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Patient-Speci c Velocity Boundary Conditions from Phase ...From PC MRI data to patient-speci c velocity pro les Conclusions and Future Works Andrea rtioT (unipv) Boundary Conditions

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Page 1: Patient-Speci c Velocity Boundary Conditions from Phase ...From PC MRI data to patient-speci c velocity pro les Conclusions and Future Works Andrea rtioT (unipv) Boundary Conditions

Patient-Speci�c Velocity Boundary

Conditions from Phase Contrast

Magnetic Resonance Imaging

Andrea Torti

Università degli Studi di Pavia

February 26, 2014

Supervisor: Simone Morganti, PhD

Andrea Torti (unipv) Boundary Conditions from PC-MRI February 26, 2014 1 / 22

Page 2: Patient-Speci c Velocity Boundary Conditions from Phase ...From PC MRI data to patient-speci c velocity pro les Conclusions and Future Works Andrea rtioT (unipv) Boundary Conditions

Outline

Computational Fluid Analysis in the Biomedical Field

Goal of the thesis

From PC MRI data to patient-speci�c velocity pro�les

Conclusions and Future Works

Andrea Torti (unipv) Boundary Conditions from PC-MRI February 26, 2014 2 / 22

Page 3: Patient-Speci c Velocity Boundary Conditions from Phase ...From PC MRI data to patient-speci c velocity pro les Conclusions and Future Works Andrea rtioT (unipv) Boundary Conditions

Outline

Computational Fluid Analysis in the Biomedical Field

Goal of the thesis

From PC MRI data to patient-speci�c velocity pro�les

Conclusions and Future Works

Andrea Torti (unipv) Boundary Conditions from PC-MRI February 26, 2014 3 / 22

Page 4: Patient-Speci c Velocity Boundary Conditions from Phase ...From PC MRI data to patient-speci c velocity pro les Conclusions and Future Works Andrea rtioT (unipv) Boundary Conditions

Outline

Computational Fluid Analysis in the Biomedical Field

Goal of the thesis

From PC MRI data to patient-speci�c velocity pro�les

Conclusions and Future Works

Andrea Torti (unipv) Boundary Conditions from PC-MRI February 26, 2014 4 / 22

Page 5: Patient-Speci c Velocity Boundary Conditions from Phase ...From PC MRI data to patient-speci c velocity pro les Conclusions and Future Works Andrea rtioT (unipv) Boundary Conditions

Outline

Computational Fluid Analysis in the Biomedical Field

Goal of the thesis

From PC MRI data to patient-speci�c velocity pro�les

Conclusions and Future Works

Andrea Torti (unipv) Boundary Conditions from PC-MRI February 26, 2014 5 / 22

Page 6: Patient-Speci c Velocity Boundary Conditions from Phase ...From PC MRI data to patient-speci c velocity pro les Conclusions and Future Works Andrea rtioT (unipv) Boundary Conditions

Computational Fluid Analysis

Computational Fluid Analysis (FSI/CFD) is:

non-invasive

potentially very accurate

predictive

Therefore very useful in the Biomedical �eld

Andrea Torti (unipv) Boundary Conditions from PC-MRI February 26, 2014 6 / 22

Page 7: Patient-Speci c Velocity Boundary Conditions from Phase ...From PC MRI data to patient-speci c velocity pro les Conclusions and Future Works Andrea rtioT (unipv) Boundary Conditions

Computational Fluid Analysis (FSI/CFD)

A widely investigated issue for practical purposes:

Gerbeau and Vidrascu, 2003 �> Algorithms for FSI

Papaharilaou et al., 2006 �> FSI for Abdominal Aortic Walls Stress

Bluestein et al., 2008 �> FSI for Abdominal Aortic Aneurysm

Andrea Torti (unipv) Boundary Conditions from PC-MRI February 26, 2014 7 / 22

Page 8: Patient-Speci c Velocity Boundary Conditions from Phase ...From PC MRI data to patient-speci c velocity pro les Conclusions and Future Works Andrea rtioT (unipv) Boundary Conditions

FSI/CFD Recipe

...What is needed?

Andrea Torti (unipv) Boundary Conditions from PC-MRI February 26, 2014 8 / 22

Page 9: Patient-Speci c Velocity Boundary Conditions from Phase ...From PC MRI data to patient-speci c velocity pro les Conclusions and Future Works Andrea rtioT (unipv) Boundary Conditions

Geometrical Domain - Patient-Speci�c Approach

Nealand and Kerckho�s, 2009 �> Progress in Patient-Speci�c Approaches

Auricchio et al., 2014 �> CFD for TEVAR evaluation

Andrea Torti (unipv) Boundary Conditions from PC-MRI February 26, 2014 9 / 22

Page 10: Patient-Speci c Velocity Boundary Conditions from Phase ...From PC MRI data to patient-speci c velocity pro les Conclusions and Future Works Andrea rtioT (unipv) Boundary Conditions

Aim of the thesis

GOAL

De�nition of a time and space-dependent Aortic In�ow using Patient-Speci�c Data from PhaseContrast Magnetic Resonance Imaging

