Method and Apparatus for Detecting Intraventricular Dyssynchrony
First Claim
1. A method of detecting intraventricular dyssynchrony, including:
- a) receiving initialization information from an observer viewing a first source image of a series of source images of a ventricle of a beating heart over at least one cardiac cycle to define a plurality of points associated with muscle boundaries of the ventricle;
b) extracting muscle boundaries for each source image of the series of source images to define a corresponding series of contour shape images with contour shapes corresponding to the muscle boundaries using a Fourier descriptor model; and
c) deforming each contour shape in each contour shape image based at least in part on image forces, external forces, and internal forces to track movement of the muscle boundaries for the ventricle over time in the series of contour shape images.
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Abstract
A method and apparatus for detecting intraventricular dyssynchrony is provided. In one embodiment, the method includes: a) receiving information from an observer viewing a source image to define a plurality of points associated with muscle boundaries of a ventricle, b) extracting muscle boundaries for a series of source images to define a corresponding series of contour shape images using a Fourier descriptor model, and c) deforming each contour shape based at least in part on image forces, external forces, and internal forces to track movement of the muscle boundaries over time. In another embodiment, the method includes: a) characterizing the series of source images as a corresponding series of contour shape images representative of movement of muscle boundaries of the ventricle over time, b) classifying the series of contour shape images in a dyssynchronous class or a non-dyssynchronous class, and c) pre-diagnosing the ventricle as dyssynchronous or non-dyssynchronous.
113 Citations
50 Claims
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1. A method of detecting intraventricular dyssynchrony, including:
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a) receiving initialization information from an observer viewing a first source image of a series of source images of a ventricle of a beating heart over at least one cardiac cycle to define a plurality of points associated with muscle boundaries of the ventricle; b) extracting muscle boundaries for each source image of the series of source images to define a corresponding series of contour shape images with contour shapes corresponding to the muscle boundaries using a Fourier descriptor model; and c) deforming each contour shape in each contour shape image based at least in part on image forces, external forces, and internal forces to track movement of the muscle boundaries for the ventricle over time in the series of contour shape images. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20)
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21. A method of detecting intraventricular dyssynchrony, including:
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a) characterizing a series of source images of a ventricle of a beating heart over at least one cardiac cycle as a corresponding series of contour shape images representative of movement of muscle boundaries of the ventricle over time using a Pourier descriptor model; b) classifying the series of contour shape images in a dyssynchronous class or a non-dyssynchronous class; and c) pre-diagnosing the ventricle as dyssynchronous or non-dyssynchronous based at least in part on the classifying. - View Dependent Claims (22, 23)
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24. A method of detecting intraventricular dyssynchrony, including:
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a) observing a series of contour shape images representative of movement of muscle boundaries of a ventricle of a beating heart over at least one cardiac cycle, wherein the series of contour shape images is classified in a dyssynchronous class; b) diagnosing the ventricle as dyssynchronous based at least in part on the observing; c) planning treatment of the dyssynchronous ventricle to include epicardial implantation of a cardiac resynchronization therapy device; d) identifying a dyssynchronous region of the ventricle based at least in part on the observing; and e) planning lead placement for the cardiac resynchronization therapy device based at least in part on the dyssynchronous region of the ventricle. - View Dependent Claims (25, 26)
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27. A method of detecting intraventricular dyssynchrony, including:
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a) characterizing a series of source images of a ventricle of a beating heart over at least one cardiac cycle as a corresponding series of contour shape images representative of movement of muscle boundaries of the ventricle over time; b) classifying the series of contour shape images in at least one of a plurality of dyssynchronous subclasses or in a non-dyssynchronous class, each dyssynchronous subclass associated with a different region of the ventricle; and e) pre-diagnosing the ventricle as having at least one dyssynchronous region or as non-dyssynchronous based at least in part on the classifying. - View Dependent Claims (28, 29)
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30. A method of detecting intraventricular dyssynchrony, including:
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a) capturing movement of a ventricle of a beating heart over at least one cardiac cycle in a series of source images for a subject; b) extracting muscle boundaries for each source image of the series of source images to define a corresponding series of subject contour shape images with subject contour shapes corresponding to the muscle boundaries; c) deforming each subject contour shape in each subject contour shape image to track movement of the muscle boundaries for the ventricle over time in the subject series of contour shape images; d) observing the subject series of contour shape images; e) comparing the subject series of contour shape images to other series of contour shape images from other cases; and f) pre-diagnosing the subject ventricle as dyssynchronous or non-dyssynchronous based at least in part on the observing and comparing. - View Dependent Claims (31, 32, 33, 34, 35, 36)
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37. An apparatus for detecting intraventricular dyssynchrony, including:
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a contour image processor extracting muscle boundaries for each source image of a series of source images of a ventricle of a beating heart over at least one cardiac cycle to define a corresponding series of contour shape images with contour shapes corresponding to muscle boundaries of the ventricle using a Fourier descriptor model and deforming each contour shape in each contour shape image based at least in part on image forces, external forces, and internal forces to track movement of the muscle boundaries for the ventricle over time in the series of contour shape images; and an image classifier, in operative communication with the contour image processor, classifying the series of contour shape images in a dyssynchronous class or a non-dyssynchronous class. - View Dependent Claims (38, 39, 40, 41)
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42. An apparatus for detecting intraventricular dyssynchrony, including:
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an image contour processor characterizing a series of source images of a ventricle of a beating heart over at least one cardiac cycle as a corresponding series of contour shape images representative of movement of muscle boundaries of the ventricle over time using a Fourier descriptor model; and an image classifier, in operative communication with the contour image processor, classifying the series of contour shape images in a dyssynchronous class or a non-dyssynchronous class. - View Dependent Claims (43, 44)
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45. An apparatus for detecting intraventricular dyssynchrony, including:
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a contour image processor characterizing a series of source images of a ventricle of a beating heart over at least one cardiac cycle as a corresponding series of contour shape images representative of movement of muscle boundaries of the ventricle over time; and an image classifier classifying the series of contour shape images in at least one of a plurality of dyssynchronous subclasses or in a non-dyssynchronous class, each dyssynchronous subclass associated with a different region of the ventricle. - View Dependent Claims (46, 47, 48)
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49. A method for monitoring an internal area of a subject, including:
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a) receiving initialization information from an observer viewing a first source image of a series of source images of the internal area over a predetermined time to define a plurality of points associated with boundaries within the internal area; b) extracting boundaries for each source image of the series of source images to define a corresponding series of contour shape images with contour shapes corresponding to the boundaries using a Fourier descriptor model; and c) deforming each contour shape in each contour shape image based at least in part on image forces, external forces, and internal forces to track movement of the boundaries within the internal area over time in the series of contour shape images.
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50. An apparatus for monitoring an internal area of a subject, including:
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a contour image processor extracting boundaries for each source image of a series of source images of the internal area over a predetermined time to define a corresponding series of contour shape images with contour shapes corresponding to boundaries within the internal area using a Fourier descriptor model and deforming each contour shape in each contour shape image based at least in part on image forces, external forces, and internal forces to track movement of the boundaries within the internal area over time in the series of contour shape images; and an image classifier, in operative communication with the contour image processor, classifying the series of contour shape images in a first class or a second class based at least in part on detection of predetermined discriminating characteristics for the first and second classes in the contour shape images.
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Specification