Medical Image Processing Apparatus for Respiratory Phase ITV Visualization

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Solution Overview

Problem

Conventional radiation treatment planning methods fail to clearly establish the relationship between Internal Target Volume (ITV) and respiratory states, making it difficult to minimize the ITV size and thereby reduce patient burden during treatments.

Innovation Solution

A medical image processing apparatus that extracts a region of interest and treatment target from chronologically acquired three-dimensional medical image data, generates a movable region image recognizable by phases, and displays it superimposed on the treatment target in a coordinate-corresponding manner, allowing for clear visualization of ITV movement with respiratory states.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If dynamic volume image taking or respiration synchronized image taking is used to estimate ITV, then movement states of tumor can be viewed at multiple points in time, but the relationship between the regions used for estimating ITV and the respiratory states cannot be made clear

Engineering Contradiction:
ImproveITV estimation accuracyVSAvoidRelationship information between ITV regions and respiratory states
Core Design Contradiction:
Measurement precisionVSLoss of information

Solution Approach 1:

The patent segments the respiratory cycle into multiple distinct phases (e.g., inhalation phase, exhalation phase, transition phases) and associates each phase with specific ITV regions. This segmentation allows clear identification of which ITV regions correspond to which respiratory states, resolving the information loss about the relationship between ITV and respiratory phases while maintaining accurate ITV estimation through multi-phase imaging.

Inventive Principle:
Principle #1Segmentation

2Object-affected harmful factors

If ITV is arranged to be as small as possible to reduce patient burden, then treatment precision may be compromised, but larger ITV increases patient burden

Engineering Contradiction:
ImprovePatient burdenVSAvoidTreatment precision
Core Design Contradiction:
Object-affected harmful factorsVSManufacturing precision

Solution Approach 1:

The patent applies dynamic imaging techniques that capture tumor position at multiple respiratory phases, allowing the ITV to be dynamically adjusted based on actual tumor movement. This enables setting a minimized ITV that still encompasses the true tumor trajectory, thereby reducing patient burden while maintaining treatment precision through phase-specific tumor localization.

Inventive Principle:
Principle #15Dynamics

Solution Approach 2:

The patent changes the parameter of ITV definition from a static single-volume approach to a dynamic multi-phase approach, where ITV is defined differently for each respiratory phase. This parameter change allows precise delineation of tumor boundaries at each phase, enabling minimized phase-specific ITV that reduces patient burden while ensuring complete tumor coverage for precise treatment.

Inventive Principle:
Principle #35Parameter changes

Data Source

PatentUS9504852B2Medical image processing apparatus and radiation treatment apparatus
Publication Date: 2016.11.29 TOSHIBA MEDICAL SYST CORP
  • US9504852B2 patent drawing
  • US9504852B2 patent drawing
  • US9504852B2 patent drawing

AI summary

A medical image processing apparatus includes: an extracting unit that extracts a region of interest and a treatment target organ from each of pieces of three-dimensional medical image data acquired chronologically; a generating unit that generates a movable region image in which each of images of the region of interest that correspond to specified phases and that are among images of the region of interest extracted by the extracting unit from the pieces of three-dimensional medical image data is arranged in an extraction position in a three-dimensional coordinate system, while being characterized in such a manner that the phases are recognizable; and a display controlling unit that causes a display unit to display a display image in which the movable region image during a treatment is superimposed, in a coordinate-corresponding manner, on an image showing the treatment target organ and corresponding to phases during the treatment.