X-Ray Patient Rotation Positioning Using Landmark Ratio Feedback

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Solution Overview

Problem

Existing patient positioning systems for X-ray imaging lack transparency and quantification, leading to inefficiencies in determining the need for re-takes and increasing clinical workload.

Innovation Solution

A method and device that combine rule-based and end-to-end approaches to provide transparent and quantitative feedback for patient positioning, using landmarks and a mapping function to determine patient-rotation angles, enabling automatic or manual adjustment for optimal imaging.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Loss of information

If a rule-based patient positioning check is used, then transparency is improved (segmented structures can be shown to the user), but quantitative measurement is worsened (rotation angle is not quantified)

Engineering Contradiction:
ImprovetransparencyVSAvoidrotation angle quantification
Core Design Contradiction:
Loss of informationVSMeasurement precision

Solution Approach 1:

The patent merges the rule-based approach (which provides transparency through segmented structures) with the end-to-end approach (which provides quantitative rotation angle measurement) into a hybrid system. The system first segments anatomical structures using rule-based methods to maintain transparency, then uses the segmented landmarks to calculate quantitative rotation angles, thus achieving both transparency and measurement precision simultaneously.

Inventive Principle:
Principle #5Merging (Combining)

2Measurement precision

If an end-to-end approach is used, then quantitative measurement is improved (rotation angle is regressed), but transparency is worsened (no transparent quantification)

Engineering Contradiction:
Improverotation angle quantificationVSAvoidtransparency
Core Design Contradiction:
Measurement precisionVSLoss of information

Solution Approach 1:

The patent segments the end-to-end approach by breaking it down into intermediate steps: identifying anatomical landmarks, calculating distances between landmarks, determining ratios, and finally computing rotation angles. This segmentation allows the system to maintain quantitative precision while providing transparency by showing users the intermediate measurements and calculations that lead to the final rotation angle.

Inventive Principle:
Principle #1Segmentation

3Productivity

If patient positioning is not optimized, then examination workflow is simplified, but diagnostic accuracy is worsened (missing information for correct position)

Engineering Contradiction:
Improveexamination workflowVSAvoiddiagnostic accuracy
Core Design Contradiction:
ProductivityVSReliability

Solution Approach 1:

The patent implements a feedback mechanism that provides real-time quantitative rotation angle measurements and transparency information to the technologist during patient positioning. This feedback loop allows the technologist to adjust patient position based on objective numerical data and visual feedback, ensuring diagnostic accuracy while maintaining workflow efficiency by avoiding the need for repeated examinations.

Inventive Principle:
Principle #23Feedback

4Device complexity

If manual positioning assessment is used, then system complexity is reduced, but productivity is worsened (increased clinical workload for determining re-takes)

Engineering Contradiction:
Improvesystem complexityVSAvoidclinical workload
Core Design Contradiction:
Device complexityVSProductivity

Solution Approach 1:

The patent implements a self-service system where the automated positioning assessment tool independently performs landmark identification, distance calculation, ratio determination, and rotation angle computation without requiring manual intervention. The system automatically generates quantitative feedback and transparency information, reducing clinical workload while maintaining manageable system complexity through modular architecture.

Inventive Principle:
Principle #25Self-service

Data Source

PatentEP4702931A1Method and device for optimizing the positioning of a patient for x-ray projection imaging
Publication Date: 2026.03.04 SIEMENS HEALTHINEERS AG
  • EP4702931A1 patent drawingFigure 1~2
  • EP4702931A1 patent drawingFigure 3~5
  • EP4702931A1 patent drawing

AI summary

The invention pertains to a method for optimizing the positioning of a patient (P) for X-ray projection imaging, comprising the steps: - providing a base-image (BI) of a body part of the patient (P) positioned for acquiring the projection image, - identifying from a predefined set of landmarks a number of center-landmarks (LC) and a plurality of edge-landmarks (LE) in the base-image (BI), wherein each center-landmark (LC) lies between at least two edge-landmarks (LE) and wherein the equivalents of the landmarks in the patient (P) lie on a number of triangles inclined to the projection plane of the base-image (BI), - determining distances (D1, D2) of at least one center-landmark (LC) to the at least two edge-landmarks (LE) in the base-image (BI), - calculating a ratio-value (ρ) of the calculated distances (D1, D2), - determining a patient-rotation angle (α) from the ratio-value (ρ) and a given mapping-function (F) that maps the ratio-value (ρ) to a patient-rotation angle (α), - generating output-data (O) based on the determined patient-rotation angle (α), - outputting the generated output-data (O). Furthermore, the invention describes a device and a medical X-ray-system.