Methods and apparatus for scout-based cardiac calcification scoring
Claim Score by NHIP
Abstract
In one aspect, the present invention is a method for producing CT images of a patient's heart suitable for calcification scoring, in which the heart has a cardiac cycle. The method includes steps of acquiring data representative of a first scout-scanned CT image of physical locations of the patient's body including at least a portion of the patient's heart at phases φ1(L) of the cardiac cycle, acquiring data representative of a second scout-scanned CT image of the physical locations of the patient's body including at least a portion of the patient's heart at phases φ2(L) of the cardiac cycle different from φ1(L) at physical positions L of interest, and determining a difference image from the acquired data representative of the first scout-scanned CT image and the acquired data representative of the second scout-scanned CT image data. It is not necessary that φ1(L) and φ2(L) be constant as a function of position L.

Term
Term ended
Expired 15 October 2019, 6.9 years ago.
- Priority
- Filed
- Granted
- Expired
- Today
31 claims: 3 independent, 28 dependent
- 1A method for producing CT images of a patient's heart suitable for calcification scoring, the heart having a cardiac cycle; said method comprising the steps of:acquiring data representative of a first scout-scanned CT image of physical locations of the patient's body including at least a portion of the patient's heart at phases φ 1 (L) of the cardiac cycle;acquiring data representative of a second scout-scanned CT image of the physical locations of the patient's body including at least a portion of the patient's heart at phases φ 2 (L) of the cardiac cycle different from φ 1 (L);and determining a difference image from the acquired data representative of the first scout-scanned CT image and the acquired data representative of the second scout-scanned CT image data . ;performing calcification scoring based on the difference image;and producing outputting at least one of a calcification score and CT images of the patient's heart based on the calcification scoring.
- 12A CT imaging system for obtaining images of a patient's heart suitable for calcification scoring, the heart having a cardiac cycle; said system configured to:acquire data representative of a first scout-scanned CT image of physical locations of the patient's body including at least a portion of the patient's heart at phases φ 1 (L) of the cardiac cycle;acquire data representative of a second scout-scanned CT image of the physical locations of the patient's body including at least a portion of the patient's heart at phases φ 2 (L) of the cardiac cycle different from φ 1 (L);and determine a difference image from the acquired data representative of the first scout-scanned CT image and the acquired data representative of the second scout scanned CT image data.
- 22Broadest claimClaim Score 66, broad(NHIP)A method for facilitating calcification scoring, said method comprising:imaging a heart at a first phase of a cardiac cycle to obtain a first image;imaging the heart at a second phase of the cardiac cycle to obtain a second image, wherein the second phase is different from the first phase, and wherein the first and second images are obtained at the same physical location in a single scan;determining a difference image using the first and second images;identifying calcification deposits on portions of the difference image that correspond to moving body structures of the patient;and performing calcification scoring based on the difference image.
Independent claims3
36 paragraphs in 4 sections, as filed
BACKGROUND OF THE INVENTION
0001This invention relates generally to methods and apparatus for cardiac CT imaging, and more particularly to methods and apparatus that minimize an impact of heart motion in collecting calcification data from coronary images.
0002In at least one known computed tomography (CT) imaging system configuration, an x-ray source projects a fan-shaped beam which is collimated to lie within an X-Y plane of a Cartesian coordinate system and generally referred to as the “imaging plane”. The x-ray beam passes through the object being imaged, such as a patient. The beam, after being attenuated by the object, impinges upon an array of radiation detectors. The intensity of the attenuated beam radiation received at the detector array is dependent upon the attenuation of the x-ray beam by the object. Each detector element of the array produces a separate electrical signal that is a measurement of the beam attenuation at the detector location. The attenuation measurements from all the detectors are acquired separately to produce a transmission profile.
0003In known third generation CT systems, the x-ray source and the detector array are rotated with a gantry within the imaging plane and around the object to be imaged so that the angle at which the x-ray beam interests the object constantly changes. A group of x-ray attenuation measurements, i.e., projection data, from the detector array at one gantry angle is referred to as a “view”. A “scan” of the object comprises a set of views made at different gantry angles, or view angles, during one revolution of the x-ray source and detector. In an axial scan, the projection data is processed to construct an image that corresponds to a two-dimensional slice taken through the object. One method for reconstructing an image from a set of projection data is referred to in the art as the filtered back projection technique. This process converts the attenuation measurements from a scan into integers called “CT numbers” or “Hounsfield units”, which are used to control the brightness of a corresponding pixel on a cathode ray tube display.
