CNN-Based CLE Image Selection for Brain Surgery

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Solution Overview

Problem

Handheld Confocal Laser Endomicroscopy (CLE) devices during brain surgery generate a large number of images, many of which are not diagnostically useful due to artifacts such as motion and blood, making it time-consuming for surgeons or pathologists to sort through them for diagnostic purposes.

Innovation Solution

A method using a convolutional neural network (CNN) to selectively present images captured by CLE devices during brain surgery, where the CNN is trained on labeled images to classify images as diagnostic or non-diagnostic, allowing only diagnostically relevant images to be presented during surgery.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Speed

If CLE devices capture images at a high rate during brain surgery, then real-time cellular-scale imaging is achieved, but the number of non-diagnostic images with artifacts increases significantly

Engineering Contradiction:
Improveimage capture rateVSAvoidmotion artifacts and blood artifacts
Core Design Contradiction:
SpeedVSObject-generated harmful factors

Solution Approach 1:

The patent introduces an intermediary classification system (manual or automated) that mediates between the CLE device and the surgeon/pathologist. This intermediary filters out non-diagnostic images containing motion artifacts and blood artifacts, allowing the high capture rate to be maintained while preventing harmful artifacts from reaching the end user.

Inventive Principle:
Principle #24Intermediary (Mediator)

Solution Approach 2:

The patent extracts and removes non-diagnostic images with artifacts from the overall image stream. By identifying and separating problematic images (those with motion blur, blood artifacts, or insufficient histopathological features) from diagnostic images, the system maintains high capture rates while eliminating harmful artifacts from the final presentation.

Inventive Principle:
Principle #2Taking out (Extraction)

2Measurement precision

If surgeons or pathologists manually sort through all captured images to identify diagnostic ones, then accurate diagnostic selection is achieved, but significant time is lost during the surgical procedure

Engineering Contradiction:
Improvediagnostic image selection accuracyVSAvoidtime to sort through images
Core Design Contradiction:
Measurement precisionVSLoss of time

Solution Approach 1:

The patent performs preliminary classification of images before they are presented to the surgeon or pathologist. By pre-sorting images into diagnostic and non-diagnostic categories (either manually or through automated algorithms), the system eliminates the time-consuming sorting step during surgery while maintaining accurate diagnostic selection.

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The system enables self-service by implementing automated classification algorithms that independently identify and filter diagnostic images without requiring manual review of every captured frame. This allows the system to serve itself in the image selection process, dramatically reducing the time burden on surgical personnel.

Inventive Principle:
Principle #25Self-service

3Loss of information

If all captured images are presented during surgery, then complete information is available, but the surgical process becomes inefficient and time-consuming

Engineering Contradiction:
Improvecompleteness of diagnostic informationVSAvoidsurgical efficiency
Core Design Contradiction:
Loss of informationVSProductivity

Solution Approach 1:

The patent extracts only the essential diagnostic information from the complete image set. By removing redundant non-diagnostic images (those with artifacts, motion blur, or insufficient features) while retaining all diagnostically useful images, the system maintains complete diagnostic information in a condensed, efficient format that improves surgical workflow.

Inventive Principle:
Principle #2Taking out (Extraction)

Solution Approach 2:

The patent applies partial action by presenting a selective subset of captured images rather than all images. This partial presentation focuses on diagnostically relevant frames, eliminating excessive non-diagnostic content while ensuring all necessary diagnostic information is included, thereby optimizing surgical efficiency.

Inventive Principle:
Principle #16Partial or excessive action

Data Source

PatentUS20250057425A1Systems, methods, and media for selectively presenting images captured by confocal laser endomicroscopy
Publication Date: 2025.02.20 DIGNITY HEALTH
  • US20250057425A1 patent drawing
  • US20250057425A1 patent drawing
  • US20250057425A1 patent drawing

AI summary

Systems, methods, and media for selectively presenting images captured by confocal laser endomicroscopy (CLE) are provided. In some embodiments, a method comprises: receiving images captured by a CLE device during brain surgery; providing the images to a convolution neural network (CNN) trained using at least a plurality of images of brain tissue captured by a CLE device and labeled diagnostic or non-diagnostic; receiving an indication, from the CNN, likelihoods that the images are diagnostic images; determining, based on the likelihoods, which of the images are diagnostic images; and in response to determining that an image is a diagnostic image, causing the image to be presented during the brain surgery.