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Gerhardt P, Shehu N, Ferrari I, Hüllebrandt M, Hendrich E, Ewert P, Stern H, Meierhofer C, Hennemuth A. Evaluation of Aortic Valve Regurgitation by Cardiovascular Magnetic Resonance Using 2D and 4D Flow Analysis. Thorac Cardiovasc Surg 2022. [DOI: 10.1055/s-0042-1743004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- P. Gerhardt
- Deutsches Herzzentrum München, München, Deutschland
| | - N. Shehu
- Congenital Heart Disease and Pediatric cardiology, Deutsches Herzzentrum München, München, Deutschland
| | - I. Ferrari
- Congenital Heart Disease and Pediatric cardiology, Deutsches Herzzentrum München, München, Deutschland
| | | | - E. Hendrich
- Deutsches Herzzentrum München Institut für Radiologie und Nuklearmedizin, München, Deutschland
| | - P. Ewert
- Lazarettstr. 36, München, Deutschland
| | - H. Stern
- Klinik für angebore herzfehler und kinderkardiologie, Deutsches Herzzentrum München, München, Deutschland
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Shehu N, Meierhofer C, Hennemuth A, Hüllebrand M, Ewert P, Martinoff S, Stern H. Pressure Gradients within the Fontan Anastomosis in Patients with Total Cavopulmonary Connection by 4D-MR Pressure Mapping. Thorac Cardiovasc Surg 2022. [DOI: 10.1055/s-0042-1742999] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- N. Shehu
- Deutsches Herzzentrum München, München, Deutschland
| | | | | | - M. Hüllebrand
- Charité – Universitätsmedizin Berlin, Berlin, Deutschland
| | - P. Ewert
- Lazarettstr. 36, München, Deutschland
| | - S. Martinoff
- Institute für radiologie und nuklearmedizin, Deutsches Herzzentrum München, München, Deutschland
| | - H. Stern
- Klinik für angebore herzfehler und kinderkardiologie, Deutsches Herzzentrum München, München, Deutschland
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Sündermann SH, Invantsits M, Tautz L, Wamala I, Falk V, Kempfert J, Hennemuth A. Real-Time Image Overlay for Decision Support in Endoscopic Mitral Valve Surgery. Thorac Cardiovasc Surg 2021. [DOI: 10.1055/s-0041-1725693] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Hanigk M, Burgstaller E, Latus H, Shehu N, Zimmermann J, Martinoff S, Hennemuth A, Ewert P, Stern H, Meierhofer C. P1824Aortic wall shear stress in bicuspid aortic valve disease - 10-year follow-up. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz748.0576] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Introduction
Bicuspid aortic valve (BAV) disease leads to deviant complex helical flow patterns in the aorta - especially in the mid-ascending (AoA) part. In association with congenital BAV, aortic wall alterations such as aortic dilatation and dissection may occur. Among others, wall shear stress (WSS) could be one parameter to contribute to the prediction of the long-term outcome of patients with BAV. 4D-flow in cardiovascular magnetic resonance has been established as a valid method to estimate WSS.
Purpose
The aim of this study is to reevaluate WSS and comparing it to values generated in the same patient cohort with bicuspid aortic valve disease in 2008. No one of the above had aortic dilation in 2008 but proven helical flow pattern. The long term follow-up study might show changes in WSS over the period of ten years.
Methods
Ten complete 4D flow datasets of patients (age at follow-up: median 34.5 years; range 19–41 years) with bicuspid aortic valve disease without enlargement of the aorta were obtained in 2008 and reevaluated in 2018/2019 in the same patient collective. Mean WSS values were calculated with identical specific software tools. All data were analyzed by two experienced investigators.
Results
Aortic diameters at the level of the mid AoA did not change significantly in the 10-year period. The WSS values were lower in 2018 at all levels of the ascending aorta (Table 1). Indexed aortic diameters at the level of the mid ascending aorta did not change, median difference 0.06 cm/m2 (range −0.1 cm/m2 to 0.2 cm/m2; p=0.28), absolute values of indexed AoA diameters in 2018/2019 ranged from 1.27 cm/m2 to 2.2 cm/m2 (median 1.76 cm/m2).