0004A main objective of cardiac CT applications is to perform calcification scoring, a diagnostic procedure in which an amount of calcification present in a patient's heart is estimated. At least one known CT imaging system requires about 0.5 s to complete data acquisition for an image. Although this speed is satisfactory for general imaging purposes, it is not fast enough to avoid motion-induced image artifacts in cardiac CT imaging, in which a typical cardiac cycle is about 1.0 s long. These artifacts present major problems for cardiac calcification scoring.
0005At least one other known CT imaging system reduces motion-induced image artifacts by acquiring data rapidly enough to effectively freeze cardiac motion. This imaging system employs a scanning electron beam to generate a moving source of x-rays rather than an x-ray source and detector on a rotating gantry. However, CT imaging systems employing scanning electron beams are quite expensive and are not available at many hospitals.
0006It would therefore be desirable to provide methods and apparatus that overcome motion-induced artifacts produced in images acquired by CT imaging systems having relatively slow scanning and detection systems such as rotating gantries. It would also be desirable to provide cardiac calcification scoring methods and apparatus utilizing such CT imaging systems. It would further be desirable to provide methods and apparatus that can readily identify and score calcification from the small incremental x-ray attenuation produced by small amounts of calcification.
BRIEF SUMMARY OF THE INVENTION
0007There is therefore provided, in one embodiment of the present invention, a method for producing CT images of a patient's heart suitable for calcification scoring, in which the heart has a cardiac cycle. The method includes steps of acquiring data representative of a first scout-scanned CT image of physical locations of the patient's body including at least a portion of the patient's heart at phases φ<sub>1</sub>(L) of the cardiac cycle, acquiring data representative of a second scout-scanned CT image of the physical locations of the patient's body including at least a portion of the patient's heart at phases φ<sub>2</sub>(L) of the cardiac cycle different from φ<sub>1</sub>(L) at physical positions L of interest, and determining a difference image from the acquired data representative of the first scout-scanned CT image and the acquired data representative of the second scout-scanned CT image data. It is not necessary that φ<sub>1</sub>(L) and φ<sub>2</sub>(L) be constant as a function of position L.
0008The above described embodiment overcomes motion-induced image artifacts by making calcification signals more readily observable as a change between images. Moreover, even small amounts of calcification are readily identifiable and qualifiable, because much larger variations in x-ray attenuations that would otherwise hide calcification deposits are canceled out.
BRIEF DESCRIPTION OF THE DRAWINGS
0009<figref idref="DRAWINGS">FIG. 1</figref> is a pictorial view of a CT imaging system.
0010<figref idref="DRAWINGS">FIG. 2</figref> is a block schematic diagram of the system illustrated in FIG. <b>1</b>.
0011<figref idref="DRAWINGS">FIG. 3</figref> is a representative of a portion of the system illustrated in <figref idref="DRAWINGS">FIG. 1</figref> showing a patient translated by the table shown in <figref idref="DRAWINGS">FIG. 1</figref> while the x-ray source and detector remain stationary during a scout scan.
0012<figref idref="DRAWINGS">FIG. 4</figref> is a representation of a scout image showing time relationships between columns of data that make up the scout image.
0013<figref idref="DRAWINGS">FIG. 5</figref> is a simplified graphical representation of an electrocardiogram, showing times represented by columns in the scout image of <figref idref="DRAWINGS">FIG. 4 and a</figref> relationship between a first scout image and a second scout image in one embodiment of the present invention.
0014<figref idref="DRAWINGS">FIG. 6</figref> is a simplified graphical representation of intensity vs. detector location in a column of a first scout scan.
0015<figref idref="DRAWINGS">FIG. 7</figref> is a simplified graphical representation of intensity vs. detector location in a column of a second scout scan corresponding to the column represented in FIG. <b>6</b>.
