JP7300392B2 - 標準化された冠動脈疾患メトリック - Google Patents

標準化された冠動脈疾患メトリック Download PDF

Info

Publication number
JP7300392B2
JP7300392B2 JP2019554673A JP2019554673A JP7300392B2 JP 7300392 B2 JP7300392 B2 JP 7300392B2 JP 2019554673 A JP2019554673 A JP 2019554673A JP 2019554673 A JP2019554673 A JP 2019554673A JP 7300392 B2 JP7300392 B2 JP 7300392B2
Authority
JP
Japan
Prior art keywords
ffr
value
coronary
stenosis
location
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Active
Application number
JP2019554673A
Other languages
English (en)
Japanese (ja)
Other versions
JP2020512871A (ja
JP2020512871A5 (https=
JPWO2018185040A5 (https=
Inventor
ホルヘル スミット
ハンネス ニッキス
マニンドラナス フェムバル
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Koninklijke Philips NV
Original Assignee
Koninklijke Philips NV
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Koninklijke Philips NV filed Critical Koninklijke Philips NV
Publication of JP2020512871A publication Critical patent/JP2020512871A/ja
Publication of JP2020512871A5 publication Critical patent/JP2020512871A5/ja
Publication of JPWO2018185040A5 publication Critical patent/JPWO2018185040A5/ja
Application granted granted Critical
Publication of JP7300392B2 publication Critical patent/JP7300392B2/ja
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/50—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment specially adapted for specific body parts; specially adapted for specific clinical applications
    • A61B6/504—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment specially adapted for specific body parts; specially adapted for specific clinical applications for diagnosis of blood vessels, e.g. by angiography
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis 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
    • A61B6/5217—Devices using data or image processing specially adapted for radiation diagnosis involving processing of medical diagnostic data extracting a diagnostic or physiological parameter from medical diagnostic data
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/02—Arrangements for diagnosis sequentially in different planes; Stereoscopic radiation diagnosis
    • A61B6/03—Computed tomography [CT]
    • A61B6/032—Transmission computed tomography [CT]
    • G—PHYSICS
    • G06—COMPUTING OR CALCULATING; 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
    • G06T7/0014—Biomedical image inspection using an image reference approach
    • G—PHYSICS
    • G06—COMPUTING OR CALCULATING; 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
    • G06T7/0014—Biomedical image inspection using an image reference approach
    • G06T7/0016—Biomedical image inspection using an image reference approach involving temporal comparison
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/50—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for simulation or modelling of medical disorders
    • G—PHYSICS
    • G06—COMPUTING OR CALCULATING; COUNTING
    • G06T—IMAGE DATA PROCESSING OR GENERATION, IN GENERAL
    • G06T2207/00—Indexing scheme for image analysis or image enhancement
    • G06T2207/10—Image acquisition modality
    • G06T2207/10072—Tomographic images
    • G06T2207/10081—Computed x-ray tomography [CT]
    • G—PHYSICS
    • G06—COMPUTING OR CALCULATING; 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
    • G06T2207/30104—Vascular flow; Blood flow; Perfusion

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Physics & Mathematics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biomedical Technology (AREA)
  • Pathology (AREA)
  • Veterinary Medicine (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Molecular Biology (AREA)
  • Biophysics (AREA)
  • High Energy & Nuclear Physics (AREA)
  • Optics & Photonics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Theoretical Computer Science (AREA)
  • Computer Vision & Pattern Recognition (AREA)
  • Dentistry (AREA)
  • General Physics & Mathematics (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Quality & Reliability (AREA)
  • Vascular Medicine (AREA)
  • Pulmonology (AREA)
  • Data Mining & Analysis (AREA)
  • Databases & Information Systems (AREA)
  • Epidemiology (AREA)
  • Primary Health Care (AREA)
  • Physiology (AREA)
  • Apparatus For Radiation Diagnosis (AREA)
JP2019554673A 2017-04-06 2018-04-02 標準化された冠動脈疾患メトリック Active JP7300392B2 (ja)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US201762482236P 2017-04-06 2017-04-06
US62/482,236 2017-04-06
US201762557195P 2017-09-12 2017-09-12
US62/557,195 2017-09-12
PCT/EP2018/058376 WO2018185040A1 (en) 2017-04-06 2018-04-02 Standardized coronary artery disease metric

Publications (4)

Publication Number Publication Date
JP2020512871A JP2020512871A (ja) 2020-04-30
JP2020512871A5 JP2020512871A5 (https=) 2022-09-21
JPWO2018185040A5 JPWO2018185040A5 (https=) 2022-09-21
JP7300392B2 true JP7300392B2 (ja) 2023-06-29

Family

ID=62025784

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2019554673A Active JP7300392B2 (ja) 2017-04-06 2018-04-02 標準化された冠動脈疾患メトリック

Country Status (5)

Country Link
US (1) US11576637B2 (https=)
EP (1) EP3606433B1 (https=)
JP (1) JP7300392B2 (https=)
CN (1) CN110612063B (https=)
WO (1) WO2018185040A1 (https=)

