Vascular assessment system

• US 9,202,012 B2
• Filed: 06/17/2011
• Issued: 12/01/2015
• Est. Priority Date: 06/17/2011
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Barnett, Noelle Leslie, Sipelis, Vitas Jonas
• Primary Examiner(s): Pitaro, Ryan
• Assistant Examiner(s): Shiberou, Mahelet
• Application Number:
  US13/162,774
• Publication Number:
  US 20120324402A1
• Time in Patent Office: 1,628 Days
• Field of Search: 715/840, 715/821, 715/841, 715/708, 715/781, 703/2, 703/11, 705/346
• US Class Current: 1/1
• CPC Class Codes: G16H 20/40 relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture

Abstract

Systems and methods for aiding treatment of a medical condition are described. One such method includes: displaying at an interface (i) a graphical representation of at least a portion of an anatomic area, and (ii) regions of interest at locations in the representation, each of the regions representing an anatomic site of a medical event; receiving from a user a first selection representing a first site among the anatomic sites; determining a first set of morphologies of the first site, each member of the first set being clinically associated with occurrence of the event at a diseased portion of the first site; and determining, based on a second selection by the user, a second set of morphologies of the first site, each member of the second set including at least one of a shape and a size of the diseased portion associated with the first member.

Claims

1. A method of aiding interventional treatment of a vascular disease, comprising:

displaying at an interface (i) a graphical representation of at least a portion of a vascular area comprising at least one of an arterial bifurcation and a venous confluence, (ii) a plurality of regions of interest at locations in the representation, each of the regions representing a distinct anatomic site of an event at the vascular area, and (iii) an incident rate of the medical event at each anatomic site;

wherein the event comprises at least one of thrombosis, rupture, and bleeding;

receiving from a user a first selection, of a first of the regions, the first region representing a first site among the plurality of anatomic sites;

determining, using a processor and based on the first selection, a first set of pathological morphologies and at least two diseases of the first site, each member of the first set being clinically associated with occurrence of the event at a diseased portion of the first site;

wherein one of the diseases comprises aneurysms, and another of the diseases comprises arteriovenous malformations;

displaying the members of the first set to the user;

receiving from the user a second selection, of a first member of the first set;

determining, using a processor and based on the second selection, a second set of pathological morphologies of the first site, each member of the second set comprising at least one of a shape and a size of the diseased portion associated with the first member;

displaying the members of the second set to the user;

receiving from the user a third selection, of a first member of the second set;

determining, based on the third selection, an item of clinical information to display to the user, wherein the item of clinical information comprises information about at least two treatment options comprising one or more endovascular treatments and a surgical treatment, other than the one or more endovascular treatments, a comparison between benefits of the at least two treatment options, a comparison between outcome statistics of the at least two treatment options, and prevalence information comprising an incident rate of the first member at the first site;

wherein the one or more endovascular treatments comprise at least one of coil embolization, parent artery occlusion, liquid embolics, or flow diversion;

wherein the information about each treatment option in the at least two treatment options comprises information about a particular therapeutic device, including device features, device benefits, and at least one of case reports associated with the device or a summary of studies associated with the device; and

displaying the item of clinical information to the user, wherein the displaying of the item of clinical information comprises simultaneous display of the at least two treatment options, the comparison between the benefits of the at least two treatment options, the comparison between the outcome statistics of the at least two treatment options, and the prevalence information.

2. The method of claim 1, wherein the diseased portion comprises at least one of an aneurysm and an arteriovenous malformation.

3. The method of claim 1, wherein the item of clinical information comprises a selection of at least one therapeutic device type suitable for treating the diseased portion, wherein selection of the at least one therapeutic device type is based on at least one of the first selection and the second selection.

4. The method of claim 1, wherein the item of clinical information includes at least one link to an interface containing information about the particular therapeutic device.

5. The method of claim 1, wherein the at least two treatment options are associated with the first selection and the second selection.

6. The method of claim 1, wherein the item of clinical information comprises a selection of information about the event at the vascular area, wherein selection of the information about the event is based on at least one of the first selection and the second selection.