0016<figref idref="DRAWINGS">FIG. 8</figref> is a representation of a difference between intensities as a function of detector location between data such as that represented in FIG. <b>6</b> and <figref idref="DRAWINGS">FIG. 7</figref>, whereby a calcium signal is isolated in one embodiment of the present invention. <figref idref="DRAWINGS">FIGS. 6</figref>, <b>7</b>, and <b>8</b> should not necessarily be assumed to be drawn to the same scale.
0017<figref idref="DRAWINGS">FIG. 9</figref> is a representation of pixels of an image analyzed using image processing techniques in an embodiment of the present invention.
DETAILED DESCRIPTION OF THE INVENTION
0018Referring to <figref idref="DRAWINGS">FIGS. 1 and 2</figref>, a computed tomography (CT) imaging system <b>10</b> is shown as including a gantry <b>12</b> representative of a “third generation” CT scanner. Gantry <b>12</b> has an x-ray source <b>14</b> that projects a beam of x-rays <b>16</b> toward a detector array <b>18</b> on the opposite side of gantry <b>12</b>. Detector array <b>18</b> is formed by detector elements <b>20</b> which together sense the projected x-rays that pass through an object <b>22</b>, for example a medical patient. Detector array <b>18</b> may be fabricated in a single slice or multi-slice configuration. Each detector element <b>20</b> produces an electrical signal that represents the intensity of an impinging x-ray beam and hence the attenuation of the beam as it passes through patient <b>22</b>. During a scan to acquire x-ray projection data, gantry <b>12</b> and the components mounted thereon rotate about a center of rotation <b>24</b>.
0019Rotation of gantry <b>12</b> and the operation of x-ray source <b>14</b> are governed by a control mechanism <b>26</b> of CT system <b>10</b>. Control mechanism <b>26</b> includes an x-ray controller <b>28</b> that provides power and timing signals to x-ray source <b>14</b> and a gantry motor controller <b>30</b> that controls the rotational speed and position of gantry <b>12</b>. A data acquisition system (DAS) <b>32</b> in control mechanism <b>26</b> samples analog data from detector elements <b>20</b> and converts the data to digital signals for subsequent processing. An image reconstructor <b>34</b> receives sampled and digitized x-ray data from DAS <b>32</b> and performs high speed image reconstruction. The reconstructed image is applied as an input to a computer <b>36</b> which stores the image in a mass storage device <b>38</b>.
0020Computer <b>36</b> also receives commands and scanning parameter from an operator via console <b>40</b> that has a keyboard. An associated cathode ray tube display <b>42</b> allows the operator to observe the reconstructed image and other data from computer <b>36</b>. The operator supplied commands and parameters are used by computer <b>36</b> to provide control signals and information to DAS <b>32</b>, x-ray controller <b>28</b> and gantry motor controller <b>30</b>. In addition, computer <b>36</b> operates a table motor controller <b>44</b> which controls a motorized table <b>46</b> to position patient <b>22</b> in gantry <b>12</b>. Particular, table <b>46</b> moves portions of patient <b>22</b> through gantry opening <b>48</b> along a z-axis. In some of the embodiments described below, cardiac cycles are measured utilizing EKG machine <b>50</b>.
0021An amount of calcification present in the cardiac system of patient <b>22</b> is reliably estimated from scout images taken with CT imaging system <b>10</b> in one embodiment of the present invention. Patient <b>22</b> is instructed to hold his or her breath while images of the heart of patient <b>22</b> are scanned by CT imaging system <b>10</b> in a scout imaging mode of operation. Because patient <b>22</b> is holding his or her breath, the only moving object within the scan field of view is the heart of patient <b>22</b>. Data for two scout scans are obtained, and a difference between the data for the two images is used to remove non-moving body structure and highlight calcification, as explained below.
