scholarly journals Comparison of Manual versus Semi-Automatic Segmentations of the Stenotic Carotid Artery Bifurcation

2021 ◽  
Vol 11 (17) ◽  
pp. 8192
Author(s):  
Benjamin Csippa ◽  
Zsuzsanna Mihály ◽  
Zsófia Czinege ◽  
Márton Bence Németh ◽  
Gábor Halász ◽  
...  

Background: The image reconstruction of stenotic carotid bifurcation can be managed by medical practitioners and non-medical investigators with semi-automatic or manual segmentation. The outcome of blood flow simulations may vary because of a single mean voxel difference along the examined section, possibly more in the stenotic lesions, which can lead to conflicting results regarding other research findings. The aim of our project is computational geometry reconstruction for blood flow simulations to make it suitable for comparison with plaque image analysis performed by commercially available software. In this paper, a comparison is made between the manual and semi-automatic segmentations performed by non-medical and medical investigators, respectively. Methods: 30 patients were classified into three homogeneous groups. Our group classification was based on the following parameters: plaque calcification score, thickness, extent, remodeling and plaque localization. The images in the first group were segmented individually by medical practitioners and experienced non-medical investigators, the second group was segmented collectively, and the last group was segmented individually again. Cross-sections along the centerline were extracted, then geometrical and statistical analyses were performed. Exploratory flow simulations were carried out on two patients to showcase the effect of geometrical differences on the hemodynamic flow field. Results: The largest centerline-averaged voxel difference between the medical and non-medical investigators occurred in the first group with a positive difference of 1.16 voxels. In the second and third groups, the average voxel difference decreased to 0.65 and 0.75, respectively. The example case from the first group showed that the difference in maximum wall shear stress in the middle of the stenosis is 30% with an average voxel difference of 1.73. Meanwhile, it can decrease to 4% when the average voxel difference is 0.64 for the example case from the third group. Conclusions: A collective review of the medical images should preceded the manual segmentations before applying them in computational simulations in order to ensure a proper comparison with plaque image analysis. Especially complex pathology such as calcifications should be segmented under medical supervision or after specific training. Non-significant differences in the segmentation can lead to significant differences in the computed flow field.

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Kunyang Bao ◽  
Chao Liu ◽  
Jin Li ◽  
Xiang Liu ◽  
Wenzhang Luo ◽  
...  

In order to analyze the change characteristics of blood flow field in cerebral aneurysms before and after stent implantation, this study first constructed an optimized iterative reconstruction algorithm to reconstruct CT images of patients with cerebral aneurysms and used it to solve the problem of image sharpness. In addition, backprojection image reconstruction algorithm and Fourier transform analytic method were introduced. According to the CT images of cerebral arteries of patients, the lesions were presented in a three-dimensional and visual way through the reconstructed three-dimensional images, thus achieving the effects of simulation and simulation. The results showed that the sensitivity, specificity, and accuracy of the optimized iterative reconstruction algorithm were 90.78%, 83.27%, and 94.82%, which were significantly higher than those of the backprojection image reconstruction algorithm and Fourier transform analysis method, and the difference was statistically significant ( P < 0.05 ). Before operation, the blood flow velocity in the neck of aneurysm was 7.35 × 10−2 m/s, the exit velocity was 1.51 × 10−1 m/s, and the maximum velocity appeared in the upstream part of the exit. After passing through the aneurysm, the blood flow velocity began to decrease gradually, forming a vortex at the top of the tumor. After stent implantation, the neck and outlet velocities of cerebral aneurysm were 9.352 × 10−2 m/s and 1.897 × 10−2 m/s, respectively. The velocity of blood flow decreased after entering the aneurysm, and there was no vortex at the top of the aneurysm. Among the outlet velocities of arterial blood vessels, the velocity before stent implantation was significantly lower than that after stent implantation, and the difference was statistically significant ( P < 0.05 ). Compared with prestent, the shear force distribution on the wall of cerebral aneurysm showed a significant decrease, and the difference was statistically significant ( P < 0.05 ). To sum up, pelvic floor ultrasound based on hybrid iterative reconstruction algorithm has high accuracy in diagnosing the changes of blood flow field in cerebral aneurysms. The application of CT images in the diagnosis of cerebral aneurysms can objectively provide imaging data for clinical practice and has high application value.


