摘要:
A mitral valve is detected in transthoracic echocardiography. The ultrasound transducer is positioned against the chest of the patient rather than being inserted within the patient. While data acquired from such scanning may be noisier or have less resolution, the mitral valve may still be automatically detected. Using both B-mode data representing tissue as well as flow data representing the regurgitant jet, the mitral valve may be detected automatically with a machine-learnt classifier. A series of classifiers may be used, such as determining a position and orientation of a valve region with one classifier, determining a regurgitant orifice with another classifier, and locating mitral valve anatomy with a third classifier. One or more features for some of the classifiers may be calculated based on the orientation of the valve region.
摘要:
A method and system for patient-specific modeling of the whole heart anatomy, dynamics, hemodynamics, and fluid structure interaction from 4D medical image data is disclosed. The anatomy and dynamics of the heart are determined by estimating patient-specific parameters of a physiological model of the heart from the 4D medical image data for a patient. The patient-specific anatomy and dynamics are used as input to a 3D Navier-Stokes solver that derives realistic hemodynamics, constrained by the local anatomy, along the entire heart cycle. Fluid structure interactions are determined iteratively over the heart cycle by simulating the blood flow at a given time step and calculating the deformation of the heart structure based on the simulated blood flow, such that the deformation of the heart structure is used in the simulation of the blood flow at the next time step. The comprehensive patient-specific model of the heart representing anatomy, dynamics, hemodynamics, and fluid structure interaction can be used for non-invasive assessment and diagnosis of the heart, as well as virtual therapy planning and cardiovascular disease management. Parameters of the comprehensive patient-specific model are changed or perturbed to simulate various conditions or treatment options, and then the patient specific model is recalculated to predict the effect of the conditions or treatment options.
摘要:
A method and system for modeling the pulmonary trunk in 4D image data, such as 4D CT and MRI data, is disclosed. Bounding boxes are detected in frames of the 4D image data. Anatomic landmarks are detected in the frames of the 4D image data based on the bounding boxes. Ribs or centerlines of the pulmonary artery are detected in the frames of the 4D image data based on the anatomic landmarks, and a physiological pulmonary trunk model is fit the frames of the 4D image data based on the detected ribs and anatomic landmarks. The boundary of the pulmonary trunk is detected in order to refine the boundary of the pulmonary trunk model in the frames of the 4D image data, resulting in a dynamic model of the pulmonary trunk. The pulmonary trunk can be quantitatively evaluated using the dynamic model.
摘要:
A method and system for modeling the pulmonary trunk in 4D image data, such as 4D CT and MRI data, is disclosed. Bounding boxes are detected in frames of the 4D image data. Anatomic landmarks are detected in the frames of the 4D image data based on the bounding boxes. Ribs or centerlines of the pulmonary artery are detected in the frames of the 4D image data based on the anatomic landmarks, and a physiological pulmonary trunk model is fit the frames of the 4D image data based on the detected ribs and anatomic landmarks. The boundary of the pulmonary trunk is detected in order to refine the boundary of the pulmonary trunk model in the frames of the 4D image data, resulting in a dynamic model of the pulmonary trunk. The pulmonary trunk can be quantitatively evaluated using the dynamic model.
摘要:
A system and method for regression-based segmentation of the mitral valve in 2D+t cardiac magnetic resonance (CMR) slices is disclosed. The 2D+t CMR slices are acquired according to a mitral valve-specific acquisition protocol introduced herein. A set of mitral valve landmarks is detected in each 2D CMR slice and mitral valve contours are estimated in each 2D CMR slice based on the detected landmarks. A full mitral valve model is reconstructed from the mitral valve contours estimated in the 2D CMR slices using a trained regression model. Each 2D CMR slice may be a cine image acquired over a full cardiac cycle. In this case, the segmentation method reconstructs a patient-specific 4D dynamic mitral valve model from the 2D+t CMR image data.