0022In one embodiment of the invention and referring to <figref idref="DRAWINGS">FIG. 3</figref>, scout-scanned data of patient <b>22</b> is acquired. Scout-scanned data is acquired by moving table <b>46</b> through gantry opening <b>48</b> in a z-direction while gantry <b>12</b> is held stationary. Thus, x-ray source <b>14</b> and detector array <b>18</b> are stationary, while data such as that represented in <figref idref="DRAWINGS">FIG. 4</figref> is acquired. The acquired data represents a CT image of a region of the body of patient <b>22</b>. Each column of scout image <b>52</b> is representative of x-ray attenuation data obtained at a certain instant of time. In one embodiment, each column of data, such as column <b>54</b> and column <b>56</b>, is acquired in approximately 1 millisecond. Thus, each successive column of acquired data is sampled at a slightly different time. In <figref idref="DRAWINGS">FIG. 4</figref>, for example, column <b>54</b> is acquired at item t and at a displacement p from a starting position of the scout scan in a z-axis direction. Column <b>56</b>, which is immediately adjacent to column <b>54</b>, is acquired at time t+Δt, where Δt is approximately 1 millisecond. Column <b>56</b> is located at displacement p+Δp from the start of the scout scan. An entire scout scan image <b>52</b> sufficient for the present embodiment is taken in about two or three seconds. Data representing physical locations of a portion of the body of patient <b>22</b> including at least a portion of heart <b>58</b> is acquired and used for cardiac calcification scoring.
0023Data representing a second scout image (not shown) is also acquired. The second scout scan image is acquired in a manner that ensures that corresponding columns of the second scout scan are taken at times during which heart <b>58</b> is in a different phase of first scout image <b>52</b>. In this manner, data representative of a first and a second scout-scanner CT image of physical locations of the body of patient <b>22</b> are obtained. Data for each physical location is obtained at different phases of the cardiac cycle in the two images.
0024For example, referring to <figref idref="DRAWINGS">FIG. 5</figref>, column <b>54</b> of first scout image <b>52</b> is acquired at a time corresponding to phase <b>60</b> just prior to systole <b>62</b> of EKG signal <b>64</b>. (EKG signal <b>64</b> is obtained by monitoring heart <b>58</b> of patient <b>22</b> using EKG machine <b>50</b>.) Column <b>56</b> of scout image <b>52</b> is acquired at a time corresponding to phase <b>66</b>. The second scout image is taken a few seconds after first scout image <b>52</b>. By selection of a start time for its acquisition, corresponding columns of the second scout image are acquired at phases <b>68</b> and <b>70</b>, immediately after systole <b>72</b>. Both scout images are acquired at the same rate starting from the same position of patient <b>22</b> and table <b>46</b> moves at the same speed and in the same direction for each scout image acquisition in this embodiment. Thus, starting each scan at a different phase of EKG signal <b>64</b> is sufficient to ensure that corresponding columns in the two scans represent different phases of heart <b>58</b>, assuming heart <b>58</b> is beating at a constant rate. This assumption is applicable because the entire procedure is completed in only a few seconds.
0025In one embodiment, scout scans are manually started. For example, phases of EKG signal <b>64</b> from EKG machine <b>50</b> are manually monitored to determine trigger times to begin each scout-scanned data acquisition. In another embodiment, scans are started automatically. For example, computer <b>36</b> of CT imaging system <b>10</b> is configured to receive and monitor EKG signal <b>64</b> or an equivalent to determine trigger times.
0026During scanning, patient <b>22</b> holds his or her breath and remains as still as possible to minimize differences between the first and the second scout images other than those related to heart movement. It is reasonable to request patients to hold their breath during the scanning and feasible for patients to comply with such requests due to the brevity of the procedure.
0027It will be observed that data for each scout image, for example, image <b>52</b>, is a composite representing different phases of heart <b>58</b>. Each physical location L represented by data of the first scout image is acquired at a phase φ<sub>1</sub>(L) of the cardiac cycle. For the second scout image, data for location L is acquired at a phase φ<sub>2</sub>(L), where φ<sub>1</sub>(L)≠φ<sub>2</sub>(L). Because of the amount of time taken by table <b>46</b> to travel from one end of each scout scan to the other, neither φ<sub>1 </sub>nor φ<sub>2 </sub>are constant across each scout image. However, their difference at any location L is constant, or nearly so. The present invention advantageously uses this difference to highlight cardiac calcification.
