System and method for diagnostic vector classification support
First Claim
1. A method for providing support in classifying a lesion using an optoacoustic image of a volume of tissue, wherein the volume of tissue comprises a tumor having a central nidus, the method comprising:
- obtaining an ultrasound image of the volume of tissue, the ultrasound image presenting at least part of the central nidus and at least part of a peritumoral region;
obtaining an optoacoustic image of the volume of tissue, the optoacoustic image being coregistered with the ultrasound image and presenting the optical contrast of at least a portion of the part of the central nidus and at least a portion of the part of the peritumoral region;
identifying on the ultrasound image a tumoral boundary curve, the tumoral boundary curve approximating at least a portion of a perimeter of the central nidus of the tumor;
presenting on a display at least a portion of the optoacoustic image with the tumoral boundary curve superimposed thereon;
defining an internal zone within the displayed image based on the tumoral boundary curve; and
obtaining from an operator an operator feature score for a tumoral feature contained within the internal zone;
obtaining from the operator an operator feature score for an extra-tumoral feature contained at least partially outside the internal zone;
calculating by computer one or more computer-generated feature scores for the tumoral feature, based at least in part on information falling within the internal zone of the displayed image;
calculating by computer one or more computer-generated feature scores for the extra-tumoral feature, based at least in part on information falling outside the internal zone of the displayed image;
obtaining one or more supplementary inputs from the operator if either of the operator feature scores differ from the corresponding at least one computer-generated feature scores; and
classifying the lesion based on the operator feature scores.
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Abstract
The diagnostic vector classification support system and method disclosed herein may both reduce the time and effort required to train radiologists to interpret medical images, and provide a decision support system for trained radiologists who, regardless of training, have the potential to miss relevant findings. In an embodiment, a morphological image is used to identify a zone of interest in a co-registered functional image. An operator'"'"'s grading of a feature at least partially contained within the zone of interest is compared to one or more computer-generated grades for the feature. Where the operator and computer-generated grades differ, diagnostic support can be provided such as displaying additional images, revising the zone of interest, annotating one or more displayed images, displaying a computer-generated feature grade, among other possibilities disclosed herein.
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Citations
5 Claims
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1. A method for providing support in classifying a lesion using an optoacoustic image of a volume of tissue, wherein the volume of tissue comprises a tumor having a central nidus, the method comprising:
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obtaining an ultrasound image of the volume of tissue, the ultrasound image presenting at least part of the central nidus and at least part of a peritumoral region; obtaining an optoacoustic image of the volume of tissue, the optoacoustic image being coregistered with the ultrasound image and presenting the optical contrast of at least a portion of the part of the central nidus and at least a portion of the part of the peritumoral region; identifying on the ultrasound image a tumoral boundary curve, the tumoral boundary curve approximating at least a portion of a perimeter of the central nidus of the tumor; presenting on a display at least a portion of the optoacoustic image with the tumoral boundary curve superimposed thereon; defining an internal zone within the displayed image based on the tumoral boundary curve; and obtaining from an operator an operator feature score for a tumoral feature contained within the internal zone; obtaining from the operator an operator feature score for an extra-tumoral feature contained at least partially outside the internal zone; calculating by computer one or more computer-generated feature scores for the tumoral feature, based at least in part on information falling within the internal zone of the displayed image; calculating by computer one or more computer-generated feature scores for the extra-tumoral feature, based at least in part on information falling outside the internal zone of the displayed image; obtaining one or more supplementary inputs from the operator if either of the operator feature scores differ from the corresponding at least one computer-generated feature scores; and classifying the lesion based on the operator feature scores. - View Dependent Claims (2, 3)
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4. A method for providing support in classifying a lesion using an optoacoustic image of a volume of tissue, wherein the volume of tissue comprises a tumor having a central nidus, the method comprising:
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obtaining an ultrasound image of the volume of tissue, the ultrasound image presenting at least part of the central nidus and at least part of a peritumoral region; obtaining an optoacoustic image of the volume of tissue, the optoacoustic image being coregistered with the ultrasound image and presenting the optical contrast of at least a portion of the part of the central nidus and at least a portion of the part of the peritumoral region; identifying on the ultrasound image a tumoral boundary curve, the tumoral boundary curve approximating at least a portion of a perimeter of the central nidus of the tumor; presenting on a display at least a portion of the optoacoustic image with the tumoral boundary curve superimposed thereon; defining an internal zone within the displayed image based on the tumoral boundary curve; and obtaining from an operator a classification for the lesion; calculating by computer one or more computer-generated feature scores for the tumoral feature, based at least in part on information falling within the internal zone of the displayed image; calculating by computer one or more computer-generated feature scores for the extra-tumoral feature, based at least in part on information falling outside the internal zone of the displayed image; determining one or more computer-generated classifications for the lesion based upon at least the one or more computer-generated feature scores for the extra-tumoral feature and the at least one or more computer-generated feature scores for the tumoral feature; obtaining one or more supplementary inputs from the operator if the operator classification differs from all of the one or more computer-generated classifications for the lesion; and classifying the lesion based on the operator classification for the lesion.
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5. A method for providing support for classifying a tumor having a central nidus and a peritumoral region adjacent to the central nidus, the method comprising:
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presenting on a display an optoacoustic image of at least a portion of a volume of tissue comprising the tumor; identifying on the display an internal zone of the optoacoustic image approximating at least a portion of the central nidus of the tumor; evaluating at least a portion of the optoacoustic image falling within the internal zone to determine a grade for at least one internal feature contained within the central nidus of the tumor; identifying on the display a boundary zone of the optoacoustic image approximating at least a portion of the peritumoral region of the tumor; evaluating at least a portion of the optoacoustic image falling within the boundary zone to determine a grade for at least one peritumoral feature contained at least partially within the peritumoral region of the tumor; and evaluating a portion of the optoacoustic image falling outside the internal zone and outside the boundary zone to determine a grade for at least one peripheral feature external to the central nidus of the tumor and at least partially external to the peritumoral region of the tumor; identifying a classification of the tumor based on the at least one internal feature grade, the at least one peritumoral feature grade, and the at least one peripheral feature grade, wherein determining a grade comprises; calculating by computer one or more computer-generated feature scores for the at least one feature; obtaining an operator feature score for the at least one feature; and comparing at least one of the one or more computer-generated feature scores to the operator feature score; wherein the at least one peripheral feature is selected from the set of; a) vascularity; b) oxygenation; c) speckle; d) blush; e) amount of hemoglobin; f) amount of blood; g) ratio of oxygenated to deoxygenated blood; and h) amount of radiating arteries; i) amount of radiating veins; j) amount of tumor neovessels; k) amount of vessels oriented substantially parallel to a surface of the tumor; l) amount of vessels oriented substantially perpendicular to a surface of the tumor; m) length of vessels; n) straightness of vessels; and o) amount of interfering artifacts.
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Specification