Suppr超能文献

腹主动脉瘤的三维几何特征:基于图像的壁厚分布

Three-dimensional geometrical characterization of abdominal aortic aneurysms: image-based wall thickness distribution.

作者信息

Martufi Giampaolo, Di Martino Elena S, Amon Cristina H, Muluk Satish C, Finol Ender A

机构信息

Università degli Studi di Roma Tor Vergata, Via del Politecnico, 1 00133 Roma, Italy.

出版信息

J Biomech Eng. 2009 Jun;131(6):061015. doi: 10.1115/1.3127256.

Abstract

The clinical assessment of abdominal aortic aneurysm (AAA) rupture risk is based on the quantification of AAA size by measuring its maximum diameter from computed tomography (CT) images and estimating the expansion rate of the aneurysm sac over time. Recent findings have shown that geometrical shape and size, as well as local wall thickness may be related to this risk; thus, reliable noninvasive image-based methods to evaluate AAA geometry have a potential to become valuable clinical tools. Utilizing existing CT data, the three-dimensional geometry of nine unruptured human AAAs was reconstructed and characterized quantitatively. We propose and evaluate a series of 1D size, 2D shape, 3D size, 3D shape, and second-order curvature-based indices to quantify AAA geometry, as well as the geometry of a size-matched idealized fusiform aneurysm and a patient-specific normal abdominal aorta used as controls. The wall thickness estimation algorithm, validated in our previous work, is tested against discrete point measurements taken from a cadaver tissue model, yielding an average relative difference in AAA wall thickness of 7.8%. It is unlikely that any one of the proposed geometrical indices alone would be a reliable index of rupture risk or a threshold for elective repair. Rather, the complete geometry and a positive correlation of a set of indices should be considered to assess the potential for rupture. With this quantitative parameter assessment, future research can be directed toward statistical analyses correlating the numerical values of these parameters with the risk of aneurysm rupture or intervention (surgical or endovascular). While this work does not provide direct insight into the possible clinical use of the geometric parameters, we believe it provides the foundation necessary for future efforts in that direction.

摘要

腹主动脉瘤(AAA)破裂风险的临床评估基于通过计算机断层扫描(CT)图像测量AAA的最大直径来量化其大小,并估计动脉瘤囊随时间的扩张率。最近的研究结果表明,几何形状和大小以及局部壁厚可能与这种风险有关;因此,可靠的基于图像的无创方法来评估AAA几何形状有可能成为有价值的临床工具。利用现有的CT数据,重建并定量表征了九个未破裂的人类AAA的三维几何形状。我们提出并评估了一系列基于一维大小、二维形状、三维大小、三维形状和二阶曲率的指标,以量化AAA的几何形状,以及作为对照使用的大小匹配的理想化梭形动脉瘤和特定患者的正常腹主动脉的几何形状。在我们之前的工作中得到验证的壁厚估计算法,针对从尸体组织模型获取的离散点测量进行了测试,AAA壁厚的平均相对差异为7.8%。单独使用所提出的任何一个几何指标都不太可能是破裂风险或择期修复阈值的可靠指标。相反,应该考虑完整的几何形状和一组指标的正相关性来评估破裂的可能性。通过这种定量参数评估,未来的研究可以朝着将这些参数的数值与动脉瘤破裂或干预(手术或血管内)风险相关联的统计分析方向进行。虽然这项工作没有直接深入探讨几何参数可能的临床应用,但我们相信它为未来在该方向的努力提供了必要的基础。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验