WO2024223514A1 - Dispositif d'enregistrement pour acquisition de données d'image médicale - Google Patents
Dispositif d'enregistrement pour acquisition de données d'image médicale Download PDFInfo
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- WO2024223514A1 WO2024223514A1 PCT/EP2024/061000 EP2024061000W WO2024223514A1 WO 2024223514 A1 WO2024223514 A1 WO 2024223514A1 EP 2024061000 W EP2024061000 W EP 2024061000W WO 2024223514 A1 WO2024223514 A1 WO 2024223514A1
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H30/00—ICT specially adapted for the handling or processing of medical images
- G16H30/20—ICT specially adapted for the handling or processing of medical images for handling medical images, e.g. DICOM, HL7 or PACS
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00002—Operational features of endoscopes
- A61B1/00059—Operational features of endoscopes provided with identification means for the endoscope
Definitions
- the present invention relates to a device and a system for data acquisition and data transmission for medical data.
- Optical visualization systems such as endoscopes or microscopes for medical interventions are known and enable a representation of a scene and/or a work area within a human body, for example during a minimally invasive procedure.
- Such visualization systems output captured image or video data on suitable screens and are usually equipped with an image recording device or a Image recording system to record the acquired image or video data as well as, if necessary, other devices and/or patient-specific data.
- the image or video data, as well as data on devices/instruments used are completely recorded by so-called data loggers in practice rooms or hospitals and transferred to a storage device.
- This data can then be processed later, for example, as historical data for monitoring the course of treatment or for analysis purposes.
- AI applications can also be trained using this data.
- the recorded data is usually viewed manually, searched for certain events or instruments in the image and commented on accordingly.
- this is very time-consuming and also requires high data transfer volumes and computer power.
- US 7,738,940 B2 discloses a medical image recording system which, in addition to the image information generated by an endoscope, also records device information and patient information for a medical examination and can transmit this to a data storage unit.
- the system comprises at least one image information acquisition unit and a device information acquisition unit which acquires information about a device used at the time of the examination, as well as a recording unit.
- the system is designed to carry out a data storage process after completion of an examination in which the patient data, device data and image data initially stored in a non-volatile memory of an image recording device are transmitted via a network to a server of a database service.
- WO 2018/013666 A1 discloses a system for managing medical devices that communicate with a local network.
- a local network application forwards the device data collected from the medical devices to a cloud-based service that processes and organizes the device data.
- the cloud-based service may also communicate with a sales database, an ERP system, a manufacturing database, and/or other databases. Users may request device data from the cloud-based service using a conventional web browser.
- the device data may include location data, usage data, repair data, etc.
- the object of the present invention to provide a device and a system for data acquisition for medical data, which enables optimized data acquisition and data transmission and preferably optimized processing of this data, for example for AI applications.
- the present invention relates to a recording device for medical image data, comprising a connection unit for selectively connecting an image capture device for a medical treatment, in particular an endoscope or exoscope, a data acquisition unit for acquiring image and/or video data as well as device data from at least the image capture device connected to the connection unit, and a documentation unit for recording image and/or video data and device data provided by the data acquisition unit, wherein the device has a control unit which is designed to determine and/or allocate at least one, preferably a plurality of attributes for the image capture device connected to the connection unit and to control the documentation unit for recording depending on one or more assigned attributes.
- the present invention enables the determination and/or allocation of attributes for or to a respective image capture device, which is connected to the device by means of the connection unit, with the aid of the control unit according to the invention.
- the determination and/or allocation of the at least one attribute for the respectively connected image capture device is preferably carried out automatically by the control unit according to the invention.
- Control unit Different types of devices, in particular different endoscopes, can be recognized and/or identified and attributes assigned to them.
- the documentation unit is then controlled on the basis of the identified and/or assigned attributes. In contrast to the prior art, this makes it possible to provide selective and/or device-specific control of the documentation unit for optimized data recording and/or data transmission.
- this can significantly reduce the data acquisition effort for providing suitable documentation data and optimize the quality of the documentation data for a particular medical treatment.
- the data logging devices known from the prior art generate a huge data load due to the large number of examinations in a hospital or in practice rooms, which requires both high computing power and storage capacity.
- the present invention also enables a significantly simplified evaluation of the recorded data for AI applications compared to the prior art, since image and/or video data can be collected that is tailored to the respective image capture device and/or provided with associated attributes, which also enable optimized further processing during later data utilization, in particular for training AI applications.
- the documentation unit for recording image and/or video data and device data provided by the data acquisition unit is preferably designed to link the respective image and/or video data with the device data acquired during a respective examination and to save them as associated data or as a correspondingly linked data set.
