JP2020516348A - Ecg信号からの心筋微小血管抵抗の推定に基づく冠状動脈疾患メトリック - Google Patents
Ecg信号からの心筋微小血管抵抗の推定に基づく冠状動脈疾患メトリック Download PDFInfo
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Abstract
Description
Claims (20)
- 生物物理シミュレータ及び心電図信号アナライザを有するコンピュータ実行可能命令を具備するコンピュータ可読記憶媒体と、
前記心電図信号アナライザを実行して、入力心電図から心筋梗塞特性を決定し、前記生物物理シミュレータを実行して、入力心臓画像データ及び前記決定される心筋梗塞特性から部分冠血流予備量比指標又は瞬時血流予備量比指標をシミュレートするプロセッサと、
を有する、コンピューティングシステム。 - 前記決定される心筋梗塞特性は、心筋梗塞の存在の推定を含む、請求項1に記載のコンピューティングシステム。
- 前記決定される心筋梗塞特性は、心筋梗塞の位置の推定を含む、請求項2に記載のコンピューティングシステム。
- 前記決定される心筋梗塞特性は、心筋梗塞のサイズの推定を含む、請求項3に記載のコンピューティングシステム。
- 前記生物物理シミュレータは、境界条件決定器及び境界条件アダプタを有し、前記境界条件決定器は、前記入力心臓画像データからセグメント化される冠状動脈樹から、境界条件を決定し、前記境界条件アダプタは、前記心筋梗塞特性を用いて前記境界条件を適応させる、請求項1に記載のコンピューティングシステム。
- 前記適応が、冠状動脈モデルの構成要素の微小血管抵抗を変更することを含む、請求項5に記載のコンピューティングシステム。
- 前記適応が、梗塞組織に血液を供給するモデルの冠状動脈の微小血管抵抗を増加させることを含む、請求項5に記載のコンピューティングシステム。
- 前記適応は、心臓生理学から推定される、請求項5乃至7のいずれか1項に記載のコンピューティングシステム。
- 前記境界条件アダプタは、前記シミュレートされた部分冠血流予備量比指標又は前記瞬時血流予備量比指標が部分冠血流予備量比測定値又は瞬時血流予備量比測定値と合致するように、訓練を通じて、前記部分冠血流予備量比測定値又は前記瞬時血流予備量比測定値により前記境界条件を適応させる、請求項5に記載のコンピューティングシステム。
- 前記生物物理シミュレータが画像データアダプタを有し、前記プロセッサが更に、前記画像データアダプタを実行して、前記決定された心筋梗塞特性を前記入力心臓画像データに組み込むように構成される、請求項1に記載のコンピューティングシステム。
- 前記プロセッサは、個人化された心臓形状モデルを使用して、前記決定された心筋梗塞特性を前記入力心臓画像データの空間座標に組み込む、請求項10に記載のコンピューティングシステム。
- 前記生物物理シミュレータは、前記決定された心筋梗塞特性が組み込まれた前記入力心臓画像データから、境界条件を決定し、該境界条件から前記部分冠血流予備量比指標を決定する境界条件決定器を有する、請求項10に記載のコンピューティングシステム。
- コンピュータ可読読命令でエンコードされるコンピュータ可読記憶媒体であって、前記コンピュータ可読命令は、コンピューティングシステムのプロセッサ上で実行されるとき、プロセッサに、
心臓画像データを入力するステップと、
心電図信号を入力するステップと、
前記心臓画像データ及び前記心電図信号の心筋梗塞特性から、部分冠血流予備量比指標又は瞬時血流予備量比指標をシミュレートするステップであって、前記心筋梗塞特性が、心筋梗塞の存在、心筋梗塞の位置及び心筋梗塞のサイズのうち1又は複数の推定を含む、ステップと、
を実行させる、コンピュータ可読記憶媒体。 - 前記プロセッサは、前記心臓画像データからセグメント化された冠状動脈樹から、境界条件を決定し、前記心筋梗塞特性を用いて前記境界条件を適応させ、前記適応された境界条件を用いて前記部分冠血流予備量比指標又は前記瞬時血流予備比指標をシミュレートする、請求項13に記載のコンピュータ可読記憶媒体。
- 前記プロセッサは、前記心筋梗塞特性を前記入力心臓画像データの空間座標に組み込み、前記心筋梗塞特性が組み込まれた前記心臓画像データを用いて前記部分冠血流予備量比指標又は瞬時血流予備量比指標をシミュレートする、請求項13に記載のコンピュータ可読記憶媒体。
- 前記プロセッサは、訓練アルゴリズム及び部分冠血流予備量比測定値又は瞬時血流予備量比測定値の一方を使用して、前記部分冠血流予備量比測定値又は前記瞬時血流予備量比測定値と合致する部分冠血流予備量比指標又は瞬時血流予備量比指標をシミュレートする、請求項13に記載のコンピュータ可読記憶媒体。
- 心臓画像データの入力するステップと、
心電図信号を入力するステップと、
前記心臓画像データ及び前記心電図信号の心筋梗塞特性から、部分冠血流予備量比指標又は瞬時血流予備量比指標をシミュレートするステップであって、前記心筋梗塞特性は、心筋梗塞の存在、心筋梗塞の位置及び心筋梗塞のサイズのうち1又は複数の推定を含む、ステップと
を実行する方法。 - 心臓画像データから冠状動脈樹をセグメント化するステップと、
前記セグメント化された心臓画像データから境界条件を決定するステップと、
前記心筋梗塞特性を用いて前記境界条件を適応させるステップと、
前記適応された境界条件を用いて前記部分冠血流予備量比指標又は前記瞬時血流予備量比指標をシミュレートするステップと、
