feed of a display of an imaging device controller of an imaging device performing a medical imaging exam; extracting a preview image from the live video feed; performing image analysis on the extracted preview image to determine whether the extracted preview image meets warning criteria; outputting a warning when it is determined that the extracted preview image satisfies the warning criterion; An apparatus having at least one electronic processor programmed to execute the steps of: (Item 2) The at least one electronic processor: determining at least one of a modality of the imaging device and an anatomy of a patient being imaged by the imaging device; analyzing video frames of the live video feed to detect a video frame that includes the preview image; extracting the preview image from the detected video frame; 2. The apparatus of claim 1, further comprising: (Item 3) 20. The method of claim 19, further comprising: determining at least one of a modality of the imaging device and an anatomy of a patient being imaged by the imaging device; performing an optical character recognition (OCR) process on the live video feed to detect relevant text that identifies the modality and / or the anatomical structure; and performing an image matching process on the live video feed to detect graphical elements that identify the modality and / or the anatomical structure; 3. The device according to item 2, comprising at least one of: (Item 4) 4. The method of claim 3, wherein the analysis of the live video feed and the extraction of the preview image comprises: applying at least one trained machine learning component to video frames of the live video feed to detect the video frames that include the preview image; and Extracting the preview image. The apparatus according to item 2 or 3, further comprising: (Item 5) said applying said at least one trained machine learning component applying a first trained machine learning component to detect the video frame that includes the preview image; and applying a second trained machine learning component to extract the preview image from the detected video frames; 5. The device according to item 4, comprising: (Item 6) The at least one electronic processor further comprises: determining at least one of a modality of the imaging device and an anatomy of a patient being imaged by the imaging device; and selecting the image analysis based on the determined modality and / or anatomical structure; 6. The apparatus according to any one of items 1 to 5, programmed to execute the steps: (Item 7) The performing of the image analysis includes: performing an image quality analysis on the extracted preview image to determine whether the extracted preview image has image quality issues; and outputting a warning indicating an image quality problem when the extracted preview image has an image quality problem; 7. The device according to any one of items 1 to 6, comprising: (Item 8) 8. The apparatus of claim 7, wherein the image quality analysis includes applying at least one trained machine learning component to the extracted preview image to determine whether the extracted preview image has the image quality problem. (Item 9) 9. The apparatus of claim 8, wherein the image quality problem includes image blur, and the image quality analysis includes analyzing edge strength statistics in the preview image filtered by an edge detection filter to detect motion blur in the preview image. (Item 10) The image quality problem includes improper patient positioning; 10. The apparatus of claim 7, wherein the image quality analysis includes identifying anatomical boundaries in the preview image and comparing the anatomical boundaries to a remainder of the image to detect improper patient positioning in the imaging device. (Item 11) said image quality issues including sizing issues; 11. The apparatus of any one of claims 7 to 10, wherein the image quality analysis includes identifying boundaries of anatomical structures in the preview image and comparing the boundaries of the anatomical structures with the remainder of the image to detect image sizes of the anatomical structures that are less than a size threshold. (Item 12) the image quality problem includes an occlusion implant; 12. The apparatus of claim 7, wherein the image quality analysis includes identifying an implant in the preview image, identifying an anatomical structure of interest in the preview image, and detecting that the identified implant is occluding the identified anatomical structure of interest in the preview image. (Item 13) 13. The apparatus of any one of claims 1 to 12, wherein the image analysis includes computer-aided diagnosis (CAD) image analysis to detect the warning criteria including a proposed clinical diagnosis output by the CAD image analysis. (Item 14) 14. The apparatus of any one of claims 1 to 13, wherein the extracting step includes extracting the preview images from the live video feed, the preview images including a cine preview image sequence, and wherein the performing of the image analysis includes performing the image analysis on the extracted cine preview images to determine whether anatomical motion captured by the extracted cine preview images meets a warning criterion. (Item 15) 14. The apparatus of any one of claims 1 to 13, further comprising at least one display device other than the display of the imaging device controller and a video cable splitter, wherein the at least one electronic processor is programmed to receive a live video feed of the imaging device controller through the video cable splitter. (Item 16) 1. An apparatus for providing image quality feedback for a set of images, comprising: at least one electronic processor; At least one display device; a video cable splitter through which a live video feed of an image capture device controller is received at the at least one electronic processor; and wherein the at least one electronic processor comprises: extracting a preview image from the live video feed received via the video cable splitter; performing an image quality analysis on the extracted preview image; outputting a warning if the image quality analysis indicates at least one image quality problem; An apparatus programmed to perform the steps of: (Item 17) The at least one electronic processor: determining at least one of a modality of the imaging device and an anatomy of a patient being imaged by the imaging device; analyzing video frames of the live video feed to detect a video frame that includes the preview image; Item 17. The apparatus of item 16, programmed to extract the preview image by executing: (Item 18) analyzing video frames of the live video feed to detect the preview image; 18. The apparatus of claim 16 or 17, further comprising applying at least one trained machine learning component to video frames of the live video feed to detect and extract the preview image. (Item 19) The at least one electronic processor, when the extracted preview image satisfies a warning criterion by at least one outputting a text alert on at least one display device; outputting an audible alert via a loudspeaker; outputting said preview image along with superimposed graphical annotations on at least one display device; 19. The device of any one of claims 16 to 18, programmed to output the warning by one of the following: (Item 20) 1. A method for providing image quality feedback to a set of images, comprising: tapping a live video feed of an image capture device controller of an image capture device to capture an image; applying a first trained machine learning component to detect the preview image from a video frame of the tapped live video feed; applying a second trained machine learning component to extract the preview image; and performing image analysis on the extracted preview image to determine whether the preview image meets warning criteria; outputting a warning if the extracted preview image is determined to satisfy the warning criteria; The method according to claim 1,

