# US 2025/0095255 A1 · Systems and methods for medical image processing

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- Number: US 2025/0095255 A1
- Document ID: US20250095255A1
- Status: Published application
- Kind: A1
- Application number: 18/883,457
- Filed: 2024-09-12
- Published: 2025-03-20
- Earliest claimed: 2023-09-15
- Assignees: Siemens Healthineers AG
- Applicants: Siemens Healthineers AG
- Inventors: Lars BOHN; Felix DINGELDEY
- Web page: https://patentgrep.com/patent/US20250095255A1

## CPC

- G06V 10/25: Determination of region of interest [ROI] or a volume of interest [VOI]
- G06T 3/40: Scaling of whole images or parts thereof, e.g. expanding or contracting
- G06T 7/70: Determining position or orientation of objects or cameras (camera calibration G06T7/80)
- G06T 11/23: using straight lines or curves
- G06T 11/60: Creating or editing images; Combining images with text
- G06T 2207/10088: Magnetic resonance imaging [MRI]
- G06T 2207/10104: Positron emission tomography [PET]
- G06T 2207/10116: X-ray image
- G06T 2207/10132: Ultrasound image
- G06T 2207/20104: Interactive definition of region of interest [ROI]
- G06T 2207/30004: Biomedical image processing
- G06T 2210/41: Medical
- G06T 2210/62: Semi-transparency
- G06V 2201/03: Recognition of patterns in medical or anatomical images
- G06V: IMAGE OR VIDEO RECOGNITION OR UNDERSTANDING
- G06T: IMAGE DATA PROCESSING OR GENERATION, IN GENERAL

## Abstract

One or more example embodiments relates to a processing of medical images when a medical image is provided together with at least one annotational data element. A region of interest is identified, which is currently relevant for a user. After identifying such a region of interest, which may be done dynamically or continuously, the at least one annotational data element is provided with an appearance so that the region of interest is obscured as less as possible.

## Claims

### Claim 1

A method for processing a medical image, the method comprising:
receiving the medical image;
determining at least one annotational data element to be displayed in common with the received medical image, the at least one annotational data element being related to the received medical image or parts of the received medical image;
determining a region of interest in the received medical image;
calculating an appearance of the at least one annotational data element in reply to the determined region of interest; and
outputting the calculated appearance of the at least one annotational data element in common with the received medical image by an output device.

### Claim 2 (depends on 1)

The method of claim 1, wherein the at least one annotational data element is first displayed at an initial position in common with the received medical image and the calculating includes adapting the initial position to a target position.

### Claim 3 (depends on 1)

The method of claim 1, further comprising:
displaying the received medical image after the determining the at least one annotational data element and before the determining the region of interest the method.

### Claim 4 (depends on 3)

The method of claim 3, wherein the determining the region of interest is based on a user interaction with the displayed medical image.

### Claim 5 (depends on 1)

The method of claim 1, wherein the calculating includes,
calculating a position for outputting the at least one annotational data element in relation to the received medical image, based on at least one of a spatial distance between an initial position of the at least one annotational data element and the determined region of interest or such that the at least one annotational data element is not or only slightly overlapping the determined region of interest.

### Claim 6 (depends on 1)

The method of claim 1, wherein the calculating includes at least one of,
adapting a size of the at least one annotational data element,
replacing an expression by an abbreviation,
adapting text wrapping,
adapting a transparency level of the at least one annotational data element,
displaying only outlines or contours of the at least one annotational data element,
substituting the at least one annotational data element by a thumbnail, or
applying at least one of a shading structure, a shadowing structure or a dashed graphical structure.

### Claim 7 (depends on 1)

The method of claim 1, wherein the calculating includes,
determining an output area for displaying the at least one annotational data element, wherein the output area is at least one of an area outside the received medical image, an area outside an area representing a body or a part of a body in the received medical image. or an area outside the determined region of interest.

### Claim 8 (depends on 1)

The method of claim 1, wherein the outputting is based on at least one of predetermined properties for the at least one annotational data element or the received medical image.

### Claim 9 (depends on 1)

The method of claim 1, wherein the calculating includes,
determining a ranking for multiple annotational data elements, and wherein the calculating is based on the determined ranking.

### Claim 10 (depends on 1)

The method of claim 1, wherein the medical image is received from at least one of an ultrasonic imaging modality, an X-ray modality, a positron emission tomography apparatus or a magnetic resonance tomograph.

### Claim 11 (depends on 1)

The method of claim 1, wherein the at least one annotational data element comprises at least one of,
at least one graphical element, a textual element or a numerical element,
meta data relating to a patient,
a configuration of a medical imaging modality for capturing the medical image,
data specifying a date, or
data relating to a purpose for capturing the medical image.

### Claim 12 (depends on 1)

The method of claim 1, wherein the determining the at least one annotational data element is based on at least one of metadata or supplementary data provided in association with the received medical image.

### Claim 13 (depends on 1)

The method of claim 1, wherein the appearance of an annotation data element is adapted in reply to a zoom level of the medical image.

### Claim 14 (depends on 1)

An apparatus for processing a medical image, which is configured for executing the method of claim 1, comprising:
a reception interface configured to receive the medical image;
an annotational unit configured to determine the at least one annotational data element;
a processing unit configured to determine the region of interest in the received medical image and calculate the appearance of the at least one annotational data element in reply to the determined region of interest; and
an output interface configured to output the calculated appearance of the at least one annotational data element in common with the medical image.

### Claim 15 (depends on 1)

A non-transitory computer readable medium including program code sections, when executed by a computing unit, cause the computer unit to perform the method of claim 1.

### Claim 16 (depends on 4)

The method of claim 4, wherein the determining the region of interest is based on at least one of monitoring a pointer position, an eye-tracking of the user, or a semantic analysis of the displayed medical image.

### Claim 17 (depends on 3)

The method of claim 3, wherein the determining the region of interest comprises executing a segmentation algorithm to identify an area of a body, a predetermined part of the body or an organ or a structure within the displayed medical image.

### Claim 18 (depends on 6)

The method of claim 6, wherein the adapting the size of the at least one annotational data element adapts a font size of a text.
