Ex Parte HaiderDownload PDFPatent Trial and Appeal BoardSep 1, 201611486680 (P.T.A.B. Sep. 1, 2016) Copy Citation UNITED STA TES p A TENT AND TRADEMARK OFFICE APPLICATION NO. FILING DATE 111486,680 07/14/2006 26574 7590 09/06/2016 SCHIFF HARDIN, LLP PA TENT DEPARTMENT 233 S. Wacker Drive-Suite 6600 CHICAGO, IL 60606-6473 FIRST NAMED INVENTOR Sultan Haider UNITED STATES DEPARTMENT OF COMMERCE United States Patent and Trademark Office Address: COMMISSIONER FOR PATENTS P.O. Box 1450 Alexandria, Virginia 22313-1450 www .uspto.gov ATTORNEY DOCKET NO. CONFIRMATION NO. P06,0225 4252 EXAMINER COOK, CHRISTOPHER L ART UNIT PAPER NUMBER 3737 NOTIFICATION DATE DELIVERY MODE 09/06/2016 ELECTRONIC Please find below and/or attached an Office communication concerning this application or proceeding. The time period for reply, if any, is set in the attached communication. Notice of the Office communication was sent electronically on above-indicated "Notification Date" to the following e-mail address( es): patents-CH@schiffhardin.com jbombien@schifthardin.com PTOL-90A (Rev. 04/07) UNITED STATES PATENT AND TRADEMARK OFFICE BEFORE THE PATENT TRIAL AND APPEAL BOARD Ex parte SULT AN HAIDER Appeal2014-008863 Application 11/486,680 Technology Center 3700 Before ERIC B. GRIMES, ULRIKE W. JENKS, and ROBERT A. POLLOCK, Administrative Patent Judges. PERCURIAM DECISION ON APPEAL r-T"I.. • • .. • • .. 1 .. ,..... ,_ T T r'1 I'\ l\ -1 ,..... Al r'" , "1 ims 1s a aec1s10n on appear unaer j) u.~.L. s lj4 rrom me Examiner's rejection of claims 1--4 and 6-26. We have jurisdiction under 35 U.S.C. § 6(b). We affirm. STATEMENT OF THE CASE The Specification discloses a method and apparatus for "representing an examination region of an examination subject, to whom an agent has been administered .... wherein, a time-related determination of ... the intracorporeal influence of the agent in the examination region is made and 1 Appellant identifies the Real Party in Interest as Siemens Aktiengesellschaft. App. Br. 1. Appeal2014-008863 Application 11/486,680 the information is mapped to the examination region in [a] whole-body overview image." Spec. 2-3. "[T]he whole-body overview image can be generated by an imaging medical examination apparatus and/ or at least one camera and/or an anatomical atlas and/or a computer program." Spec. 5. Suitable imaging medical examination apparatuses for generating the whole- body overview include "[a] magnetic resonance apparatus, a computed tomography apparatus, a conventional x-ray apparatus or even an ultrasound apparatus, a positron emission tomography (PET) apparatus and the like." Id. Claim 1 is representative of the claims on appeal and reads as follows: 1. A method for representation of a plurality of examination regions of an examination subject, together with information relating to an intracorporeal influence in the respective regions of at least one agent administered to the examination subject, said information being retained for a subsequent evaluation, comprising the steps of: generating a whole-body overview image of an examination subject depicting internal anatomy of the subject, said overview image encompassing a plurality of examination regions of the internal anatomy of the subject that respectively contain different parts of said internal anatomy of the subject; with at least one medical imaging apparatus, acquiring a respective dataset from each of said examination regions of the examination subject, each data representing the part of said internal anatomy in the respective examination region from which the data was acquired, and automatically electronically mapping, using the respective datasets, the examination regions on the whole-body overview image; determining time-dependent information describing a change over time, within a time period, of an intracorporeal influence of an agent in each examination region, that has been administered to the examination subject, and, for each examination region, generating a respective graphical representation of a changing spatial extent of said 2 Appeal2014-008863 Application 11/486,680 agent in the respective examination region from said time-dependent information describing changing of said intracorporeal spatially- extending influence of said agent in the respective examination region in said time period, and automatically electronically mapping