Table 1 WSS magnitudinal [N/m2] 2008 (n=10) 2018 (n=10) Median difference p-value median range median range Level aortic bulb 0.95 0.80–1.46 0.42 0.34–0.82 −0.53 <0.01 Level mid ascending aorta 0.72 0.40–0.98 0.39 0.34–0.59 −0.33 <0.01 Level brachiocephalic trunc (BCT) 0.71 0.38–1.03 0.40 0.37–0.61 −0.31 <0.01
Conclusions
Indexed AoA diameters in BAV disease did not change significantly over a 10-year period. WSS of AoA was less compared to values generated in 2008. This might be explained by a slight alteration in hemodynamic flow patterns by the aging aorta, but not by changes of the aortic diameters. Possibly a drop of WSS in BAV could serve as a marker for a benign long term course.
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Affiliation(s)
- M Hanigk
- German Heart Center of Munich, Pediatric Cardiology and Congenital Heart Disease, Munich, Germany
| | - E Burgstaller
- German Heart Center of Munich, Pediatric Cardiology and Congenital Heart Disease, Munich, Germany
| | - H Latus
- German Heart Center of Munich, Pediatric Cardiology and Congenital Heart Disease, Munich, Germany
| | - N Shehu
- German Heart Center of Munich, Pediatric Cardiology and Congenital Heart Disease, Munich, Germany
| | - J Zimmermann
- Technical University of Munich, Department of Computer Science, Munich, Germany
| | - S Martinoff
- German Heart Center of Munich, Radiology, Munich, Germany
| | - A Hennemuth
- Fraunhofer MEVIS Institute for Medical Image Computing, Bremen, Germany
| | - P Ewert
- German Heart Center of Munich, Pediatric Cardiology and Congenital Heart Disease, Munich, Germany
| | - H Stern
- German Heart Center of Munich, Pediatric Cardiology and Congenital Heart Disease, Munich, Germany
| | - C Meierhofer
- German Heart Center of Munich, Pediatric Cardiology and Congenital Heart Disease, Munich, Germany
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Rizk J, Latus H, Zimmermann J, Mkrtchyan N, Martinoff S, Hennemuth A, Stern H, Ewert P, Meierhofer C. P872Temporal and spatial distribution of wall shear stress in the main pulmonary artery in tetralogy of Fallot patients using four dimensional flow cardiovascular magnetic resonance. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy564.p872] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- J Rizk
- Deutsches Herzzentrum Technische Universitat, Department of Pediatric Cardiology and Congenital Heart Disease, Munich, Germany
| | - H Latus
- Deutsches Herzzentrum Technische Universitat, Department of Pediatric Cardiology and Congenital Heart Disease, Munich, Germany
| | - J Zimmermann
- Technical University of Munich, Department of Computer Science, Munich, Germany
| | - N Mkrtchyan
- Deutsches Herzzentrum Technische Universitat, Department of Pediatric Cardiology and Congenital Heart Disease, Munich, Germany
| | - S Martinoff
- Deutsches Herzzentrum Technische Universitat, Department of Radiology and Nuclear Medicine, Munich, Germany
| | - A Hennemuth
- Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - H Stern
- Deutsches Herzzentrum Technische Universitat, Department of Pediatric Cardiology and Congenital Heart Disease, Munich, Germany
| | - P Ewert
- Deutsches Herzzentrum Technische Universitat, Department of Pediatric Cardiology and Congenital Heart Disease, Munich, Germany
| | - C Meierhofer
- Deutsches Herzzentrum Technische Universitat, Department of Pediatric Cardiology and Congenital Heart Disease, Munich, Germany
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Schultz V, Oechtering T, Sieren M, Scharfschwerdt M, Hennemuth A, Hüllebrand M, Sievers H, Barkhausen J, Frydrychowicz A. Erhöhte Wandschubspannung und Wandschubspannungsgradient im 4D-Fluss MRT bei Patienten nach klappenerhaltendem Aortenwurzelersatz. ROFO-FORTSCHR RONTG 2017. [DOI: 10.1055/s-0037-1600481] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- V Schultz
