687 research outputs found
Myocardial tagging by Cardiovascular Magnetic Resonance: evolution of techniques--pulse sequences, analysis algorithms, and applications
Cardiovascular magnetic resonance (CMR) tagging has been established as an essential technique for measuring regional myocardial function. It allows quantification of local intramyocardial motion measures, e.g. strain and strain rate. The invention of CMR tagging came in the late eighties, where the technique allowed for the first time for visualizing transmural myocardial movement without having to implant physical markers. This new idea opened the door for a series of developments and improvements that continue up to the present time. Different tagging techniques are currently available that are more extensive, improved, and sophisticated than they were twenty years ago. Each of these techniques has different versions for improved resolution, signal-to-noise ratio (SNR), scan time, anatomical coverage, three-dimensional capability, and image quality. The tagging techniques covered in this article can be broadly divided into two main categories: 1) Basic techniques, which include magnetization saturation, spatial modulation of magnetization (SPAMM), delay alternating with nutations for tailored excitation (DANTE), and complementary SPAMM (CSPAMM); and 2) Advanced techniques, which include harmonic phase (HARP), displacement encoding with stimulated echoes (DENSE), and strain encoding (SENC). Although most of these techniques were developed by separate groups and evolved from different backgrounds, they are in fact closely related to each other, and they can be interpreted from more than one perspective. Some of these techniques even followed parallel paths of developments, as illustrated in the article. As each technique has its own advantages, some efforts have been made to combine different techniques together for improved image quality or composite information acquisition. In this review, different developments in pulse sequences and related image processing techniques are described along with the necessities that led to their invention, which makes this article easy to read and the covered techniques easy to follow. Major studies that applied CMR tagging for studying myocardial mechanics are also summarized. Finally, the current article includes a plethora of ideas and techniques with over 300 references that motivate the reader to think about the future of CMR tagging
Dynamic finite-strain modelling of the human left ventricle in health and disease using an immersed boundary-finite element method
Detailed models of the biomechanics of the heart are important both for developing improved interventions for patients with heart disease and also for patient risk stratification and treatment planning. For instance, stress distributions in the heart affect cardiac remodelling, but such distributions are not presently accessible in patients. Biomechanical models of the heart offer detailed three-dimensional deformation, stress and strain fields that can supplement conventional clinical data. In this work, we introduce dynamic computational models of the human left ventricle (LV) that are derived from clinical imaging data obtained from a healthy subject and from a patient with a myocardial infarction (MI). Both models incorporate a detailed invariant-based orthotropic description of the passive elasticity of the ventricular myocardium along with a detailed biophysical model of active tension generation in the ventricular muscle. These constitutive models are employed within a dynamic simulation framework that accounts for the inertia of the ventricular muscle and the blood that is based on an immersed boundary (IB) method with a finite element description of the structural mechanics. The geometry of the models is based on data obtained non-invasively by cardiac magnetic resonance (CMR). CMR imaging data are also used to estimate the parameters of the passive and active constitutive models, which are determined so that the simulated end-diastolic and end-systolic volumes agree with the corresponding volumes determined from the CMR imaging studies. Using these models, we simulate LV dynamics from end-diastole to end-systole. The results of our simulations are shown to be in good agreement with subject-specific CMR-derived strain measurements and also with earlier clinical studies on human LV strain distributions
Model-Based Shape and Motion Analysis: Left Ventricle of a Heart
The accurate and clinically useful estimation of the shape, motion, and deformation of the left ventricle of a heart (LV) is an important yet open research problem. Recently, computer vision techniques for reconstructing the 3-D shape and motion of the LV have been developed. The main drawback of these techniques, however, is that their models are formulated in terms of either too many local parameters that require non-trivial processing to be useful for close to real time diagnosis, or too few parameters to offer an adequate approximation to the LV motion.
To address the problem, we present a new class of volumetric primitives for a compact and accurate LV shape representation in which model parameters are functions. Lagrangian dynamics are employed to convert geometric models into dynamic models that can deform according to the forces manifested in the data points. It is thus possible to make a precise estimation of the deformation of the LV shape endocardial, epicardial and anywhere in between with a small number of intuitive parameter functions.
