Patient-Specific Perfusion Model for CTP Analysis

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Solution Overview

Problem

Current software applications for computed tomography perfusion (CTP) imaging rely solely on brain perfusion data, leading to misinterpretation of cerebral perfusion and diffusion deficits, as they do not account for extra-cranial vascular system information, making the interpretation process tedious, time-consuming, and prone to errors.

Innovation Solution

A perfusion analysis system comprising a perfusion modeller and user interface that generates a patient-specific perfusion model based on medical imaging data, including both brain perfusion and extra-cranial vascular information, allowing for dynamic updates and adjustments to improve interpretation accuracy.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If brain perfusion data alone is used for interpretation, then the analysis process is simplified, but interpretation accuracy deteriorates due to misinterpretation of cerebral perfusion deficits

Engineering Contradiction:
Improveinterpretation accuracyVSAvoidanalysis system complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The system merges brain perfusion data with extra-cranial vascular information into a unified perfusion model. The perfusion modeller integrates multiple data sources including CTP image data, CTA image data, and patient-specific vascular anatomy to create a comprehensive model that prevents misinterpretation while managing complexity through automated integration.

Inventive Principle:
Principle #5Merging (Combining)

Solution Approach 2:

The perfusion modeller acts as an intermediary that automatically processes and integrates multiple data sources. Rather than requiring manual integration by clinicians, the modeller serves as an automated mediator that combines brain perfusion data with extra-cranial vascular information, reducing both interpretation errors and the time required for manual analysis.

Inventive Principle:
Principle #24Intermediary (Mediator)

2Ease of operation

If manual parameter adjustment is performed by clinicians, then flexibility in interpretation is improved, but time consumption and error rate increase

Engineering Contradiction:
Improveinterpretation flexibilityVSAvoidparameter adjustment time
Core Design Contradiction:
Ease of operationVSLoss of time

Solution Approach 1:

The perfusion modeller performs self-service by automatically generating and adjusting perfusion parameters based on integrated data from multiple sources. The system autonomously calculates perfusion maps, identifies pathologies, and adjusts parameters without requiring manual intervention, thereby eliminating time consumption and human error while maintaining interpretation flexibility through automated adaptability.

Inventive Principle:
Principle #25Self-service

Solution Approach 2:

The system implements feedback mechanisms where the perfusion modeller continuously refines parameter estimates based on integrated data from CTP, CTA, and vascular models. The automated feedback loop allows the system to self-correct and optimize parameters, providing flexibility equivalent to manual adjustment but without the time cost and error susceptibility of human operators.

Inventive Principle:
Principle #23Feedback

3Reliability

If extra-cranial vascular information is integrated into the analysis, then interpretation reliability is improved, but data processing complexity increases

Engineering Contradiction:
Improveinterpretation reliabilityVSAvoiddata processing complexity
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The system segments the complex integration task into distinct functional modules: a perfusion modeller that processes CTP data, a vascular model component that handles CTA and extra-cranial anatomy, and an integration layer that combines these models. This segmentation manages processing complexity by organizing data flows and computational tasks into manageable, specialized components while maintaining comprehensive integration for reliable interpretation.

Inventive Principle:
Principle #1Segmentation

4Productivity

If automated perfusion modelling is implemented, then productivity is improved, but initial system complexity increases

Engineering Contradiction:
Improveperfusion analysis speedVSAvoidsystem implementation complexity
Core Design Contradiction:
ProductivityVSDevice complexity

Solution Approach 1:

The perfusion modeller is designed as a universal platform that can process multiple data types (CTP, CTA, MR perfusion) and generate various perfusion parameters (CBF, CBV, MTT, TTP) through a single integrated system. This multi-functionality improves productivity by eliminating the need for separate analysis tools while managing complexity through a unified architecture that handles diverse inputs through standardized processing pathways.

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

Data Source

PatentUS10045755B2Perfusion imaging system with a patient specific perfusion model
Publication Date: 2018.08.14 KONINKLIJKE PHILIPS NV
  • US10045755B2 patent drawing
  • US10045755B2 patent drawing
  • US10045755B2 patent drawing

AI summary

A perfusion analysis system includes a perfusion modeller and a user interface. The perfusion modeller generates a patient specific perfusion model based on medical imaging perfusion data for the patient, a general perfusion model, and a quantification of one or more identified pathologies of the patient that affect perfusion in the patient. The user interface accepts an input indicative of a modification to the quantification of the one or more identified pathologies. In response, the perfusion modeller updates the patient specific perfusion model based on the medical imaging perfusion data for the patient, the general perfusion model, and the quantification of the one or more identified pathologies of the patient, including the modification thereto.