- Universitätklinikum Schleswig-Holstein, Klinik für Radiologie und Nuklearmedizin, Lübeck
| | - T Oechtering
- Universitätklinikum Schleswig-Holstein, Klinik für Radiologie und Nuklearmedizin, Lübeck
| | - M Sieren
- Universitätsklinikum Schleswig-Holstein, Radiologie, Lübeck
| | - M Scharfschwerdt
- Universitätsklinikum Schleswig-Holstein, Klinik für Herz- und thorakale Gefäßchirurgie, Lübeck
| | | | | | - H Sievers
- Universitätklinikum Schleswig-Holstein, Klinik für Herz- und thorakale Gefäßchirurgie, Lübeck
| | - J Barkhausen
- Universitätklinikum Schleswig-Holstein, Klinik für Radiologie und Nuklearmedizin, Lübeck
| | - A Frydrychowicz
- Universitätklinikum Schleswig-Holstein, Klinik für Radiologie und Nuklearmedizin, Lübeck
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Crozier A, Augustin CM, Neic A, Prassl AJ, Holler M, Fastl TE, Hennemuth A, Bredies K, Kuehne T, Bishop MJ, Niederer SA, Plank G. Image-Based Personalization of Cardiac Anatomy for Coupled Electromechanical Modeling. Ann Biomed Eng 2016. [PMID: 26424476 DOI: 10.1007/sl0439-015-1474-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
Computational models of cardiac electromechanics (EM) are increasingly being applied to clinical problems, with patient-specific models being generated from high fidelity imaging and used to simulate patient physiology, pathophysiology and response to treatment. Current structured meshes are limited in their ability to fully represent the detailed anatomical data available from clinical images and capture complex and varied anatomy with limited geometric accuracy. In this paper, we review the state of the art in image-based personalization of cardiac anatomy for biophysically detailed, strongly coupled EM modeling, and present our own tools for the automatic building of anatomically and structurally accurate patient-specific models. Our method relies on using high resolution unstructured meshes for discretizing both physics, electrophysiology and mechanics, in combination with efficient, strongly scalable solvers necessary to deal with the computational load imposed by the large number of degrees of freedom of these meshes. These tools permit automated anatomical model generation and strongly coupled EM simulations at an unprecedented level of anatomical and biophysical detail.
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Affiliation(s)
- A Crozier
- Institute of Biophysics, Medical University of Graz, Harrachgasse 21/IV, 8010, Graz, Austria
| | - C M Augustin
- Institute of Biophysics, Medical University of Graz, Harrachgasse 21/IV, 8010, Graz, Austria
| | - A Neic
- Institute of Biophysics, Medical University of Graz, Harrachgasse 21/IV, 8010, Graz, Austria
| | - A J Prassl
- Institute of Biophysics, Medical University of Graz, Harrachgasse 21/IV, 8010, Graz, Austria
| | - M Holler
- Institute for Mathematics and Scientific Computing, University of Graz, Graz, Austria
| | - T E Fastl
- Department of Biomedical Engineering, King's College London, London, United Kingdom
| | - A Hennemuth
- Modeling and Simulation Group, Fraunhofer MEVIS, Bremen, Germany
| | - K Bredies
- Institute for Mathematics and Scientific Computing, University of Graz, Graz, Austria
| | - T Kuehne
- Non-Invasive Cardiac Imaging in Congenital Heart Disease Unit, Charité-Universitätsmedizin, Berlin, Germany
- German Heart Institute, Berlin, Germany
| | - M J Bishop
- Department of Biomedical Engineering, King's College London, London, United Kingdom
| | - S A Niederer
- Department of Biomedical Engineering, King's College London, London, United Kingdom
| | - G Plank
- Institute of Biophysics, Medical University of Graz, Harrachgasse 21/IV, 8010, Graz, Austria.