We believe that the proposed technique has a wide range of potential applications. In this thesis, we demonstrate the possibility by applying it to the 3-D LV shape and motion characterization from magnetic tagging data (MRI-SPAMM). We show that the results of our experiments with normal and abnormal heart data enable us to quantitatively verify the physicians\u27 qualitative conception of the left ventricular wall motion
QUANTITATIVE ELASTICITY IMAGING AND SOFT TISSUE CHARACTERIZATION USING TAGGED MAGNETIC RESONANCE IMAGING
Ph.DDOCTOR OF PHILOSOPH
Identification of weakly coupled multiphysics problems. Application to the inverse problem of electrocardiography
This work addresses the inverse problem of electrocardiography from a new
perspective, by combining electrical and mechanical measurements. Our strategy
relies on the defini-tion of a model of the electromechanical contraction which
is registered on ECG data but also on measured mechanical displacements of the
heart tissue typically extracted from medical images. In this respect, we
establish in this work the convergence of a sequential estimator which combines
for such coupled problems various state of the art sequential data assimilation
methods in a unified consistent and efficient framework. Indeed we ag-gregate a
Luenberger observer for the mechanical state and a Reduced Order Unscented
Kalman Filter applied on the parameters to be identified and a POD projection
of the electrical state. Then using synthetic data we show the benefits of our
approach for the estimation of the electrical state of the ventricles along the
heart beat compared with more classical strategies which only consider an
electrophysiological model with ECG measurements. Our numerical results
actually show that the mechanical measurements improve the identifiability of
the electrical problem allowing to reconstruct the electrical state of the
coupled system more precisely. Therefore, this work is intended to be a first
proof of concept, with theoretical justifications and numerical investigations,
of the ad-vantage of using available multi-modal observations for the
estimation and identification of an electromechanical model of the heart
Robust Cardiac Motion Estimation using Ultrafast Ultrasound Data: A Low-Rank-Topology-Preserving Approach
Cardiac motion estimation is an important diagnostic tool to detect heart
diseases and it has been explored with modalities such as MRI and conventional
ultrasound (US) sequences. US cardiac motion estimation still presents
challenges because of the complex motion patterns and the presence of noise. In
this work, we propose a novel approach to estimate the cardiac motion using
ultrafast ultrasound data. -- Our solution is based on a variational
formulation characterized by the L2-regularized class. The displacement is
represented by a lattice of b-splines and we ensure robustness by applying a
maximum likelihood type estimator. While this is an important part of our
solution, the main highlight of this paper is to combine a low-rank data
representation with topology preservation. Low-rank data representation
(achieved by finding the k-dominant singular values of a Casorati Matrix
arranged from the data sequence) speeds up the global solution and achieves
noise reduction. On the other hand, topology preservation (achieved by
monitoring the Jacobian determinant) allows to radically rule out distortions
while carefully controlling the size of allowed expansions and contractions.
Our variational approach is carried out on a realistic dataset as well as on a
simulated one. We demonstrate how our proposed variational solution deals with
complex deformations through careful numerical experiments. While maintaining
the accuracy of the solution, the low-rank preprocessing is shown to speed up
the convergence of the variational problem. Beyond cardiac motion estimation,
our approach is promising for the analysis of other organs that experience
motion.Comment: 15 pages, 10 figures, Physics in Medicine and Biology, 201
The effect of the elongation of the proximal aorta on the estimation of the aortic wall distensibility
The compliance of the proximal aortic wall is a major determinant of cardiac afterload. Aortic compliance is often estimated based on cross-sectional area changes over the pulse pressure, under the assumption of a negligible longitudinal stretch during the pulse. However, the proximal aorta is subjected to significant axial stretch during cardiac contraction. In the present study, we sought to evaluate the importance of axial stretch on compliance estimation by undertaking both an in silico and an in vivo approach. In the computational analysis, we developed a 3-D finite element model of the proximal aorta and investigated the discrepancy between the actual wall compliance to the value estimated after neglecting the longitudinal stretch of the aorta. A parameter sensitivity analysis was further conducted to show how increased material stiffness and increased aortic root motion might amplify the estimation errors (discrepancies between actual and estimated distensibility ranging from - 20 to - 62%). Axial and circumferential aortic deformation during ventricular contraction was also evaluated in vivo based on MR images of the aorta of 3 healthy young volunteers. The in vivo results were in good qualitative agreement with the computational analysis (underestimation errors ranging from - 26 to - 44%, with increased errors reflecting higher aortic root displacement). Both the in silico and in vivo findings suggest that neglecting the longitudinal strain during contraction might lead to severe underestimation of local aortic compliance, particularly in the case of women who tend to have higher aortic root motion or in subjects with stiff aortas
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