Claims

1. An apparatus for providing image quality feedback during a medical imaging examination, comprising: receiving a live video feed of a display of an imaging device controller of an imaging device performing a medical imaging exam; extracting a preview image from the live video feed by determining an anatomical structure of a patient being imaged by the imaging device, analyzing video frames of the live video feed to detect video frames containing a preview image, and extracting the preview image from the detected video frames; performing image analysis on the extracted preview image to determine whether the extracted preview image meets warning criteria, comprising performing an image quality analysis on the extracted preview image to determine whether the extracted preview image has image quality issues; outputting a warning when the extracted preview image is determined to satisfy the warning criteria, the warning including outputting a warning indicating the image quality problem when the image quality analysis determines that the extracted preview image has the image quality problem; 1. An apparatus having at least one electronic processor programmed to execute The extracting step includes extracting the preview images from the live video feed, the preview images including a cine preview image sequence, and the performing the image analysis includes performing the image analysis on the extracted cine preview images to determine whether anatomical motion captured by the extracted cine preview images meets a warning criterion.

2. 1. An apparatus for providing image quality feedback of a low resolution preview image acquired prior to acquisition of a high resolution clinical image during a medical imaging examination, comprising: receiving a live video feed of a display of an imaging device controller of an imaging device performing a medical imaging exam; extracting the preview image from the live video feed by determining an anatomical structure of a patient being imaged by the imaging device, analyzing video frames of the live video feed to detect a video frame containing the preview image, and extracting the preview image from the detected video frame; performing an image analysis of the extracted preview image to determine whether the extracted preview image, which is an image of the anatomical structure, meets an image quality warning criterion, comprising performing an image quality analysis to analyze the image quality of the extracted preview image to determine whether the extracted preview image has an image quality problem; outputting a warning when the extracted preview image is determined to meet the image quality warning criteria, the warning including outputting a warning indicating the image quality problem when the image quality analysis determines that the extracted preview image has the image quality problem; 23. An apparatus having at least one electronic processor programmed to execute the steps of:

3. The apparatus of claim 1 or 2, wherein the step of extracting the preview image includes determining a modality of the imaging device.