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Crozier A, Augustin CM, Neic A, Prassl AJ, Holler M, Fastl TE, Hennemuth A, Bredies K, Kuehne T, Bishop MJ, Niederer SA, Plank G. Image-Based Personalization of Cardiac Anatomy for Coupled Electromechanical Modeling. Ann Biomed Eng 2015; 44:58-70. [PMID: 26424476 PMCID: PMC4690840 DOI: 10.1007/s10439-015-1474-5] [Citation(s) in RCA: 42] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2015] [Accepted: 09/24/2015] [Indexed: 11/26/2022]
Abstract
Computational models of cardiac electromechanics (EM) are increasingly being applied to clinical problems, with patient-specific models being generated from high fidelity imaging and used to simulate patient physiology, pathophysiology and response to treatment. Current structured meshes are limited in their ability to fully represent the detailed anatomical data available from clinical images and capture complex and varied anatomy with limited geometric accuracy. In this paper, we review the state of the art in image-based personalization of cardiac anatomy for biophysically detailed, strongly coupled EM modeling, and present our own tools for the automatic building of anatomically and structurally accurate patient-specific models. Our method relies on using high resolution unstructured meshes for discretizing both physics, electrophysiology and mechanics, in combination with efficient, strongly scalable solvers necessary to deal with the computational load imposed by the large number of degrees of freedom of these meshes. These tools permit automated anatomical model generation and strongly coupled EM simulations at an unprecedented level of anatomical and biophysical detail.
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Affiliation(s)
- A Crozier
- Institute of Biophysics, Medical University of Graz, Harrachgasse 21/IV, 8010, Graz, Austria
| | - C M Augustin
- Institute of Biophysics, Medical University of Graz, Harrachgasse 21/IV, 8010, Graz, Austria
| | - A Neic
- Institute of Biophysics, Medical University of Graz, Harrachgasse 21/IV, 8010, Graz, Austria
| | - A J Prassl
- Institute of Biophysics, Medical University of Graz, Harrachgasse 21/IV, 8010, Graz, Austria
| | - M Holler
- Institute for Mathematics and Scientific Computing, University of Graz, Graz, Austria
| | - T E Fastl
- Department of Biomedical Engineering, King's College London, London, United Kingdom
| | - A Hennemuth
- Modeling and Simulation Group, Fraunhofer MEVIS, Bremen, Germany
| | - K Bredies
- Institute for Mathematics and Scientific Computing, University of Graz, Graz, Austria
| | - T Kuehne
- Non-Invasive Cardiac Imaging in Congenital Heart Disease Unit, Charité-Universitätsmedizin, Berlin, Germany
- German Heart Institute, Berlin, Germany
| | - M J Bishop
- Department of Biomedical Engineering, King's College London, London, United Kingdom
| | - S A Niederer
- Department of Biomedical Engineering, King's College London, London, United Kingdom
| | - G Plank
- Institute of Biophysics, Medical University of Graz, Harrachgasse 21/IV, 8010, Graz, Austria.
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De Craene M, Marchesseau S, Heyde B, Gao H, Alessandrini M, Bernard O, Piella G, Porras AR, Tautz L, Hennemuth A, Prakosa A, Liebgott H, Somphone O, Allain P, Makram Ebeid S, Delingette H, Sermesant M, D'hooge J, Saloux E. 3D strain assessment in ultrasound (Straus): a synthetic comparison of five tracking methodologies. IEEE Trans Med Imaging 2013; 32:1632-1646. [PMID: 23674439 DOI: 10.1109/tmi.2013.2261823] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
This paper evaluates five 3D ultrasound tracking algorithms regarding their ability to quantify abnormal deformation in timing or amplitude. A synthetic database of B-mode image sequences modeling healthy, ischemic and dyssynchrony cases was generated for that purpose. This database is made publicly available to the community. It combines recent advances in electromechanical and ultrasound modeling. For modeling heart mechanics, the Bestel-Clement-Sorine electromechanical model was applied to a realistic geometry. For ultrasound modeling, we applied a fast simulation technique to produce realistic images on a set of scatterers moving according to the electromechanical simulation result. Tracking and strain accuracies were computed and compared for all evaluated algorithms. For tracking, all methods were estimating myocardial displacements with an error below 1 mm on the ischemic sequences. The introduction of a dilated geometry was found to have a significant impact on accuracy. Regarding strain, all methods were able to recover timing differences between segments, as well as low strain values. On all cases, radial strain was found to have a low accuracy in comparison to longitudinal and circumferential components.
