Department of Pediatrics, Carver College of Medicine, University of Iowa, Iowa City, IA, USA.
Int J Cardiovasc Imaging. 2010 Jun;26(5):571-8. doi: 10.1007/s10554-010-9592-5. Epub 2010 Feb 10.
The purpose of the study was to demonstrate the accuracy and clinical utility of an automated method of image analysis of 4D (3D + time) magnetic resonance (MR) imaging of the human aorta. Serial MR images of the entire thoracic aorta were acquired on 32 healthy individuals. Graph theory based segmentation was applied to the images and cross sectional area (CSA) was determined for the entire length of thoracic aorta. Mean CSA was compared between the 3 years. CSA values at the level of sinuses of Valsalva and sino-tubular junction were used to calculate average diameters for comparison to Roman-Devereux norms. A robust automated segmentation method was developed that accurately reproduced CSA measurements for the entire length of thoracic aorta in serially acquired scans with a 1% error compared to expert tracing. Calculated aortic root diameters based on CSA correlated with Roman-Devereux norms. Mean CSA for the aortic root agreed well with previously published manually derived values. Automated analysis of 4D MR images of the thoracic aorta provides accurate and reproducible results for CSA in healthy human subjects. The ability to simultaneously analyze the entire length of thoracic aorta throughout the cardiac cycle opens the door to the calculation of novel indices of aortic biophysical properties. These novel indices may lead to earlier detection of patients at risk for adverse events.
本研究旨在证明一种自动的 4D(3D+时间)磁共振成像(MRI)分析方法对人体主动脉的准确性和临床实用性。对 32 名健康个体的整个胸主动脉进行了连续的 MRI 图像采集。对图像进行基于图论的分割,并确定整个胸主动脉的横截面积(CSA)。比较了 3 年之间的平均 CSA。在瓦氏窦和窦管交界处的水平使用 CSA 值来计算平均直径,以便与 Roman-Devereux 标准进行比较。开发了一种稳健的自动分割方法,与专家追踪相比,该方法在连续采集的扫描中对胸主动脉的全长进行 CSA 测量,误差仅为 1%。基于 CSA 计算的主动脉根部直径与 Roman-Devereux 标准相关。主动脉根部的平均 CSA 与之前发表的手动推导值吻合良好。4D 磁共振成像对胸主动脉的自动分析为健康人体 CSA 提供了准确且可重复的结果。能够在整个心动周期内同时分析胸主动脉的全长,为计算主动脉生物物理特性的新指标开辟了道路。这些新的指标可能会更早地发现有不良事件风险的患者。
Int J Cardiovasc Imaging. 2010-2-10
Cardiol Young. 2011-4
Magn Reson Imaging. 2015-10
Med Image Comput Comput Assist Interv. 2011
Comput Med Imaging Graph. 2012-1-17
Eur Heart J Cardiovasc Imaging. 2014-1-7
J Cardiovasc Magn Reson. 2017-3-8
Int J Cardiovasc Imaging. 2011-3
Cardiol Young. 2011-4
Med Image Anal. 2009-6
Comput Biol Med. 2006-9
J Magn Reson Imaging. 2005-1
Int J Cardiol. 2004-12
J Appl Physiol (1985). 2005-8