- the respective determined and/or assigned attributes for the respective image acquisition device can advantageously be saved as associated data or as an associated data set.
- the documentation unit is advantageously designed to store the device data and/or the respective associated attributes as metadata of the respective image and/or video data. This also makes it possible to clearly assign the image and/or video data to the device data at a later point in time. In particular, human error can be avoided in the separate recording of image and/or video data known from the prior art on the one hand and in the respective examination of additionally recorded data sets on the other hand.
- the documentation unit is designed to store the respective device data as metadata of the image and/or To store video data in predefined frames or, more preferably, in each individual frame of the image and/or video data.
- the control unit is advantageously designed to determine and/or allocate the respective attributes based on device data provided by the data acquisition unit.
- the data acquisition unit can, for example, be designed to use suitable electronic data acquisition to retrieve a device identification number or the like from the image capture device connected to the connection unit, which identifies the connected, specific image capture device. Based on this, associated attributes can then be determined, for example from an internally or externally stored table with corresponding attributes and/or from externally retrievable information on the respective device type.
- the control unit is further advantageously designed to determine at least one type of medical treatment as an attribute based on the data provided by the data acquisition unit and/or the image acquisition device. For example, the control unit can deduce the respective field of expertise and/or the type of intervention and thus the medical treatment based on recognition of the connected endoscope. The expected image and/or video data can also be deduced. If, for example, a flexible rhinoscope is connected to the device, the examination carried out by the doctor is a rhino-laryngoscopy. This can be determined by the control unit as an attribute for the type of medical treatment and used for further data recording and/or data utilization.
- control unit can determine that the connected endoscope does not have a working channel and is therefore not used in connection with high-frequency applications, for example in high-frequency or laser surgery. This can also be determined as a corresponding attribute of the connected endoscope and used for further data recording and/or data utilization. Due to the unsuitability of the connected endoscope for high-frequency applications, it can also be determined or deduced that no smoke will be visible in the image and/or video data during the treatment. This can also be determined as a further attribute of the connected endoscope and used for further data recording and/or data evaluation. This can, for example, simplify the training of AI applications for smoke gas detection during a treatment, since the determined attributes can be used directly to determine whether the recorded data is suitable for training the AI application. Furthermore, for example, image or video data can only be recorded or activated by the control unit if an attribute of the image and/or video data required for a desired AI training is present or has been determined.
- the attributes comprise one or more data or data sets relating to one or more of the following properties: type of imaging device, medical specialty, medical indication, application medium, intended use, type of medical procedure, high frequency application, laser application, instrument visibility, smoke development, bleeding, visual impairment, and/or contaminated water.
- the type of holding system used for the image capture device such as a robot, can also be an attribute.
- control unit is designed to detect a data command or data acquisition command transmitted by the device and/or the device and to use it for the attribute determination and/or allocation, and/or for controlling the documentation unit.
- a data acquisition command in particular an externally supplied one
- the control unit can be designed to compare the detected data acquisition command with at least one attribute allocation of a connected endoscope and to control the documentation unit based on this.
- a data acquisition command can be detected which, in the subsequent examinations, only requires data acquisition for training purposes for a specific AI application, such as for detecting smoke development.
- the control unit can only activate the documentation unit if a corresponding attribute is recognized and/or assigned for the respective connected image acquisition device. This allows targeted data collection, which reduces computing power and capacity while at the same time enabling targeted data transfer. This is a significant improvement over the current state of the art, where either all data is transmitted, which leads to a huge amount of data transfer and data storage effort, or a complex manual pre-setting has to be carried out, which is undesirable for a treating doctor.
- the control unit is designed to control the documentation unit to activate and/or deactivate the recording and/or to set and/or adapt recording parameters that influence the data recording depending on the attributes.
- a selective activation and/or deactivation of the data recording or the documentation unit can take place, for example, when a predefined attribute has been recognized or assigned.
- a specific video sequence can be saved based on one or more recognized attributes.
- a setting or adaptation of a frame rate, an image section and/or other image parameters of the recorded image and/or video signal can take place depending on the determined and/or assigned attributes.
- the control device advantageously comprises a storage unit which is designed to store and/or assign a plurality of attributes for a respective image capture device.
- the storage unit can in particular comprise one or more lookup tables by means of which predefined and/or changeable attributes are assigned to a respective image capture device.
- the control device can be designed to determine attributes from the captured image and/or video data. More preferably, the control device can be designed to determine attributes of the respective image capture device from a combination of the captured device data and the captured image and/or video data.
- the data acquisition unit is designed to acquire further device data and/or parameter data from devices connected to the device in a wired or wireless manner.
