Integrated expert system for medical imaging scan, set-up, and scheduling

• US 4,835,690 A
• Filed: 04/13/1988
• Issued: 05/30/1989
• Est. Priority Date: 11/19/1985
• Status: Expired due to Fees

• Current Assignee: Picker International, Inc. (Marconi Holdings Company Limited)
• Original Assignee: Picker International, Inc. (Marconi Holdings Company Limited)
• Inventors: Fattu, James M., Green, Andrew S., Patrick, Edward A., Gangarosa, Raymond E.
• Primary Examiner(s): Fleming, Michael R.
• Application Number:
  US07/181,116
• Time in Patent Office: 412 Days
• Field of Search: 364/148, 364/149, 364/152, 364/178, 364/442, 364/431.02, 364/431.04, 364/414, 364/513, 364/300, 324/309, 324/307, 324/312, 324/309, 324/307, 324/312
• US Class Current: 600/410
• CPC Class Codes: G01R 33/54 Signal processing systems, e.g. using pulse sequences ; Generation or control of pulse sequences; Operator console
• CPC Class Codes: G16H 15/00 ICT specially adapted for medical reports, e.g. generation or transmission thereof
• CPC Class Codes: G16H 30/20 for handling medical images, e.g. DICOM, HL7 or PACS
• CPC Class Codes: G16H 30/40 for processing medical images, e.g. editing
• CPC Class Codes: G16H 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: Y10S 706/924 Medical

Abstract

A magnetic resonance or other diagnostic imaging scanner (A) is connected with an image reconstruction module (B) for reconstructing diagnostic images. An integrated expert system (C) selects scan parameter settings for conducting the scan such that utility of the image is optimized for the intended diagnosis. A keyboard (12) receives subject and intended diagnostic application data such as the age of the patient, the region of the patient to be imaged, the anticipated size of the lesion, and the like. A first expert system (10) derives appropriate constraints on values for each performance index and priorities for each performance index from the subject and intended application data. The performance indices include contrast, resolution, scan suration, and the like. A scan parameter estimator look-up table (14) is addressed by the performance index constraints and priorities and retrieves corresponding estimated scan parameters. A second expert system (16) adjusts the estimated scan parameter settings to optimize a performance function (26). That is, the performance index values are predicted by a preselected mathematical model which relates scan parameters and performance indices. The scan parameters settings are adjusted until the predicted performance indices have an optimal fit with preselected ideal performance index values with higher priority performance indices being weighted more heavily than lower priority indices and with the predicted performance values being within the constraints.

This application is a continuation of application Ser. No. 799,427, filed Nov. 19, 1985, to Raymond E. Gangarosa, et al., entitled "Integrated Expert System for Medical Imaging Scan, Set-up, and Scheduling" now abandoned.

Claims

1. A medical imaging system comprising:

non-invasive examination means for examining a subject and producing electrical signals indicative thereof, the examination means having a plurality of adjustable operating parameters;

an image reconstructing means for reconstrucing an image from the electrical signals, the image being described by a plurality of performance indices which are related to the operating parameters by a preselected mathematical model, each performance index having a preselected idal value which ideal values are unattainable for all performance indices simultaneously, the image reconstruction means being operatively connected with the examination means to receive the electrical signals therefrom;

a performance index means for calculating selected relative priorities for optimizing each performance index value from received clinical information on the subject and an intended diagnostic application for the image;

an optimizing means for optimizing conformity of the performance index values predicted by the mathematical model and the ideal values in accordance with the relative priorities and providing an output of corresponding operating parameter adjustments, the optimizing means being operatively connected with the performance index means for receiving the priorities therefrom and with the examination means for supplying the operating parameter ajustments thereto.

2. A magnetic resonance imaging apparatus comprising:

a magnetic resonance means for causing magnetic resonance in selected dipoles of a subject to be imaged and for receiving magnetic resonance signals from the resonating dipoles, the resonance apparatus having a plurality of adjustable scan parameters including scan sequence, sequence duration, and the like;

an image reconstruction means for reconstructing and displaying a resultant image from the received magnetic resonance signals, the image reconstruction means being operatively connected with the resonance apparatus to receive the resonance signals therefrom; and

,

a scan parameter selection means for selectively setting for the adjustable scan parameters from input clinical information on the subject to be imaged and an intended application for the resultant image, the scan parameter selection means being operatively connected with the magnetic resonance means, whereby the image is reconstructed from resonance signals caused with appropriate scan parameters for the subject and intended use of the image.

3. The apparatus as set forth in claim 2 wherein the scan parameter selection means includes:

an input means for receiving the clinical information;

a first expert system for deriving constraints on values for each of a plurality of performance indices and a priority or weighting factor for each performance index from the clinical information, the first expert system being operativey connected with the input means; and

,

a second expert system for deriving the scan parameter settings from the constraints and priorities, the second expert system being operatively connected with the first expert system to receive the constraints and priorities therefrom.

4. The apparatus as set forth in claim 3 further including a manual override means for manually entering a portion of the performance indices constraints and priorities, the manual override means being operatively connected with the second expert system for supplying operator selected constraints and priorities thereto.

5. The apparatus as set forth in claim 3 wherein the performance indices and scan parameters are interrelated such that selecting each scan parameter setting affects a plurality of performance indices values, the second expert system including:

a peformance funtional means for determining the value of a performance function which is determined by (i) a function of conformity with a preselected ideal performance index value within the constraint and (ii) the priority for each performance index; and

,

an optimizing means for determining whether the performance functional is optimized.

6. The apparatus as set forth in claim 5 wherein the second expert system further includes a means for interatively adjusting the scan parameter settings until the optimizing means determines that the performance functional is optimized.