2017 ◽  
Vol 1 ◽  
pp. QL9XVI ◽  
Author(s):  
Atsushi Tateishi ◽  
Toshinori Watanabe ◽  
Takehiro Himeno ◽  
Seiji Uzawa

AbstractThis article presents a numerical method and its application for an assessment of the flow field inside a wind tunnel. A structured computational fluid dynamics (CFDs) solver with overset mesh technique is developed in order to simulate geometrically complex configurations. Applying the developed solver, a whole transonic cascade wind tunnel is modeled and simulated by a two-dimensional manner. The upstream and downstream periodicity of the cascade and the effect of the tunnel wall on the unsteady flow field are focused on. From the steady flow simulations, the existence of an optimum throttle position for the best periodicity for each tailboard angle is shown, which provides appropriate aerodynamic characteristics of ideal cascades in the wind tunnel environment. Unsteady simulations with blade oscillation is also conducted, and the difference in the influence coefficients between ideal and wind tunnel configurations becomes large when the pressure amplitude increases on the lower blades.


Author(s):  
Benjámin Csippa ◽  
Levente Sándor ◽  
György Paál

This paper presents a novel method for the evaluation of three-dimensional blood-flow simulations based, on the decomposition of the velocity field into localized coordinate systems along the vessels centerline. The method is based on the computation of accurate centerlines with the Vascular Modeling Toolkit (VMTK) library, to calculate the localized Frenet-frames along the centerline and the morphological features, namely the curvature and torsion. Using the Frenet-frame unit vectors, the velocity field can be decomposed into axial, circumferential and radial components and visualized in a diagram along the centerline. This paper includes case studies with four idealized geometries resembling the carotid siphon and two patient-specific cases to demonstrate the capability of the method and the connection between morphology and flow. The proposed evaluation method presented in this paper can be easily extended to other derived quantities of the velocity fields, such as the wall shear stress field. Furthermore, it can be used in other fields of engineering with tubular cross-sections with complex torsion and curvature distribution.


Author(s):  
T.B. Ball ◽  
W.M. Hess

It has been demonstrated that cross sections of bundles of hair can be effectively studied using image analysis. These studies can help to elucidate morphological differences of hair from one region of the body to another. The purpose of the present investigation was to use image analysis to determine whether morphological differences could be demonstrated between male and female human Caucasian terminal scalp hair.Hair samples were taken from the back of the head from 18 caucasoid males and 13 caucasoid females (Figs. 1-2). Bundles of 50 hairs were processed for cross-sectional examination and then analyzed using Prism Image Analysis software on a Macintosh llci computer. Twenty morphological parameters of size and shape were evaluated for each hair cross-section. The size parameters evaluated were area, convex area, perimeter, convex perimeter, length, breadth, fiber length, width, equivalent diameter, and inscribed radius. The shape parameters considered were formfactor, roundness, convexity, solidity, compactness, aspect ratio, elongation, curl, and fractal dimension.


1994 ◽  
Vol 72 (04) ◽  
pp. 563-566 ◽  
Author(s):  
Tuomo Rankinen ◽  
Sari Väisänen ◽  
Michele Mercuri ◽  
Rainer Rauramaa

SummaryThe association between apolipoprotein(a) [apo(a)], fibrinogen, fibrinopeptide A (FPA) and carotid intima-media thickness (IMT) was analyzed in Eastern Finnish men aged 50 to 60 years. Apo(a) correlated directly with carotid bifurcation (r = 0.26, p = 0.001), but not with common carotid IMT. Men in the lowest quartile of apo(a) had thinner (p = 0.013) IMT in bifurcation [1.59 mm (95% Cl 1.49; 1.68)] compared to the men in the highest [1.91 mm (95% Cl 1.73; 2.09)] apo(a) quartile. The difference remained (p=0.038) after adjusting for confounders. Plasma fibrinogen was not related to carotid IMT, whereas FPA correlated with common carotid (r = 0.21, p = 0.016) and carotid bifurcation (r = 0.21, p = 0.018) IMT. These associations abolished after adjusting for the confounders. The data suggest that apo(a) associate with carotid atherosclerosis independent of other risk factors for ischemic cardiovascular diseases.