the respective graphical representations to the respective examination regions in the whole-body overview image to show the changing spatial extent of said agent relative to the internal anatomy of the subject in said overview image that is contained in all of said examination regions, thereby obtaining a supplemented whole-body overview image; and visually representing the supplemented whole-body overview image at an image reproduction device. The Examiner has rejected claims 1, 3, 6-12, 20-22, and 23-26 under 35 U.S.C. § 103(a) as obvious in view of Sjogren,2 Dumoulin,3 and Degani.4 Ans. 2, Final Rejection5 (hereinafter Fin. Rej.) 2-7. The Examiner has also rejected claims 2, 4, and 13-19 under 35 U.S.C. § 103(a) as obvious in view of Sjogren, Dumoulin, and Degani, and further in view of Harvey6 (claims 2, 4, and 13-16), Eisenberg7 (claim 17), or Tong8 (claims 18 and 19). Ans. 2, Fin. Rej. 7-11. Analysis We have reviewed Appellant's contentions that the Examiner erred in rejecting claims 1--4 and 6-26 as obvious over the cited art. App. Br. 5-14, 2 Bo Sjogren et al., US 2004/0002641 Al, published Jan. 1, 2004. 3 Charles Lucian Dumoulin et al., US 6,584,337 B2, issued Jun. 24, 2003. 4 Hadassa Degani et al., US 2003/0105605 Al, issued Jun. 5, 2003. 5 Office Action mailed Nov. 5, 2013. 6 Paul Royston Harvey, US 2007/0276220 Al, published Nov. 29, 2007. 7 Harvey C. Eisenberg et al., US 2003/0128801 Al, published July 10, 2003. 8 Xin Tong et al., US 2004/0179651 Al, published Sept. 16, 2004. 3 Appeal2014-008863 Application 11/486,680 Reply Br. 2--4. Because the same issues are dispositive for all rejections on appeal we will consider them together. We disagree with Appellant's contentions and adopt the Examiner's conclusions and findings concerning the scope and content of the prior art set forth in the Examiner's Answer and Final Rejection. For emphasis, we highlight and address the following: FFI Sjogren discloses that "[d]iagnostic machines or imaging machines are used to obtain anatomical information of a patient, including localization of tumors." Sjogren, i-f 37. The imaging techniques include "computed tomography (CT) ... and other diagnostic X-ray techniques, positron emission computed tomography (PET), single photon emission computed tomography (SPECT), combined PET and CT (PET /CT), ultrasound, magnetic resonance (MR) techniques, e.g. magnetic resonance imaging (MRI) and magnetic resonance spectroscopy (MRS)," among others. Sjogren, i-f 37. FF2 Sjogren discloses that the concept of the invention "is to determine, in connection with each of a number of medical machines, including diagnostic and radiation therapy machines, a 2- or 3-dimensional representation of at least a portion of a patient in relation to an overall common coordinate system associated with the patient." Sjogren, i-f 39. In particular, "[A ]natomical patient information may be related between the different medical machines ... [based on] the 2- or 3-dimensional representations [] used as common reference between the machines .... [This] make[s] it possible to integrate and depict anatomical information obtained with different imaging techniques into the common coordinate system." Id.; see Abstract. Thus "anatomical information ... from the 4 Appeal2014-008863 Application 11/486,680 different diagnostic machines is coordinated and integrated, e.g. in order to be displayed together in a common picture." Id. i-f 84. FF3 Sjogren discloses that, in one embodiment, "the 2- or 3- dimensional representation is a surface representation of the patient, e.g. a surface representation of the skin of the patient." Id. i-f 55. "[T]o get a more accurate representation ... the whole body surface or a suitable selected portion thereof is measured to provide the 3-dimensional representation, where a larger surface often implies a more accurate representation." Id. FF4 Sjogren also recommends "a 2- or 3-dimensional representation of at least a portion of the patient's skeleton," as an alternative to using a surface representation of the patient. Id. i-f 56. "As for the surface representations ... , "the skeleton representation may be measured on any suitable portion of the patient's body," including "skeleton portions adjacent to the tumor tissue." Id. "If a more complete representation is preferred the representation may include the whole or a major portion of the patient's skeleton." Id. FF5 Figure 5 of Sjogren is shown below: ~·"':-) ::.."