Method and system for providing information from a patient-specific model of blood flow

• US 8,914,264 B1
• Filed: 08/01/2014
• Issued: 12/16/2014
• Est. Priority Date: 05/14/2012
• Status: Active Grant

• Current Assignee: Heartflow Inc.
• Original Assignee: Heartflow Inc.
• Inventors: Hart, Gregory R., Stevens, John H.
• Primary Examiner(s): Thangavelu, Kandasamy
• Application Number:
  US14/449,495
• Publication Number:
  US 20140350908A1
• Time in Patent Office: 137 Days
• Field of Search: 703/1, 703/9, 703/11, 703/6, 600/416, 600/419, 600/508, 600/509, 600/504, 600/425, 604/8
• US Class Current: 703/6
• CPC Class Codes: A61B 2034/104 Modelling the effect of the tool, e.g. the effect of an implanted prosthesis or for predicting the effect of ablation or burring
• CPC Class Codes: A61B 2576/023 for the heart
• CPC Class Codes: A61B 34/10 Computer-aided planning, simulation or modelling of surgical operations
• CPC Class Codes: A61B 5/02007 Evaluating blood vessel condition, e.g. elasticity, compliance
• CPC Class Codes: A61B 5/021 Measuring pressure in heart or blood vessels A61B5/0205 takes precedence
• CPC Class Codes: A61B 5/022 by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
• CPC Class Codes: A61B 5/026 Measuring blood flow A61B3/1233, A61B3/1241 take precedence
• CPC Class Codes: A61B 5/0263 using NMR
• CPC Class Codes: A61B 5/055 involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging
• CPC Class Codes: A61B 5/7275 Determining trends in physiological measurement data; Predicting development of a medical condition based on physiological measurements, e.g. determining a risk factor
• CPC Class Codes: A61B 5/7278 Artificial waveform generation or derivation, e.g. synthesising signals from measured signals A61B5/327 takes precedence
• CPC Class Codes: A61B 5/7425 Displaying combinations of multiple images regardless of image source, e.g. displaying a reference anatomical image with a live image geometric transforms for image registration G06T3/14; enhancement using image fusion G06T5/50; algorithms for registration of images G06T7/30
• CPC Class Codes: A61B 5/7445 Display arrangements, e.g. multiple display units
• CPC Class Codes: A61B 5/748 Selection of a region of interest, e.g. using a graphics tablet
• CPC Class Codes: A61B 6/03 Computed tomography [CT] echo-tomography A61B8/14
• CPC Class Codes: A61B 6/032 Transmission computed tomography [CT]
• CPC Class Codes: A61B 6/466 adapted to display 3D data
• CPC Class Codes: A61B 6/504 for diagnosis of blood vessels, e.g. by angiography
• CPC Class Codes: A61B 6/5217 extracting a diagnostic or physiological parameter from medical diagnostic data
• CPC Class Codes: A61B 8/06 Measuring blood flow measuring volume flow in general G01F, e.g. G01F1/66, G01F1/72; measuring speed of fluids in general G01P5/00
• CPC Class Codes: G06F 3/017 : Gesture based interaction, e.g. based on a set of recognized hand gestures interaction based on gestures traced on a digitiser G06F3/04883
• CPC Class Codes: G06F 3/04815 : Interaction with a metaphor-based environment or interaction object displayed as three-dimensional, e.g. changing the user viewpoint with respect to the environment or object
• CPC Class Codes: G06F 3/0486 : Drag-and-drop
• CPC Class Codes: G06F 3/0488 : using a touch-screen or digitiser, e.g. input of commands through traced gestures
• CPC Class Codes: G06F 30/20 : Design optimisation, verification or simulation optimisation, verification or simulation of circuit designs G06F30/30
• CPC Class Codes: G06T 15/00 : 3D [Three Dimensional] image rendering
• CPC Class Codes: G06T 17/00 : Three dimensional [3D] modelling, e.g. data description of 3D objects
• CPC Class Codes: G06T 19/20 : Editing of 3D images, e.g. changing shapes or colours, aligning objects or positioning parts
• CPC Class Codes: G06T 2200/04 : involving 3D image data
• CPC Class Codes: G06T 2200/24 : involving graphical user interfaces [GUIs]
• CPC Class Codes: G06T 2210/41 : Medical
• CPC Class Codes: G06T 2219/2016 : Rotation, translation, scaling
• CPC Class Codes: G16B 5/00 : ICT specially adapted for modelling or simulations in systems biology, e.g. gene-regulatory networks, protein interaction networks or metabolic networks
• CPC Class Codes: G16H 30/20 : for handling medical images, e.g. DICOM, HL7 or PACS
• CPC Class Codes: G16H 50/50 : for simulation or modelling of medical disorders
• CPC Class Codes: Y02A 90/10 : Information and communication technologies [ICT] supporting adaptation to climate change, e.g. for weather forecasting or climate simulation