7. The apparatus as set forth in claim 6 further including a parameter estimator system for estimating scan parameter settings from the performance index constraints and priorities from the first expert system, the parameter estimator means being operatively connected with the second expert system for providing the estimated scan parameter settings thereto such that the second expert system iteratively adjusts the scan parameter settings starting with the estimated settings to optimize the performance functional.

8. The apparatus as set forth in claim 3 further including a scheduling expert system for receiving subject data and deriving scheduling constraints and priorities, the scheduling means being operatively connected with the second expert system to supply the scheduling constraints and priorities thereto such that the second expert system derives a subject schedule from the received scheduling constraints and priorities.

9. An operating parameter selection system for medical diagnostic imaging equipment comprising:

an input means for receiving intended application data;

a first expert system for deriving constraints for values of each of a plurality of preselected image performance indices and a relative priority for each image performance index from the received intended application data, the first expert system being operatively connected with the input means;

a second expert system for deriving operating parameter settings from the image performance index constraints and priorities, the image performance indices and the operating parameters being interrelated such that at least some of the image performance indices affect more than one operating parameter and at least one operating parameter is affected by several image performance indices, the second expert system being operatively connected with the first expert system to receive the image performance indices and priorities therefrom;

means for generating a signal indicative of the operating parameter settings; and

,

means adapted for communicating the signal to the associated medical diagnostic imaging equipment.

10. The system as set forth in claim 9

wherein the medical diagnostic imaging equipment has a plurality of operating parameter settings, the medical imaging equipment being operatively connected with the second expert system for receiving the operating parameter settings therefrom;

and having means for adjusting operation of the medical imaging equipment in accordance with received operating parameter settings.

11. The system as set forth in claim 9 wherein the medical diagnostic imaging equipment includes:

a magnetic resonance apparatus which has a plurality of operating parameter settings, the magnetic resonance apparatus being operatively connected with the second expert system for receiving operating parameters settings therefrom; and

means for adjusting the magnetic resonance apparatus in accordance with received operating parameter settings.

12. The system as set forth in claim 11 wherein the magnetic resonance apparatus is a spectrometer.

13. The system as set forth in claim 9 wherein the second expert system iteratively adjusts the operating parameter settings until the image performance indices are optimized.

14. The system as set forth in claim 13 further including an operating parameter estimating means for estimating operating parameter settings, the operating parameter estimating means being operatively connected with the first expert system to receive image performance index constraints and priorities therefrom and being operatively connected with the second expert system for supplying estimated operating parameter settings thereto to initiate the iterative adjusting process.

15. The system as set forth in claim 9 further including a scheduling expert system for deriving scheduling constraints and priorities from input scheduling consideration data, the scheduling expert system being operatively connected with the second expert system to supply the scheduling constraints and priorities thereto such that the second system derives a patient schedule therefrom.

16. The system as set forth in claim 9 wherein the second expert system includes:

a look-up table means which is addressed by the constraints and priorities of a preselected subset of the image performance indices to retrieve corresponding operating parameter settings; and

,

a mathematical optimization system for receiving the constraints and priorities of other image performance indices from the first expert system and adjusting corresponding operating parameter settings until the values of the image performance indices with the highest priorities are preferentially optimized while the values of substantially all image performance indices are retained within the constraints.

17. A method of medical imaging comprising:

selecting clinical data on a subject to be imaged and intended image diagnostic utility;

in a first expert computer system, converting the clinical data into a plurality of image performance index constraint and priority values, the image performance index constraint and priority values and the clinical data being interrelated such that at least one of the image performance index constraint and priority values is affected by a plurality of the clinical data and such that at least one value of the clinical data affects a plurality of the image performance index constraint and priority values;

in a second expert computer system, deriving a plurality of operating parameter settings from the image performance index constraint and priority values, the image performance index constraints and priority values and the operating parameter settings being related such that at least one of the operating parameter settings is affected by a plurality of the image performance index constraint and priority values and at least one of the image performance index constraint and priority values affects a plurality of operating parameter settings;

scanning a subject to be imaged using the derived operating parameter settings.

18. The method as set forth in claim 17 wherein the step of deriving the operating parameter settings includes iteratively adjusting the operating parameter settings, each iterative adjustment altering the image performance index values, the iterative operating parameter setting adjustment being continued until the values of the image performance indices are adjusted for greater conformity to preselected values with greatest emphasis for conformity being given to the values of the image performance indices with the highest priority values.

19. The method as set forth in claim 18 further including the step of storing optimized operating parameter settings for a plurality of potential image performance index constraint and priority values and wherein in the iterative adjustment step, corresponding stored operating parameter settings are retrieved as a starting point for the iterative adjustment step.

20. The method as set forth in claim 18 wherein in the iterative adjustment step, only a portion of the operating parameter settings are iteratively adjusted and the remaining operating parameters are retrieved directly from a look-up table.

21. A method of operating parameter optimization for medical diagnostic imaging comprising:

receiving intended use data in a computer;

deriving in the computer constraints on values of each of a plurality of preselected image performance indices and a relative priority for each image performance index from the received data;

deriving in the computer operating parameter settings from the image performance index constraints and priorities;

generating a signal indicative of the operating parameter settings;

communicating the signal to an associated medical diagnostic imaging device; and

,

adjusting the associated medical diagnostic imaging device to operate with the derived operating parameter settings.

22. The method as set forth in claim 21 wherein the operating parameter setting deriving step includes:

adjusting the settings and determining image performance index values of the associated apparatus operating with the adjusted settings from a preselected mathematical model which relates operating parameter settings and image performance index values;

comparing each determined image performance index value with the corresponding constraints and with a corresponding preselected ideal value;

repeating the adjusting and comparing steps until conformity of the determined image performance index values with the preselected ideal values is maximized with conformity of higher priority image performance indices being weighted more heavily.