- the data acquisition unit is also advantageously designed to acquire provided patient data and/or vital parameters of a patient.
- the control device can advantageously be designed to determine attributes of the respective image acquisition device or the respective medical intervention from a combination of the acquired device data and/or parameter data and the acquired image and/or video data.
- the device data can also be used to determine information about the indication for the respective procedure.
- the data provided by an insufflator can be used to determine whether the person being treated is an adult or a small child.
- a pressure value from the insufflator can also provide information about the weight of the patient, since an obese patient requires a higher pressure than a normal weight patient.
- the data from a suction irrigation pump can provide information about the field of the respective examination, since it has different modes, including in particular a "Gyn", "Arthro” and "Uro” mode, i.e. modes that are assigned to certain medical fields.
- the recording device further comprises a data transmission unit which is designed for preferably bidirectional data exchange with an external network and/or an external server unit.
- the data transmission unit can have a LAN and/or WLAN interface for connection to an internal or external network, such as a hospital LAN or the Internet.
- the recording device can be designed for recording data recording commands from the external server unit and/or for automated and/or non-automated transmission of recordings from the documentation unit to the external server unit.
- the transmission to an external network and/or to an external server unit can take place in real time and/or with a time delay to the recording of the documentation unit.
- the recorded data records can be transmitted at predefined time intervals or at predefined transmission times.
- the data can be temporarily stored in external or internal storage units.
- the determined and/or assigned attributes are used as a filter to save only certain image or video data and, for example, to transfer it for further use.
- the attributes can be logically dependent on one another or build on one another hierarchically, so that determining and/or assigning certain attributes further restricts the selection of other possible attributes.
- a set of attributes can thus describe and define a medical procedure or various states of the procedure or various events during the procedure as precisely as possible in order to precisely control the documentation unit.
- an attribute newly determined or assigned during an intervention can serve to confirm previously determined attributes, so that a higher level of security is achieved in the control of the documentation unit in the form of a feedback loop.
- an RF application can be assumed and assigned as an attribute based on the type of specialist area and the equipment used and then based on smoke gas or a Information about an activated RF generator can be confirmed. It is possible to determine precise information such as a phase of the intervention, for example the time of activation and deactivation of connected devices as an attribute.
- the documentation unit can also be controlled to save image and video sequences depending on a determined relevance, for example, the control could be based on the number or type of determined and/or assigned attributes. Alternatively, the documentation unit can also be controlled depending on the lack of attributes.
- a time lead or lag can be provided when saving and/or transmitting image and video data by the documentation unit depending on the attributes. For example, it can be provided that the saved sequences have a certain minimum length of images.
- the recording device described above can be designed as a separate or integral component of a medical image acquisition device, for example an endoscopy device, or of a medical image acquisition system, for example an endoscopy system.
- the present invention relates to a recording system comprising at least one recording device as described above, and at least one image capture device that can be selectively connected to a connection unit of the recording system, in particular an endoscope, preferably a plurality of different image capture devices, for capturing image and/or video data during a medical treatment.
- a connection unit of the recording system in particular an endoscope, preferably a plurality of different image capture devices, for capturing image and/or video data during a medical treatment.
- the recording system advantageously comprises further devices that can be selectively connected to the recording system and are designed to transmit device data and/or parameter data to a control unit of the recording device.
- These devices can comprise, for example, an insufflator and/or a suction irrigation pump.
- the system further comprises a server unit which is connected to the recording device via an internal or external network. is connected, and which is designed for preferably bidirectional data exchange with the recording device.
- the server unit can preferably be designed to transmit a data acquisition command to the at least one recording device, preferably to several recording devices of the system.
- the respective data acquisition command can contain attributes which can be used in the respective recording devices for targeted data acquisition during the respective medical treatments.
- Fig.1 a schematic representation of a preferred embodiment of the inventive recording device for medical image data
- Fig. 2 a schematic representation of a preferred embodiment of a recording system according to the invention with a plurality of recording devices and a KI training unit connected to a server unit.
- Fig. 1 shows a preferred embodiment of the recording device 10 according to the invention for medical image data.
- the device 10 initially comprises a connection unit 1 for selectively connecting an image capture device 2 for a medical treatment or a medical procedure.
- This is in particular an endoscope, more preferably a video endoscope.
- the connection unit can have plug connections known per se, which serve for the wired connection of the endoscope to the device.
- connection unit 1 can also be designed to connect further devices, such as an input unit 9, for example a keyboard and/or a mouse, a display unit 11 for outputting a captured video image to a treatment the doctor, or additional devices such as an insufflator 7, a suction irrigation pump 8, etc.