Families Citing this family (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10210956B2 (en) 2012-10-24 2019-02-19 Cathworks Ltd. Diagnostically useful results in real time
US9390232B2 (en) * 2014-03-24 2016-07-12 Heartflow, Inc. Systems and methods for modeling changes in patient-specific blood vessel geometry and boundary conditions
EP4300419A3 (en) 2016-05-16 2024-04-03 Cathworks Ltd. System for vascular assessment
EP3461253B1 (en) 2016-05-16 2023-08-09 Cathworks Ltd. Selection of vascular paths from images
EP4663131A3 (en) 2019-04-01 2026-01-28 Cathworks Ltd. Methods and apparatus for angiographic image selection
EP4033964B1 (en) 2019-09-23 2025-04-09 Cathworks Ltd. Methods, apparatus, and system for synchronization between a three-dimensional vascular model and an imaging device
CN113648059B (zh) * 2021-08-26 2023-09-29 上海联影医疗科技股份有限公司 手术规划评估方法、计算机设备和存储介质
US12315076B1 (en) 2021-09-22 2025-05-27 Cathworks Ltd. Four-dimensional motion analysis of a patient's coronary arteries and myocardial wall
IL314862A (en) 2022-02-10 2024-10-01 Cathworks Ltd System and method for machine-learning based sensor analysis and vascular tree segmentation
KR102695790B1 (ko) * 2022-03-03 2024-08-20 연세대학교 산학협력단 하이브리드 방식을 통한 관상동맥 ct 이미지에서의 관상동맥 및 상행 대동맥 자동 추출 시스템 및 그 방법
IL326434A (en) 2023-08-09 2026-04-01 Cathworks Ltd User interface and signal leakage testing for vascular index measurement
IL326432A (en) 2023-08-09 2026-04-01 Cathworks Ltd Coronary artery assessment after PCI
US12499646B1 (en) 2024-06-12 2025-12-16 Cathworks Ltd. Three-dimensional sizing tool for cardiac assessment

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2014128651A (ja) 2012-11-30 2014-07-10 Toshiba Corp 医用画像診断装置
JP2015057103A (ja) 2010-08-12 2015-03-26 ハートフロー， インコーポレイテッド 患者固有の血流のモデリングのための方法およびシステム
WO2015150128A1 (en) 2014-03-31 2015-10-08 Koninklijke Philips N.V. Processing apparatus and method for processing cardiac data of a living being
JP2016528002A (ja) 2013-08-21 2016-09-15 コーニンクレッカ フィリップス エヌ ヴェＫｏｎｉｎｋｌｉｊｋｅ Ｐｈｉｌｉｐｓ Ｎ．Ｖ． 血管造影画像データにおいて血管をインタラクティブにセグメント化するためのセグメンテーション装置
US20170032097A1 (en) 2015-07-27 2017-02-02 Siemens Medical Solutions Usa, Inc. Method and System for Enhancing Medical Image-Based Blood Flow Computations Using Physiological Measurements

Family Cites Families (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10373700B2 (en) * 2012-03-13 2019-08-06 Siemens Healthcare Gmbh Non-invasive functional assessment of coronary artery stenosis including simulation of hyperemia by changing resting microvascular resistance
JP6173438B2 (ja) 2012-05-14 2017-08-02 コーニンクレッカ フィリップス エヌ ヴェＫｏｎｉｎｋｌｉｊｋｅ Ｐｈｉｌｉｐｓ Ｎ．Ｖ． 血管の狭窄のための冠血流予備量比（ｆｆｒ）値の決定
US10433740B2 (en) * 2012-09-12 2019-10-08 Heartflow, Inc. Systems and methods for estimating ischemia and blood flow characteristics from vessel geometry and physiology
CN104768465B (zh) 2012-11-06 2018-06-19 皇家飞利浦有限公司 血流储备分数(ffr)指标
JP6334902B2 (ja) * 2012-11-30 2018-05-30 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
WO2015017571A1 (en) 2013-07-30 2015-02-05 Heartflow, Inc. Method and system for modeling blood flow with boundary conditions for optimized diagnostic performance
CN105517492B (zh) * 2013-09-06 2019-10-18 皇家飞利浦有限公司 用于处理心脏数据的处理设备
CN104518216B (zh) * 2013-09-26 2017-09-01 清华大学 磷酸铁锂的制备方法
JP6396468B2 (ja) * 2013-12-04 2018-09-26 コーニンクレッカ フィリップス エヌ ヴェＫｏｎｉｎｋｌｉｊｋｅ Ｐｈｉｌｉｐｓ Ｎ．Ｖ． 機能性狭窄解析を向上させる局所ｆｆｒ推定及び視覚化
WO2016001017A1 (en) 2014-06-30 2016-01-07 Koninklijke Philips N.V. Apparatus for determining a fractional flow reserve value
US9195801B1 (en) 2014-08-05 2015-11-24 Heartflow, Inc. Systems and methods for treatment planning based on plaque progression and regression curves
US9349178B1 (en) * 2014-11-24 2016-05-24 Siemens Aktiengesellschaft Synthetic data-driven hemodynamic determination in medical imaging
WO2016087396A1 (en) 2014-12-02 2016-06-09 Koninklijke Philips N.V. Fractional flow reserve determination
EP3229688B1 (en) * 2014-12-08 2020-10-28 Koninklijke Philips N.V. Device and method to recommend diagnostic procedure based on co-registered angiographic image and physiological information measured by intravascular device
CN105078425B (zh) * 2015-09-09 2016-06-08 苏州润心医疗科技有限公司 冠状动脉负荷检测系统及检测方法
CN109789218A (zh) 2016-06-23 2019-05-21 菲吉乐科(加拿大)有限公司 噬菌体的微囊化和相关产品

