Stroke diagnosis apparatus based on artificial intelligence and method
Inventors
Kim, Dohyun • Song, Soo Hwa • Jung, Sumin • Lee, Jin Soo • Lee, Seong Joon
Assignees
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Abstract
Provided is a stroke diagnosis apparatus based on AI that includes: an image obtainer obtaining a non-contrast CT image related to the brain of at least one patient; a preprocessor pre-processing the non-contrast CT image and determining whether the at least one patient is in a non-hemorrhage state or a hemorrhage state on the basis of the pre-processed image; an image processor normalizing the pre-processed image and dividing and extracting an ROI (Region of Interest) using a preset standard mask template; and a determiner determining whether there is a problem with a cerebral large vessel of the at least one patient using the divided and extracted ROI.
Core Innovation
The invention relates to a stroke diagnosis apparatus based on AI (Artificial Intelligence) that obtains a non-contrast CT image related to a brain of at least one patient. The apparatus pre-processes the non-contrast CT image and determines whether the at least one patient is in a non-hemorrhage state or a hemorrhage state based on the pre-processed image. The apparatus normalizes the pre-processed image and divides and extracts an ROI (Region of Interest) using a preset standard mask template.
Using the divided and extracted ROI, the apparatus includes a determiner that determines whether there is a problem with a cerebral large vessel of the at least one patient. When the determiner estimates an ASPECT score of the at least one patient using the divided and extracted ROI in response to the presence of the cerebral large vessel problem, the apparatus determines that the at least one patient is a patient to whom mechanical thrombectomy is applied only when the estimated ASPECT score is a predetermined value or more.
The disclosure also describes AI-based classification from the ROI to estimate ischemia-related features, including Old infarct (OI), Recent infarct (RI), Frank hypodensity (FH), and Early ischemic sign (EIS), with FH/EIS treated as acute affected parts. The determiner detects emergent large vessel occlusion using a dense MCA sign at an infra-ganglionic level, and when the dense MCA sign is absent it uses HU value frequency and HU-frequency differences across left and right hemispheres with predetermined reference and difference values.
In addition, the disclosure describes optionally calculating a tissue clock and using it with affected-part information such as EIS/FH and/or affected-part volume-based models to support the mechanical thrombectomy determination. The apparatus further describes communicating patient or tissue-clock information, ASPECT, and elapsed-time information to a tertiary hospital, and using the diagnosis to select patient and normal groups to increase clinical trial success probability.
Claims Coverage
The partial content provides one independent claim (clm-00001). The inventive features focus on an AI-based CT image pipeline that gates mechanical thrombectomy on hemorrhage state, cerebral large vessel problem determination, and an ASPECT score threshold using an ROI extracted with a preset standard mask template.
AI-based non-contrast CT stroke diagnosis with hemorrhage state gating
The apparatus obtains a non-contrast CT image related to a brain, pre-processes the image, and determines whether the at least one patient is in a non-hemorrhage state or a hemorrhage state based on the pre-processed image.
ROI normalization and extraction using a preset standard mask template
The apparatus normalizes the pre-processed image and divides and extracts an ROI using a preset standard mask template.
Cerebral large vessel problem determiner using the ROI
The apparatus determines whether there is a problem with a cerebral large vessel of the at least one patient using the divided and extracted ROI.
ASPECT estimation and mechanical thrombectomy determination based on a predetermined value
The apparatus estimates an ASPECT score of the at least one patient using the divided and extracted ROI when there is a problem with the cerebral large vessel, and determines that mechanical thrombectomy is applied only when the estimated ASPECT score is a predetermined value or more.
Across the independent claim, the main inventive concept is an AI-based non-contrast CT workflow that pre-processes and classifies hemorrhage state, normalizes and extracts an ROI using a preset standard mask template, determines a cerebral large vessel problem from the ROI, and estimates an ASPECT score and applies a predetermined threshold to decide eligibility for mechanical thrombectomy.
Stated Advantages
Increases clinical trial success probability by selecting patient and normal groups based on the diagnosis.
Documented Applications
Selecting patient group versus normal group for clinical trial success probability using the stroke diagnosis output, including communication of patient or tissue-clock information, ASPECT, and elapsed-time information to a tertiary hospital.
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