# US 2025/0375167 A1 · Method and system for determining post-operative images of an anomaly using deep-learning models

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- Number: US 2025/0375167 A1
- Document ID: US20250375167A1
- Status: Published application
- Kind: A1
- Application number: 18/944,084
- Filed: 2024-11-12
- Published: 2025-12-11
- Earliest claimed: 2024-06-06
- Assignees: L&T Technology Services Limited
- Applicants: L&T Technology Services Limited
- Inventors: RAKSHITH MANJUNATH; NISARGA KRISHNEGOWDA
- Web page: https://patentgrep.com/patent/US20250375167A1

## CPC

- A61B 5/7267: {involving training the classification device}
- A61B 5/055: involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging
- G16H 30/40: for processing medical images, e.g. editing
- A61B 2505/05: Surgical care
- A61B 2576/00: Medical imaging apparatus involving image processing or analysis (A61B1/00009, A61B6/52 and A61B8/52 take precedence)
- G06N 3/045: Combinations of networks
- G06N 3/0455: Auto-encoder networks; Encoder-decoder networks
- G06N 3/0464: Convolutional networks [CNN, ConvNet]
- G06N 3/047: Probabilistic or stochastic networks
- G06N 3/0475: Generative networks
- G06N 3/094: Adversarial learning
- G06T 7/11: Region-based segmentation
- G06T 2207/10088: Magnetic resonance imaging [MRI]
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- G16H: HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G06N: COMPUTING ARRANGEMENTS BASED ON SPECIFIC COMPUTATIONAL MODELS
- G06T: IMAGE DATA PROCESSING OR GENERATION, IN GENERAL

## Abstract

A method and a system for determining final post-operative images of an anomaly is disclosed. A processor inputs a pre-operative image of the anomaly to a first GAN, a second GAN, and a third GAN. Each of the first, second and third GANs are trained based on a training data that includes a training set of post-operative images of the anomaly corresponding to a training set pre-operative images of the anomaly. Further, a first post-operative image of the anomaly is determined from the first GAN, a second post-operative image of the anomaly is determined from the second GAN and a third post-operative image of the anomaly is determined from the third GAN. Two of the first, the second and the third post-operative images are selected based on a SSIM score of each of the first, the second and the third post-operative images.

## Claims

### Claim 1

A method of determining post-operative image of an anomaly, comprising:
simultaneously inputting, by a processor, a pre-operative image of the anomaly, detected in an internal body part of a patient, to a first generative adversarial network (GAN), a second GAN and a third GAN;
determining, by the processor, a first post-operative image of the anomaly from the first generative adversarial network (GAN), a second post-operative image of the anomaly from the second GAN and a third post-operative image of the anomaly from the third GAN,
wherein each of the first GAN, the second GAN and the third GAN are trained based on a training data comprising a training set of post-operative images of the anomaly corresponding to a training set of pre-operative images of the anomaly;
selecting, by the processor, two of the first post-operative image, the second post-operative image and the third post-operative image based on a Structural Similarity Index Measure (SSIM) score of each of the first post-operative image, the second post-operative image and the third post-operative image; and
determining, by the processor, a final post-operative image of the anomaly by performing a pixel-wise aggregation of the selected two of the first post-operative image, the second post-operative image and the third post-operative image.

### Claim 2 (depends on 1)

The method of claim 1, wherein the SSIM score is determined based on texture, luminance and contrast of each of the first post-operative image, the second post-operative image and the third post-operative image.

### Claim 3 (depends on 1)

The method of claim 1, wherein the training set of pre-operative images of the anomaly are determined from a set of pre-operative MRI images of the body part,
wherein the training set of post-operative images of the anomaly are determined from a set of post-operative MRI images of the body part, and
wherein each of the set of pre-operative MRI images and each of the set of post-operative MRI images capture the body part from a predefined angular view with respect to a central axis of the body part.

### Claim 4 (depends on 3)

The method of claim 3, wherein the training set of pre-operative images and the training set of post-operative images are determined using an encoder-decoder convolutional neural network pretrained to detect the abnormality in the body part captured in the set of pre-operative MRI images and the set of post-operative MRI images respectively.

### Claim 5 (depends on 3)

The method of claim 3, wherein each of the set of pre-operative MRI images and the set of post-operative MRI images are resized to a predefined size.

### Claim 6 (depends on 3)

The method of claim 3, wherein pixel intensity values of each of the set of pre-operative MRI images and the set of post-operative MRI images are normalized between 0 and 1.

### Claim 7 (depends on 1)

The method of claim 1, wherein the third GAN measures a similarity score index of the third post-operative image with the training set of post-operative images of the anomaly by using a critic model.

### Claim 8 (depends on 1)

The method of claim 1, wherein the determination of the final post-operative image comprises:
detecting, by the processor, edges of the selected two of the first post-operative image, the second post-operative image and the third post-operative image;
reducing, by the processor and upon detection of the edges, noise of the selected two of the first post-operative image, the second post-operative image and the third post-operative image using a gaussian filter to determine corresponding two smoothened images; and
assigning, by the processor, weights to pixels of the corresponding two smoothened images,
wherein the final post-operative image is determined based on pixel-wise aggregation of the corresponding two smoothened images based on the weights assigned to pixels with higher intensity.

