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心包人工心脏瓣膜小叶几何形状的测量与重建。

Measurement and reconstruction of the leaflet geometry for a pericardial artificial heart valve.

作者信息

Jiang Hongjun, Campbell Gord, Xi Fengfeng

机构信息

Graduate Program in Biomedical Engineering, University of Western Ontario, London, Ont., Canada N6A 5B9.

出版信息

Med Eng Phys. 2005 Mar;27(2):175-80. doi: 10.1016/j.medengphy.2004.09.017.

Abstract

This paper describes the measurement and reconstruction of the leaflet geometry for a pericardial heart valve. Tasks involved include mapping the leaflet geometries by laser digitizing and reconstructing the 3D freeform leaflet surface based on a laser scanned profile. The challenge is to design a prosthetic valve that maximizes the benefits offered to the recipient as compared to the normally operating naturally-occurring valve. This research was prompted by the fact that artificial heart valve bioprostheses do not provide long life durability comparable to the natural heart valve, together with the anticipated benefits associated with defining the valve geometries, especially the leaflet geometries for the bioprosthetic and human valves, in order to create a replicate valve fabricated from synthetic materials. Our method applies the concept of reverse engineering in order to reconstruct the freeform surface geometry. A Brown & Shape coordinate measuring machine (CMM) equipped with a HyMARC laser-digitizing system was used to measure the leaflet profiles of a Baxter Carpentier-Edwards pericardial heart valve. The computer software, Polyworks was used to pre-process the raw data obtained from the scanning, which included merging images, eliminating duplicate points, and adding interpolated points. Three methods, creating a mesh model from cloud points, creating a freeform surface from cloud points, and generating a freeform surface by B-splines are presented in this paper to reconstruct the freeform leaflet surface. The mesh model created using Polyworks can be used for rapid prototyping and visualization. To fit a freeform surface to cloud points is straightforward but the rendering of a smooth surface is usually unpredictable. A surface fitted by a group of B-splines fitted to cloud points was found to be much smoother. This method offers the possibility of manually adjusting the surface curvature, locally. However, the process is complex and requires additional manipulation. Finally, this paper presents a reverse engineered design for the pericardial heart valve which contains three identical leaflets with reconstructed geometry.

摘要

本文描述了心包心脏瓣膜小叶几何形状的测量与重建。所涉及的任务包括通过激光数字化绘制小叶几何形状,并基于激光扫描轮廓重建三维自由形式小叶表面。挑战在于设计一种人工瓣膜,使其与正常运行的天然瓣膜相比,能为接受者带来最大益处。这项研究的起因是人工心脏瓣膜生物假体无法提供与天然心脏瓣膜相当的长寿命耐久性,同时考虑到确定瓣膜几何形状,尤其是生物假体瓣膜和人体瓣膜的小叶几何形状所带来的预期益处,以便制造出由合成材料制成的复制瓣膜。我们的方法应用逆向工程概念来重建自由形式表面几何形状。使用配备HyMARC激光数字化系统的布朗 & 夏普坐标测量机(CMM)来测量百特卡朋蒂埃 - 爱德华兹心包心脏瓣膜的小叶轮廓。计算机软件Polyworks用于预处理从扫描获得的原始数据,包括合并图像、消除重复点以及添加插值点。本文提出了三种方法来重建自由形式小叶表面,即从点云创建网格模型、从点云创建自由形式表面以及通过B样条生成自由形式表面。使用Polyworks创建的网格模型可用于快速成型和可视化。将自由形式表面拟合到点云很简单,但平滑表面的渲染通常不可预测。发现通过一组拟合到点云的B样条拟合的表面要平滑得多。这种方法提供了局部手动调整表面曲率的可能性。然而,该过程复杂且需要额外操作。最后,本文展示了一种心包心脏瓣膜的逆向工程设计,该瓣膜包含三个具有重建几何形状的相同小叶。

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