..'}' '-~ : ............ " ........ ~:: ....................... -. ... ;$:;········••» ············--···· ··t ··\-,i··········-~ :--.... ~-::. .... -........................ , ...... ,,,, .. ':- ' ~ :"·"""'""".v ............. : . \ ·"~·. · • ... ;_.~--~~:_"_·;_~-~~.~-: .. ·~,:_.:_-,.-_'."i(· . ·-·'_-_".~.:~--... ,'': -~.~ ..:·_ L~':~~:::.~:_~_:;\,m'> {·; ; i ; . - .. ... ' . ' • ...... ~·-~··f""""~'"'"""'•""""•"•"•'•'••·~""'""~ ? .... ---· ~~~~~\*·~.,- ~ ' ............................................................ ,.., ······~ ~ ·"~ . : .. (":;~~~~~:~~: .. ·:.::~~-~~;~.:.:'._:_i~~~l~i;~:i'.;~1- ... ·-·· .. ::.:·······::;···· ·;•;:~:··' :' ~ . ~ ............................. :::.·x• :_._._ .................... ·. 5 Appeal2014-008863 Application 11/486,680 Figure 5 shows "a schematic block diagram of a system for relating anatomical patient information between different medical machines." Sjogren, i-f 33. "Measured imaging data 210 from a 2- or 3-dimensional representation measuring system associated with a first medical machine is input to a processing means 110 in the system 100." Sjogren, i-f 72. "The processing means determines the 2- or 3-dimensional patient representation expressed in the common overall coordinate system." Id. "A corresponding processing means 120 receives diagnostic data 220 and processes it to generate anatomical data of the tumor and relevant tissues and organs." Id. The "anatomical data is forwarded together with the 2- or 3-dimensional representation recorded in connection with the diagnostic data in the first medical machine to matching means 130 that matches the representation wit[h] the anatomical data." Id. FF6 Sjogren discloses that, as a "complement to the anatomical data from diagnostic machines, anatomical information from a body or organ atlas may optionally be used in the treatment planning. This atlas is a database or data bank comprising anatomical information of the human body or a portion of it." Id. i-f 89. "[T]he atlas is typically a representation of an average human, preferably containing all major organs and tissues, skeleton and nervous system." Id. "In order to integrate anatomical data relating to an individual patient, measured by a diagnostic machine ... with information from the atlas, the associated 2- or 3-dimensional representation of the patient is matched with a corresponding representation in the 'atlas human'." Id. "In some cases, since the atlas is an average human, the atlas has to be deformed or conformed to correspond to the actual representation 6 Appeal2014-008863 Application 11/486,680 of the patient ... Once the scale of the atlas corresponds to the scale of the measured 2- or 3-dimensional representation, the two are merged or tied so that certain points on the patient representation coincides with corresponding points on the atlas." Id. "The measured anatomical information with the tumor may now be displayed together with the organs, tissues and bones of the atlas." Id. FF7 Figures 7a-7d of Sjogren are shown below: Fig.1A y ~t"~i~~t~f ~~' .<+ "-'-~~;;~'(~.\~;::;:>'"" f~g. 7(: Sjogren discloses that Figures 7 A-7D "illustrate the process of integrating and coordinating anatomical information." Sjogren, i-f 35. Figure 7 A shows "a schematic illustration of anatomical information 54, 55 from a first diagnostic machine displayed in the common coordinate system together with an associated 3-dimensional surface representation 60-1." Id. ,-r 84. Figure 7B shows "anatomical information 55, 56 from a second diagnostic machine with an associated surface representation 60-2." Sjogren, ,-r 85. Figure 7C shows "a simple rescale" of the image of Figure 7 A. Id. ,-r 86. "Once the patient representations 60-1, 60-2 have been 7 Appeal2014-008863 Application 11/486,680 matched ... the corresponding anatomical information 54, 55, 56 may be integrated and displayed together in the common overall coordinate system," as shown in Figure 7D. Id. i-f 87. "[A]natomical information 54, 56 obtainable only from specific diagnostic machines may be combined to give ... more detailed and comprehensive information of the tumor with adjacent tissues and organs." Id. FF8 Dumoulin discloses an "MRI system that may be employed as a whole body screening tool for metastatic cancer and other diseases." Dumoulin, col. 7, 11. 