摘要翻译:公开了一种用于2D + t心脏磁共振(CMR)切片二尖瓣回归分割的系统和方法。 根据本文引入的二尖瓣特异性获取方案获取2D + t CMR切片。 在每个2D CMR切片中检测到一组二尖瓣地标,并且基于检测到的界标在每个2D CMR切片中估计二尖瓣轮廓。 使用训练有素的回归模型,从2D CMR切片中估算的二尖瓣轮廓重建完整的二尖瓣模型。 每个2D CMR切片可以是在整个心动周期上获取的电影图像。 在这种情况下,分割方法从2D + t CMR图像数据重建患者特有的4D动态二尖瓣模型。
摘要:
A method and system for non-invasive hemodynamic assessment of aortic coarctation from medical image data, such as magnetic resonance imaging (MRI) data is disclosed. Patient-specific lumen anatomy of the aorta and supra-aortic arteries is estimated from medical image data of a patient, such as contrast enhanced MRI. Patient-specific aortic blood flow rates are estimated from the medical image data of the patient, such as velocity encoded phase-contrasted MRI cine images. Patient-specific inlet and outlet boundary conditions for a computational model of aortic blood flow are calculated based on the patient-specific lumen anatomy, the patient-specific aortic blood flow rates, and non-invasive clinical measurements of the patient. Aortic blood flow and pressure are computed over the patient-specific lumen anatomy using the computational model of aortic blood flow and the patient-specific inlet and outlet boundary conditions.
摘要:
A mitral valve is detected in transthoracic echocardiography. The ultrasound transducer is positioned against the chest of the patient rather than being inserted within the patient. While data acquired from such scanning may be noisier or have less resolution, the mitral valve may still be automatically detected. Using both B-mode data representing tissue as well as flow data representing the regurgitant jet, the mitral valve may be detected automatically with a machine-learnt classifier. A series of classifiers may be used, such as determining a position and orientation of a valve region with one classifier, determining a regurgitant orifice with another classifier, and locating mitral valve anatomy with a third classifier. One or more features for some of the classifiers may be calculated based on the orientation of the valve region.
摘要:
A method and system for providing medical decision support based on virtual organ models and learning based discriminative distance functions is disclosed. A patient-specific virtual organ model is generated from medical image data of a patient. One or more similar organ models to the patient-specific organ model are retrieved from a plurality of previously stored virtual organ models using a learned discriminative distance function. The patient-specific valve model can be classified into a first class or a second class based on the previously stored organ models determined to be similar to the patient-specific organ model.
摘要:
A method and system for patient-specific modeling of the whole heart anatomy, dynamics, hemodynamics, and fluid structure interaction from 4D medical image data is disclosed. The anatomy and dynamics of the heart are determined by estimating patient-specific parameters of a physiological model of the heart from the 4D medical image data for a patient. The patient-specific anatomy and dynamics are used as input to a 3D Navier-Stokes solver that derives realistic hemodynamics, constrained by the local anatomy, along the entire heart cycle. Fluid structure interactions are determined iteratively over the heart cycle by simulating the blood flow at a given time step and calculating the deformation of the heart structure based on the simulated blood flow, such that the deformation of the heart structure is used in the simulation of the blood flow at the next time step. The comprehensive patient-specific model of the heart representing anatomy, dynamics, hemodynamics, and fluid structure interaction can be used for non-invasive assessment and diagnosis of the heart, as well as virtual therapy planning and cardiovascular disease management. Parameters of the comprehensive patient-specific model are changed or perturbed to simulate various conditions or treatment options, and then the patient specific model is recalculated to predict the effect of the conditions or treatment options.
摘要:
A system and method for regression-based segmentation of the mitral valve in 2D+t cardiac magnetic resonance (CMR) slices is disclosed. The 2D+t CMR slices are acquired according to a mitral valve-specific acquisition protocol introduced herein. A set of mitral valve landmarks is detected in each 2D CMR slice and mitral valve contours are estimated in each 2D CMR slice based on the detected landmarks. A full mitral valve model is reconstructed from the mitral valve contours estimated in the 2D CMR slices using a trained regression model. Each 2D CMR slice may be a cine image acquired over a full cardiac cycle. In this case, the segmentation method reconstructs a patient-specific 4D dynamic mitral valve model from the 2D+t CMR image data.
摘要翻译:公开了一种用于2D + t心脏磁共振(CMR)切片二尖瓣回归分割的系统和方法。 根据本文引入的二尖瓣特异性获取方案获取2D + t CMR切片。 在每个2D CMR切片中检测到一组二尖瓣地标,并且基于检测到的界标在每个2D CMR切片中估计二尖瓣轮廓。 使用训练有素的回归模型,从2D CMR切片中估算的二尖瓣轮廓重建完整的二尖瓣模型。 每个2D CMR切片可以是在整个心动周期上获取的电影图像。 在这种情况下,分割方法从2D + t CMR图像数据重建患者特定的4D动态二尖瓣模型。