0028Columns of intensity (or equivalently, attenuation) data is obtained by detector array <b>18</b> while table <b>46</b> moves to obtain a scout scan. Each column, for example column <b>54</b> shown in <figref idref="DRAWINGS">FIG. 4</figref>, represents data obtained simultaneously by different detector elements <b>20</b> of detector array <b>18</b>. <figref idref="DRAWINGS">FIG. 6</figref> represents a plot of intensity data received for a column in a first scout scan as a function of detector element position in the column. (Arrow A is shown in <figref idref="DRAWINGS">FIGS. 6</figref>, <b>7</b>, and <b>8</b> to provide a directional reference with respect to FIG. <b>4</b>. However, it should not be assumed that <figref idref="DRAWINGS">FIGS. 6</figref>, <b>7</b>, and <b>8</b> are necessarily representative of the image shown in <figref idref="DRAWINGS">FIG. 4</figref>, nor should it be assumed that <figref idref="DRAWINGS">FIGS. 6</figref>, <b>7</b>, and <b>8</b> are drawn to the same scale.) Although cardiac calcification data is present in <figref idref="DRAWINGS">FIG. 6</figref>, a calcification signal is not immediately evident. <figref idref="DRAWINGS">FIG. 7</figref> shows a similar plot of a column in a second scout scan of patient <b>22</b> containing data representative of the same physical positions of patient <b>22</b>, but at a different phase of the cardiac cycle of heart <b>58</b>. An example of differences between two column signals such as those of FIG. <b>6</b> and <figref idref="DRAWINGS">FIG. 7</figref> is plotted in FIG. <b>8</b>. Because the body of patient <b>22</b> is essentially motionless except for beating heart <b>58</b> (disregarding motion of table <b>46</b>), overlaying, non-moving body structures of patient <b>22</b> are removed by computing differences between the two scout images. As a result, the signals shown in <figref idref="DRAWINGS">FIG. 8</figref> represent essentially only moving heart <b>58</b>. Because calcification signals are stronger than those of soft tissue and because calcification deposits move with heart <b>58</b>, signals from calcification deposits such as peak <b>74</b> are very apparent. Thus, when a difference image is determined between the two images that include the columns represented in <figref idref="DRAWINGS">FIGS. 6 and 7</figref>, peaks such as peak <b>74</b> are easily seen. Peak <b>74</b> is thus readily identified as a calcification deposit on a portions of the image corresponding to a moving body structures of patient <b>22</b>. In one embodiment, computer <b>36</b> computes difference images and displays the computed difference images on CRT display <b>42</b>. Calcification scoring is readily accomplished using these computed difference images, either manually using an image on CRT display <b>42</b> or automatically, using image processing techniques.
0029In one embodiment, image processing techniques are used by computer <b>36</b> to further isolate, identify, and score calcification peaks such as peak <b>74</b>. For example, intensities of small groups of pixels <b>76</b> of a difference image <b>78</b> shown in part in <figref idref="DRAWINGS">FIG. 9</figref> are compared to intensities of neighboring small groups of pixels <b>80</b>, where a “small group of pixels” refers either to one pixel or a few pixels in a cluster. When a difference is determined to be greater than a predetermined threshold indicative of calcification, sites represented by pixels <b>76</b> are identified as calcification sites for further study. In one embodiment, results of the intensity comparison are used directly for scoring an amount of calcification in accordance with differences in image intensities. The scoring results are used as a guideline for further examination.
0030In one embodiment, a difference image is enhanced by image processing to enhance the appearance of calcification <b>74</b> utilizing, for example, contrast enhancement algorithms. Differencing or other image processing procedures needed for contrast enhancement are implemented, for example, in hardware, software, or firmware of image reconstructor <b>34</b> or computer <b>36</b>, or both. In one embodiment, computer <b>36</b> is programmed both to display a difference image on CRT <b>42</b> and to automatically recognize and score calcification <b>74</b> by analysis of the difference image.
0031In one embodiment, scans of the two scout images are triggered by EKG signal <b>64</b> from EKG machine <b>50</b>. The EKG signal is supplied to computer <b>36</b>, which controls scanning and acquisition of image data in CT imaging system <b>10</b>. Computer <b>36</b> ensures that the two scout images taken are images of the same region of the body of patient <b>22</b> by controlling movement of table <b>46</b>. Computer <b>36</b> also ensures that the heart is in a different cardiac phase by staring the scans at different points in a cardiac cycle.
0032In an embodiment in which CT imaging system <b>10</b> is a multi-slice imaging system having more than one row of detector elements <b>20</b>, similar procedures for movement of table <b>46</b> are followed. However, a plurality of difference images are obtained, one for each row of detector <b>18</b>.