を更に有する、請求項17に記載の方法。 - 前記心筋梗塞特性を前記入力心臓画像データの空間座標に組み込むステップと、
前記心筋梗塞特性が組み込まれた前記心臓画像データから、冠状動脈樹をセグメント化するステップと、
前記セグメント化された心臓画像データから、境界条件を決定するステップと、
前記境界条件を用いて、前記部分冠血流予備量比指標又は前記瞬時血流予備量比指標をシミュレートするステップと、
を更に有する、請求項18に記載の方法。 - 前記心臓画像データから冠状動脈樹をセグメント化するステップと、
前記部分冠血流予備量比測定値又は瞬時血流予備量比測定値の一方を入力するステップと、
前記シミュレートされた部分冠血流予備量比指標又は前記シミュレートされた瞬時血流予備量比指標が部分冠血流予備量比測定値又は瞬時血流予備量比測定値と合致するように、前記セグメント化された心臓画像データ及び前記部分冠血流予備量比測定値又は前記瞬時血流予備量比測定値の一方から、境界条件を決定するステップと、
前記境界条件を用いて、前記部分冠血流予備量比指標又は瞬時血流予備量比指標をシミュレートするステップと、
を更に有する、請求項19に記載の方法。
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Families Citing this family (9)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
IL263066B2 (en) | 2016-05-16 | 2023-09-01 | Cathworks Ltd | Selecting blood vessels from images |
US11918291B2 (en) * | 2017-03-31 | 2024-03-05 | Koninklijke Philips N.V. | Simulation of transcatheter aortic valve implantation (TAVI) induced effects on coronary flow and pressure |
EP3948886A4 (en) | 2019-04-01 | 2022-12-21 | CathWorks Ltd. | METHOD AND DEVICE FOR SELECTING ANGIOGRAPHIC IMAGES |
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Citations (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2007510493A (ja) * | 2003-11-12 | 2007-04-26 | コンサルト イン メディスン ベスローテン フェンノートシャップ | ヒト又は動物の心臓の虚血領域の存在を決定する方法及び装置 |
US20120243761A1 (en) * | 2011-03-21 | 2012-09-27 | Senzig Robert F | System and method for estimating vascular flow using ct imaging |
JP2013524984A (ja) * | 2010-04-28 | 2013-06-20 | コーニンクレッカ フィリップス エレクトロニクス エヌ ヴィ | 診断ecgにおける心筋梗塞サイズの可視化 |
US20130197884A1 (en) * | 2012-02-01 | 2013-08-01 | Siemens Corporation | Method and System for Advanced Measurements Computation and Therapy Planning from Medical Data and Images Using a Multi-Physics Fluid-Solid Heart Model |
JP2014534889A (ja) * | 2011-11-10 | 2014-12-25 | シーメンス・コーポレイション | 冠循環のマルチスケールな解剖学的かつ機能的なモデリングの方法およびシステム |
US20150112191A1 (en) * | 2013-10-22 | 2015-04-23 | Koninklijke Philips Electronics N.V. | Fractional flow reserve (ffr) index with adaptive boundary condition parameters |
JP2016500548A (ja) * | 2012-11-06 | 2016-01-14 | コーニンクレッカ フィリップス エヌ ヴェKoninklijke Philips N.V. | 冠血流予備量比(ffr)指標 |
Family Cites Families (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20040138574A1 (en) * | 2002-07-17 | 2004-07-15 | Resolution Medical, Inc. | Methods and apparatus for enhancing diagnosis of myocardial infarctions |
