Voxel Tagging for Clinical Effect Visualization

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Solution Overview

Problem

Current implantable electrical stimulation systems face challenges in effectively visualizing and optimizing clinical effects across multiple stimulation parameters, leading to difficulties in identifying suitable stimulation programs and minimizing side effects.

Innovation Solution

A system that uses a computer processor to estimate stimulated regions, assign tags to voxels based on assessments of stimulation effects and side effects, and determine voxel types, allowing for the visualization of clinical effects and generation of optimized stimulation parameters for implantable pulse generators.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If multiple stimulation parameters are tested to identify suitable stimulation programs, then therapeutic effectiveness is improved, but device complexity and data management burden increase

Engineering Contradiction:
Improvetherapeutic effectivenessVSAvoiddata management burden
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The patent segments the complex task of evaluating multiple stimulation parameters by dividing the brain into discrete volumetric elements (voxels). Each voxel is independently tagged with stimulation effects and side effects, allowing systematic organization and analysis of large datasets without overwhelming complexity

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The patent introduces an intermediary visual mapping system that translates complex stimulation parameter data into intuitive graphical representations. The voxel-based visualization acts as a mediator between the raw data and the clinician, enabling easy interpretation of therapeutic effects and side effects across multiple stimulation programs

Inventive Principle:
Principle #24Intermediary (Mediator)

2Reliability

If stimulation parameters are optimized to enhance therapeutic outcomes, then treatment efficacy is improved, but risk of side effects increases

Engineering Contradiction:
Improvetreatment efficacyVSAvoidside effects
Core Design Contradiction:
ReliabilityVSObject-affected harmful factors

Solution Approach 1:

The patent applies local quality by assigning different tags to different voxels based on their specific stimulation effects and side effects. This allows identification of localized regions where side effects occur, enabling clinicians to adjust stimulation parameters to avoid those specific areas while maintaining therapeutic effects in other regions

Inventive Principle:
Principle #3Local quality

Solution Approach 2:

The patent implements feedback by visually displaying the spatial distribution of side effects alongside therapeutic effects. This immediate visual feedback allows clinicians to iteratively optimize stimulation parameters, adjusting electrode selections and parameters to achieve therapeutic outcomes while minimizing side effects in real-time

Inventive Principle:
Principle #23Feedback

3Measurement precision

If detailed assessments of stimulation effects and side effects are collected, then measurement precision is improved, but data processing complexity increases

Engineering Contradiction:
Improveassessment accuracyVSAvoiddata processing complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The patent segments detailed clinical assessments into discrete voxel-level tags, where each voxel receives specific tags for stimulation effects and side effects. This segmentation transforms complex continuous data into structured categorical data that is easier to process, store, and analyze systematically

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The patent creates a simplified digital copy of the complex stimulation data through voxel tagging. Instead of processing raw continuous assessment data, the system works with discrete tag assignments that replicate the essential information in a computationally efficient format, reducing processing complexity while preserving measurement precision

Inventive Principle:
Principle #26Copying

Data Source

PatentEP3458152B1Systems and methods for visual analytics of clinical effects
Publication Date: 2021.04.21 BOSTON SCI NEUROMODULATION CORP
  • EP3458152B1 patent drawingFigure 1
  • EP3458152B1 patent drawingFigure 2~3
  • EP3458152B1 patent drawingFigure 4~5

AI summary

A system for visualizing clinical effects can perform the following actions: obtain, for each of multiple stimulation instances, an estimation of a region stimulated during the stimulation instance and at least one assessment for at least one stimulation effect or stimulation side effect; assign, for each of the stimulation instances, a tag, selected from multiple tags, to each one of multiple voxels within the region stimulated during the stimulation instance, where the tag is selected based on the at least one assessment for the stimulation instance; and assign a voxel type, selected from multiple voxel types, to each of multiple voxels based on the tags assigned to the voxels. Optionally, the actions can also include display, on a display, a representation of multiple voxels with each of the displayed voxels having a graphical feature associated with the voxel type assigned to that voxel.