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Tobon-Gomez C, De Craene M, McLeod K, Tautz L, Shi W, Hennemuth A, Prakosa A, Wang H, Carr-White G, Kapetanakis S, Lutz A, Rasche V, Schaeffter T, Butakoff C, Friman O, Mansi T, Sermesant M, Zhuang X, Ourselin S, Peitgen HO, Pennec X, Razavi R, Rueckert D, Frangi AF, Rhode KS. Benchmarking framework for myocardial tracking and deformation algorithms: an open access database. Med Image Anal 2013; 17:632-48. [PMID: 23708255 DOI: 10.1016/j.media.2013.03.008] [Citation(s) in RCA: 123] [Impact Index Per Article: 11.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2012] [Revised: 03/12/2013] [Accepted: 03/18/2013] [Indexed: 11/24/2022]
Abstract
In this paper we present a benchmarking framework for the validation of cardiac motion analysis algorithms. The reported methods are the response to an open challenge that was issued to the medical imaging community through a MICCAI workshop. The database included magnetic resonance (MR) and 3D ultrasound (3DUS) datasets from a dynamic phantom and 15 healthy volunteers. Participants processed 3D tagged MR datasets (3DTAG), cine steady state free precession MR datasets (SSFP) and 3DUS datasets, amounting to 1158 image volumes. Ground-truth for motion tracking was based on 12 landmarks (4 walls at 3 ventricular levels). They were manually tracked by two observers in the 3DTAG data over the whole cardiac cycle, using an in-house application with 4D visualization capabilities. The median of the inter-observer variability was computed for the phantom dataset (0.77 mm) and for the volunteer datasets (0.84 mm). The ground-truth was registered to 3DUS coordinates using a point based similarity transform. Four institutions responded to the challenge by providing motion estimates for the data: Fraunhofer MEVIS (MEVIS), Bremen, Germany; Imperial College London - University College London (IUCL), UK; Universitat Pompeu Fabra (UPF), Barcelona, Spain; Inria-Asclepios project (INRIA), France. Details on the implementation and evaluation of the four methodologies are presented in this manuscript. The manually tracked landmarks were used to evaluate tracking accuracy of all methodologies. For 3DTAG, median values were computed over all time frames for the phantom dataset (MEVIS=1.20mm, IUCL=0.73 mm, UPF=1.10mm, INRIA=1.09 mm) and for the volunteer datasets (MEVIS=1.33 mm, IUCL=1.52 mm, UPF=1.09 mm, INRIA=1.32 mm). For 3DUS, median values were computed at end diastole and end systole for the phantom dataset (MEVIS=4.40 mm, UPF=3.48 mm, INRIA=4.78 mm) and for the volunteer datasets (MEVIS=3.51 mm, UPF=3.71 mm, INRIA=4.07 mm). For SSFP, median values were computed at end diastole and end systole for the phantom dataset(UPF=6.18 mm, INRIA=3.93 mm) and for the volunteer datasets (UPF=3.09 mm, INRIA=4.78 mm). Finally, strain curves were generated and qualitatively compared. Good agreement was found between the different modalities and methodologies, except for radial strain that showed a high variability in cases of lower image quality.
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Schwenke M, Hennemuth A, Fischer B, Friman O. A novel anisotropic fast marching method and its application to blood flow computation in phase-contrast MRI. Methods Inf Med 2012; 51:423-8. [PMID: 23038416 DOI: 10.3414/me11.02.0032] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2011] [Accepted: 06/05/2012] [Indexed: 11/09/2022]
Abstract
BACKGROUND Phase-contrast MRI (PC MRI) can be used to assess blood flow dynamics noninvasively inside the human body. The acquired images can be reconstructed into flow vector fields. Traditionally, streamlines can be computed based on the vector fields to visualize flow patterns and particle trajectories. OBJECTIVES The traditional methods may give a false impression of precision, as they do not consider the measurement uncertainty in the PC MRI images. In our prior work, we incorporated the uncertainty of the measurement into the computation of particle trajectories. METHODS As a major part of the contribution, a novel numerical scheme for solving the anisotropic Fast Marching problem is presented. A computing time comparison to state-of-the-art methods is conducted on artificial tensor fields. A visual comparison of healthy to pathological blood flow patterns is given. RESULTS The comparison shows that the novel anisotropic Fast Marching solver outperforms previous schemes in terms of computing time. The visual comparison of flow patterns directly visualizes large deviations of pathological flow from healthy flow. CONCLUSIONS The novel anisotropic Fast Marching solver efficiently resolves even strongly anisotropic path costs. The visualization method enables the user to assess the uncertainty of particle trajectories derived from PC MRI images.
