Stroke monitoring

Inventors

ABBOSH, AminAFSARI, Arman

Assignees

Emvision Medical Devices Ltd

Publication Number

US-12048507-B2

Publication Date

2024-07-30

Expiration Date

2040-03-04

Interested in licensing this patent?

MTEC can help explore whether this patent might be available for licensing for your application.


Abstract

A computer-implemented process for continuous monitoring of a brain stroke during a critical rehabilitation period, the process including the steps of: (i) accessing initial image data representing an initial image of a subjects brain containing a stroke region; (ii) accessing scattering parameter data representing microwaves scattered by the subjects brain and originating from a plurality of antennas disposed around the subjects brain; and (iii) processing the scattering parameter data and the initial image data using a gradient-free optimisation method to generate estimates of spatial dimensions of the stroke region within the subjects brain, wherein the initial image of the subjects brain is used as a priori information to improve the accuracy of the generated estimates, and the spatial dimensions of the stroke region are generated as global parameters of the gradient-free optimisation method.

Core Innovation

The invention provides a computer-implemented process for continuous monitoring of a brain stroke during a critical rehabilitation period. The process involves accessing initial image data representing an initial image of a subject's brain containing a stroke region, accessing scattering parameter data representing microwaves scattered by the subject's brain and originating from antennas disposed around the brain, and processing these data using a gradient-free optimization method to generate estimates of spatial dimensions of the stroke region. The initial image is used as a priori information to improve the accuracy of these estimates, with the spatial dimensions generated as global parameters of the gradient-free optimization method.

The problem being solved relates to the lack of an efficient stroke monitoring tool to continuously measure the geometrical size of a stroke and its response to treatment during the critical rehabilitation period, typically the first six hours after symptom onset. Current imaging modalities such as MRI and X-rays are unsuitable for continuous monitoring during this period due to limitations like bulky equipment, ionizing radiation, genotoxic effects, high cost, and prohibitively long computational times. Electromagnetic tomography (EMT) offers a potential solution due to portability and safety but suffers from inaccuracies and high computational demands, especially when using gradient-based optimizations that calculate variables at every pixel.

The innovation overcomes these limitations by using an initial high-resolution image (from MRI, X-ray, or EMT) as a priori information to define the initial shape and dielectric properties of the stroke region. Instead of pixel-based optimizations, the process treats the shape, dimensions, and dielectric properties as global parameters optimized by a gradient-free method, specifically the Nelder-Mead method. This reduces unknowns from thousands of pixel variables to a few global parameters, greatly reducing computational time while improving accuracy, thus enabling efficient and continuous monitoring of stroke growth or shrinkage during the critical rehabilitation period.

Claims Coverage

The patent includes three independent claims covering the process, apparatus, and computer-readable storage medium for continuous brain stroke monitoring using initial image data, scattering parameter data, and gradient-free optimization methods. The coverage focuses on the main inventive features of spatial dimension estimation, a priori image use, and optimization techniques.

Use of gradient-free optimisation with initial image as prior

The process and apparatus access initial brain image data containing a stroke region and scattering parameter data from antennas, then process these using a gradient-free optimisation method to estimate spatial dimensions of the stroke region, with the initial image serving as a priori information to improve accuracy.

Estimation of stroke region spatial dimensions as global parameters

The spatial dimensions of the stroke region are generated as global parameters of the gradient-free optimisation method, avoiding pixel-based variable estimation for greater computational efficiency.

Approximation of stroke shape using geometrical models

The stroke region shape is approximated by overlapping ellipses in 2D or by four geometrical parameters in 3D, with minor axes fixed and major axes determined by optimisation, facilitating simplified parameter estimation.

Monitoring stroke growth or shrinkage over time

The process and apparatus repeat scattering data acquisition and parameter estimation at successive times to continuously monitor changes in stroke size during the critical rehabilitation period.

Utilization of Nelder-Mead gradient-free optimisation method

The gradient-free optimisation method used is the Nelder-Mead method, selected for its computational efficiency in optimizing the global stroke parameters in the monitoring process.

Initial image generation by MRI, X-ray, or EMT

The initial brain image used as a priori information may be generated by magnetic resonance imaging, x-ray imaging, or electromagnetic tomography imaging, providing flexibility in initial diagnosis.

The claims collectively cover a novel stroke monitoring process and system that use initial brain imaging data combined with microwave scattering measurements processed by a Nelder-Mead gradient-free optimisation to efficiently estimate and track global spatial dimensions of the stroke region, enabling continuous monitoring during the critical rehabilitation period.

Stated Advantages

Significantly reduces computational time for stroke monitoring by optimizing global parameters rather than pixel-by-pixel variables.

Improves accuracy in estimating stroke region dimensions by using initial high-resolution brain images as a priori information in the optimization process.

Enables continuous, real-time monitoring of stroke growth or shrinkage during the critical rehabilitation period to assess treatment effects promptly.

Uses a portable, safe, and non-ionizing electromagnetic tomography system suitable for use in intensive care units, overcoming limitations of MRI and X-ray.

Employs the Nelder-Mead gradient-free optimization method, which is fast and efficient for solving non-differentiable, noisy medical imaging problems.

Documented Applications

Continuous monitoring of brain stroke region growth or shrinkage during the first six hours (critical rehabilitation period) post-stroke.

Assessing the effect of thrombolytic or other treatments on stroke geometry in real-time to inform medical adjustments.

Use in intensive care units for bedside stroke monitoring using a portable electromagnetic tomography system with multiple microwave antennas.

JOIN OUR MAILING LIST

Stay Connected with MTEC

Keep up with active and upcoming solicitations, MTEC news and other valuable information.