Book of Abstracts 15th International Symposium on Computer Methods in Biomechanics and Biomedical Engineering and 3rd Conference on Imaging and Visualization

In this edition, the two events will run together as a single conference, highlighting the strong connection with the Taylor & Francis journals: Computer Methods in Biomechanics and Biomedical Engineering (John Middleton and Christopher Jacobs, Eds.) and Computer Methods in Biomechanics and Biomedical Engineering: Imaging and Visualization (JoãoManuel R.S. Tavares, Ed.). The conference has become a major international meeting on computational biomechanics, imaging andvisualization. In this edition, the main program includes 212 presentations. In addition, sixteen renowned researchers will give plenary keynotes, addressing current challenges in computational biomechanics and biomedical imaging. In Lisbon, for the first time, a session dedicated to award the winner of the Best Paper in CMBBE Journal will take place. We believe that CMBBE2018 will have a strong impact on the development of computational biomechanics and biomedical imaging and visualization, identifying emerging areas of research and promoting the collaboration and networking between participants. This impact is evidenced through the well-known research groups, commercial companies and scientific organizations, who continue to support and sponsor the CMBBE meeting series. In fact, the conference is enriched with five workshops on specific scientific topics and commercial software.info:eu-repo/semantics/draf

Apport de l'assistance par ordinateur lors de la pose d'endoprothèse aortique

The development of endovascular aortic procedures is growing. These mini-invasive techniques allow a reduction of surgical trauma, usually important in conventional open surgery. The technical limitations of endovascular repair are pushed to special aortic localizations which were in the past decade indication for open repair. Success and efficiency of such procedures are based on the development and the implementation of decision-making tools. This work aims to improve endovascular procedures thanks to a better utilization of pre and intraoperative imaging. This approach is in the line with the framework of computer-assisted surgery whose concepts are applied to vascular surgery. The optimization of endograft deployment is considered in three steps. The first part is dedicated to preoperative imaging analysis and shows the limits of the current sizing tools. The accuracy of a new measurement criterion is assessed (outer curvature length). The second part deals with intraoperative imaging and shows the contribution of augmented reality in endovascular aortic repair. In the last part, image guided surgery on soft tissues is addressed, especially the arterial deformations occurring during endovascular procedures which disprove rigid registration in fusion imaging. The use of finite element simulation to deal with this issue is presented. We report an original approach based on a predictive model of deformations using finite element simulation with geometrical and anatomo-mechanical patient specific parameters extracted from the preoperative CT-scan.Les techniques endovasculaires, particulièrement pour l’aorte, sont en plein essor en chirurgie vasculaire. Ces techniques mini-invasives permettent de diminuer l’agression chirurgicale habituellement importante lors de la chirurgie conventionnelle. Les limites techniques sont repoussées à certaines localisations de l’aorte qui étaient il y a encore peu de temps inaccessibles aux endoprothèses. Le succès et l’efficience de ces interventions reposent en partie sur l'élaboration et la mise en œuvre de nouveaux outils d'aide à la décision. Ce travail entend contribuer à l’amélioration des procédures interventionnelles aortiques grâce à une meilleure exploitation de l’imagerie pré et peropératoire. Cette démarche s’inscrit dans le cadre plus général des Gestes Médico-Chirurgicaux Assistés par Ordinateur, dont les concepts sont revisités pour les transposer au domaine de la chirurgie endovasculaire. Trois axes sont développés afin de sécuriser et optimiser la pose d'endoprothèse. Le premier est focalisé sur l’analyse préopératoire du scanner (sizing) et montre les limites des outils de mesure actuels et évalue la précision d’un nouveau critère de mesure des longueurs de l’aorte (courbure externe). Le deuxième axe se positionne sur le versant peropératoire et montre la contribution de la réalité augmentée dans la pose d’une endoprothèse aortique. Le troisième axe s’intéresse au problème plus général des interventions sur les tissus mous et particulièrement aux déformations artérielles qui surviennent au cours des procédures interventionnelles qui mettent en défaut le recalage rigide lors de la fusion d’images. Nous présentons une approche originale basée sur un modèle numérique de prédiction des déformations qui utilise la simulation par éléments finis en y intégrant des paramètres géométriques et anatomo-mécaniques spécifique-patient extraits du scanner préopératoire

Proper orthogonal decomposition with interpolation-based real-time modelling of the heart

