JP6563949B2 - 生物の心臓データを処理するための処理装置及び方法 - Google Patents
生物の心臓データを処理するための処理装置及び方法 Download PDFInfo
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- A61B5/026—Measuring blood flow
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- A—HUMAN NECESSITIES
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
- A61B5/02007—Evaluating blood vessel condition, e.g. elasticity, compliance
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
- A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
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- A—HUMAN NECESSITIES
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- A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
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- A61B5/6876—Blood vessel
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
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- A—HUMAN NECESSITIES
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- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/02—Devices for diagnosis sequentially in different planes; Stereoscopic radiation diagnosis
- A61B6/03—Computerised tomographs
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/50—Clinical applications
- A61B6/504—Clinical applications involving diagnosis of blood vessels, e.g. by angiography
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/52—Devices using data or image processing specially adapted for radiation diagnosis
- A61B6/5211—Devices using data or image processing specially adapted for radiation diagnosis involving processing of medical diagnostic data
- A61B6/5229—Devices using data or image processing specially adapted for radiation diagnosis involving processing of medical diagnostic data combining image data of a patient, e.g. combining a functional image with an anatomical image
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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06T—IMAGE DATA PROCESSING OR GENERATION, IN GENERAL
- G06T11/00—2D [Two Dimensional] image generation
- G06T11/003—Reconstruction from projections, e.g. tomography
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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06T—IMAGE DATA PROCESSING OR GENERATION, IN GENERAL
- G06T7/00—Image analysis
- G06T7/0002—Inspection of images, e.g. flaw detection
- G06T7/0012—Biomedical image inspection
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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06T—IMAGE DATA PROCESSING OR GENERATION, IN GENERAL
- G06T2207/00—Indexing scheme for image analysis or image enhancement
- G06T2207/30—Subject of image; Context of image processing
- G06T2207/30004—Biomedical image processing
- G06T2207/30048—Heart; Cardiac
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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06T—IMAGE DATA PROCESSING OR GENERATION, IN GENERAL
- G06T2207/00—Indexing scheme for image analysis or image enhancement
- G06T2207/30—Subject of image; Context of image processing
- G06T2207/30004—Biomedical image processing
- G06T2207/30101—Blood vessel; Artery; Vein; Vascular
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Description
例1
Claims (15)
- 生物の心臓データを処理する処理装置であって、
