Stroke Prognosis via Marker Peptide Segmentation

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Solution Overview

Problem

Current clinical diagnostics for stroke patients lack effective methods for early and accurate prognosis of outcomes and risk assessment, particularly in differentiating between ischemic and hemorrhagic strokes, and predicting future cardiovascular events.

Innovation Solution

An in vitro method involving the determination of specific marker peptides such as ANP, AVP, ADM, ET-1, calcitonin, and hGH in patient samples, combined with multivariate analysis and capture probes, to assess the risk of stroke, transient ischemic attack, and predict functional outcomes.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Difficulty of detecting and measuring

If neuroradiological imaging methods like CT or MRT are used for stroke diagnosis, then diagnostic capability is improved, but measurement precision for prognosis and risk assessment deteriorates

Engineering Contradiction:
Improvediagnostic capabilityVSAvoidprognosis precision
Core Design Contradiction:
Difficulty of detecting and measuringVSMeasurement precision

Solution Approach 1:

The invention segments the diagnostic process into two distinct phases: diagnostic phase (using CT/MRT for detecting stroke presence) and prognostic phase (using marker peptide levels for predicting outcomes). This segmentation allows each method to be optimized for its specific purpose, resolving the contradiction between diagnostic capability and prognosis precision.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The invention introduces marker peptides (ANP, BNP, NT-proBNP) as intermediary substances that mediate between the physical stroke event and the clinical outcome prediction. These peptides serve as biochemical messengers that provide precise prognostic information complementary to imaging-based diagnosis.

Inventive Principle:
Principle #24Intermediary (Mediator)

2Device complexity

If single marker peptide determination is used, then method simplicity is improved, but prognosis accuracy deteriorates

Engineering Contradiction:
Improvemethod simplicityVSAvoidprognosis accuracy
Core Design Contradiction:
Device complexityVSMeasurement precision

Solution Approach 1:

The invention merges multiple marker peptide determinations (ANP, BNP, NT-proBNP) into a single integrated prognostic assessment method. The combination of these complementary markers provides synergistic information that improves prognosis accuracy beyond what any single marker could achieve alone.

Inventive Principle:
Principle #5Merging (Combining)

Solution Approach 2:

The prognostic method uses a composite approach by combining multiple biochemical markers (ANP, BNP, NT-proBNP) to create a more robust and accurate prediction system, analogous to using composite materials that combine different properties for enhanced performance.

Inventive Principle:
Principle #40Composite materials

3Loss of time

If rapid differential diagnosis is implemented, then treatment time is improved, but measurement precision for individual prognosis deteriorates

Engineering Contradiction:
Improvetreatment timeVSAvoidindividual prognosis precision
Core Design Contradiction:
Loss of timeVSMeasurement precision

Solution Approach 1:

The invention performs preliminary rapid differential diagnosis using standard imaging methods to establish the stroke type, then immediately follows up with marker peptide determination to refine individual prognosis. This preliminary action sequence ensures both rapid initial response and precise subsequent personalized care.

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The diagnostic approach is made dynamic by implementing a two-stage process that adapts to clinical needs: rapid initial diagnosis followed by detailed prognostic assessment. This dynamic approach allows the system to balance speed and precision based on the specific clinical situation and patient needs.

Inventive Principle:
Principle #15Dynamics

Data Source

PatentEP2356450B1Prognosis and risk assessment in stroke patients by determining the level of marker peptides
Publication Date: 2019.02.06 BRAHMS GMBH
  • EP2356450B1 patent drawingFigure 1
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AI summary

The present invention relates to a method for prognosis of an outcome or assessing the risk of a patient having suffered a stroke or a transient ischemic attack, comprising the determination of the level of at least one marker peptide in said sample said marker peptide selected from the group comprising ANP, AVP, ADM, ET-1, troponin, CRP, calcitonin and hGH or fragments thereof or its precursor or fragments thereof and attributing the level of said at least one marker peptides its precursor or fragments thereof with the prognosis of an outcome or assessing the risk for said patient.