4. Determining at least one of a modality of the imaging device and a patient anatomy being imaged by the imaging device, performing an optical character recognition (OCR) process on the live video feed to detect relevant text that identifies the modality and / or the anatomical structure; and performing an image matching process on the live video feed to detect graphical elements that identify the modality and / or the anatomical structure; 4. The apparatus according to claim 1 , further comprising at least one of:

5. 4. The method of claim 3, wherein the analysis of the live video feed and the extraction of the preview image comprises: applying at least one trained machine learning component to video frames of the live video feed to detect the video frames that include the preview image; and Extracting the preview image. The apparatus according to claim 1 , further comprising:

6. said applying said at least one trained machine learning component applying a first trained machine learning component to detect the video frame that includes the preview image; and applying a second trained machine learning component to extract the preview image from the detected video frames; The apparatus of claim 5 , comprising:

7. The at least one electronic processor further comprises: selecting the image analysis based on the modality of the imaging device and / or the anatomy of the patient; 7. An apparatus according to claim 1, programmed to:

8. 8. The apparatus of claim 1 , wherein the image quality analysis includes applying at least one trained machine learning component to the extracted preview image to determine whether the extracted preview image has the image quality problem.

9. 9. The apparatus of claim 8, wherein the image quality problem includes image blur, and the image quality analysis includes analyzing edge strength statistics in the preview image filtered by an edge detection filter to detect motion blur in the preview image.

10. The image quality problem includes improper patient positioning; 10. The apparatus of claim 1, wherein the image quality analysis includes identifying anatomical boundaries in the preview image and comparing the anatomical boundaries with the remainder of the image to detect improper patient positioning in the imaging device.

11. said image quality issues including sizing issues; 11. The apparatus of claim 1, wherein the image quality analysis comprises identifying boundaries of anatomical structures in the preview image and comparing the boundaries of the anatomical structures with the remainder of the image to detect image sizes of the anatomical structures that are less than a size threshold.

12. the image quality problem includes an occlusion implant; 12. The apparatus of claim 1, wherein the image quality analysis comprises identifying an implant in the preview image, identifying an anatomical structure of interest in the preview image, and detecting that the identified implant is occluding the identified anatomical structure of interest in the preview image.

13. 13. The apparatus of claim 1, wherein the image analysis comprises a computer-aided diagnosis (CAD) image analysis for detecting the warning criteria including a suggested clinical diagnosis output by the CAD image analysis.

14. 14. The apparatus of claim 2, or any one of claims 3 to 13 that directly or indirectly cites claim 2, wherein the extracting step includes extracting the preview images from the live video feed, the preview images including a cine preview image sequence, and wherein the performing of the image analysis includes performing the image analysis on the extracted cine preview images to determine whether anatomical motion captured by the extracted cine preview images meets a warning criterion.

15. 14. The apparatus of claim 1, further comprising at least one display device other than a display of the image capture device controller, and a video cable splitter, wherein the at least one electronic processor is programmed to receive a live video feed of the image capture device controller through the video cable splitter.

16. 1. A method for providing image quality feedback to a set of images, comprising: tapping a live video feed of an image capture device controller of an image capture device to capture an image; applying a first trained machine learning component to detect a video frame including a preview image from the video frames of the tapped live video feed; applying a second trained machine learning component to extract the preview image, the extraction being performed by determining an anatomical structure of a patient being imaged by the imaging device, analyzing video frames of the live video feed to detect video frames that include the preview image, and extracting the preview image from the detected video frames; performing image analysis on the extracted preview image to determine whether the preview image meets warning criteria, including performing an image quality analysis on the extracted preview image to determine whether the extracted preview image has image quality issues; outputting a warning when the extracted preview image is determined to satisfy the warning criteria, the warning including outputting a warning indicating the image quality problem when the image quality analysis determines that the extracted preview image has the image quality problem; having The method, wherein the extracting step includes extracting the preview images from the live video feed, the preview images including a cine preview image sequence, and wherein the performing the image analysis includes performing the image analysis on the extracted cine preview images to determine whether anatomical motion captured by the extracted cine preview images meets a warning criterion.

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