- the connection unit 1 can have wired or wireless interfaces for the respective connection and/or communication with the devices 7, 8, 9, 11.
- the device further comprises a data acquisition unit 3 for acquiring image and/or video data 3a provided by the image acquisition device 2. Furthermore, the data acquisition unit 3 is designed to acquire device data 3b from at least the image acquisition device 2 connected to the connection unit 1.
- the device data 3b can comprise, for example, a device identification number, a device identifier or the like, based on which an identification and/or recognition of the endoscope 2 connected to the device 10 is possible. Furthermore, the device data can comprise operating parameters or other information signals of the endoscope 2.
- the data acquisition unit 3 can also be designed to acquire device data 3b from the optionally additionally connected devices 7, 8, 9, 11, in particular from a connected insufflator 7 and/or a suction irrigation pump 8.
- the acquired device data 3b can in particular include operating parameters of the devices, which can be used for the control and recording of the data described in more detail below.
- the data acquisition unit 3 can also acquire patient data and/or vital parameters 3c associated with the patient, which can also be used for the control and recording described in more detail below.
- the patient data and/or vital parameters 3c can either be entered manually using appropriate input means 9 or transmitted automatically by the other devices 7, 8.
- the device 10 further comprises a documentation unit 5 for recording image and/or video data 3a and device data 3b provided by the data acquisition unit 3.
- the documentation unit 5 can be designed to record patient data and/or vital parameters 3c provided by the data acquisition unit 3.
- the documentation unit 5 advantageously comprises an internal or external storage unit 5a, in particular a non-volatile memory, on which the supplied data can be stored.
- the device 10 comprises a control unit 4, which is designed to determine and/or assign at least one, preferably a plurality of attributes for the image capture device 2 connected to the connection unit 1 and to control the documentation unit 5 for recording depending on one or more assigned attributes.
- Attributes are understood here to mean associated properties of the image capture device 2, in particular of the endoscope 2.
- an attribute of the respective endoscope can be the type of medical treatment for which the endoscope is usually used.
- the attributes can also include, for example, data or data sets on the following properties: type of endoscope, field of expertise, indication, medium used, intended use, high-frequency application, laser, instrument visibility, smoke development, and/or contaminated water.
- the attributes can be stored in the memory unit 4a of the control unit 4.
- the memory unit 4a can, for example, include tables or lookup tables in which an assignment of predefined attributes to individual image capture devices or endoscopes is predefined.
- the respective attributes can be determined by the control unit upon recognition of the respective endoscope based on the data provided by the data capture unit. An example table with attributes and associated data of individual endoscope types is shown below.
- HF HF
- laser smoke
- instruments visible can have a respective positive or negative value for an individual endoscope, depending on whether, for example, smoke development or the occurrence of contaminated water is possible or not with the endoscope used.
- a respective attribute such as an indication or a specialty can have a more detailed, descriptive data set.
- control unit can be designed to assign attributes of a connected endoscope based on the data provided. This can be the case, for example, if the control unit determines, based on the data stored in the storage unit 4a, that no attribute such as "medium" is stored for the recognized endoscope.
- the control unit can be designed to determine a respective attribute based on the captured image and/or video data and the captured device data.
- the control unit 4 can also be designed to access external data collections, external server units and/or external networks.
- the control unit 4 is further advantageously designed to control the documentation unit 5 for activating and/or deactivating a recording, and/or for setting and/or adjusting recording parameters that influence a data recording depending on the determined and/or assigned attributes.
- recording can only be activated or deactivated if a predefined attribute or several predefined attributes are met or not met.
- This can be particularly advantageous for collecting data to train AI applications, since, for example, only data is recorded that appears to be useful for the respective desired application.
- the control unit 4 can be configured to enable manual activation of the documentation unit 5, in particular by a treating doctor. Data recording could thus be triggered in particular if, for example, there is interest in a certain type of treatment, so that the next time a similar procedure is available, the corresponding image and/or video data is also saved.
- the data of a particular examination can only be recorded if the determined and/or assigned attributes of the connected endoscope indicate that smoke gas can be generated at all.
- the control unit can determine that the medical treatment is a diagnostic rhinolaryngoscopy. In this case, no smoke will appear in the captured image or in the captured image and/or video data, as this endoscope does not have a working channel and therefore cannot be used in conjunction with HF instruments. If, on the other hand, a flexible cystoscope is connected to the device, this is a flexible cystoscopy. It is therefore likely that bladder tumors, mucous membrane redness and ostia will be seen in these videos. The information about the connected endoscope or the connected endoscope type can be used to determine which image content is to be expected. Based on the connected endoscope, the device can thus define unique attributes that serve to optimize data collection and transmission.