0033In another embodiment, multiple detector rows of a detector <b>16</b> in a multi-slice CT imaging system <b>10</b> are used in a single pass to generate a difference image. Computer <b>36</b> adjusts a rate of movement of table <b>46</b> during acquisition of data so that a small time lag occurs between acquisition of image data of the same body portions patient <b>22</b> by different rows of detector array <b>18</b>. Computer <b>36</b> selects an amount of time lag in accordance with a heart rate of patient <b>22</b> determined, for example, from EKG signal <b>64</b>. The amount of time lag is selected to ensure that image data is acquired by different rows of detector <b>18</b> during different portions of a cardiac cycle. In this manner, image data acquired from two different rows of a multi-slice detector <b>18</b> obtained during a single pass of a scout scan is used to obtain two suitable scout images. A difference image for scoring is computed from those portions of the two scout images that include at least a portion of heart <b>58</b> and that represent the same physical locations of the body of patient <b>22</b>. Portions of each image acquired by the two rows of detector <b>18</b> that do not overlap are simply ignored.
0034In another embodiment utilizing a multi-slice CT imaging system <b>10</b> having more than two rows of detectors, additional information for estimating background noise in obtained. For example, three or more rows of detectors obtain three or more scout images, including two for computing a difference image, and noise estimation information including at least a third scout image. Background noise in the difference image is estimated and reduced utilizing the noise estimation information and standard signal processing techniques.
0035From the preceding description of various embodiments of the present invention, it is evident that the problem of motion-induced artifacts in CT imaging systems is overcome, especially for calcification scoring purposes. Moreover, by reducing or eliminating non-moving body parts in a difference image, scoring of calcification is readily accomplished, even though only small incremental x-ray attenuation is produced by calcification.
0036Although particular embodiments of the invention have been described and illustrated in detail, it is to be clearly understood that the same is intended by way of illustration and example only and is not to be taken by way of limitation. Accordingly, the spirit and scope of the invention are to be limited only by the terms of the appended claims and legal equivalents.
Contents4
6 sheets
Sheet 1 Sheet 2 Sheet 3 Sheet 4 Sheet 5 Sheet 6
Every citation, both ways
| Document | Relation | Office | Cited during |
|---|---|---|---|
| US7801347B2 | Cited by | United States of America | Search report |
| US2008082002A1 | Cited by | United States of America | Pre-grant |
| US4433428A | Cites | United States of America | Search report |
| US4456926A | Cites | United States of America | Search report |
| US4677478A | Cites | United States of America | Search report |
| US4716904A | Cites | United States of America | Search report |
| US5583901A | Cites | United States of America | Search report |
| US6154516A | Cites | United States of America | Applicant |
| US6226350B1 | Cites | United States of America | Applicant |
| US6236705B1 | Cites | United States of America | Search report |
| US6252924B1 | Cites | United States of America | Applicant |
| US6256368B1 | Cites | United States of America | Applicant |
| US6381487B1 | Cites | United States of America | Search report |
| US6421552B1 | Cites | United States of America | Applicant |
| US6510337B1 | Cites | United States of America | Applicant |
| US6560309B1 | Cites | United States of America | Applicant |
| US6690965B1 | Cites | United States of America | Search report |
11 members in 5 offices
Priority claims6
| Document | Office | Kind | Date |
|---|---|---|---|
| 41919199 | United States of America | A | |
| 41919199 | United States of America | A | |
| 61379103 | United States of America | A | |
| 09419191 | – | – | – |
| US19990419191 | – | – | – |
| US20030613791 | – | – | – |
Members11
| Document | Office | Kind | |
|---|---|---|---|
| EP1092392A2 | European Patent Office (EPO) | A2 | |
| JP2001157676A | Japan | A | |
| US6256368B1 | United States of America | B1 | |
| IL138864A0 | Israel | A0 | |
| EP1092392A3 | European Patent Office (EPO) | A3 | |
| EP1092392B1 | European Patent Office (EPO) | B1 | |
| DE60014001D1 | Germany | D1 | |
| IL138864A | Israel | A | |
| DE60014001T2 | Germany | T2 | |
| USRE40607EThis record | United States of America | E | |
| JP4630440B2 | Japan | B2 |
105 transactions on the USPTO file
Allowed after 3 non-final rejections, 3 final rejections and 3 RCEs.