2012 ◽  
Vol 27 (2) ◽  
pp. 264-269 ◽  
Author(s):  
Christian Lorbach ◽  
Ulrich Hirn ◽  
Johannes Kritzinger ◽  
Wolfgang Bauer

Abstract We present a method for 3D measurement of fiber cross sectional morphology from handsheets. An automated procedure is used to acquire 3D datasets of fiber cross sectional images using an automated microtome and light microscopy. The fiber cross section geometry is extracted using digital image analysis. Simple sample preparation and highly automated image acquisition and image analysis are providing an efficient tool to analyze large samples. It is demonstrated that if fibers are tilted towards the image plane the images of fiber cross sections are always larger than the true fiber cross section geometry. In our analysis the tilting angles of the fibers to the image plane are measured. The resulting fiber cross sectional images are distorted to compensate the error due to fiber tilt, restoring the true fiber cross sectional shape. We use an approximated correction, the paper provides error estimates of the approximation. Measurement results for fiber wall thickness, fiber coarseness and fiber collapse are presented for one hardwood and one softwood pulp.


Fluids ◽  
2020 ◽  
Vol 6 (1) ◽  
pp. 11
Author(s):  
Magnus Andersson ◽  
Matts Karlsson

Model verification, validation, and uncertainty quantification are essential procedures to estimate errors within cardiovascular flow modeling, where acceptable confidence levels are needed for clinical reliability. While more turbulent-like studies are frequently observed within the biofluid community, practical modeling guidelines are scarce. Verification procedures determine the agreement between the conceptual model and its numerical solution by comparing for example, discretization and phase-averaging-related errors of specific output parameters. This computational fluid dynamics (CFD) study presents a comprehensive and practical verification approach for pulsatile turbulent-like blood flow predictions by considering the amplitude and shape of the turbulence-related tensor field using anisotropic invariant mapping. These procedures were demonstrated by investigating the Reynolds stress tensor characteristics in a patient-specific aortic coarctation model, focusing on modeling-related errors associated with the spatiotemporal resolution and phase-averaging sampling size. Findings in this work suggest that attention should also be put on reducing phase-averaging related errors, as these could easily outweigh the errors associated with the spatiotemporal resolution when including too few cardiac cycles. Also, substantially more cycles are likely needed than typically reported for these flow regimes to sufficiently converge the phase-instant tensor characteristics. Here, higher degrees of active fluctuating directions, especially of lower amplitudes, appeared to be the most sensitive turbulence characteristics.


2008 ◽  
Vol 23 (27n30) ◽  
pp. 2512-2515 ◽  
Author(s):  
HIDEKO NAGAHIRO ◽  
DAISUKE JIDO ◽  
SATORU HIRENZAKI

We investigate the properties of η-nucleus interaction by postulating the N*(1535) dominance for η-N system. We evaluate the N*(1535) properties in the nuclear medium using two kinds of chiral models, and find that these two models provide qualitatively different η-nucleus optical potentials reflecting the quite distinct properties of N*(1535) in these chiral models. Especially, in the chiral doublet model, we can expect to have the level crossing between η and N*(1535)-hole which is expected to provide the characteristic features for the optical potential and the formation spectra. We find also that the difference of these models can be seen in the formation cross sections of the η mesic nuclei with (π+, p ) reaction expected to be performed at J-PARC project.


Sign in / Sign up

Export Citation Format

Share Document