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Erschienen in: The International Journal of Cardiovascular Imaging 3/2018

30.08.2017 | Original Paper

4D modelling for rapid assessment of biventricular function in congenital heart disease

verfasst von: K. Gilbert, B. Pontre, C. J. Occleshaw, B. R. Cowan, A. Suinesiaputra, A. A. Young

Erschienen in: The International Journal of Cardiovascular Imaging | Ausgabe 3/2018

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Abstract

Although more patients with congenital heart disease (CHD) are now living longer due to better surgical interventions, they require regular imaging to monitor cardiac performance. There is a need for robust clinical tools which can accurately assess cardiac function of both the left and right ventricles in these patients. We have developed methods to rapidly quantify 4D (3D + time) biventricular function from standard cardiac MRI examinations. A finite element model was interactively customized to patient images using guide-point modelling. Computational efficiency and ability to model large deformations was improved by predicting cardiac motion for the left ventricle and epicardium with a polar model. In addition, large deformations through the cycle were more accurately modeled using a Cartesian deformation penalty term. The model was fitted to user-defined guide points and image feature tracking displacements throughout the cardiac cycle. We tested the methods in 60 cases comprising a variety of congenital heart diseases and showed good correlation with the gold standard manual analysis, with acceptable inter-observer error. The algorithm was considerably faster than standard analysis and shows promise as a clinical tool for patients with CHD.
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Metadaten
Titel
4D modelling for rapid assessment of biventricular function in congenital heart disease
verfasst von
K. Gilbert
B. Pontre
C. J. Occleshaw
B. R. Cowan
A. Suinesiaputra
A. A. Young
Publikationsdatum
30.08.2017
Verlag
Springer Netherlands
Erschienen in
The International Journal of Cardiovascular Imaging / Ausgabe 3/2018
Print ISSN: 1569-5794
Elektronische ISSN: 1875-8312
DOI
https://doi.org/10.1007/s10554-017-1236-6

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