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2015057103A (ja) 2010-08-12 2015-03-26 ハートフロー， インコーポレイテッド 患者固有の血流のモデリングのための方法およびシステム
JP2014128651A (ja) 2012-11-30 2014-07-10 Toshiba Corp 医用画像診断装置
JP2016528002A (ja) 2013-08-21 2016-09-15 コーニンクレッカ フィリップス エヌ ヴェＫｏｎｉｎｋｌｉｊｋｅ Ｐｈｉｌｉｐｓ Ｎ．Ｖ． 血管造影画像データにおいて血管をインタラクティブにセグメント化するためのセグメンテーション装置
WO2015150128A1 (en) 2014-03-31 2015-10-08 Koninklijke Philips N.V. Processing apparatus and method for processing cardiac data of a living being
US20170032097A1 (en) 2015-07-27 2017-02-02 Siemens Medical Solutions Usa, Inc. Method and System for Enhancing Medical Image-Based Blood Flow Computations Using Physiological Measurements

Also Published As

Publication number Publication date
CN110612063A (zh) 2019-12-24
JP2020512871A (ja) 2020-04-30
US20200060637A1 (en) 2020-02-27
US11576637B2 (en) 2023-02-14
EP3606433B1 (en) 2023-02-01
WO2018185040A1 (en) 2018-10-11
EP3606433A1 (en) 2020-02-12
CN110612063B (zh) 2023-09-29

Similar Documents

Publication Publication Date Title
JP7300392B2 (ja) 標準化された冠動脈疾患メトリック
JP7313284B2 (ja) 冠血流予備量比シミュレーションパラメータのカスタマイズ、キャリブレーション、及び／又はトレーニング
EP3140757B1 (en) Method and system for non-invasive functional assessment of coronary artery stenosis using flow computations in models based on diseased patients and hypothetical normal anatomical models
US11055845B2 (en) Vascular tree standardization for biophysical simulation and/or an extension simulation for pruned portions
US11839457B2 (en) Measurement guidance for coronary flow estimation from Bernoulli's Principle
EP3160335B1 (en) Apparatus for determining a fractional flow reserve value
CN113164131B (zh) 针对血液动力学模拟的最相关的x射线图像选择
JP6484760B2 (ja) 非侵襲的血流予備量比（ｆｆｒ）に対する側副血流モデル化
JP7426824B2 (ja) 非侵襲的イメージングベースのｆｆｒのインタラクションモニタリング
JP6632989B2 (ja) 動脈網における流量および圧力勾配を患者特定コンピュータ断層撮影アルゴリズムに基づくコントラスト分布から判断するための方法
JP6873981B2 (ja) モバイルｆｆｒシミュレーション
CN105764410A (zh) 利用自适应边界条件参数的血流储备分数(ffr)指标
EP3457404A1 (en) Estimating flow to vessel bifurcations for simulated hemodynamics
JP6749917B2 (ja) ｉＦＲ−ＣＴ
US20190076196A1 (en) Vessel geometry and additional boundary conditions for hemodynamic ffr/ifr simulations from intravascular imaging
JPWO2018185040A5 (https=)
JP7232245B2 (ja) モデル及びイメージングデータに基づく冠動脈健康状態予測

Legal Events

Date Code Title Description
A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20210326

A621 Written request for application examination

Free format text: JAPANESE INTERMEDIATE CODE: A621

Effective date: 20210326

A977 Report on retrieval

Free format text: JAPANESE INTERMEDIATE CODE: A971007

Effective date: 20220222

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20220310

A601 Written request for extension of time

Free format text: JAPANESE INTERMEDIATE CODE: A601

Effective date: 20220609

A524 Written submission of copy of amendment under article 19 pct

Free format text: JAPANESE INTERMEDIATE CODE: A524

Effective date: 20220912

TRDD Decision of grant or rejection written
A01 Written decision to grant a patent or to grant a registration (utility model)

Free format text: JAPANESE INTERMEDIATE CODE: A01

Effective date: 20230525

A61 First payment of annual fees (during grant procedure)

Free format text: JAPANESE INTERMEDIATE CODE: A61

Effective date: 20230619

R150 Certificate of patent or registration of utility model

Ref document number: 7300392

Country of ref document: JP

Free format text: JAPANESE INTERMEDIATE CODE: R150