-前記生物の複数の相違する動脈の血流予備量比を示す第一の血流予備量比値を供給するように構成され、前記第一の血流予備量比値が前記生物の動脈の非侵襲性イメージングデータから計算される、第一の血流予備量比値供給ユニットと、
-前記生物の前記動脈において測定される血流予備量比値を供給するように構成される第二の血流予備量比値供給ユニットと、
-前記供給される第二の血流予備量比値に基づいて、前記供給される第一の血流予備量比値を補正するように構成される、補正ユニットと
を有する、装置。 - 前記補正ユニットは、前記生物の前記冠状動脈における位置に対して少なくとも一つの第一の血流予備量比値を、前記生物の前記冠状動脈における同じ位置において測定される第二の血流予備量比値に置換することによって補正する、請求項1に記載の処理装置。
- 前記補正ユニットは、前記生物の前記冠状動脈における相違する位置の少なくとも一つの第二の血流予備量比値を使用して前記第一の血流予備量比を再計算することによって第二の血流予備量比値が現在利用可能でない、又はまだ利用可能でない位置において第一の血流予備量比値を補正する、請求項1又は2に記載の処理装置。
- 動脈ツリーモデル供給ユニットを更に有し、供給される動脈ツリーモデルは、前記生物の前記冠状動脈の前記非侵襲性イメージング、動脈内イメージング又はその両方のデータから決定される、請求項1乃至3の何れか一項に記載の処理装置。
- 前記補正ユニットは、新たな第二の血流予備量比値が供給されるとき、前記第一の血流予備量比値を補正するように構成される、請求項1乃至4の何れか一項に記載の処理装置。
- 前記補正ユニットは、前記第一の血流予備量比値及び前記第二の血流予備量比値の間の差が所定の閾値より上のとき、前記第一の血流予備量比値を補正する、請求項1乃至5の何れか一項に記載の処理装置。
- 前記第一の血流予備量比値が、前記生物の前記冠状動脈の前記非侵襲性イメージングデータを得ることから10秒以内に計算される、請求項1乃至6の何れか一項に記載の処理装置。
- -請求項1乃至7の何れか一項に記載の処理装置と、
-前記冠状動脈において対応する位置に対する少なくとも一つの第一の血流予備量比値及び対応する第二の血流予備量比値を表示するように構成されるディスプレイユニットと
を有する、生物の心臓データを評価する装置。 - - 生物の心臓領域を非侵襲性イメージングし、血流予備量比値を決定する処理装置を有するイメージング装置と、
- 血流予備量比値の動脈内測定のための測定装置と
を更に有する、請求項8に記載の装置。 - 前記イメージング装置が、前記イメージング装置によって検出される検出データから三次元画像データを再構成する画像処理ユニットを更に有する、請求項8に記載の装置。
- 第一の血流予備量比値が補正されるとき、前記ディスプレイユニットは補正血流予備量比を表示するように構成される、請求項7乃至10の何れか一項に記載の装置。
- 生物の動脈における狭窄の評価のための装置の作動方法であって、前記装置は補正ユニット及びディスプレイユニットを有し、
-前記装置が、前記動脈ツリーの非侵襲性イメージングから得られるデータから計算される前記動脈ツリーの第一の血流予備量比値を受信するステップと、
-前記ディスプレイユニットが、前記動脈における前記位置に関して前記第一の血流予備量比を表示するステップと、
-前記装置が、動脈内測定から得られる前記動脈ツリーの第二の血流予備量比値を受信するステップと、
-前記補正ユニットが、前記第二の血流予備量比値に基づいて前記第一の血流予備量比値を補正するステップと、
-前記ディスプレイユニットが、前記動脈における前記位置に関して前記第二の血流予備量比を表示するステップと
を有する方法。 - 動脈ツリーモデル供給ユニットをもたらすステップを更に有し、前記第一及び第二の血流予備量比値は前記動脈ツリーにおける前記位置に関してグラフィカルに表示される、請求項12に記載の方法。
- 前記装置は、第二の血流予備量比値が、前記生物の前記冠状動脈における異なる位置の少なくとも一つの第二の血流予備量比値を使用して利用可能でないか、又はまだ利用可能でない位置において第一の血流予備量比値を計算するステップを更に有する、請求項12又は13に記載の方法。
- 生物の動脈における狭窄の評価のためのコンピュータプログラム製品であって、前記コンピュータプログラム製品がコンピュータ上で実行されるとき、請求項12乃至14の何れか一項に記載の方法のステップを実行させる命令を有する、コンピュータプログラム製品。
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EP14162702 | 2014-03-31 | ||
EP14162702.6 | 2014-03-31 | ||
PCT/EP2015/056036 WO2015150128A1 (en) | 2014-03-31 | 2015-03-23 | Processing apparatus and method for processing cardiac data of a living being |
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US (1) | US20170245824A1 (ja) |
EP (1) | EP3125764B1 (ja) |
JP (1) | JP6563949B2 (ja) |
CN (1) | CN106163388B (ja) |
ES (1) | ES2945690T3 (ja) |
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US8315812B2 (en) | 2010-08-12 | 2012-11-20 | Heartflow, Inc. | Method and system for patient-specific modeling of blood flow |
US10130269B2 (en) | 2013-11-14 | 2018-11-20 | Medtronic Vascular, Inc | Dual lumen catheter for providing a vascular pressure measurement |
US9877660B2 (en) | 2013-11-14 | 2018-01-30 | Medtronic Vascular Galway | Systems and methods for determining fractional flow reserve without adenosine or other pharmalogical agent |
US9913585B2 (en) | 2014-01-15 | 2018-03-13 | Medtronic Vascular, Inc. | Catheter for providing vascular pressure measurements |
US10973418B2 (en) | 2014-06-16 | 2021-04-13 | Medtronic Vascular, Inc. | Microcatheter sensor design for minimizing profile and impact of wire strain on sensor |
US10201284B2 (en) | 2014-06-16 | 2019-02-12 | Medtronic Vascular Inc. | Pressure measuring catheter having reduced error from bending stresses |