- Non-final rejections
- 3
- Final rejections
- 3
- RCEs
- 3
- Appeals
- 0
Over time
Point at a mark for the transactionTransactions
| Event | Code | |
|---|---|---|
| Expire PatentEXP. | EXP. | |
| Recordation of Patent Grant MailedPGM/ | PGM/ | |
| Issue Notification MailedAllowedWPIR | WPIR | |
| Receipt into PubsR1021 | R1021 | |
| Dispatch to FDCD1935 | D1935 | |
| Application Is Considered Ready for IssuePILS | PILS | |
| Issue Fee Payment VerifiedN084 | N084 | |
| Response to Reasons for AllowanceREAS | REAS | |
| Issue Fee Payment ReceivedIFEE | IFEE | |
| Mail Notice of AllowanceAllowedMN/=. | MN/=. | |
| Notice of Allowance Data Verification CompletedAllowedN/=. | N/=. | |
| Date Forwarded to ExaminerFWDX | FWDX | |
| Supplemental ResponseSA.. | SA.. | |
| Date Forwarded to ExaminerFWDX | FWDX | |
| Date Forwarded to ExaminerFWDX | FWDX | |
| Disposal for a RCE / CPA / R129AbandonedABN9 | ABN9 | |
| Date Forwarded to ExaminerFWDX | FWDX | |
| Mail Notice of Rescinded AbandonmentAbandonedMNRAB | MNRAB | |
| Notice of Rescinded Abandonment in TCsAbandonedNRAB | NRAB | |
| Mail-Petition to Revive Application - GrantedMPREV | MPREV | |
| Petition to Revive Application - GrantedPREV | PREV | |
| Mail Abandonment for Failure to Respond to Office ActionAbandonedMABN2 | MABN2 | |
| Request for Continued Examination (RCE)RCEX | RCEX | |
| Petition EnteredPET. | PET. | |
| Workflow - Request for RCE - BeginBRCE | BRCE | |
| Aband. for Failure to Respond to O. A.AbandonedABN2 | ABN2 | |
| Mail Advisory Action (PTOL - 303)MCTAV | MCTAV | |
| Advisory Action (PTOL-303)CTAV | CTAV | |
| Date Forwarded to ExaminerFWDX | FWDX | |
| Mail Examiner Interview Summary (PTOL - 413)MEXIN | MEXIN | |
| Response after Final ActionA.NE | A.NE | |
| Request for Extension of Time - GrantedXT/G | XT/G | |
| Examiner Interview Summary Record (PTOL - 413)EXIN | EXIN | |
| Mail Advisory Action (PTOL - 303)MCTAV | MCTAV | |
| Advisory Action (PTOL-303)CTAV | CTAV | |
| Date Forwarded to ExaminerFWDX | FWDX | |
| Response after Final ActionA.NE | A.NE | |
| Request for Extension of Time - GrantedXT/G | XT/G | |
| Mail Final Rejection (PTOL - 326)Final rejectionMCTFR | MCTFR | |
| Final RejectionFinal rejectionCTFR | CTFR | |
| Mail Examiner Interview Summary (PTOL - 413)MEXIN | MEXIN | |
| Date Forwarded to ExaminerFWDX | FWDX | |
| Response after Non-Final ActionA... | A... | |
| Request for Extension of Time - GrantedXT/G | XT/G | |
| Examiner Interview Summary Record (PTOL - 413)EXIN | EXIN | |
| Examiner Interview Summary Record (PTOL - 413)EXIN | EXIN | |
| Mail Non-Final RejectionNon-final rejectionMCTNF | MCTNF | |
| Non-Final RejectionNon-final rejectionCTNF | CTNF | |
| Date Forwarded to ExaminerFWDX | FWDX | |
| Date Forwarded to ExaminerFWDX | FWDX | |
| Disposal for a RCE / CPA / R129AbandonedABN9 | ABN9 | |
| Request for Continued Examination (RCE)RCEX | RCEX | |
| Request for Extension of Time - GrantedXT/G | XT/G | |
| Workflow - Request for RCE - BeginBRCE | BRCE | |
| Mail Advisory Action (PTOL - 303)MCTAV | MCTAV | |
| Advisory Action (PTOL-303)CTAV | CTAV | |
| Cleared by OIPE CSRL194 | L194 | |
| Date Forwarded to ExaminerFWDX | FWDX | |
