Coronary Image Processing for FFR-Guided Stenosis Localization

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Solution Overview

Problem

Existing methods for diagnosing coronary stenosis lesions rely on separate devices for anatomical and physiological evaluations, which can lead to difficulties in correlating intravascular pressure measurements with vascular images, making it challenging to intuitively determine stenosis positions.

Innovation Solution

An image processing apparatus that integrates with an X-ray diagnostic system to synchronize and display physiological indicators like FFR and CFR with vascular images, allowing for simultaneous anatomical and physiological evaluations by correlating intravascular pressure measurements with X-ray images using temporal synchronization and image processing techniques.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If separate devices are used for anatomical and physiological evaluations, then each device can perform its specialized function, but it becomes difficult to correlate intravascular pressure measurements with vascular images

Engineering Contradiction:
Improvediagnostic accuracyVSAvoidsystem integration complexity
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The patent combines the X-ray diagnostic system with the physiological measurement system by integrating the pressure sensor-equipped guide wire into the X-ray imaging environment. The measuring device is positioned within the X-ray device, allowing simultaneous acquisition of vascular images and intravascular pressure measurements without requiring separate evaluation devices, thus resolving the correlation difficulty while maintaining specialized functions

Inventive Principle:
Principle #5Merging (Combining)

2Measurement precision

If physiological indicators are measured using separate measuring devices, then measurement precision can be maintained, but the difficulty of detecting and measuring increases due to lack of spatial correlation

Engineering Contradiction:
Improvephysiological indicator accuracyVSAvoidstenosis position identification
Core Design Contradiction:
Measurement precisionVSDifficulty of detecting and measuring

Solution Approach 1:

The patent introduces the X-ray image as an intermediary that bridges the physiological measurement data with spatial information. The measurement position indicated on the X-ray image serves as a mediator, allowing the operator to visually correlate the physiological indicator (FFR, CFR) with the corresponding vascular location, thereby reducing the difficulty of detecting and measuring stenosis positions while preserving measurement precision

Inventive Principle:
Principle #24Intermediary (Mediator)

3Ease of operation

If intravascular pressure measurements are taken without image correlation, then measurement simplicity is maintained, but the ability to intuitively determine stenosis positions deteriorates

Engineering Contradiction:
Improvemeasurement operation simplicityVSAvoidspatial location information
Core Design Contradiction:
Ease of operationVSLoss of information

Solution Approach 1:

The patent makes the X-ray imaging system multi-functional by enabling it to serve both as an anatomical imaging device and as a spatial reference system for physiological measurements. The same X-ray image displays both the vascular anatomy and the measurement position markers, allowing the system to provide both simple measurement operation and intuitive spatial correlation without adding separate measurement devices

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

Data Source

PatentUS12586191B2Image processing apparatus, medical image diagnostic apparatus, and blood pressure monitor
Publication Date: 2026.03.24 CANON MEDICAL SYST CORP
  • US12586191B2 patent drawing
  • US12586191B2 patent drawing
  • US12586191B2 patent drawing

AI summary

According to embodiment, an image processing apparatus comprising a specifying unit and a display controller. The specifying unit that specifies an acquisition position of an indicator relating to blood flow on a blood vessel-containing image collected by a medical image diagnostic apparatus. The display controller that displays the acquisition position on the blood vessel-containing image and displays the indicator on a display unit in association with the acquisition position.