Organ-Specific CT Scan Classification for Abdominal Pain Diagnosis

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Solution Overview

Problem

Emergency department physicians often struggle to accurately diagnose the source of abdominal pain due to lack of domain knowledge and time constraints, leading to potential miss-diagnosis or undiagnosis, even with computed tomography (CT) scans.

Innovation Solution

The implementation of a system that partitions CT scan data by organ and region, using separate machine-learnt classifiers for each to determine the likelihood of abdominal pain causes, providing physicians with guided diagnosis through a graphic user interface.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If multiple machine-learnt classifiers are used to analyze each organ separately, then diagnostic accuracy is improved, but device complexity increases

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

Solution Approach 1:

The patent divides the abdominal region into multiple organs (liver, spleen, kidneys, pancreas, gallbladder, intestines, stomach, aorta) and applies separate machine-learnt classifiers to each organ. This segmentation allows each classifier to specialize in detecting specific pathologies within its assigned organ, improving diagnostic accuracy while managing complexity through modular organization.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The system employs a universal framework that processes CT scan data through multiple organ-specific classifiers simultaneously. Each classifier is trained on organ-specific data but follows a common architectural pattern, allowing the system to handle diverse abdominal pathologies through a unified multi-functional approach.

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

2Reliability

If comprehensive organ-by-organ analysis is performed, then diagnostic completeness is improved, but processing time increases

Engineering Contradiction:
Improvediagnostic completenessVSAvoidprocessing time
Core Design Contradiction:
ReliabilityVSLoss of time

Solution Approach 1:

The system performs preliminary segmentation of the abdominal CT scan into distinct organ regions before applying classifiers. This pre-processing step organizes the data in advance, allowing parallel processing of multiple organ classifiers simultaneously, which maintains comprehensive analysis while reducing overall processing time.

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The patent implements continuous processing where multiple organ classifiers operate in parallel on segmented organ data. This parallel execution maintains the completeness of organ-by-organ analysis while significantly reducing the sequential processing time that would result from analyzing each organ one after another.

Inventive Principle:
Principle #20Continuity of useful action

3Productivity

If automated classification is implemented, then productivity is improved, but ease of operation decreases

Engineering Contradiction:
Improvediagnosis speedVSAvoidinterpretation difficulty
Core Design Contradiction:
ProductivityVSEase of operation

Solution Approach 1:

The system provides feedback to the physician by presenting organized diagnostic results that include the most likely causes of abdominal pain ranked by probability, along with the specific organs involved. This feedback mechanism translates complex classifier outputs into clinically actionable information, maintaining high diagnostic speed while preserving ease of interpretation for medical professionals.

Inventive Principle:
Principle #23Feedback

Data Source

PatentUS10849587B2Source of abdominal pain identification in medical imaging
Publication Date: 2020.12.01 SIEMENS HEALTHINEERS AG
  • US10849587B2 patent drawing
  • US10849587B2 patent drawing
  • US10849587B2 patent drawing

AI summary

To assist a physician in diagnosis of trauma involving abdominal pain, scan data representing the patient is partitioned by organ and/or region. Separate machine-learnt classifiers are provided for each organ and/or region. The classifiers are trained to indicate a likelihood of cause of the pain. By outputting results from the collection of organ and/or regions specific classifiers, the likeliest causes and associated organs and/or regions may be used by the physician to speed, confirm, or guide diagnosis of the source of abdominal pain.