System and method for supporting decisions during a catheterization procedure

Patent metadata

Field	Value
Publication number	US-10679758-B2
Application number	US-201514821573-A
Country	US
Kind code	B2
Filing date	Aug 7, 2015
Priority date	Aug 7, 2015
Publication date	Jun 9, 2020
Grant date	Jun 9, 2020

Abstract

Methods and systems for facilitating clinical decisions during a catheterization procedure based at least in part on image data captured during the catheterization procedure, are disclosed. More particularly, embodiments include analyzing the image data and transmitting decision support data representative of past catheterization procedures having a similarity to the current catheterization procedure. Other embodiments are also described and claimed.

First claim

What is claimed is:

1. A method to facilitate clinical decisions during a catheterization procedure, the method comprising:
storing, in an interventional case history database, historical intervention data representative of past catheterization procedures and based on images taken during the past catheterization procedures;
receiving, concurrently with a current catheterization procedure being performed in a catheterization lab, an image taken by an intravascular imaging system during the current catheterization procedures;
comparing, by a data processing system, the historical intervention data based on images taken during the past catheterization procedures to current intervention data based on the image taken during the current catheterization procedure to determine a subset of past catheterization procedures having images similar to the image;
determining decision support data including a plurality of procedural options for the current catheterization procedure, wherein the plurality of procedural options include respective procedural actions and associated likely clinical outcomes, and wherein the likely clinical outcomes are based on clinical outcomes of respective percentages of the subset of past catheterization procedures when the associated procedural actions were performed; and
transmitting the decision support data for display of the plurality of procedural options including the respective procedural actions and associated likely clinical outcomes by a monitor in the catheterization lab during the current catheterization procedure.

2. The method of claim 1 , wherein the historical intervention data includes one or more of historical patient data, historical anatomical data, historical device data, historical deployment data, historical procedural data, or historical outcome data representative of the past catheterization procedures, and wherein the current intervention data includes one or more of current patient data, current anatomical data, current device data, or current deployment data representative of the current catheterization procedure.

3. The method of claim 2 , wherein the current intervention data includes image data representing an anatomical site being accessed during the current catheterization procedure; and further comprising:
analyzing the image data to determine the current anatomical data or the current deployment data.

4. The method of claim 3 , wherein the current anatomical data includes one or more of a dimension of the anatomical site, a degree of calcification of the anatomical site, or a degree of eccentricity of the anatomical site, and wherein the current deployment data includes one or more of a degree of malapposition of a stent implant deployed at the anatomical site or a gap distance between the stent implant and the anatomical site.

5. The method of claim 2 , wherein the respective procedural actions are to be performed during the current catheterization procedure.

6. The method of claim 5 , wherein the likely clinical outcomes include one or more of a median intra-procedure result or an average inter-procedure result when the associated procedural actions were performed during the subset of past catheterization procedures.

7. The method of claim 1 further comprising:
determining similarity between the current catheterization procedure and the subset of past catheterization procedures based on one or more matching data values of the historical intervention data and the current intervention data.

8. The method of claim 7 , wherein determining the similarity includes:
identifying one or more sets of historical data values of the historical intervention data matching corresponding current data values of the current intervention data;
assigning a similarity score to each set of matching data values; and
determining the similarity between the current catheterization procedure and the subset of past catheterization procedures based on the similarity scores.

9. The method of claim 1 , wherein the historical intervention data is stored at a location remote from the current catheterization procedure.

10. The method of claim 9 , wherein transmitting the decision support data occurs within 5 minutes of receiving the image at the location.

11. A non-transitory machine-readable storage medium storing instructions, which when executed by one or more processors of a decision support computer, causes the decision support computer to perform a method comprising:
storing, in an interventional case history database, historical intervention data representative of past catheterization procedures and based on images taken during the past catheterization procedures;
receiving, concurrently with a current catheterization procedure being performed in a catheterization lab, an image taken by an intravascular imaging system during the current catheterization procedure;
comparing, by one or more processors of the decision support computer, the historical intervention data based on images taken during the past catheterization procedure to current intervention data based on the image taken during the current catheterization procedure to determine a subset of past catheterization procedures having images similar to the image;
determining decision support data including a plurality of procedural options for the current catheterization procedure, wherein the plurality of procedural options include respective procedural actions and associated likely clinical outcomes, and wherein the likely clinical outcomes are based on clinical outcomes of respective percentages of the subset of past catheterization procedures when the associated procedural actions were performed; and
transmitting the decision support data for display of the plurality of procedural options including the respective procedural actions and associated likely clinical outcomes by a monitor in the catheterization lab during the current catheterization procedure.

12. The medium of claim 11 , wherein the historical intervention data includes one or more of historical patient data, historical anatomical data, historical device data, historical deployment data, historical procedural data, or historical outcome data representative of the past catheterization procedures, and wherein the current intervention data includes one or more of current patient data, current anatomical data, current device data, or current deployment data representative of the current catheterization procedure.

13. The medium of claim 12 , wherein the current intervention data includes image data representing an anatomical site being accessed during the current catheterization procedure, and further comprising:
analyzing the image data to determine the current anatomical data or the current deployment data.

14. The medium of claim 13 , wherein the current anatomical data includes one or more of a dimension of the anatomical site, a degree of calcification of the anatomical site, or a degree of eccentricity of the anatomical site, and wherein the current deployment data includes one or more of a degree of malapposition of a stent implant deployed at the anatomical site or a gap distance between the stent implant and the anatomical site.

15. The medium of claim 12 , wherein the respective procedural actions are to be performed during the current catheterization procedure.

16. The medium of claim 15 , wherein the likely clinical outcomes include one or more of a median intra-procedure result or an average inter-procedure result when the associated procedural actions were performed during the subset of past catheterization procedures.

Assignees

• Abbott Cardiovascular System Inc
• Abbott Cardiovascular Systems Inc

Inventors

• Fox Julia C
• Staehr Peter

Classifications

• A61M2025/0166

  Sensors, electrodes or the like for guiding the catheter to a target zone, e.g. image guided or magnetically guided · CPC title

• A61B2017/22051

  with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation (A61B2017/22048, A61B2017/3486 take precedence) · CPC title

• A61B2034/256

  having a database of accessory information, e.g. including context sensitive help or scientific articles · CPC title

• A61B2090/3735

  Optical coherence tomography [OCT] · CPC title

• G16H10/60

  for patient-specific data, e.g. for electronic patient records · CPC title