Abstract

Embodiments include a system for providing blood flow information for a patient. The system may include at least one computer system including a touchscreen. The at least one computer system may be configured to display, on the touchscreen, a three-dimensional model representing at least a portion of an anatomical structure of the patient based on patient-specific data. The at least one computer system may also be configured to receive a first input relating to a first location on the touchscreen indicated by at least one pointing object controlled by a user, and the first location on the touchscreen may indicate a first location on the displayed three-dimensional model. The at least one computer system may be further configured to display first information on the touchscreen, and the first information may indicate a blood flow characteristic at the first location.

Claims

1. A method for providing patient-specific blood flow information using at least a computer system and a portable computer including a touchscreen, the method comprising:

receiving over an electronic network, at the computer system, patient-specific data including images of at least a portion of a patient'"'"'s anatomy;

generating, based on the received patient-specific data, a three-dimensional model representing at least a portion of an anatomical structure of a patient, and a reduced-order model of the portion of the anatomical structure;

displaying the three-dimensional model on the touchscreen of the portable computer;

receiving at the portable computer a user intervention input indicating a potential treatment of the anatomical structure and initiating a modification of the reduced-order model;

calculating at least one blood flow characteristic based on the received user intervention input and the modification of the reduced-order model; and

displaying the calculated at least one blood flow characteristic on the touchscreen of the portable computer.

2. The method of claim 1, wherein the at least one blood flow characteristic is calculated on the portable computer.

3. The method of claim 1, wherein the at least one blood flow characteristic is calculated on the computer system.

4. The method of claim 1, wherein the reduced-order model is modified on the portable computer.

5. The method of claim 1, wherein the reduced-order model is modified on the computer system.

6. The method of claim 1, further comprising:

receiving, while operating in an inspection mode, a first input relating to a first location on the touchscreen indicated by a user, the first location on the touchscreen indicating a first location in the displayed three-dimensional model; and

displaying first information on the touchscreen, the first information indicating the at least one blood flow characteristic at the first location in the three-dimensional model indicated by the first input.

7. The method of claim 6, further comprising:

updating the displayed first information as the user modifies the first location on the touchscreen and on the displayed three-dimensional model.

8. The method of claim 6, further comprising:

forming a pin at the first location, the pin being movable by the user within the three-dimensional model; and

updating, on the touchscreen, the first information regarding the at least one blood flow characteristic in the anatomical structure as the pin is moved by the user.

9. The method of claim 6, further including:

receiving a mode selection input corresponding to a selection of the inspection mode or a selection of a treatment modeling mode.

10. The method of claim 6, wherein the first information includes at least one of a pressure gradient, a fractional flow reserve, a pressure, a flow rate, a velocity, a computed fractional flow reserve model, and a computed pressure gradient model.

11. The method of claim 1, further comprising:

rotating the displayed three-dimensional model in response to the user swiping a surface of the touchscreen, an amount and a direction of rotation depending on a characteristic of the swipe.