US11330989B2 (en) | 2014-06-16 | 2022-05-17 | Medtronic Vascular, Inc. | Microcatheter sensor design for mounting sensor to minimize induced strain |
US10194812B2 (en) | 2014-12-12 | 2019-02-05 | Medtronic Vascular, Inc. | System and method of integrating a fractional flow reserve device with a conventional hemodynamic monitoring system |
US10758125B2 (en) | 2016-04-29 | 2020-09-01 | Siemens Healthcare Gmbh | Enhanced personalized evaluation of coronary artery disease using an integration of multiple medical imaging techniques |
EP4241694A3 (en) | 2016-05-16 | 2023-12-20 | Cathworks Ltd. | Selection of vascular paths from images |
US11272850B2 (en) | 2016-08-09 | 2022-03-15 | Medtronic Vascular, Inc. | Catheter and method for calculating fractional flow reserve |
US11330994B2 (en) | 2017-03-08 | 2022-05-17 | Medtronic Vascular, Inc. | Reduced profile FFR catheter |
US11523744B2 (en) * | 2017-03-31 | 2022-12-13 | Koninklijke Philips N.V. | Interaction monitoring of non-invasive imaging based FFR |
JP7300392B2 (ja) * | 2017-04-06 | 2023-06-29 | コーニンクレッカ フィリップス エヌ ヴェ | 標準化された冠動脈疾患メトリック |
US10646122B2 (en) | 2017-04-28 | 2020-05-12 | Medtronic Vascular, Inc. | FFR catheter with covered distal pressure sensor and method of manufacture |
US11219741B2 (en) | 2017-08-09 | 2022-01-11 | Medtronic Vascular, Inc. | Collapsible catheter and method for calculating fractional flow reserve |
US11235124B2 (en) | 2017-08-09 | 2022-02-01 | Medtronic Vascular, Inc. | Collapsible catheter and method for calculating fractional flow reserve |
US11185244B2 (en) | 2018-08-13 | 2021-11-30 | Medtronic Vascular, Inc. | FFR catheter with suspended pressure sensor |
JP7187247B2 (ja) * | 2018-10-11 | 2022-12-12 | キヤノンメディカルシステムズ株式会社 | 医用画像処理装置、x線診断装置、および医用画像処理システム |
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US8157742B2 (en) * | 2010-08-12 | 2012-04-17 | Heartflow, Inc. | Method and system for patient-specific modeling of blood flow |
US8315812B2 (en) * | 2010-08-12 | 2012-11-20 | Heartflow, Inc. | Method and system for patient-specific modeling of blood flow |
US9259161B2 (en) * | 2011-05-11 | 2016-02-16 | Acist Medical Systems, Inc. | Intravascular sensing method and system |
WO2013180851A1 (en) * | 2012-05-29 | 2013-12-05 | The Johns Hopkins University | A method for estimating pressure gradients and fractional flow reserve from computed tomography angiography: transluminal attenuation flow encoding |
CA2875346A1 (en) * | 2012-06-26 | 2014-01-03 | Sync-Rx, Ltd. | Flow-related image processing in luminal organs |
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- 2015-03-23 ES ES15712112T patent/ES2945690T3/es active Active
- 2015-03-23 EP EP15712112.0A patent/EP3125764B1/en active Active
- 2015-03-23 US US15/126,597 patent/US20170245824A1/en active Pending
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WO2015150128A1 (en) | 2015-10-08 |
ES2945690T3 (es) | 2023-07-05 |
CN106163388B (zh) | 2020-02-14 |
EP3125764A1 (en) | 2017-02-08 |
RU2016142360A (ru) | 2018-05-03 |
JP2017509425A (ja) | 2017-04-06 |
CN106163388A (zh) | 2016-11-23 |
EP3125764B1 (en) | 2023-03-22 |
US20170245824A1 (en) | 2017-08-31 |
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