### Claim 9

A system for determining post-operative images of an anomaly, comprising:
a processor; and
a memory communicably coupled to the processor, wherein the memory stores processor-executable instruction, which, on executing by the processor cause the processor to:
simultaneously input pre-operative image of an anomaly detected in an internal body part to a first generative adversarial network (GAN), a second GAN and a third GAN;
determine a first post-operative image of the anomaly from the first GAN, a second post-operative image of the anomaly from the second GAN and a third post-operative image of the anomaly from the third GAN,
wherein each of the first GAN, the second GAN and the third GAN are trained based on a training data comprising a training set of post-operative images of the anomaly corresponding to a training set pre-operative images of the anomaly;
select two of the first post-operative image, the second post-operative image and the third post-operative image based on a Structural Similarity Index Measure (SSIM) score of each of the first post-operative image, the second post-operative image and the third post-operative image; and
determine a final post-operative image of the anomaly by performing a pixel-wise aggregation of the selected two of the first post-operative image, the second post-operative image and the third post-operative image.

### Claim 10 (depends on 9)

The system of claim 9, wherein the SSIM score is determined based on texture, luminance and contrast of each of the first post-operative image, the second post-operative image and the third post-operative image.

### Claim 11 (depends on 9)

The system of claim 9, wherein the training set of pre-operative images of the anomaly are determined from a set of pre-operative MRI images of the body part, wherein the training set of post-operative images of the anomaly are determined from a set of post-operative MRI images of the body part, and
wherein each of the set of pre-operative MRI images and each of the set of post-operative MRI images capture the body part from a predefined angular view with respect to a central axis of the body part.

### Claim 12 (depends on 11)

The system of claim 11, wherein the training set of pre-operative images and the training set of post-operative images are determined using an encoder-decoder convolutional neural network pretrained to detect the abnormality in the body part captured in the set of pre-operative MRI images and the set of post-operative MRI images respectively.

### Claim 13 (depends on 11)

The system of claim 11, wherein each of the set of pre-operative MRI images and the set of post-operative MRI images are resized to a predefined size.

### Claim 14 (depends on 11)

The system of claim 11, wherein pixel intensity values of each of the set of pre-operative MRI images and the set of post-operative MRI images are normalized between 0 and 1.

### Claim 15 (depends on 9)

The system of claim 9, wherein the third GAN measures a similarity score index of the third post-operative image with the training set of post-operative images of the anomaly by using a critic model.

### Claim 16 (depends on 9)

The system of claim 9, wherein to determine the final post-operative image, the processor is configured to:
detect edges of the selected two of the first post-operative image, the second post-operative image and the third post-operative image;
upon the detection of the edges, reduce noise of the selected two of the first post-operative image, the second post-operative image and the third post-operative image using a gaussian filter to determine corresponding two smoothened images;
assign weights to pixels of the corresponding two smoothened images,
wherein the final post-operative image is determined based on pixel-wise aggregation of the corresponding two smoothened images based on the weights assigned to pixels with higher intensity.

### Claim 17

A non-transitory computer-readable medium storing computer-executable instructions for determining post-operative image of an anomaly, the computer-executable instructions configured for:
simultaneously inputting a pre-operative image of the anomaly, detected in an internal body part of a patient, to a first generative adversarial network (GAN), a second GAN and a third GAN;
determining a first post-operative image of the anomaly from the first generative adversarial (GAN), a second post-operative image of the anomaly from the second GAN and a third post-operative image of the anomaly from the third GAN,
wherein each of the first GAN, the second GAN and the third GAN are trained based on a training data comprising a training set of post-operative images of the anomaly corresponding to a training set of pre-operative images of the anomaly;
selecting two of the first post-operative image, the second post-operative image and the third post-operative image based on a Structural Similarity Index Measure (SSIM) score of each of the first post-operative image, the second post-operative image and the third post-operative image; and
determining a final post-operative image of the anomaly by performing a pixel-wise aggregation of the selected two of the first post-operative image, the second post-operative image and the third post-operative image.

### Claim 18 (depends on 17)

The non-transitory computer-readable medium of claim 17, wherein the SSIM score is determined based on texture, luminance and contrast of each of the first post-operative image, the second post-operative image and the third post-operative image.

### Claim 19 (depends on 17)

The non-transitory computer-readable medium of claim 17, wherein the training set of pre-operative images of the anomaly are determined from a set of pre-operative MRI images of the body part,
wherein the training set of post-operative images of the anomaly are determined from a set of post-operative MRI images of the body part, and
wherein each of the set of pre-operative MRI images and each of the set of post-operative MRI images capture the body part from a predefined angular view with respect to a central axis of the body part.

### Claim 20 (depends on 19)

The non-transitory computer-readable medium of claim 19, wherein the training set of pre-operative images and the training set of post-operative images are determined using an encoder-decoder convolutional neural network pretrained to detect the abnormality in the body part captured in the set of pre-operative MRI images and the set of post-operative MRI images respectively.