7. A non-transitory machine-readable medium comprising instructions stored therein, which when executed by a machine, cause the machine to perform operations comprising:

displaying at an interface (i) a graphical representation of a portion of a mammalian body, (ii) a plurality of regions of interest at locations in the representation, each of the regions representing a distinct anatomic site of a potential medical event, and (iii) an incident rate of the medical event at each anatomic site;

receiving from a user a first selection, of a first of the regions, the first region representing a first site among the plurality of anatomic sites;

determining, based on the first selection, a first set of pathological morphologies and at least two diseases of the first site, each member of the first set being clinically associated with occurrence of the event at a diseased portion of the first site;

wherein one of the diseases comprises aneurysms, and another of the diseases comprises arteriovenous malformations;

displaying the members of the first set to the user;

receiving from the user a second selection, of a first member of the first set;

determining, based on the second selection, a second set of pathological morphologies of the first site, each member of the second set comprising at least one of a shape and a size of the diseased portion associated with the first member;

displaying the members of the second set to the user;

receiving from the user a third selection, of a first member of the second set;

determining, based on the third selection, an item of clinical information to display to the user, wherein the item of clinical information comprises information about at least two treatment options comprising one or more endovascular treatments and a surgical treatment, other than the one or more endovascular treatments, a comparison between benefits of the at least two treatment options, a comparison between outcome statistics of the at least two treatment options, and prevalence information comprising an incident rate of the first member at the first site;

wherein the one or more endovascular treatments comprise at least one of coil embolization, parent artery occlusion, liquid embolics, or flow diversion;

wherein the information about each treatment option in the at least two treatment options comprises information about a particular therapeutic device, including device features, device benefits, and at least one of case reports associated with the device or a summary of studies associated with the device; and

displaying the item of clinical information to the user, wherein the displaying of the item of clinical information comprises simultaneous display of the at least two treatment options, the comparison between the benefits of the at least two treatment options, the comparison between the outcome statistics of the at least two treatment options, and the prevalence information.

8. The non-transitory machine-readable medium of claim 7, wherein the graphical representation of a portion of the mammalian body comprises a vascular area of the mammalian body.

9. The non-transitory machine-readable medium of claim 7, wherein the diseased portion comprises at least one of an aneurysm and an arteriovenous malformation.

10. The non-transitory machine-readable medium of claim 7, wherein the item of clinical information comprises a selection of at least one therapeutic device type suitable for treating the diseased portion, wherein selection of the at least one therapeutic device type is based on at least one of the first selection and the second selection.

11. The non-transitory machine-readable medium of claim 7, wherein the item of clinical information includes at least one link to an interface containing information about the particular therapeutic device.

12. The non-transitory machine-readable medium of claim 7, wherein the item of clinical information comprises a selection of information about the event, wherein selection of the information about the event is based on at least one of the first selection and the second selection.

13. A system of aiding interventional treatment of a vascular disease, the system comprising:

an output interface configured to present data;

an input interface configured to receive input data;

a processor; and

a storage device configured to store instructions that, when executed by the processor, cause the processor to;

display, at the output interface, (i) a graphical representation of at least a portion of a vascular area comprising at least one of an arterial bifurcation and a venous confluence, (ii) a plurality of regions of interest at locations in the representation, each of the regions representing a distinct anatomic site of an event at the vascular area, and (iii) an incident rate of the medical event at each anatomic site;

wherein the event comprises at least one of thrombosis, rupture, and bleeding;

receive, via the input interface, a first selection, of a first of the regions, the first region representing a first site among the plurality of anatomic sites;

determine, based on the first selection, a first set of pathological morphologies and at least two diseases of the first site, each member of the first set being clinically associated with occurrence of the event at a diseased portion of the first site;

wherein one of the diseases comprises aneurysms, and another of the diseases comprises arteriovenous malformations;

display, at the output interface, the members of the first set to the user;

receive, via the input interface, a second selection, of a first member of the first set;

determine, based on the second selection, a second set of pathological morphologies of the first site, each member of the second set comprising at least one of a shape and a size of the diseased portion associated with the first member;

display, at the output interface, the members of the second set to the user;

receive, via the input interface, a third selection, of a first member of the second set;

determine, based on the third selection, an item of clinical information to display to the user, wherein the item of clinical information comprises information about at least two treatment options comprising one or more endovascular treatments and a surgical treatment, other than the one or more endovascular treatments, a comparison between benefits of the at least two treatment options, a comparison between outcome statistics of the at least two treatment options, and prevalence information comprising an incident rate of the first member at the first site;

wherein the one or more endovascular treatments comprise at least one of coil embolization, parent artery occlusion, liquid embolics, or flow diversion;

wherein the information about each treatment option in the at least two treatment options comprises information about a particular therapeutic device, including device features, device benefits, and at least one of case reports associated with the device or a summary of studies associated with the device; and

display, at the output interface, the item of clinical information to the user, wherein the displaying of the item of clinical information comprises simultaneous display of the at least two treatment options, the comparison between the benefits of the at least two treatment options, and the comparison between the outcome statistics of the at least two treatment options, and the prevalence information.