JP6925268B2 - 血管内デバイスによって測定されたコレジストレーションされた血管造影画像及び生理学的情報に基づいて診断処置を推奨するためのデバイス及び方法 - Google Patents
血管内デバイスによって測定されたコレジストレーションされた血管造影画像及び生理学的情報に基づいて診断処置を推奨するためのデバイス及び方法 Download PDFInfo
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Description
Claims (11)
- 患者の脈管を評価するためのシステムであって、前記システムは、
血管外撮像システム及び少なくとも1つの血管内デバイスに接続可能なコンピューティングデバイスを備え、前記コンピューティングデバイスが、
前記血管外撮像システムから前記患者の前記脈管に関する画像データを取得し、
前記少なくとも1つの血管内デバイスから、前記患者の前記脈管に関する第1のモダリティの生理学的測定データを取得し、
前記第1のモダリティの前記生理学的測定データが前記患者の前記脈管の対応する部分に関連付けられるように、取得された前記生理学的測定データを取得された前記画像データとコレジストレーションし、
コレジストレーションされた前記第1のモダリティの前記生理学的測定データに基づいて、関心領域における第1のモダリティとは異なる第2のモダリティの診断処置の推奨を生成し、
前記画像データに基づいた前記脈管の脈管構造を示す血管造影画像のウィンドウと、
前記第1のモダリティの前記生理学的測定データのウィンドウと、
前記第2のモダリティの診断情報を取得するための前記推奨のウィンドウと、
をユーザインターフェースに出力し、
前記提案される診断処置の推奨は、更に、異なる重み付けが割り当てられた複数の情報源に基づいていて、識別された前記関心領域で前記患者が以前に心筋梗塞を起こしたか及び/又は以前に経皮的冠動脈インターベンション(PCI)を施されたかに対して、前記取得された生理学的測定データの重み付けよりも大きな重み付けを与える、
システム。 - 前記取得された生理学的測定データが圧力測定データを含む、請求項1に記載のシステム。
- 前記コンピューティングデバイスが、更に、前記取得された圧力測定データに基づいて圧力比を計算する、請求項2に記載のシステム。
- 推奨される前記診断処置が、血管内撮像処置を含む、請求項1に記載のシステム。
- 前記推奨される血管内撮像処置が、血管内超音波(IVUS)処置及び光干渉断層画像診断法(OCT)処置の少なくとも一方を含む、請求項4に記載のシステム。
- 前記推奨される診断処置が、血管内流量測定処置を含む、請求項1に記載のシステム。
- 前記取得された生理学的測定データが、流量測定データを含む、請求項1に記載のシステム。
- 前記推奨される診断処置が、血管内撮像処置及び血管内圧力測定処置の少なくとも一方を含む、請求項7に記載のシステム。
- 前記取得された画像データが、2次元血管造影画像、3次元血管造影画像、及びコンピュータ断層撮影血管造影(CTA)画像の少なくとも1つを含む、請求項1に記載のシステム。
- 前記少なくとも1つの血管内デバイスを更に備える、請求項1に記載のシステム。
- 患者の脈管を評価するコンピューティングデバイスの作動方法であって、
血管外撮像システム及び少なくとも1つの血管内デバイスに接続された前記コンピューティングデバイスが、
前記血管外撮像システムから前記患者の前記脈管に関する画像データを取得するステップと、
前記少なくとも1つの血管内デバイスから前記患者の前記脈管に関する第1のモダリティの生理学的測定データを取得するステップと、
前記第1のモダリティの前記生理学的測定データが前記患者の前記脈管の対応する部分に関連付けられるように、前記取得された生理学的測定データを前記取得された画像データとコレジストレーションするステップと、
コレジストレーションされた前記第1のモダリティの前記生理学的測定データに基づいて、関心領域における第1のモダリティとは異なる第2のモダリティの診断処置の推奨を生成するステップであって、前記推奨は、更に、異なる重み付けが割り当てられた複数の情報源に基づいていて、識別された前記関心領域で前記患者が以前に心筋梗塞を起こしたか及び/又は以前に経皮的冠動脈インターベンション(PCI)を施されたかに対して、前記取得された生理学的測定データの重み付けよりも大きな重み付けを与える、前記推奨を生成するステップと、
前記画像データに基づいた前記脈管の脈管構造を示す血管造影画像のウィンドウと、
前記第1のモダリティの前記生理学的測定データのウィンドウと、
前記第2のモダリティの診断情報を取得するための前記推奨のウィンドウと、
をユーザインターフェースに出力するステップと
を含むステップを実施する、方法。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201462089080P | 2014-12-08 | 2014-12-08 | |
US62/089,080 | 2014-12-08 | ||
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