26-28. Dumoulin discloses that certain "clinical situations require ... a head-to-toe scan of a patient ... For example, metastatic cancer can occur anywhere in the body and patients at risk for metastatic disease need to be evaluated regularly." Id. col. 1, 11. 11-14. "Currently head-to-toe or ... extended volume imaging is generally performed with whole body positron emission tomography (PET) systems or nuclear studies in which small amounts of radioactive substances are given to the patient and allowed to collect in regions of rapid tumor growth." Dumoulin, col. 1, 11. 14--19. "The imaging sensitivity and specificity of magnetic resonance (MR), however, makes MR a more desirable choice for diagnosis[,] particularly when Gadolinium (Gd) contrast agents are employed." Id. at col. 1, 11. 19-23. "Gd contrast agents ... tend to collect in regions of angiogenesis associated with active tumors. Unfortunately, MR scanners have limited sensitive volumes and whole body scanning requires that a series of images be made at different stations." Id. at col. 1, 11. 23-28. "Patient motion and table registration can make the joining of these separate images a challenge." Id. at col. 1, 11. 28-31. 8 Appeal2014-008863 Application 11/486,680 FF9 Dumoulin discloses that multiple "MR sub-images of portions of the subject are made while the subject is moved through the imaging portion of the MR imaging magnet." Id. at col. 4, 11. 52-54. "At the completion of subject's 200 movement through magnet assembly 141 (FIG. 1) the sub-images are processed by image processor 106 (FIG. 1) and combined to form a composite image of the entire subject." Id. at col. 4, 11. 63-67. FF 10 Degani discloses "a unique MRI machine for diagnosing a condition of a prostate, especially cancer" and "an apparatus for monitoring a system with time in space .... [that] can be used for processing time dependent data of radiologic examinations such as MRI, ultrasonography, X- ray tomography or conventional X-ray, or nuclear medicine for obtaining diagnosis, prognosis and therapy follow up of tumors or any other pathological disorders." Degani, i-fi-12, 19 FF 11 Degani discloses that "MRI machines are used today to create images with or without administration of a tracer-contrast agent. Customarily, the machine is controlled to take a series of images at discrete time intervals and the images are then dynamically analyzed to obtain an output result." Id. i13. "[D]ynamic studies of contrast enhancement in breast tumors have demonstrated that the rate of change in signal intensity is an important parameter for the distinction of breast masses." Id. " [A] s a result of tumor heterogeneity, there are significant local variations in the time evolution of contrast enhancement, and, therefore, maintaining high spatial resolution in both the recording and analysis steps is very important." Id. "In a standard clinical MRI of the breast, it is difficult to achieve high 9 Appeal2014-008863 Application 11/486,680 spatial resolution and also maintain high temporal resolution." Id. "In most dynamic studies performed previously, the emphasis was on high temporal resolution (at the expense of spatial resolution) monitoring the equilibration in the intravascular space and early diffusion into the extracellular space of the tissue." Id. FF12 Degani discloses that there are "numerous phenomena that evolve over space with time in a way that can be treated ... by utilizing a novel approach which is termed ... wash-in and wash-out behavior." Id. i-f 20. "Specifically, flow of fluid in a system where the fluid or fluid component dissipates or needs to be regenerated, is described as wash-in and wash-out." Id. FF13 Degani discloses the application of wash-in and wash-out "for contrast-enhanced MRI data in order to obtain products that facilitate specific diagnosis of cancer. The time of start of contrast administration is time point tO and then two post contrast time points t 1 and t2 are utilized." Id. i-f 23. Degani discloses that this method, designated "3TP," "can be adapted to the diagnosis of a prostate condition." Id. i-f 24. Degani teaches that "[b ]lood vessel density in prostate cancer is an independent indicator of pathological state and prognosis. With the addition of [monitoring] vessel permeability by the 3TP