Centralized Clinical Knowledge Server for Optimized Medical Examination Protocols

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Solution Overview

Problem

The complexity and high costs of imaging devices like MRI, CT, and Ultrasound require significant expertise to optimize their use, and existing protocols are often not efficiently adapted to specific medical questions, leading to unsatisfactory results and excessive resource utilization.

Innovation Solution

A centralized clinical knowledge communication server that processes diagnostic questions to automatically generate and optimize examination paths, selecting appropriate protocols and post-processing tools, and allows for the exchange of clinical knowledge between providers and users, facilitating the use of specialized sequences and hardware.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Ease of operation

If standardized examination protocols are pre-defined at the examination apparatus, then the examination process is simplified and easier to operate, but the protocols often exceed the actual medical questions and lead to excessive resource utilization and higher costs

Engineering Contradiction:
Improveexamination processVSAvoidresource utilization
Core Design Contradiction:
Ease of operationVSLoss of energy

Solution Approach 1:

The system pre-defines examination protocols at a centralized server level rather than at individual examination apparatus. This preliminary action allows protocols to be optimized before execution, ensuring that only necessary examination steps are included based on specific medical questions, thereby avoiding excessive resource utilization while maintaining ease of operation.

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

A centralized server acts as an intermediary between the medical question and the examination apparatus. This intermediary processes the medical question, selects appropriate examination protocols, and transmits them to the apparatus, thereby optimizing resource utilization by matching protocols precisely to medical needs rather than using fixed pre-defined protocols at the apparatus level.

Inventive Principle:
Principle #24Intermediary (Mediator)

2Measurement precision

If highly-qualified personnel adapt the standard protocols, then the examination accuracy and appropriateness is improved, but the cost and complexity of the system increases significantly

Engineering Contradiction:
Improveexamination accuracyVSAvoidsystem complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The centralized server automatically adapts examination protocols based on medical questions without requiring highly-qualified personnel to manually adjust them. The system performs self-service by using algorithms and databases to match protocols to medical needs, thereby maintaining examination accuracy while reducing system complexity and personnel requirements.

Inventive Principle:
Principle #25Self-service

Solution Approach 2:

The manual process of adapting protocols by highly-qualified personnel is replaced with an automated computer-based system. The centralized server uses software algorithms to select and customize protocols, substituting human expertise with automated intelligence, thereby maintaining accuracy while reducing operational complexity.

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

3Reliability

If multiple standard protocols are selected to cover all aspects of a medical question, then the completeness of the examination is improved, but the examination becomes more extensive and expensive than necessary

Engineering Contradiction:
Improveexamination completenessVSAvoidexamination cost
Core Design Contradiction:
ReliabilityVSLoss of energy

Solution Approach 1:

The system extracts only the necessary examination steps from standardized protocols based on the specific medical question. Rather than applying complete standard protocols, the centralized server identifies and extracts only the relevant examination components needed to answer the medical question, thereby ensuring completeness while reducing unnecessary costs.

Inventive Principle:
Principle #2Taking out (Extraction)

Solution Approach 2:

The examination protocol is customized to have different qualities in different parts based on the medical question. The centralized server applies local quality by selecting specific examination steps that are appropriate for the particular medical condition and question, rather than uniformly applying entire standard protocols, thereby optimizing completeness and cost-effectiveness.

Inventive Principle:
Principle #3Local quality

4Measurement precision

If clinical expertise is concentrated at centralized facilities, then the quality of knowledge and protocols is improved, but the accessibility and availability of expertise at local facilities decreases

Engineering Contradiction:
Improveclinical knowledge qualityVSAvoidaccessibility to expertise
Core Design Contradiction:
Measurement precisionVSEase of operation

Solution Approach 1:

The centralized server provides universal access to high-quality clinical expertise for multiple local facilities. This multi-functional system allows any connected examination apparatus at any location to access optimized protocols and clinical knowledge, thereby maintaining high knowledge quality while improving accessibility and availability of expertise across the network.

Inventive Principle:
Principle #6Universality (Multi-functionality)

Data Source

PatentUS7685001B2Method and system to offer and to acquire clinical knowledge using a centralized knowledge server
Publication Date: 2010.03.23 SIEMENS AG
  • US7685001B2 patent drawing
  • US7685001B2 patent drawing
  • US7685001B2 patent drawing

AI summary

In a method and system for providing clinical knowledge from a provider to a medical user based on one or more diagnostic questions submitted by the user to the provider, a clinical knowledge communication server is provided with an associated knowledge database. The at least one or more diagnostic questions are sent by the user to the server. With the server, an initial examination of the at least one or more diagnostic questions is conducted. Examination steps are associated with the at least one or more diagnostic questions and placed in a sequence. The sequence of examination steps are then sent to the medical user. The provider may also request clinical knowledge from the medical user such as, for example, relating to the diagnostic questions submitted by the user.