Skip to main content
Erschienen in: International Journal of Computer Assisted Radiology and Surgery 5/2021

12.05.2021 | Original Article

Automatic extraction of the mitral valve chordae geometry for biomechanical simulation

verfasst von: Daryna Panicheva, Pierre-Frédéric Villard, Peter E. Hammer, Douglas Perrin, Marie-Odile Berger

Erschienen in: International Journal of Computer Assisted Radiology and Surgery | Ausgabe 5/2021

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Mitral valve computational models are widely studied in the literature. They can be used for preoperative planning or anatomical understanding. Manual extraction of the valve geometry on medical images is tedious and requires special training, while automatic segmentation is still an open problem.

Methods

We propose here a fully automatic pipeline to extract the valve chordae architecture compatible with a computational model. First, an initial segmentation is obtained by sub-mesh topology analysis and RANSAC-like model-fitting procedure. Then, the chordal structure is optimized with respect to objective functions based on mechanical, anatomical, and image-based considerations.

Results

The approach has been validated on 5 micro-CT scans with a graph-based metric and has shown an \(87.5\%\) accuracy rate. The method has also been tested within a structural simulation of the mitral valve closed state.

Conclusion

Our results show that the chordae architecture resulting from our algorithm can give results similar to experienced users while providing an equivalent biomechanical simulation.
Fußnoten
1
All the figures are better seen in PDF format.
 