method, which reflects high angiogenic activity, this parameter may be even more reliable as a prognostic factor." Id. i-f 25. "The color distribution in the 3TP images also enables characterizing tumor cellularity (the density of the cells in the tumor) and hence the differentiation of the lesion with high cellularity." Id. 10 Appeal2014-008863 Application 11/486,680 We agree with the Examiner's reasoning that it would have been obvious to have modified the methods and systems for relating and integrating anatomical patient information obtained by different medical machines as described by Sjogren, particularly the image dataset acquired by at least one of the diagnostic machines to be registered to the whole body overview image, to include a respective image dataset for each examination region (e.g. whole body) which visually represents the changing spatial extent of a contrast agent within the body as described by Dumoulin and Degani in order to efficiently and accurately screen a subject for diseases such as cancer and plan treatment accordingly. Fin. Rej. 6. Appellant argues that Sjogren does not disclose the claimed "whole- body overview image" or "the use of an overview image for the purpose of identifying respective regions thereof." App. Br. 5---6. Appellant further argues that Sjogren provides "no teaching or suggestion ... to make use of the skeletal image in the manner that the whole body image is used in the claims of the present application ... other than (possibly) as one of the images that is set into relation with the common coordinate system." Id. at 6-7. Appellant's arguments are not persuasive. Sjogren discloses that that the whole body surface of the patient may be measured to provide an accurate three-dimensional representation of the patient. FF FF3. Sjogren also teaches that other three-dimensional representations of the patient can be used, such as "the whole or major portion of a patient's skeleton," emphasizing, in particular, "skeletal portions adjacent to the tumor tissue." FF FF4. Sjogren further discloses that, as a complement to the anatomical 11 Appeal2014-008863 Application 11/486,680 data from diagnostic machines, anatomical information from a body atlas or images provided by diagnostic machines may be integrated with the 2- or 3- dimensional representation of a patient. FF 5, FF6. Dumoulin, likewise, discloses the desirability of generating whole body images, such as for the purpose of screening for metastatic cancer. FF 9-11. Accordingly, we agree with the Examiner the combination of the cited references would have made obvious the use of a whole body overview image in diagnostic or treatment purposes. Appellant argues that the Examiner acknowledged that Sjogren does not disclose "mapping a respective data set for each examination region, such that the aforementioned whole body image is completely mapped with additional image data." App. Br. 6. Appellant's argument is not persuasive. Claim 1 does not require that the whole-body overview is completely mapped with additional image data, but only requires that the "whole body overview image comprises a plurality of examination regions of the internal anatomy of the subject" and that a medical imaging apparatus acquires "a respective dataset from each of said examination regions of the examination subject ... , and automatically electronically mapping ... the examination regions on the whole-body overview image." Dumoulin discloses head-to-toe scans of a patient to screen for metatstatic cancer and discloses that, with PET scans and radioactive substances, radioactive substances collect in regions of rapid tumor growth. FF 8-9. Dumoulin also discloses that with, magnetic resonance (MR) and Gadolinium (Gd), the Gd contrast agents "tend to collect in regions of 12 Appeal2014-008863 Application 11/486,680 angiogenesis associated with active tumors." FF 8. Sjogren discloses that anatomical information from specific diagnostic machines may be combined to a give more detailed information on areas of interest in the context of adjacent tissues and organs. FF7. In view of Dumoulin and Sjogren, it would have been obvious to one of skill in the art to incorporate more than one region of interest from e.g., a PET scan or an MRI scan into the whole- body overview image disclosed in Sjogren so that multiple areas of interest could be analyzed