12. The method of claim 1, further comprising:

adjusting a zoom on the displayed three-dimensional model in response to the user pinching two of a plurality of pointing objects located at separate locations with respect to the touchscreen, an amount of the zoom depending on a characteristic of the pinch.

13. The method of claim 1, further comprising:

receiving, while operating in a treatment modeling mode, the user intervention input, causing the portable computer to generate a display of a coronary intervention at a location of the three-dimensional model corresponding to a location of the user intervention input on the touchscreen;

determining, at the computer system, second information regarding the at least one blood flow characteristic in the anatomical structure based on a modification of the three-dimensional model; and

enabling the user to interact with the touchscreen to drag the displayed coronary intervention along a vessel to update the determined and displayed second information regarding the at least one blood flow characteristic based on further modification of the three-dimensional model.

14. The method of claim 13, further comprising:

providing a split screen including a first portion and a second portion, the first portion displaying the three-dimensional model representing at least the portion of the anatomical structure and the stent, and the second portion displaying the three-dimensional model after placement of the stent.

15. The method of claim 1, wherein the modification corresponds to placement of a stent, and the portable computer is further configured to display the stent.

16. The method of claim 1, wherein the modification corresponds to a formation of a bypass, and the portable computer is further configured to display the bypass.

17. The method of claim 16, further comprising:

receiving a user input indicating at least one location for connecting the bypass to the displayed three-dimensional model; and

receiving a user input indicating a change in location or a change in size of the bypass.

18. The method of claim 1, further comprising:

providing a split screen including a first portion and a second portion, the two portions being configured to receive different user intervention inputs indicating different modifications of respective displayed three-dimensional models.

19. The method of claim 1, wherein receiving the user intervention input includes receiving an input from at least one pointing object controlled by the user, and the at least one pointing object includes at least one digit of the user or a stylus.

20. The method of claim 1, wherein the anatomical structure of the patient includes at least a portion of an aorta and at least a portion of a plurality of coronary arteries emanating from the portion of the aorta.

21. The method of claim 20, wherein the first information includes a fractional flow reserve indicating a ratio between a pressure at a location in the plurality of coronary arteries and a pressure at a location upstream from the location in the plurality of coronary arteries.

22. The method of claim 1, wherein the anatomical structure of the patient includes at least one of a portion of a plurality of arteries in the patient'"'"'s heart, neck, head, thorax, abdomen, arms, or legs.

23. A system for providing patient-specific blood flow information for a patient, the system comprising at least:

a computer system including a processor configured to;

(i) receive over an electronic network patient-specific data including images of at least a portion of a patient'"'"'s anatomy;

(ii) generate, based on the received patient-specific data, a three-dimensional model representing at least a portion of an anatomical structure of a patient, and a reduced-order model of the portion of the anatomical structure;

(iii) receive at a portable computer a user intervention input indicating a potential treatment of the anatomical structure and initiating a modification of the reduced-order model; and

(iv) calculate at least one blood flow characteristic based on the received user intervention input and modification of the reduced-order model; and

the portable computer including a touchscreen and being configured to;

(i) display a three-dimensional model on the touchscreen of the portable computer; and

(ii) display a calculated blood flow characteristic on the touchscreen of the portable computer.

24. A non-transitory computer readable medium for use on at least a computer system containing computer-executable programming instructions for providing patient-specific blood flow information and a portable computer including a touchscreen, the instructions being executable by the computer system for:

receiving over an electronic network, at the computer system, patient-specific data including images of at least a portion of a patient'"'"'s anatomy;

generating, based on the received patient-specific data, a three-dimensional model representing at least a portion of an anatomical structure of a patient, and a reduced-order model of the portion of the anatomical structure;

displaying the three-dimensional model on the touchscreen of the portable computer;

receiving at the portable computer a user intervention input indicating a potential treatment of the anatomical structure and initiating a modification of the reduced-order model;

calculating at least one blood flow characteristic based on the received user intervention input and modification of the reduced-order model; and

displaying the calculated at least one blood flow characteristic on the touchscreen of the portable computer.