Medical diagnostic system for detecting indicia of acute otitis media

• US 8,647,264 B1
• Filed: 03/08/2011
• Issued: 02/11/2014
• Est. Priority Date: 03/15/2010
• Status: Active Grant

• Current Assignee: Jeffrey Lewis Keller
• Original Assignee: Jeffrey Lewis Keller
• Inventors: Keller, Jeffrey Lewis
• Primary Examiner(s): Yang, Andrew
• Assistant Examiner(s): Jones, Diana S
• Application Number:
  US12/932,844
• Time in Patent Office: 1,071 Days
• Field of Search: 600184-200, 128/922, 382/128, 382/154
• US Class Current: 600/200
• CPC Class Codes: A61B 1/00009 of image signals during a use of endoscope
• CPC Class Codes: A61B 1/227 for ears, i.e. otoscopes
• CPC Class Codes: A61B 5/1079 using optical or photographic means
• CPC Class Codes: A61B 5/12 Audiometering

Abstract

A medical diagnostic system includes an otoscope, which is configured to generate at least a first image (e.g., digital photograph) of a tympanic membrane of a patient, and an apparatus for diagnosing acute otitis media within the patient. The apparatus includes a computer-readable storage medium having computer-readable program code embodied in the medium. The computer-readable program code includes a first computer-readable program code that evaluates the at least a first image of the tympanic membrane of the patient relative to a database containing at least one image of a tympanic membrane of at least one archived patient, to thereby detect indicia of acute otitis media in the patient.

Claims

1. A medical diagnostic system, comprising:

an otoscope configured to generate at least a first image of a tympanic membrane of a patient; and

an apparatus for diagnosing acute otitis media within the patient, said apparatus comprising a computer-readable storage medium having computer-readable program code embodied in said medium, said computer-readable program code comprising;

first computer-readable program code for evaluating the at least a first image of the tympanic membrane of the patient relative to a second image of the patient taken under conditions when the patient was free of acute otitis media, to thereby detect indicia of acute otitis media in the patient;

wherein said otoscope is further configured to capture a plurality of ring-shaped images of portions of the tympanic membrane of the patient that are focused at respective points on the tympanic membrane, which are located at different planes of focus relative to said otoscope; and

wherein said computer-readable program code further comprises second computer-readable program code for generating a first topographical map of the tympanic membrane of the patient from the plurality of ring-shaped images by evaluating a change in distance between a first one of the plurality of ring-shaped images of the tympanic membrane at a first plane of focus and another image of at least a portion of the tympanic membrane at a second plane of focus, relative to said otoscope.

2. The medical diagnostic system of claim 1, wherein said first computer-readable program code comprises computer-readable program code for determining a maximum intensity of red light received from pixels in the first image.

3. The medical diagnostic system of claim 2, wherein said first computer-readable program code comprises computer-readable program code for determining a first number of pixels in the first image having a red intensity greater than a first threshold intensity that is greater than an average intensity of red light received from pixels in the first image.

4. The medical diagnostic system of claim 3, wherein said first computer-readable program code comprises computer-readable program code for comparing the first number against a number of pixels in the second image classified as having a red intensity in excess of a second threshold intensity.

5. The medical diagnostic system of claim 1, wherein said second computer-readable program code comprises computer-readable program code for comparing the first topographical map relative to at least one topographical map of tympanic membrane of the patient stored in a database, to thereby detect indicia of acute otitis media in the patient.

6. The medical diagnostic system of claim 1, wherein said otoscope is further configured to stimulate the tympanic membrane of the patient under conditions that enable a mobility of the tympanic membrane to be assessed.

7. The medical diagnostic system of claim 6, wherein said otoscope is further configured to pass tympanometric data to said apparatus;

and wherein said computer-readable program code comprises third computer-readable program code for evaluating the tympanometric data to assess a presence of acute otitis media in the patient.

8. The medical diagnostic system of claim 1, wherein the plurality of ring-shaped images of portions of the tympanic membrane of the patient are concentric.

9. The medical diagnostic system of claim 8, wherein said evaluating comprises evaluating a change in distance between an outermost ring-shaped image of the tympanic membrane and an innermost spot image of the tympanic membrane, relative to said otoscope.

10. The medical diagnostic system of claim 1, wherein said evaluating comprises evaluating a change in distance between an outermost ring-shaped image of the tympanic membrane and an innermost ring-shaped or spot image of the tympanic membrane, relative to said otoscope.

11. A medical diagnostic system, comprising:

an apparatus for diagnosing acute otitis media within a patient, said apparatus comprising a computer-readable storage medium having computer-readable program code embodied in said medium, said computer-readable program code comprising;

computer-readable program code for comparing a first topographical map of a tympanic membrane of a patient against a second topographical map of a tympanic membrane of the patient taken under conditions when the patient was free of acute otitis media, to thereby detect differences between the first and second topographical maps, said first topographical map generated by evaluating a change in distance between a plurality of concentrically-arranged ring-shaped or spot images of portions of the tympanic membrane that are located at different planes of focus relative to a reference plane.

12. A medical diagnostic system, comprising:

an otoscope; and

an apparatus for diagnosing acute otitis media within a patient, said apparatus comprising a computer-readable storage medium having computer-readable program code embodied in said medium, said computer-readable program code comprising;

first computer-readable program code for evaluating at least a first image of a tympanic membrane of the patient relative to a second image of the patient taken under conditions when the patient was free of acute otitis media, to thereby detect indicia of acute otitis media in the patient;

wherein said otoscope is configured to capture a plurality of concentrically-arranged ring-shaped and spot images of the tympanic membrane of the patient at respective different planes of focus; and

wherein said computer-readable program code further comprises second computer-readable program code for determining a degree of convexity of the tympanic membrane of the patient from the plurality of ring-shaped and spot images by evaluating a change in distance between the respective planes of focus of at least two of the plurality of concentrically-arranged ring-shaped and spot images of the tympanic membrane.