Angiogram Scoring Using Machine Learning

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Solution Overview

Problem

Angiography exams face challenges in reducing contrast agent and radiation doses while maintaining image quality, as existing methods struggle to control these doses effectively, leading to potential health risks and reduced image quality.

Innovation Solution

A computer-implemented method using a trained machine-learning algorithm to process angiograms, determining the diagnostic value of frames and adjusting imaging parameters to optimize the acquisition of frames with high diagnostic value, thereby reducing contrast agent and radiation doses and computational costs.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Object-affected harmful factors

If the contrast agent dose and/or radiation dose is reduced to minimize health risks, then the safety is improved, but the image quality deteriorates

Engineering Contradiction:
Improvehealth risks from contrast agent and radiationVSAvoidimage quality
Core Design Contradiction:
Object-affected harmful factorsVSManufacturing precision

Solution Approach 1:

The system performs preliminary quality assessment of angiograms using automated criteria during the exam, allowing early identification of diagnostically sufficient images and preventing unnecessary continuation of high-dose acquisition

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The system provides real-time feedback on angiogram quality metrics and diagnostic sufficiency to the operator, enabling dynamic adjustment of acquisition parameters to maintain image quality while minimizing dose

Inventive Principle:
Principle #23Feedback

2Manufacturing precision

If the contrast agent dose and/or radiation dose is increased to maintain image quality, then the image quality is improved, but the health risks worsen

Engineering Contradiction:
Improveimage qualityVSAvoidhealth risks from contrast agent and radiation
Core Design Contradiction:
Manufacturing precisionVSObject-affected harmful factors

Solution Approach 1:

The system replaces manual operator judgment with automated machine-learning-based quality assessment algorithms, providing objective, consistent evaluation of angiogram diagnostic value to optimize dose-quality balance

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

3Reliability

If multiple angiograms are acquired from multiple angulations to ensure diagnostic coverage, then the diagnostic completeness is improved, but the exam time and computational costs worsen

Engineering Contradiction:
Improvediagnostic completenessVSAvoidexam time and computational processing time
Core Design Contradiction:
ReliabilityVSLoss of time

Solution Approach 1:

The system assesses diagnostic sufficiency of individual angiograms and allows termination of acquisition once sufficient diagnostic information is obtained, avoiding unnecessary acquisition of excessive numbers of angiograms

Inventive Principle:
Principle #16Partial or excessive action

Solution Approach 2:

The system performs preliminary automated quality assessment to identify angiograms that meet diagnostic criteria, enabling early termination of acquisition protocols and reducing unnecessary processing time

Inventive Principle:
Principle #10Preliminary action

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

This approach allows for precise tailoring of angiogram acquisition to achieve high-quality images with reduced doses, minimizing health risks and computational burdens, and optimizing exam efficiency.

Implementation Method 1

determining, based on the angiogram, a score using a trained machine-learning, ML, algorithm, wherein the score quantifies the diagnostic value of the angiogram

Methodology Applied
Scientific EffectMachine learning:

Data Source

PatentUS20240099683A1Scoring and Ranking Angiograms
Publication Date: 2024.03.28 SIEMENS HEALTHINEERS AG
  • US20240099683A1 patent drawing
  • US20240099683A1 patent drawing
  • US20240099683A1 patent drawing

AI summary

Techniques for processing one or more frames of an angiogram are disclosed. The processing may take place during or after an angiography exam. The one or more frames of the angiogram are acquired during the angiography exam. The one or more frames are processed to determine, based on at least one pre-defined criterion, whether the angiogram at least comprises one frame with a diagnostic value among the one or more frames. If the angiogram comprises at least one frame with the diagnostic value, based on the angiogram, a score quantifying the diagnostic value of the angiogram is determined using a trained machine-learning (ML) algorithm. Techniques for processing, e.g., ranking/sorting, multiple angiograms associated with an anatomical region of interest of a patient are also provided, by which a respective score for each of the multiple angiograms is determined using the techniques for processing one or more frames of an angiogram.