- the control unit 4 can also be designed to evaluate device data 3b and in particular operating parameters of other devices 7, 8 connected to the recording device 10, such as an insufflator 7 or a suction irrigation pump 8, and to use them for determining and/or allocating attributes to a respectively connected image capture device 2. In this way, conclusions can also be drawn based on such device data or operating parameters, for example, about an indication for the respective examination. For example, an insufflation mode can be used to distinguish between an adult and a small child. The pressure of the insufflator can also be read out as an operating parameter. In particular, the weight of the patient can be deduced from this.
- the control unit can also be designed to combine the attribute assignment with the use of other AI applications. For example, when using an AI application for smoke detection, image and/or video data of a specific indication in which HF instruments are used can be collected. HF instruments sometimes look like normal instruments and can only be distinguished by their properties. However, the "HF" property cannot be recognized in the image, only the effect "smoke". This means that the detection of the instruments can be linked to the formation of smoke. If both parameters are given, the control unit can assign the attribute HF instrument to the instrument.
- the control unit can be designed to activate existing software functions or K1 software functions, such as smoke gas detection, in a video image in the device only when they are actually needed. This allows the computer performance to be optimized.
- the control unit and/or the documentation unit can also be designed to automatically pre-sort collected image data based on the events expected by the respective instruments.
- the device 10 preferably further comprises a data transmission unit 6, which is designed for preferably bidirectional data exchange with an external network and/or an external server unit 20.
- the data transmission unit 6 can have a LAN and/or WLAN interface for connection to an internal or external network, such as a hospital LAN or the Internet. This allows the device to transmit the recorded data to an external network and/or an external server unit 20.
- the respective transmission can take place during the actual recording of data and thus during medical treatment. Alternatively, a respective transmission can also take place in predefined time periods.
- the recording device 10 can further be designed to capture data capture commands by the external server unit 20 and/or to automatically and/or non-automatically transmit recordings of the documentation unit 5 to the external server unit 20.
- Fig. 2 shows a schematic representation of a preferred embodiment of a recording system 30 according to the invention with a plurality of recording devices 10a, 10b, 10c and a KI training unit 25 connected to a server unit 20.
- the server unit 20 is configured to communicate with a plurality of recording devices 10 via a suitable network such as an internal hospital network and/or the Internet.
- the server unit 20 can issue a desired data acquisition command 23, which is transmitted to the individual recording devices 10a, 10b, 10c.
- the data acquisition command 23 advantageously includes an instruction as to which attributes of the individual recording devices 10a, 10b, 10c are of interest for further data evaluation or data utilization for an image and/or video recording during a respective medical procedure and are therefore to be recorded.
- the respective control unit of the recording devices 10a, 10b, 10c can then compare the recorded data acquisition command 23 with at least one attribute assignment of a connected endoscope 2 and control the documentation unit 5 based thereon.
- the server unit 20 can issue a data acquisition command 23 which, in the subsequent investigations, only enables data acquisition for training purposes for a specific AI application, such as for the detection of a smoke development.
- the respective control unit 4 can only activate the documentation unit if a corresponding attribute is recognized and/or assigned to the respective connected image acquisition device. This allows targeted data collection, which reduces computing power and computing capacity and at the same time enables targeted data transmission.
- the recorded data can be transmitted to the server unit 20 as documentation data 24.
- the respective control unit 4 can be designed, in response to the receipt of a corresponding data acquisition command 23, to search previous recordings stored in the device 10a, 10b, 10c for corresponding attributes and then transmit them to the server unit 20 as documentation data 24.
- the respective documentation data 24 can be recorded and stored in an internal or external data storage unit 21 of the server unit 20.
- the server unit 20 can further comprise a computer unit 22 which can analyze, catalog and/or prepare, for example segment, the documentation data 24 for training AI applications.
- the server unit 20 can comprise or be connected to an internal or external AI training unit 25, which is designed to train AI software applications.
- the AI training unit 25 is advantageously designed to make the provided documentation data 24 available in a manner known per se for training an AI software application and/or a neural network.
- the server unit 20 can further be designed to transmit a Kl software application to the individual recording devices 10a, 10b, 10c connected thereto by means of the internal or external network. list of reference symbols
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Abstract
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| DE102023110422.5A DE102023110422A1 (de) | 2023-04-24 | 2023-04-24 | Aufzeichnungsvorrichtung zur medizinischen Bilddatenerfassung |
| DE102023110422.5 | 2023-04-24 |
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| WO2024223514A1 true WO2024223514A1 (fr) | 2024-10-31 |
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| DE102023110422A1 (de) | 2024-10-24 |
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