simultaneously. Appellant argues that the combination of Sjogren, Dumoulin, and Degani would not have made obvious a method of mapping "graphical representations of a changing spatial extent of an agent in a respective examination region in an overview image ... in order to obtain a supplemented whole-body overview image." App. Br. 9. Appellant argues that, as acknowledged by the Examiner, Sjogren does not disclose the graphical representation of time-dependent information related to the incorporeal influence of an agent." Id. at 6. Appellant argues further that although Dumoulin discloses that radioactive substances and gadolinium contrast agent will collect in regions of rapid tumor growth, imaging of these agents merely generates "a 'snapshot' of the region ... at a particular point in time." Id. at 7. Appellant further argues that although the Examiner relied on Degani as teaching "diagnostic imaging for detecting cancer wherein a series of images at discreet [sic] time intervals is obtained, and the images ... analyzed by assessing the rate of change in signal intensity," "[s]imply having knowledge that images can be analyzed in the manner described in the 13 Appeal2014-008863 Application 11/486,680 Degani et al. reference ... does not 'complete' the teachings that are absent" from the combination of Sjogren and Dumoulin. Id. at 8. Appellant's argument is not persuasive. Under KS1?, a "combination of familiar elernents according to known rnethods is likely to be obvious when it does no rnore than yield predictable results." K5'R Int 'l Co. v. Tele.flex Inc., 550 U.S. 398, 416 (2007). Both Sjogren and Dumoulin disclose methods directed to imaging accurately tumors or suspected sites of metastases. That is, Sjogren discloses that diagnostic images may be combined in order to provide more accurate information on tumor location. FF FF1-FF7. Dumoulin discloses methods of screening for cancer metastases using PET or MRI whole body scans that identify agent accumulation at tumor sites. FF 9, 10. Degani discloses that dynamic studies of contrast enhancement in breast tumors have demonstrated that the rate of change of in signal intensity is useful for distinguishing breast masses. FF 10-13. Degani also discloses that time-dependent contrast-enhanced MRI studies are useful in diagnosing cancer, including tumor cell density. FF 10, 13. Because Degani discloses that "determining time-dependent information ... of an intracorporeal influence of an agent," as recited in claim 1, is useful for imaging and diagnosing cancer, we agree with the Examiner that it would have been obvious for one of ordinary skill in the art to incorporate this feature in the method of Sjogren and Dumoulin in order to optimize a method for imaging and diagnosis of cancer. 14 Appeal2014-008863 Application 11/486,680 Thus, we affirm the rejection of claim 1 under 35 U.S.C. § 103(a). Claims 3, 6-12, 20-22, and 23-26 have not been argued separately and, therefore, fall with claim 1. See 37 C.F.R. § 41.37(c)(l)(iv). The Examiner has also rejected claims 2, 4, and 13-19 under 35 U.S.C. § 103(a) as obvious in view of Sjogren, Dumoulin, and Degani, and further in view of one of Harvey (claims 2, 4, and 13-16), Eisenberg (claim 17), or Tong (claims 18 and 19). Ans. 2, Fin. Rej. 7-11. Appellant does not provide arguments directed toward Harvey, Eisenberg, or Tong, but argues that these references do not cure the deficiencies of the combination of Sjogren, Dumoulin, and Degani, as discussed above (App. Br. 13-14). Thus, we also affirm the rejection of claims 2, 4, and 13-19 under 35 U.S.C. § 103(a). Conclusion of Law A preponderance of the evidence supports the Examiner's conclusion that the combination of Sjogren, Dumoulin, and Degani would have made obvious the claim 1 "method for representation of a plurality of examination regions of an examination subject, together with information relating to an intracorporeal influence in the respective regions of at least one agent administered to the examination subject." SUMMARY We affirm the rejection of claims 1--4 and 6-26 under 35 U.S.C. § 103(a). 15 Appeal2014-008863 Application 11/486,680 TIME PERIOD FOR RESPONSE No time period for taking any subsequent action in connection with this appeal may be extended under 37 C.F.R. § 1.136(a). AFFIRMED 16 Copy with citationCopy as parenthetical citation