Paper
24 February 2012 Model-based blood flow quantification from DSA: quantitative evaluation on patient data and comparison with TCCD
I. Waechter-Stehle, A. Groth, T. Bruijns, O. Brina, D. A. Ruefenacht, Z. Kulcsar, V. Mendes-Pereira, F. Perren, D. J. Hawkes, J. Weese
Author Affiliations +
Abstract
Purpose: To support intra-interventional decisions on diagnosis and treatment of cerebrovascular diseases, a method providing quantitative information about the blood flow in the vascular system is proposed. Method: This method combines rotational angiography to extract the 3D vessel geometry and digital subtraction angiography (DSA) to obtain the flow observations. A physical model of blood flow and contrast agent transport is used to predict the propagation of the contrast agent through the vascular system. In an iterative approach, the model parameters, including the volumetric blood flow rate, are adapted until the prediction matches the observations from the DSA. The flow estimation method was applied to patient data: For 24 patients, the volumetric blood flow rate was determined from angiographic images and for 17 patients, results were compared with transcranial color coded Doppler (TCCD) measurements. Results: The agreement of the x-ray based flow estimates with TCCD was reasonable (bias ΔM = 3%, correlation ρ = 0.76) and reproducibility was clearly better than the reproducibility of the acquired TCCD measurements. Conclusion: Overall we conclude that it is feasible to model the contrast agent transport in patients and to utilize the flow model to quantify their blood flow with angiographic means.
© (2012) COPYRIGHT Society of Photo-Optical Instrumentation Engineers (SPIE). Downloading of the abstract is permitted for personal use only.
I. Waechter-Stehle, A. Groth, T. Bruijns, O. Brina, D. A. Ruefenacht, Z. Kulcsar, V. Mendes-Pereira, F. Perren, D. J. Hawkes, and J. Weese "Model-based blood flow quantification from DSA: quantitative evaluation on patient data and comparison with TCCD", Proc. SPIE 8314, Medical Imaging 2012: Image Processing, 83144R (24 February 2012); https://doi.org/10.1117/12.911095
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KEYWORDS
Blood circulation

X-rays

Angiography

Data modeling

Model-based design

Toxic industrial chemicals

Wave propagation

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