Literatur
1.
Zurück zum Zitat Abu-Aisheh Z, Raveaux R, Ramel JY, Martineau P (2015) An exact graph edit distance algorithm for solving pattern recognition problems. In: International conference on Pattern recognition applications and methods . Lisbon Abu-Aisheh Z, Raveaux R, Ramel JY, Martineau P (2015) An exact graph edit distance algorithm for solving pattern recognition problems. In: International conference on Pattern recognition applications and methods . Lisbon
2.
Zurück zum Zitat Badhwar V, Vemulapalli S, Mack M, Gillinov A, Chikwe J, Dearani J, Grau-Sepulveda M, Habib R, Rankin J, Jacobs J, McCarthy P, Bloom J, Kurlansky P, Wyler von Ballmoos M, Thourani V, Edgerton J, Vassileva C, Gammie J, Shahian D (2020) Volume-outcome association of mitral valve surgery in the United States. JAMA Cardiol 5(10):1092–1101CrossRef Badhwar V, Vemulapalli S, Mack M, Gillinov A, Chikwe J, Dearani J, Grau-Sepulveda M, Habib R, Rankin J, Jacobs J, McCarthy P, Bloom J, Kurlansky P, Wyler von Ballmoos M, Thourani V, Edgerton J, Vassileva C, Gammie J, Shahian D (2020) Volume-outcome association of mitral valve surgery in the United States. JAMA Cardiol 5(10):1092–1101CrossRef
3.
Zurück zum Zitat Canny J (1986) A computational approach to edge detection. IEEE Trans Pattern Anal Mach Intell 8(6):679–698CrossRef Canny J (1986) A computational approach to edge detection. IEEE Trans Pattern Anal Mach Intell 8(6):679–698CrossRef
4.
Zurück zum Zitat Carpentier A, Adams D, Filsoufi F (2010) Reconstructive valve surgery: from valve analysis to valve reconstruction. ClinicalKey. Elsevier, Amsterdam Carpentier A, Adams D, Filsoufi F (2010) Reconstructive valve surgery: from valve analysis to valve reconstruction. ClinicalKey. Elsevier, Amsterdam
5.
Zurück zum Zitat Cochran RP, Kunzelman KS (1998) Effect of papillary muscle position on mitral valve function: relationship to homografts. Ann Thor Surg 66:155–161CrossRef Cochran RP, Kunzelman KS (1998) Effect of papillary muscle position on mitral valve function: relationship to homografts. Ann Thor Surg 66:155–161CrossRef
7.
Zurück zum Zitat Gaidulis G, Selmi M, Zakarkaitė D, Aidietis A, Kačianauskas R (2019) Modelling and simulation of mitral valve for transapical repair applications. Nonlin Anal Modell Control 24(4):485–502 Gaidulis G, Selmi M, Zakarkaitė D, Aidietis A, Kačianauskas R (2019) Modelling and simulation of mitral valve for transapical repair applications. Nonlin Anal Modell Control 24(4):485–502
8.
Zurück zum Zitat Gao H, Qi N, Feng L, Ma X, Danton M, Berry C, Luo X (2014) A finite strain nonlinear human mitral valve model with fluid-structure interaction. Int J Num Methods Biomed Eng 30(12):1597–613CrossRef Gao H, Qi N, Feng L, Ma X, Danton M, Berry C, Luo X (2014) A finite strain nonlinear human mitral valve model with fluid-structure interaction. Int J Num Methods Biomed Eng 30(12):1597–613CrossRef
9.
Zurück zum Zitat Hammer PE, del Nido PJ, Howe RD (2011) Anisotropic mass-spring method accurately simulates mitral valve closure from image-based models. Function imaging of the modeling heart. Springer, Heidelberg, pp 233–240CrossRef Hammer PE, del Nido PJ, Howe RD (2011) Anisotropic mass-spring method accurately simulates mitral valve closure from image-based models. Function imaging of the modeling heart. Springer, Heidelberg, pp 233–240CrossRef
10.
Zurück zum Zitat Khalighi A, Drach A, Bloodworth C, Pierce E, Yoganathan A, Gorman R, Gorman J, Sacks M (2017) Mitral valve chordae tendineae: topological and geometrical characterization. Ann Biomed Eng 45(2):378–393CrossRef Khalighi A, Drach A, Bloodworth C, Pierce E, Yoganathan A, Gorman R, Gorman J, Sacks M (2017) Mitral valve chordae tendineae: topological and geometrical characterization. Ann Biomed Eng 45(2):378–393CrossRef
11.
Zurück zum Zitat Kunzelman K, Reimink M, Cochran R (1997) Annular dilatation increases stress in the mitral valve and delays coaptation: a finite element computer model. Cardiovasc Surg 5(4):427–434CrossRef Kunzelman K, Reimink M, Cochran R (1997) Annular dilatation increases stress in the mitral valve and delays coaptation: a finite element computer model. Cardiovasc Surg 5(4):427–434CrossRef
12.
Zurück zum Zitat Marler R, Arora J (2004) Survey of multi-objective optimization methods for engineering. Struct Multidiscip Optim 26:369–395CrossRef Marler R, Arora J (2004) Survey of multi-objective optimization methods for engineering. Struct Multidiscip Optim 26:369–395CrossRef
14.
Zurück zum Zitat Panicheva D, Villard PF, Berger MO (2019) Toward an automatic segmentation of mitral valve chordae. In: Gimi B, Kro A (eds) SPIE medical imaging, vol 10953. SPIE. San Diego, United States, pp 1095315–1095323 Panicheva D, Villard PF, Berger MO (2019) Toward an automatic segmentation of mitral valve chordae. In: Gimi B, Kro A (eds) SPIE medical imaging, vol 10953. SPIE. San Diego, United States, pp 1095315–1095323
15.
Zurück zum Zitat Panicheva D, Villard PF, Hammer P, Berger MO (2019) Physically-coherent Extraction of mitral valve chordae. In: International Conference in Computing in cardiology, vol. 46, p. 4. IEEE, Singapore, Singapore Panicheva D, Villard PF, Hammer P, Berger MO (2019) Physically-coherent Extraction of mitral valve chordae. In: International Conference in Computing in cardiology, vol. 46, p. 4. IEEE, Singapore, Singapore
17.
Zurück zum Zitat Sacks M, Drach A, Lee CH, Khalighi A, Rego B, Zhang W, Ayoub S, Yoganathan A, Gorman RC, Gorman Iii JH (2019) On the simulation of mitral valve function in health, disease, and treatment. J Biomech Eng 141(7), 0708041–07080422. https://doi.org/10.1115/1.4043552 Sacks M, Drach A, Lee CH, Khalighi A, Rego B, Zhang W, Ayoub S, Yoganathan A, Gorman RC, Gorman Iii JH (2019) On the simulation of mitral valve function in health, disease, and treatment. J Biomech Eng 141(7), 0708041–07080422. https://​doi.​org/​10.​1115/​1.​4043552
18.
Zurück zum Zitat Toma M, Jensen MØ, Einstein DR, Yoganathan AP, Cochran RP, Kunzelman KS (2016) Fluid-structure interaction analysis of papillary muscle forces using a comprehensive mitral valve model with 3d chordal structure. Ann Biomed Eng 44(4):942–953CrossRef Toma M, Jensen MØ, Einstein DR, Yoganathan AP, Cochran RP, Kunzelman KS (2016) Fluid-structure interaction analysis of papillary muscle forces using a comprehensive mitral valve model with 3d chordal structure. Ann Biomed Eng 44(4):942–953CrossRef
19.
Zurück zum Zitat Villard PF, Hammer PE, Perrin DP, Del Nido PJ, Howe R (2018) Fast image-based mitral valve simulation from individualized geometry. Int J Med Robot Comput Assist Surg 14(2):1880CrossRef Villard PF, Hammer PE, Perrin DP, Del Nido PJ, Howe R (2018) Fast image-based mitral valve simulation from individualized geometry. Int J Med Robot Comput Assist Surg 14(2):1880CrossRef
20.
Zurück zum Zitat Wang Q, Sun W (2013) Finite element modeling of mitral valve dynamic deformation using patient-specific multi-slices computed tomography scans. Ann Biomed Eng 41(1):142–153CrossRef Wang Q, Sun W (2013) Finite element modeling of mitral valve dynamic deformation using patient-specific multi-slices computed tomography scans. Ann Biomed Eng 41(1):142–153CrossRef
Metadaten
Titel
Automatic extraction of the mitral valve chordae geometry for biomechanical simulation
verfasst von
Daryna Panicheva
Pierre-Frédéric Villard
Peter E. Hammer
Douglas Perrin
Marie-Odile Berger
Publikationsdatum
12.05.2021
Verlag
Springer International Publishing
Erschienen in
International Journal of Computer Assisted Radiology and Surgery / Ausgabe 5/2021
Print ISSN: 1861-6410
Elektronische ISSN: 1861-6429
DOI
https://doi.org/10.1007/s11548-021-02368-3