Several studies have been carried out recently with the aim of achieving cardiac modelling of the whole heart for a full heartbeat. However, within the context of the Galerkin method, those simulations require high computational demand, ranging from 16 - 200 CPUs, and long calculation time, lasting from 1 h - 50 h. To solve this problem, this research proposes to make use of a Reduced Order Method (ROM) called the Proper Orthogonal Decomposition with Interpolation method (PODI) to achieve real-time modelling with an adequate level of solution accuracy. The idea behind this method is to first construct a database of pre-computed full-scale solutions using the Element-free Galerkin method (EFG) and then project a selected subset of these solutions to a low dimensional space. Using the Moving Least Square method (MLS), an interpolation is carried out for the problem-at-hand, before the resulting coefficients are projected back to the original high dimensional solution space. The aim of this project is to tackle real-time modelling of a patient-specific heart for a full heartbeat in different stages, namely: modelling (i) the diastolic filling with variations of material properties, (ii) the isovolumetric contraction (IVC), ejection and isovolumetric relation (IVR) with arbitrary time evolutions, and (iii) variations in heart anatomy. For the diastolic filling, computations are carried out on a bi-ventricle model (BV) to investigate the performance and accuracy for varying the material parameters. The PODI calculations of the LV are completed within 14 s on a normal desktop machine with a relative L₂-error norm of 6x10⁻³. These calculations are about 2050 times faster than EFG, with each displacement step generated at a calculation frequency of 1074 Hz. An error sensitivity analysis is consequently carried out to find the most sensitive parameter and optimum dataset to be selected for the PODI calculation. In the second phase of the research, a so-called "time standardisation scheme" is adopted to model a full heartbeat cycle. This is due to the simulation of the IVC, ejection, and IVR phases being carried out using a displacement-driven calculation method which does not use uniform simulation steps across datasets. Generated results are accurate, with the PODI calculations being 2200 faster than EFG. The PODI method is, in the third phase of this work, extended to deal with arbitrary heart meshes by developing a method called "Degrees of freedom standardisation" (DOFS). DOFS consists of using a template mesh over which all dataset result fields are projected. Once the result fields are standardised, they are consequently used for the PODI calculation, before the PODI solution is projected back to the mesh of the problem-at-hand. The first template mesh to be considered is a cube mesh. However, it is found to produce results with high errors and non-physical behaviour. The second template mesh used is a heart template. In this case, a preprocessing step is required where a non-rigid transformation based on the coherent point drift method is used to transform all dataset hearts onto the heart template. The heart template approach generated a PODI solution of higher accuracy at a relatively low computational time. Following these encouraging results, a final investigation is carried out where the PODI method is coupled with a computationally expensive gradient-based optimisation method called the Levenberg- Marquardt (PODI-LVM) method. It is then compared against the full-scale simulation one where the EFG is used with the Levenberg-Marquardt method (EFG-LVM). In this case, the PODI-LVM simulations are 1025 times faster than the EFG-LVM, while its error is less than 1%. It is also observed that since the PODI database is built using EFG simulations, the PODI-LVM behaves similarly to the EFG-LVM one

Medical Image Registration: Statistical Models of Performance in Relation to the Statistical Characteristics of the Image Data

For image-guided interventions, the imaging task often pertains to registering preoperative and intraoperative images within a common coordinate system. While the accuracy of the registration is directly tied to the accuracy of targeting in the intervention (and presumably the success of the medical outcome), there is relatively little quantitative understanding of the fundamental factors that govern image registration accuracy. A statistical framework is presented that relates models of image noise and spatial resolution to the task of registration, giving theoretical limits on registration accuracy and providing guidance for the selection of image acquisition and post-processing parameters. The framework is further shown to model the confounding influence of soft-tissue deformation in rigid image registration — accurately predicting the reduction in registration accuracy and revealing similarity metrics that are robust against such effects. Furthermore, the framework is shown to provide conceptual guidance in the development of a novel CT-to-radiograph registration method that accounts for deformation. The work also examines a learning-based method for deformable registration to investigate how the statistical characteristics of the training data affect the ability of the model to generalize to test data with differing statistical characteristics. The analysis provides insight on the benefits of statistically diverse training data in generalizability of a neural network and is further applied to the development of a learning-based MR-to-CT synthesis method. Overall, the work yields a quantitative approach to theoretically and experimentally relate the accuracy of image registration to the statistical characteristics of the image data, providing a rigorous guide to the development of new registration methods

Physics-Based Probabilistic Motion Compensation of Elastically Deformable Objects

A predictive tracking approach and a novel method for visual motion compensation are introduced, which accurately reconstruct and compensate the deformation of the elastic object, even in the case of complete measurement information loss. The core of the methods involves a probabilistic physical model of the object, from which all other mathematical models are systematically derived. Due to flexible adaptation of the models, the balance between their complexity and their accuracy is achieved

CT Scanning

Since its introduction in 1972, X-ray computed tomography (CT) has evolved into an essential diagnostic imaging tool for a continually increasing variety of clinical applications. The goal of this book was not simply to summarize currently available CT imaging techniques but also to provide clinical perspectives, advances in hybrid technologies, new applications other than medicine and an outlook on future developments. Major experts in this growing field contributed to this book, which is geared to radiologists, orthopedic surgeons, engineers, and clinical and basic researchers. We believe that CT scanning is an effective and essential tools in treatment planning, basic understanding of physiology, and and tackling the ever-increasing challenge of diagnosis in our society