Prostate Biopsy Guidance via Statistical Cancer Probability Maps

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Solution Overview

Problem

Current prostate biopsy methods, such as random sampling, result in high false negative detection rates due to the inability to accurately identify cancerous tissue sites, leading to increased patient anxiety, healthcare costs, and delayed cancer diagnosis.

Innovation Solution

The integration of statistical data and probability maps based on demographic characteristics into 3D ultrasound images to guide biopsy needles to regions with higher cancer probabilities, using shape models and cancer probability atlases to overlay relevant information onto patient images for targeted sampling.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Ease of operation

If random sampling biopsy is performed, then biopsy procedure is simple to perform, but cancer detection accuracy deteriorates with high false negative rates

Engineering Contradiction:
Improvebiopsy procedure simplicityVSAvoidcancer detection accuracy
Core Design Contradiction:
Ease of operationVSMeasurement precision

Solution Approach 1:

The system performs preliminary actions by acquiring 3D ultrasound images of the prostate before biopsy, processing these images to identify suspicious regions, and generating visual overlays that guide the biopsy procedure. This preliminary imaging and analysis phase enables targeted sampling without complicating the actual biopsy execution.

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The patent introduces an intermediary system consisting of image processing algorithms and visual overlay generation that acts as a mediator between the ultrasound imaging and biopsy sampling. This intermediary processing layer identifies suspicious regions and guides needle placement, improving detection accuracy while maintaining procedural simplicity.

Inventive Principle:
Principle #24Intermediary (Mediator)

2Measurement precision

If more biopsy cores are obtained from additional regions, then cancer detection rate improves, but procedure complexity and time increase

Engineering Contradiction:
Improvecancer detection rateVSAvoidbiopsy procedure complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The system applies local quality by differentiating between various regions of the prostate and identifying specific suspicious areas that require sampling. Instead of uniform sampling across all regions, the system focuses biopsy efforts on locally identified high-risk zones, improving detection efficiency without requiring excessive cores from all areas.

Inventive Principle:
Principle #3Local quality

Solution Approach 2:

The image processing and suspicious region identification is performed as a preliminary action before the biopsy procedure begins. This pre-planning phase maps out target regions, allowing the physician to efficiently obtain targeted samples without needing to perform extensive exploratory biopsies during the procedure itself.

Inventive Principle:
Principle #10Preliminary action

3Measurement precision

If multiple biopsies are performed to reduce false negatives, then cancer detection improves, but patient anxiety and healthcare costs increase

Engineering Contradiction:
Improvecancer detection reliabilityVSAvoidtime to diagnosis
Core Design Contradiction:
Measurement precisionVSLoss of time

Solution Approach 1:

The system performs preliminary 3D imaging and suspicious region identification before the biopsy procedure, allowing for targeted sampling in a single procedure. This pre-planning reduces the likelihood of negative biopsies that would require repeat procedures, thereby reducing patient anxiety and time to diagnosis while maintaining high detection accuracy.

Inventive Principle:
Principle #10Preliminary action

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 improves the effectiveness of biopsy procedures by accurately identifying and targeting regions with higher cancer likelihood, reducing false negative rates and enhancing cancer detection during initial biopsies.

Implementation Method 1

obtaining an ultrasound image of a prostate of a patient

Methodology Applied
Scientific EffectUltrasound: Ultrasound

Data Source

PatentUS8425418B2Method of ultrasonic imaging and biopsy of the prostate
Publication Date: 2013.04.23 EIGEN HEALTH SERVICES LLC
  • US8425418B2 patent drawing
  • US8425418B2 patent drawing
  • US8425418B2 patent drawing

AI summary

A system and method (i.e, utility) are disclosed for positioning a needle in three-dimensions based on patient related statistics for extracting tissue during biopsy procedures. Aspects of the utility can be applied independently or serve as an aid to the urologist when regions of interest are hard to discern in an ultrasound image. Regions of interest that correspond to high cancer risk regions (e.g., statistically) are automatically superimposed on an ultrasound image of a patient in real time. Additionally a statistical map based on one or more demographic parameters of a patient and containing cancer probability locations are also automatically mapped on the ultrasound image in real time displaying potential cancer locations. Aspects of the system are also capable of displaying optimal needle placement positions based on statistical priors and will be able to accurately navigate the needle to that position for biopsy extraction and/or treatment.