Weitere Artikel der Ausgabe 5/2021

International Journal of Computer Assisted Radiology and Surgery 5/2021 Zur Ausgabe

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

26.04.2024 Mammografie Nachrichten

Routinemäßige Mammografien helfen, Brustkrebs frühzeitig zu erkennen. Anhand der Röntgenuntersuchung lassen sich aber auch kardiovaskuläre Risikopatientinnen identifizieren. Als zuverlässiger Anhaltspunkt gilt die Verkalkung der Brustarterien.

S3-Leitlinie zu Pankreaskrebs aktualisiert

23.04.2024 Pankreaskarzinom Nachrichten

Die Empfehlungen zur Therapie des Pankreaskarzinoms wurden um zwei Off-Label-Anwendungen erweitert. Und auch im Bereich der Früherkennung gibt es Aktualisierungen.

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

18.04.2024 Pädiatrische Notfallmedizin Nachrichten

Im Choosing-Wisely-Programm, das für die deutsche Initiative „Klug entscheiden“ Pate gestanden hat, sind erstmals Empfehlungen zum Umgang mit Notfällen von Kindern erschienen. Fünf Dinge gilt es demnach zu vermeiden.

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

13.04.2024 Klinik aktuell Kongressbericht

Die Teilnehmer eines Forums beim DGIM-Kongress waren sich einig: Fehler in der Medizin sind häufig in ungeeigneten Prozessen und mangelnder Kommunikation begründet. Gespräche mit Patienten und im Team können helfen.

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.