Predicted airway obstruction distribution based on dynamical lung ventilation data: A coupled modeling-machine learning methodology

Augmented patient-specific functional medical imaging by implicit manifold learning

This paper uses machine learning to enrich magnetic resonance angiography and magnetic resonance imaging acquisitions. A convolutional neural network is built and trained over a synthetic database linking geometrical parameters and mechanical characteristics of the arteries to blood flow rates and pressures in an arterial network. Once properly trained, the resulting neural network can be used in order to predict blood pressure in cerebral arteries noninvasively in nearly real-time. One challenge here is that not all input variables present in the synthetic database are known from patient-specific medical data. To overcome this challenge, a learning technique, which we refer to as implicit manifold learning, is employed: in this view, the input and output data of the neural network are selected based on their availability from medical measurements rather than being defined from the mechanical description of the arterial system. The results show the potential of the method and that machine learning is an alternative to costly ensemble based inversion involving sophisticated fluid structure models.

AVATREE: An open-source computational modelling framework modelling Anatomically Valid Airway TREE conformations

This paper presents AVATREE, a computational modelling framework that generates Anatomically Valid Airway tree conformations and provides capabilities for simulation of broncho-constriction apparent in obstructive pulmonary conditions. Such conformations are obtained from the personalized 3D geometry generated from computed tomography (CT) data through image segmentation. The patient-specific representation of the bronchial tree structure is extended beyond the visible airway generation depth using a knowledge-based technique built from morphometric studies. Additional functionalities of AVATREE include visualization of spatial probability maps for the airway generations projected on the CT imaging data, and visualization of the airway tree based on local structure properties. Furthermore, the proposed toolbox supports the simulation of broncho-constriction apparent in pulmonary diseases, such as chronic obstructive pulmonary disease (COPD) and asthma. AVATREE is provided as an open-source toolbox in C++ and is supported by a graphical user interface integrating the modelling functionalities. It can be exploited in studies of gas flow, gas mixing, ventilation patterns and particle deposition in the pulmonary system, with the aim to improve clinical decision making.