Automated Ocular Inflammation Detection Using OCT and Fundus Imaging

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Solution Overview

Problem

Current methods for detecting and classifying ophthalmic inflammation, particularly uveitis, are subjective and prone to uncertainty due to reliance on manual examinations, which can be complicated by media opacities like cataracts, limiting accurate grading and effective treatment.

Innovation Solution

The use of automated systems that combine optical coherence tomography (OCT) and fundus imaging to extract characteristic metrics from images, allowing for supervised or unsupervised classification of haze/flare and inflammatory cells, while accounting for lens opacity to improve grading accuracy and consistency.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If manual slit-lamp examination is used for assessing uveitis, then clinical judgment and flexibility are maintained, but subjectivity and uncertainty increase due to reliance on human interpretation

Engineering Contradiction:
Improvegrading accuracyVSAvoidoperational complexity
Core Design Contradiction:
ReliabilityVSEase of operation

Solution Approach 1:

The patent replaces manual slit-lamp examination with automated image analysis systems that use digital imaging and computer processing to objectively quantify inflammation parameters, eliminating human subjectivity while maintaining clinical assessment capability

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

Solution Approach 2:

The patent creates digital copies of the eye structures through high-resolution imaging, allowing repeated analysis without exposing the patient to repeated physical examination, and enabling consistent measurement across different observers

Inventive Principle:
Principle #26Copying

2Measurement precision

If manual examination is used, then adaptability to different eye conditions is maintained, but measurement precision deteriorates due to media opacities like cataracts

Engineering Contradiction:
Improveinflammation detection accuracyVSAvoidmedia opacity interference
Core Design Contradiction:
Measurement precisionVSObject-affected harmful factors

Solution Approach 1:

The patent divides the eye into distinct anatomical segments (anterior chamber, vitreous, retina) and analyzes each separately using targeted imaging techniques, allowing assessment of inflammation in specific regions without being confounded by media opacities in other regions

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The patent introduces digital image processing as an intermediary between the physical eye structures and the assessment, using algorithms to enhance images and quantify parameters while compensating for the distorting effects of media opacities

Inventive Principle:
Principle #24Intermediary (Mediator)

3Reliability

If automated image analysis is implemented, then objectivity and grading consistency are improved, but device complexity increases

Engineering Contradiction:
Improvegrading consistencyVSAvoidsystem complexity
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The patent integrates multiple functions into a single imaging system that can capture various types of images (fundus photography, OCT, fluorescein angiography) and process them through unified algorithms, reducing the need for separate specialized devices while maintaining comprehensive assessment capability

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

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

This approach enhances the accuracy and objectivity of uveitis grading, reducing the impact of media opacities and enabling more precise clinical management and therapy development.

Implementation Method 1

Optical Coherence Tomography is a non-invasive, in-vivo imaging technique based on the back-scatter or reflectivity of light in a medium

Methodology Applied
Scientific EffectBack-scatter: Scattering

Implementation Method 2

the image formation process records the back-scattering profile of the light at each location. The amount of scatter is indicative of the reflectivity of the tissue encountered

Methodology Applied
Scientific EffectReflectivity: Reflection

Data Source

PatentUS10149610B2Methods and systems for automatic detection and classification of ocular inflammation
Publication Date: 2018.12.11 CARL ZEISS MEDITEC INC
  • US10149610B2 patent drawing
  • US10149610B2 patent drawing
  • US10149610B2 patent drawing

AI summary

Systems and methods to improve the detection and classification of inflammation in the eye are presented. The inflammatory markers in image data can be graded by comparing identified and extracted characteristics from the images with characteristics derived from a set of images of eyes from a general population of subjects. The image data can be divided into sub-regions for analysis to better isolate the true inflammatory markers from the impacts of cataracts or other opacities. In another embodiment, the location of an imaging beam can be controlled to minimize the impact of lens opacities from the collected data used to analyze the inflammation state of an eye.