Oscillatory Dark-Field Imaging for Lung Disease Localization

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Solution Overview

Problem

Current pulmonary function tests, such as spirometry and Forced Oscillatory Technique (FOT), have limited spatial and temporal resolution, making it difficult to accurately determine the location and cause of reduced lung function in diseases like COPD and asthma.

Innovation Solution

A device combining Forced Oscillatory Technique (FOT) with dark field x-ray imaging to generate respiratory mechanics data and image data of the alveoli, allowing for precise localization of problem areas in the lung by modulating oscillatory and image acquisition frequencies to match alveolic states, thereby enhancing diagnostic accuracy.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If spirometry is used to measure lung volume and airflow, then integrated respiratory information can be obtained, but spatial resolution is lost and accuracy depends on subject cooperation

Engineering Contradiction:
Improvemeasurement accuracyVSAvoidspatial resolution
Core Design Contradiction:
Measurement precisionVSLoss of information

Solution Approach 1:

The patent combines FOT (Forced Oscillatory Technique) which provides integrated respiratory mechanics data with dark-field X-ray imaging which provides spatially resolved structural information. This merging allows simultaneous acquisition of both global lung function parameters and localized anatomical details, resolving the contradiction between integrated measurement and spatial resolution.

Inventive Principle:
Principle #5Merging (Combining)

Solution Approach 2:

The patent uses dark-field X-ray imaging as an intermediary to bridge the gap between integrated FOT measurements and localized lung pathology. The imaging modality provides visual feedback that correlates with FOT parameters, enabling spatial localization of functional deficits without requiring direct spatially-resolved functional measurement.

Inventive Principle:
Principle #24Intermediary (Mediator)

2Ease of operation

If FOT is used to eliminate subject dependency, then respiratory mechanics can be measured during spontaneous breathing, but spatial resolution remains very limited

Engineering Contradiction:
Improvesubject cooperation requirementVSAvoidspatial resolution
Core Design Contradiction:
Ease of operationVSLoss of information

Solution Approach 1:

The patent merges FOT (which eliminates subject dependency by measuring during spontaneous breathing) with dark-field X-ray imaging (which provides spatial resolution). This combination maintains the ease of operation of FOT while adding the spatial resolution capability of imaging to locate specific problem areas within the lung.

Inventive Principle:
Principle #5Merging (Combining)

Solution Approach 2:

The patent adds a spatial dimension to the FOT measurements by incorporating X-ray imaging. While FOT provides temporal and functional information during spontaneous breathing, the imaging dimension adds spatial localization, allowing identification of specific lung regions with pathology.

Inventive Principle:
Principle #17Another dimension (Dimensionality change)

3Measurement precision

If oscillatory frequency is increased to improve temporal resolution, then alveolic response can be better captured, but image acquisition complexity increases

Engineering Contradiction:
Improvetemporal resolutionVSAvoidimage acquisition complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The patent employs periodic oscillatory pressure applied to the subject's airways at controlled frequencies. This periodic action drives rhythmic alveolar expansion and contraction, creating time-varying structural changes that can be captured by synchronized X-ray imaging. The periodic nature simplifies the analysis by creating repeatable patterns that can be averaged and compared across cycles.

Inventive Principle:
Principle #19Periodic action

Solution Approach 2:

The system uses feedback by monitoring the subject's respiratory mechanics in real-time during the oscillatory challenge and adjusting the imaging acquisition timing accordingly. This feedback mechanism allows synchronization of image acquisition with specific phases of the oscillatory cycle, improving temporal resolution without requiring excessively high imaging frame rates that would increase complexity.

Inventive Principle:
Principle #23Feedback

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 combination provides improved spatial resolution and localized information, enabling precise diagnosis of lung diseases by correlating respiratory mechanics with alveolic health, allowing for better identification of healthy and diseased areas within the lung.

Implementation Method 1

low-amplitude low-frequency pressure oscillations are produced during spontaneous breathing

Methodology Applied
Scientific EffectPressure oscillations:

Implementation Method 2

Due to the elastic properties of the lung tissue the air oscillations lead to an induced and controlled inflation and deflation of the alveoli

Methodology Applied
Scientific EffectElastic properties of lung tissue: Elasticity

Implementation Method 3

dark field x-ray imaging is a relatively new technique that relies on the scattering of x-rays

Methodology Applied
Scientific EffectX-ray scattering: Scattering

Implementation Method 4

a technique using the Venturi effect in which air flow is led through an air path narrowing structure 15

Methodology Applied
Scientific EffectVenturi effect: Venturi Effect

Data Source

PatentEP3721442B1Oscillatory dark-field imaging
Publication Date: 2021.07.14 KONINKLIJKE PHILIPS NV
  • EP3721442B1 patent drawingFigure 1
  • EP3721442B1 patent drawingFigure 2
  • EP3721442B1 patent drawingFigure 3

AI summary

A forced oscillation technique and dark field imaging technique is disclosed, wherein respiratory mechanics data and dark field image data are synergistically combined to obtain pulmonary function data with increased spatial resolution and increased diagnostic information, particularly increased localization and severity data.