SYSTEM, METHOD AND COMPUTER-ACCESSIBLE MEDIUM PROVIDING IMAGING AND/OR ANALYSIS OF ANATOMY
Intravascular sensing systems and extravascular sensing systems are both integral tools in the interventional cardiology workflow but remain relatively disconnected & disparate sources of information. Effective utilization of the information between these disparate systems can be cumbersome for a clinician and result in reduced treatment efficacy, increased procedure times and loss of information. The present disclosure overcomes these limitations & enables optimized interventional workflows and improved coronary assessments.
1 . An apparatus for conducting an analysis of a coronary vessel, comprising:
a display device; and
at least one processor configured to:
receive extravascular data comprising angiography image of the coronary vessel;
perform an automated segmentation of the coronary vessel based on the extravascular data;
cause the display device to display at least one angiography-derived measurement over the coronary vessel; and
receive intravascular imaging data associated with the coronary vessel at least partially based on the displayed at least one index of ischemia.
2 . The apparatus of claim 1 , further comprising a sensing catheter configured to generate the intravascular imaging data.
3 . The apparatus of claim 2 , wherein the sensing catheter is a multimodal catheter.
4 . The apparatus of claim 1 , wherein the intravascular imaging data is produced by at least one of optical coherence tomography, near-infrared spectroscopy, photoacoustics, fluorescence lifetime imaging, and ultrasound.
5 . The apparatus of claim 1 , wherein the display device is caused by the at least one processor to display, based on the automated segmentation, a computer generated recommendation regarding intravascular imaging.
6 . The apparatus of claim 1 , wherein the at least one processor is further configured to compute a physiology value associated with the coronary vessel based on the extravascular data.
7 . The apparatus of claim 6 , wherein the physiology value comprises a fractional flow reserve of the coronary vessel.
8 . The apparatus of claim 6 , wherein the physiology value comprises a coronary flow reserve of the coronary vessel.
9 . The apparatus of claim 1 , wherein the at least one processor is further configured to compute a geometric measurement of the coronary vessel based on the extravascular data.
10 . The apparatus of claim 9 , wherein the geometric measurement comprises a percent stenosis of the coronary vessel.
11 . The apparatus of claim 9 , wherein the geometric measurement comprises a minimum lumen diameter of the coronary vessel.
12 . An apparatus for conducting an analysis of a coronary vessel, comprising:
a display device; and
at least one processor configured to:
receive extravascular data comprising an angiography image of the coronary vessel;
perform an automated measurement of the coronary vessel based on the extravascular data; and
acquire intravascular imaging data of the coronary vessel at least partially based on the automated measurement.
13 . The apparatus of claim 12 , wherein the automated measurement comprises a longitudinal measurement of the coronary vessel.
14 . The apparatus of claim 12 , further comprising a user interface configured to allow a user to adjust the automated measurement of the coronary vessel.
15 . The apparatus of claim 12 , wherein the intravascular imaging data corresponds to a region of the coronary vessel in which the automated measurement deviates from a threshold.
16 . The apparatus of claim 12 , wherein the display device is caused by the at least one processor to display, based on the automated measurement, a computer generated recommendation regarding intravascular imaging.
17 . The apparatus of claim 12 , wherein the at least one processor is further configured to compute a physiology value associated with the coronary vessel based on the extravascular data.
18 . The apparatus of claim 17 , wherein the physiology value comprises a fractional flow reserve of the coronary vessel.
19 . An apparatus for conducting an analysis of a coronary vessel, comprising:
a display device; and
at least one processor configured to:
receive extravascular data comprising an angiography image of the coronary vessel;
perform an automated segmentation of the coronary vessel based on the extravascular data;
compute a physiology value associated with the coronary vessel based on the extravascular data;
acquire intravascular images of the coronary vessel; and
register the local physiology value to the intravascular images.
20 . The apparatus of claim 19 , wherein the local physiology value comprises a fractional flow reserve of the coronary vessel.
21 . An apparatus for conducting an analysis of a coronary vessel, comprising:
a display device; and
at least one processor configured to:
receive extravascular data comprising an angiography image of the coronary vessel;
perform an automated segmentation of the coronary vessel based on the extravascular data;
compute a physiology value associated with the coronary vessel based on the extravascular data;
acquire intravascular data of the coronary vessel;
compute a measurement associated with the coronary vessel based on the intravascular data; and
automatically update at least one of (i) the local physiology value based upon the measurement, and (ii) the measurement based on the intravascular data.
22 . The apparatus of claim 21 , wherein the physiology value comprises a fractional flow reserve of the coronary vessel.
23 . The apparatus of claim 21 , wherein the measurement comprises a longitudinal measurement of the coronary vessel.
24 . The apparatus of claim 21 , further comprising a user interface configured to allow a user to adjust the automated measurement of the coronary vessel.
25 . The apparatus of claim 21 , wherein the intravascular imaging data corresponds to a region of the coronary vessel in which the measurement deviates from a threshold.
26 . The apparatus of claim 21 , wherein the display device is caused by the at least one processor to display, based on the automated segmentation, a computer generated recommendation regarding acquiring the intravascular data.
27 . An apparatus for conducting an analysis of a coronary vessel, comprising:
a display device; and
at least one processor configured to:
receive a first set of extravascular data comprising a first angiography image of the coronary vessel;
perform a first automated segmentation of the coronary vessel based on the first set of extravascular data;
compute a measurement associated with the first automated segmentation;
acquire intravascular images of the coronary vessel;
perform a second automated segmentation of the coronary vessel based on the intravascular images;
receive a second set of extravascular data comprising a second angiographic image of the coronary vessel;
perform a third automated segmentation of the coronary vessel based on the second set of extravascular data; and
register at least one of (i) the first segmentation or the first angiography image with either the second segmentation or the intravascular images; or (ii) the third segmentation or the second angiographic image with either the second segmentation or the intravascular images.