Retained Object Tag Segmentation for Medical Imaging Detection

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Solution Overview

Problem

Current methods for detecting retained objects inside a patient's body after surgery, such as surgical sponges and instruments, are prone to inaccuracies, false positives, and false negatives, and lack precision, which can lead to morbidity and mortality.

Innovation Solution

A retained object tag system comprising radiolucent and radiopaque markers arranged in a specific configuration to facilitate manual and computer-aided detection in medical images, allowing for accurate identification and localization of objects like sponges and gauzes using x-ray radiography, CT, MRI, and other imaging technologies.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If radiopaque markers are attached to retained objects for detection, then detectability is improved, but the complexity of the tag structure increases

Engineering Contradiction:
ImprovedetectabilityVSAvoidtag structure
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The tag structure is segmented into a radiolucent body and multiple radiopaque markers positioned at specific locations (e.g., corners or edges). This segmentation allows the markers to be detected independently while the radiolucent body remains invisible, improving detectability without requiring the entire tag to be radiopaque.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

Different parts of the tag have different radiological properties: the body is radiolucent (invisible) while the markers are radiopaque (visible). This local differentiation optimizes detectability by concentrating visibility at specific marker locations while keeping the overall tag structure minimally intrusive.

Inventive Principle:
Principle #3Local quality

2Measurement precision

If multiple radiopaque markers are used to improve detection accuracy, then measurement precision is improved, but the device complexity increases

Engineering Contradiction:
Improvedetection accuracyVSAvoidmarker configuration
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The radiopaque markers are positioned asymmetrically at specific locations such as corners or edges of the radiolucent body. This asymmetric arrangement creates a unique spatial pattern that improves detection accuracy by providing reference points for localization while maintaining a relatively simple overall structure.

Inventive Principle:
Principle #4Asymmetry

Solution Approach 2:

The markers are distributed in three-dimensional space around the radiolucent body, utilizing multiple dimensions for positioning. This spatial distribution improves detection precision by providing geometric references from multiple angles and orientations.

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

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

The system provides precise and reliable detection of retained objects, reducing the risk of post-surgical complications by enhancing the visibility and detectability of these objects in medical images, thereby improving patient safety.

Implementation Method 1

The first marker is carried by the body and is made at least partly of a radiopaque material. The second marker is carried by the body and is made at least partly of a radiopaque material. And the third marker is carried by the body and is made at least partly of a radiopaque material.

Methodology Applied
Scientific EffectRadiopaque material blocking radiation: Absorption (EM radiation)

Implementation Method 2

The body is attachable to an object and is made at least partly of a radiolucent material.

Methodology Applied
Scientific EffectRadiolucent material transmitting radiation: Absorption (EM radiation)

Data Source

PatentUS10357183B2Retained object tag and detection method
Publication Date: 2019.07.23 THE RGT UNIV OF MICHIGAN
  • US10357183B2 patent drawing
  • US10357183B2 patent drawing
  • US10357183B2 patent drawing

AI summary

A retained object tag, and a method of detecting the presence of a retained object or the retained object tag in a medical image. The method can include different steps such as identifying one or more potential sites in the medical image where the retained object or retained object tag may be present. The method can also include analyzing one or more features of the identified potential site against one or more predetermined properties of the retained object or the retained object tag. And the method can include determining whether the identified potential site is a retained object or a retained object tag based in part or more upon the analyzed feature.