FFR Estimation via Composite Transfer Functions

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Solution Overview

Problem

Current methods for determining fractional flow reserve (FFR) in cardiovascular diseases are often computationally expensive and burdensome for patients, relying on invasive measurements and complex, costly equipment.

Innovation Solution

An image processing system that uses geometry-derived transfer functions to simulate FFR by combining local and global effect transfer functions, learned from previous measurements and CFD simulations, allowing for non-invasive FFR estimation without the need for extensive in-situ measurements or expensive equipment.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If invasive FFR measurements are performed using special catheters with pressure probes, then measurement precision is improved, but device complexity and procedural risk increase

Engineering Contradiction:
ImproveFFR measurement precisionVSAvoidcatheter equipment complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The patent creates a virtual copy of the FFR measurement system using CFD simulations. Instead of using physical catheters with pressure probes, the system generates a computational model that replicates the hemodynamic conditions and calculates FFR values through numerical solutions of the Navier-Stokes equations, thereby eliminating the need for invasive measurement devices

Inventive Principle:
Principle #26Copying

Solution Approach 2:

The patent replaces the mechanical measurement system (catheters, pressure probes, differential pressure transducers) with a computational fluid dynamics system. The mechanical pressure measurements are substituted by calculating pressure fields through numerical simulation, eliminating the need for physical intervention in the vascular system

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

2Ease of operation

If non-invasive CFD simulations are performed using volumetric data from CT projections, then ease of operation is improved, but computational cost and time increase

Engineering Contradiction:
Improvenon-invasive operationVSAvoidcomputational time
Core Design Contradiction:
Ease of operationVSLoss of time

Solution Approach 1:

The patent segments the coronary artery tree into multiple regions of interest (ROIs) around the stenosed site, focusing the CFD simulation only on these critical segments rather than the entire vascular system. This segmentation reduces the computational domain size and allows for faster simulations while maintaining accuracy in the stenosis region

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The patent applies local quality by concentrating computational resources on specific regions around the stenosis rather than uniformly across the entire coronary tree. The transfer function is calibrated using local geometric parameters (lumen diameter, wall thickness, curvature) at the stenosed site, allowing for optimized computational efficiency in the most critical areas

Inventive Principle:
Principle #3Local quality

3Measurement precision

If 3D coronary angiography is used to generate volumetric models, then measurement precision is improved, but device complexity and cost increase

Engineering Contradiction:
Improvevolumetric data precisionVSAvoidimaging equipment complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The patent makes the imaging system universal by accepting multiple input formats (2D angiograms, 3D volumetric data, CT projections) and processing them through a unified CFD framework. The system can handle different imaging modalities and reconstruct the necessary geometric parameters for transfer function calculation, making the equipment requirements more flexible and less specialized

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

Data Source

PatentEP3076854B1Local FFR estimation and visualisation for improved functional stenosis analysis
Publication Date: 2022.04.20 KONINKLIJKE PHILIPS NV
  • EP3076854B1 patent drawingFigure 1
  • EP3076854B1 patent drawingFigure 2A~2B
  • EP3076854B1 patent drawingFigure 3

AI summary

A system (IPS) and related method for fractional flow reserve, FFR, simulation. The simulation for a range of FFR values for a vasculature portion is based on a composite transfer function which is combined from a weighted sum of global effect transfer functions he, each representing a distinct physical effect that causes a pressure drop. The weights we are gotten from a previous training phase against pressure pi versus flow rate fi 5 sample measurements associated with respective vasculature geometries. The simulated range of FFR values is visualized in a graphics display (GD) as a function of pressure and flow rate values within respective intervals.