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Non-Invasive Diagnostics For Cardiovascular Flows: Medical Applications

ORAL · Invited

Abstract

The human cardiovascular system displays complex flow patterns, which become abnormal in disease states. Imaging methods such as ultrasound and phase-contrast MRI offer opportunities and present challenges in patient care when measuring these flows. This presentation will discuss advancements that enhance cardiovascular flow measurements for diagnosing and monitoring diseases. These techniques have been tested in pre-clinical and clinical studies, revealing correlations between flow pressure, shear, strain, energy losses, and disease conditions. We developed methods to improve the accuracy of our tools, addressing limitations such as image noise, resolution, and velocity reconstruction. We employ data augmentation techniques that adhere to flow physics principles, phase unwrapping, denoising methods, and bias error models. Moreover, we have created ways to evaluate relative pressure and wall shear stress and use data fusion to increase accuracy and resolution. Finally, we demonstrate these capabilities in clinical applications, including aneurysms, congenital heart disease, and heart failure. These advancements have the potential to improve diagnosis and patient management significantly.

Publication: 1. Meyers, B., Nyce, J., Zhang, J., Frank, L. H., Balaras, E., Vlachos, P. P., & Loke, Y. H. (2023). Intracardiac Flow Analysis of the Right Ventricle in Pediatric Patients With Repaired Tetralogy of Fallot Using a Novel Color Doppler Velocity Reconstruction. Journal of the American Society of Echocardiography, 36(6), 644-653.<br>2. Rothenberger, S. M., Patel, N. M., Zhang, J., Schnell, S., Craig, B. A., Ansari, S. A., ... & Rayz, V. L. (2023). Automatic 4D flow MRI Segmentation Using the Standardized Difference of Means Velocity. IEEE Transactions on Medical Imaging.<br>3. Zhang, J., Rothenberger, S. M., Brindise, M. C., Markl, M., Rayz, V. L., & Vlachos, P. P. (2022). Wall shear stress estimation for 4D flow MRI using Navier–Stokes equation correction. Annals of Biomedical Engineering, 50(12), 1810-1825.<br>4. Rothenberger, S. M., Zhang, J., Brindise, M. C., Schnell, S., Markl, M., Vlachos, P. P., & Rayz, V. L. (2022). Modeling bias error in 4D flow MRI velocity measurements. IEEE transactions on medical imaging, 41(7), 1802-1812.<br>5. Zhang, J., Brindise, M. C., Rothenberger, S. M., Markl, M., Rayz, V. L., & Vlachos, P. P. (2022). A multi-modality approach for enhancing 4D flow magnetic resonance imaging via sparse representation. Journal of the Royal Society Interface, 19(186), 20210751.<br>6. Zhang, J., Rothenberger, S.M., Brindise, M.C., Scott, M.B., Berhane, H., Baraboo, J.J., Markl, M., Rayz, V.L. and Vlachos, P.P. (2021). Divergence-free constrained phase unwrapping and denoising for 4D flow MRI using weighted least-squares. IEEE transactions on medical imaging, 40(12), pp.3389-3399.<br>7. Meyers, B. A., Goergen, C. J., Segers, P., & Vlachos, P. P. (2020). Colour-Doppler echocardiography flow field velocity reconstruction using a streamfunction–vorticity formulation. Journal of the Royal Society Interface, 17(173), 20200741.<br>8. Brindise, M. C., Meyers, B. A., & Vlachos, P. P. (2020). Universality of vortex ring decay in the left ventricle. Journal of Biomechanics, 103, 109695.<br>9. Zhang, J., Brindise, M.C., Rothenberger, S., Schnell, S., Markl, M., Saloner, D., Rayz, V.L. and Vlachos, P.P. (2019). 4D flow MRI pressure estimation using velocity measurement-error-based weighted least-squares. IEEE transactions on medical imaging, 39(5), pp.1668-1680.<br>10. Brindise, M.C., Rothenberger, S., Dickerhoff, B., Schnell, S., Markl, M., Saloner, D., Rayz, V.L. and Vlachos, P.P. (2019). Multi-modality cerebral aneurysm haemodynamic analysis: in vivo 4D flow MRI, in vitro volumetric particle velocimetry and in silico computational fluid dynamics. Journal of the Royal Society Interface, 16(158), p.20190465.<br>11. Meyers, B. A., Goergen, C. J., & Vlachos, P. P. (2018). Development and validation of a phase-filtered moving ensemble correlation for echocardiographic particle image velocimetry. Ultrasound in Medicine & Biology, 44(2), 477-488.

Presenters

  • Pavlos P Vlachos

    Purdue University

Authors

  • Pavlos P Vlachos

    Purdue University