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
Engineering 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)
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.
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)
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.
3Productivity
If patient positioning is not optimized, then examination workflow is simplified, but diagnostic accuracy is worsened (missing information for correct position)
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.
4Device complexity
If manual positioning assessment is used, then system complexity is reduced, but productivity is worsened (increased clinical workload for determining re-takes)
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.
Data Source
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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.