Angiographic Image Processing for Non-Invasive FFR Determination

Resolve Bottlenecks,
Find Innovative Solutions
Generate Solutions

Solution Overview

Problem

Current methods for determining fractional flow reserve (FFR) in coronary arteries require invasive procedures and are limited in their ability to accurately assess luminal-flow-related indices without inserting sensors, particularly in complex or moving anatomical conditions.

Innovation Solution

The development of a system that uses image processing to analyze angiographic images, determining lumen geometry and blood velocity without a 3D model, and calculates luminal-flow-related indices like FFR by comparing current flow parameters with historical or upstream pressure values, facilitating non-invasive assessment and recommendation for treatment.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If invasive sensor insertion is used to measure FFR, then measurement precision is improved, but device complexity and procedural risk increase

Engineering Contradiction:
ImproveFFR measurement accuracyVSAvoidsensor insertion requirement
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The patent replaces the mechanical sensor insertion method with an image-processing-based measurement system. By analyzing contrast agent velocity in angiographic images through computational algorithms, the system eliminates the need for physical sensors to be inserted into the lumen, thereby reducing device complexity and procedural risk while maintaining measurement capability

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

Solution Approach 2:

The patent introduces contrast agent velocity as an intermediary parameter to indirectly determine FFR. Instead of directly measuring pressure differential with sensors, the system uses the velocity of contrast agent flow through the lumen as a mediator to calculate flow-related indices, which then provide the FFR value without requiring invasive pressure sensors

Inventive Principle:
Principle #24Intermediary (Mediator)

2Measurement precision

If 3D model generation is performed to determine lumen geometry, then measurement precision is improved, but processing time and computational resources increase

Engineering Contradiction:
Improvelumen geometry accuracyVSAvoidimage processing time
Core Design Contradiction:
Measurement precisionVSLoss of time

Solution Approach 1:

The patent extracts the essential geometric information needed for FFR calculation directly from 2D angiographic images without generating a complete 3D model. By identifying specific regions of interest and measuring contrast agent velocity at discrete locations along the lumen, the system obtains sufficient geometric data for accurate FFR determination while avoiding the time-consuming process of full 3D reconstruction

Inventive Principle:
Principle #2Taking out (Extraction)

Solution Approach 2:

The patent applies partial image processing by focusing computational efforts only on specific regions of interest along the lumen where flow measurement is needed, rather than processing the entire lumen geometry in 3D. This selective approach provides adequate measurement precision for FFR while significantly reducing overall processing time and computational resource consumption

Inventive Principle:
Principle #16Partial or excessive action

3Ease of operation

If non-invasive image processing is used, then ease of operation is improved, but measurement precision may worsen

Engineering Contradiction:
Improvenon-invasive assessmentVSAvoidluminal-flow-related index accuracy
Core Design Contradiction:
Ease of operationVSMeasurement precision

Solution Approach 1:

The patent replaces invasive mechanical sensing with non-invasive image-based measurement. By using contrast agent velocity analysis in angiographic images, the system achieves non-invasive FFR assessment while maintaining measurement precision through sophisticated image processing algorithms that accurately quantify flow dynamics without requiring physical contact with the lumen

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

Data Source

PatentUS12053317B2Determining a characteristic of a lumen by measuring velocity of a contrast agent
Publication Date: 2024.08.06 SYNC RX
  • US12053317B2 patent drawing
  • US12053317B2 patent drawing
  • US12053317B2 patent drawing

AI summary

Apparatus and methods are described for use with an imaging device (12) configured to acquire a set of angiographic images of a lumen. At least one processor (10) includes blood-velocity-determination functionality (16) that determines blood velocity within the lumen, via image processing. Current-flow-related-parameter-determination functionality (18) determines a value of a flow-related parameter at the location based upon the determined blood velocity. Flow-related-parameter-receiving functionality (19) receives an indication of a value of a second flow-related parameter of the subject, and index-determination functionality (21) determines a value of a luminal-flow-related index of the subject at the location, by determining a relationship between the value of the current flow-related parameter and the value of the second flow-related parameter. Other applications are also described.