WO2013171644A1 (en) | 2012-05-14 | 2013-11-21 | Koninklijke Philips N.V. | Determination of a fractional flow reserve (ffr) value for a stenosis of a vessel |
WO2014027692A1 (ja) | 2012-08-16 | 2014-02-20 | 株式会社東芝 | 画像処理装置、医用画像診断装置及び血圧モニタ |
US9595089B2 (en) * | 2014-05-09 | 2017-03-14 | Siemens Healthcare Gmbh | Method and system for non-invasive computation of hemodynamic indices for coronary artery stenosis |
WO2016001017A1 (en) | 2014-06-30 | 2016-01-07 | Koninklijke Philips N.V. | Apparatus for determining a fractional flow reserve value |
US9668700B2 (en) * | 2014-09-09 | 2017-06-06 | Heartflow, Inc. | Method and system for quantifying limitations in coronary artery blood flow during physical activity in patients with coronary artery disease |
US10262101B2 (en) | 2015-04-02 | 2019-04-16 | Heartflow, Inc. | Systems and methods for predicting perfusion deficits from physiological, anatomical, and patient characteristics |
US11191490B2 (en) * | 2015-12-02 | 2021-12-07 | Siemens Healthcare Gmbh | Personalized assessment of patients with acute coronary syndrome |
-
2018
- 2018-03-05 US US16/500,207 patent/US11710569B2/en active Active
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Patent Citations (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2007510493A (ja) * | 2003-11-12 | 2007-04-26 | コンサルト イン メディスン ベスローテン フェンノートシャップ | ヒト又は動物の心臓の虚血領域の存在を決定する方法及び装置 |
JP2013524984A (ja) * | 2010-04-28 | 2013-06-20 | コーニンクレッカ フィリップス エレクトロニクス エヌ ヴィ | 診断ecgにおける心筋梗塞サイズの可視化 |
US20120243761A1 (en) * | 2011-03-21 | 2012-09-27 | Senzig Robert F | System and method for estimating vascular flow using ct imaging |
JP2014534889A (ja) * | 2011-11-10 | 2014-12-25 | シーメンス・コーポレイション | 冠循環のマルチスケールな解剖学的かつ機能的なモデリングの方法およびシステム |
US20130197884A1 (en) * | 2012-02-01 | 2013-08-01 | Siemens Corporation | Method and System for Advanced Measurements Computation and Therapy Planning from Medical Data and Images Using a Multi-Physics Fluid-Solid Heart Model |
JP2016500548A (ja) * | 2012-11-06 | 2016-01-14 | コーニンクレッカ フィリップス エヌ ヴェKoninklijke Philips N.V. | 冠血流予備量比(ffr)指標 |
US20150112191A1 (en) * | 2013-10-22 | 2015-04-23 | Koninklijke Philips Electronics N.V. | Fractional flow reserve (ffr) index with adaptive boundary condition parameters |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPWO2019208512A1 (ja) * | 2018-04-27 | 2021-05-13 | 日本ゼオン株式会社 | 広帯域波長フィルム及びその製造方法、並びに円偏光フィルムの製造方法 |
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