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Affiliation(s)
- M Schwenke
- Fraunhofer MEVIS, Universitätsallee 29, 28359 Bremen, Germany.
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Schuchardt F, Drexl J, Huang K, Schroeder L, Strecker C, Lambeck J, Markl M, Hennemuth A, Harloff A. Charakterisierung des zerebralen venösen Blutflusses mittels Fluss-sensitiver 4D MRT. KLIN NEUROPHYSIOL 2012. [DOI: 10.1055/s-0032-1301447] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Abstract
Myocardial MR tagging is a powerful method which allows for assessment of myocardial function and may become an important tool for clinical evaluation of cardiac dysfunction, particularly in ischemic heart disease. In addition to visual assessment it allows direct quantification of myocardial deformation and strain to measure contractility. The use of myocardial tagging has provided new insights into the (patho)physiology of regional wall motion, and several parameters have been described as being useful to identify an ischemic response of the myocardium. One challenge encountered with tagging at 1.5 T is the fading of tags at end-diastole, greatly limiting the evaluation of myocardial function during diastole. Due to longer T(1) relaxation times of the myocardium, tagging at 3 T has shown to have a higher CNR(Tag) and better tag persistence when compared to current clinical gradient-echo tagging protocols at 1.5 T. As a consequence, tagging at higher field strengths may be well suited for the characterization of the diastolic portion of the cardiac cycle in future applications.
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Affiliation(s)
- U Kramer
- Abt. für Diagnostische und Interventionelle Radiologie, Radiologische Klinik, Universität Tübingen, Hoppe-Seyler-Str. 3, 72076 Tübingen.
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Hennemuth A, Bock J, Friman O, Schumann C, Harloff A, Markl M, Peitgen HO. Visualisierungs und Explorationsmethoden zur Analyse von 4D PC MR Flussmessungen. ROFO-FORTSCHR RONTG 2010. [DOI: 10.1055/s-0030-1252935] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Friman O, Hennemuth A, Kuehnel C, Boskamp T, Dicken V, Bourquain H, Peitgen HO. Gefäßsegmentierungs- und Visualisierungsmethoden zur Computerunterstützung in Diagnostik und Therapie. ROFO-FORTSCHR RONTG 2008. [DOI: 10.1055/s-2008-1073875] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Seeger A, Hennemuth A, Döring J, Kramer U, Kühnel C, Fenchel M, Claussen CD, Miller S. Kombinierte Darstellung von MR-Koronaraniographie, MR-Perfusion und Delayed Enhancement bei Patienten mit koronarer Herzerkrankung: erste Erfahrungen. ROFO-FORTSCHR RONTG 2008. [DOI: 10.1055/s-2008-1073959] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Kühnel C, Bock S, Boskamp T, Hennemuth A, Oeltze S, Kuß A, Peitgen HO. Neue Werkzeuge zur computerunterstützten kardiovaskulären Diagnostik. ROFO-FORTSCHR RONTG 2006. [DOI: 10.1055/s-2006-941014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Hennemuth A, Boskamp T, Fritz D, Kühnel C, Bock S, Rinck D, Scheuering M, Peitgen HO. One-click coronary tree segmentation in CT angiographic images. ACTA ACUST UNITED AC 2005. [DOI: 10.1016/j.ics.2005.03.318] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Hennemuth A, Boskamp T, Kühnel C, Scheuering M, König M, Bock S, Rinck D, Peitgen HO. Neue Werkzeuge zur computerunterstützten kardiovaskulären Diagnostik. ROFO-FORTSCHR RONTG 2005. [DOI: 10.1055/s-2005-868372] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Mahnken A, Klotz E, Henzler D, Hennemuth A, Hohl C, Wildberger JE, Schaller S, Günther RW. Computertomographische Bestimmung des Herzzeitvolumens aus einer Testbolusmessung: in-vitro und in-vivo Ergebnisse. ROFO-FORTSCHR RONTG 2004. [DOI: 10.1055/s-2004-827784] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Bourquain H, Hennemuth A, Hindennach M, Schenk A, Ritter F, Peitgen HO. Operations-Planung in der Leberchirurgie. ROFO-FORTSCHR RONTG 2004. [DOI: 10.1055/s-2004-827283] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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