| Response after Final ActionA.NE | A.NE | |
| Request for Extension of Time - GrantedXT/G | XT/G | |
| Cleared by OIPE CSRL194 | L194 | |
| Mail Final Rejection (PTOL - 326)Final rejectionMCTFR | MCTFR | |
| Final RejectionFinal rejectionCTFR | CTFR | |
| Date Forwarded to ExaminerFWDX | FWDX | |
| Cleared by OIPE CSRL194 | L194 | |
| Response after Non-Final ActionA... | A... | |
| Request for Extension of Time - GrantedXT/G | XT/G | |
| Oath or Declaration Filed (Including Supplemental)C602 | C602 | |
| Mail Non-Final RejectionNon-final rejectionMCTNF | MCTNF | |
| Non-Final RejectionNon-final rejectionCTNF | CTNF | |
| Case Docketed to Examiner in GAUDOCK | DOCK | |
| IFW TSS Processing by Tech Center CompleteTSSCOMP | TSSCOMP | |
| Cleared by OIPE CSRL194 | L194 | |
| Cleared by OIPE CSRL194 | L194 | |
| Date Forwarded to ExaminerFWDX | FWDX | |
| Date Forwarded to ExaminerFWDX | FWDX | |
| Disposal for a RCE / CPA / R129AbandonedABN9 | ABN9 | |
| Request for Continued Examination (RCE)RCEX | RCEX | |
| Request for Extension of Time - GrantedXT/G | XT/G | |
| Workflow - Request for RCE - BeginBRCE | BRCE | |
| Case Docketed to Examiner in GAUDOCK | DOCK | |
| Mail Final Rejection (PTOL - 326)Final rejectionMCTFR | MCTFR | |
| Final RejectionFinal rejectionCTFR | CTFR | |
| Date Forwarded to ExaminerFWDX | FWDX | |
| Miscellaneous Incoming LetterLET. | LET. | |
| Response after Non-Final ActionA... | A... | |
| Mail Miscellaneous Communication to ApplicantMM327 | MM327 | |
| Miscellaneous Communication to Applicant - No Action CountM327 | M327 | |
| Mail Non-Final RejectionNon-final rejectionMCTNF | MCTNF | |
| Non-Final RejectionNon-final rejectionCTNF | CTNF | |
| Case Docketed to Examiner in GAUDOCK | DOCK | |
| Application Dispatched from OIPEOIPE | OIPE | |
| Application Is Now CompleteCOMP | COMP | |
| Additional Application Filing FeesADDFLFEE | ADDFLFEE | |
| The identification of one or more legal entities other than the inventor(s), each such legal entityASGMT | ASGMT | |
| Notice of Reissue Published in Official GazetteNRE. | NRE. | |
| Cleared by OIPE CSRL194 | L194 | |
| Notice Mailed--Application Incomplete--Filing Date AssignedINCD | INCD | |
| IFW Scan & PACR Auto Security ReviewSCAN | SCAN | |
| Information Disclosure Statement consideredIDSC | IDSC |
4 legal events, as the office reported them to INPADOC
Over the term
Point at a mark for the eventEvents
| Event | Code | |
|---|---|---|
| Lapse for failure to pay maintenance feesLapsedLAPS | LAPS | |
| Maintenance fee reminder mailedREMI | REMI | |
| Fee paymentFPAY | FPAY | |
| Fee payment procedurePAYOR NUMBER ASSIGNED (ORIGINAL EVENT CODE: ASPN); ENTITY STATUS OF PATENT OWNER: LARGE ENTITYFEPP | FEPP |
Numbers
- Publication
- RE040607
- Publication, DOCDB
- RE40607
- Publication, EPODOC
- USRE40607E
- Application
- 10613791
- Application, DOCDB
- 61379103
- Application, EPODOC
- US20030613791
Titles
- English
- Methods and apparatus for scout-based cardiac calcification scoring
Classification
- CPC, 4
- A61B6/488
- A61B6/032
- A61B6/503
- A61B6/541
- IPC, 3
- H05G1 62
- A61B6 03
- G01N23 083
- USPC, 3
- 378098120
- 378008000
- 378095000