Andrea Torti (unipv) Boundary Conditions from PC-MRI February 26, 2014 10 / 22

Page 11: Patient-Speci c Velocity Boundary Conditions from Phase ...From PC MRI data to patient-speci c velocity pro les Conclusions and Future Works Andrea rtioT (unipv) Boundary Conditions

Available Data - PC MRI

PC-MRI: physical principles

Andrea Torti (unipv) Boundary Conditions from PC-MRI February 26, 2014 11 / 22

Page 12: Patient-Speci c Velocity Boundary Conditions from Phase ...From PC MRI data to patient-speci c velocity pro les Conclusions and Future Works Andrea rtioT (unipv) Boundary Conditions

PC MRI

Two kinds of data

Unlike standard MRI, PC-MRI also employs information from phase maps

Andrea Torti (unipv) Boundary Conditions from PC-MRI February 26, 2014 12 / 22

Page 13: Patient-Speci c Velocity Boundary Conditions from Phase ...From PC MRI data to patient-speci c velocity pro les Conclusions and Future Works Andrea rtioT (unipv) Boundary Conditions

Clinical Data

30 phase maps (ascending aorta slice) extracted via PC MRI at I.R.C.C.S. San Donato, Milan

Andrea Torti (unipv) Boundary Conditions from PC-MRI February 26, 2014 13 / 22

Page 14: Patient-Speci c Velocity Boundary Conditions from Phase ...From PC MRI data to patient-speci c velocity pro les Conclusions and Future Works Andrea rtioT (unipv) Boundary Conditions

Image Cropping and Segmentation

1) Rectangular, Automatic Cropping with ImageJ

2) Elliptical, Semi-Automatic Segmentation with Matlab

Andrea Torti (unipv) Boundary Conditions from PC-MRI February 26, 2014 14 / 22

Page 15: Patient-Speci c Velocity Boundary Conditions from Phase ...From PC MRI data to patient-speci c velocity pro les Conclusions and Future Works Andrea rtioT (unipv) Boundary Conditions

From Images to Matrices

Once in Matlab, each image is related to a matrix, whose cells contain values in Houns�eld units(HU, from 0 to 255, measuring tissue density).

Andrea Torti (unipv) Boundary Conditions from PC-MRI February 26, 2014 15 / 22

Page 16: Patient-Speci c Velocity Boundary Conditions from Phase ...From PC MRI data to patient-speci c velocity pro les Conclusions and Future Works Andrea rtioT (unipv) Boundary Conditions

From Houns�el Units to Velocities

In PC-MRI, mid-gray represents steady tissues (HU0 = 127)

HUmax = 255 �> MRI Venc (in this case, 200 cm/s)

Being R = Venc/HUmax , we can use the following relation:

v(i,j) = (HU(i,j)-HU0)R

Andrea Torti (unipv) Boundary Conditions from PC-MRI February 26, 2014 16 / 22

Page 17: Patient-Speci c Velocity Boundary Conditions from Phase ...From PC MRI data to patient-speci c velocity pro les Conclusions and Future Works Andrea rtioT (unipv) Boundary Conditions

Mean Velocities Calculations

Andrea Torti (unipv) Boundary Conditions from PC-MRI February 26, 2014 17 / 22

Page 18: Patient-Speci c Velocity Boundary Conditions from Phase ...From PC MRI data to patient-speci c velocity pro les Conclusions and Future Works Andrea rtioT (unipv) Boundary Conditions

Comparing Datasets

Our Data vs Machine-provided Data

In blue, our plot representing mean velocity vs time, compared to the data provided by I.R.C.C.S.San Donato (in red)

Andrea Torti (unipv) Boundary Conditions from PC-MRI February 26, 2014 18 / 22

Page 19: Patient-Speci c Velocity Boundary Conditions from Phase ...From PC MRI data to patient-speci c velocity pro les Conclusions and Future Works Andrea rtioT (unipv) Boundary Conditions

Results

Andrea Torti (unipv) Boundary Conditions from PC-MRI February 26, 2014 19 / 22

Page 20: Patient-Speci c Velocity Boundary Conditions from Phase ...From PC MRI data to patient-speci c velocity pro les Conclusions and Future Works Andrea rtioT (unipv) Boundary Conditions

Conclusions

In the present work:

literature review on computational �uid analysis

collection of patient-speci�c PC MRI data

elaboration of the provided data to obtain time- and space-dependant velocity pro�les

Obtained patient-speci�c aortic in�ow from PC MRI is in good agreement with machine-provideddata

Andrea Torti (unipv) Boundary Conditions from PC-MRI February 26, 2014 20 / 22

Page 21: Patient-Speci c Velocity Boundary Conditions from Phase ...From PC MRI data to patient-speci c velocity pro les Conclusions and Future Works Andrea rtioT (unipv) Boundary Conditions

Future Work: Data interpolation

Data are represented on a �ner grid (but still discrete!)

We would need an interpolant function �> (LIFE V)

Andrea Torti (unipv) Boundary Conditions from PC-MRI February 26, 2014 21 / 22

Page 22: Patient-Speci c Velocity Boundary Conditions from Phase ...From PC MRI data to patient-speci c velocity pro les Conclusions and Future Works Andrea rtioT (unipv) Boundary Conditions

Patient-Speci�c Velocity Boundary

Conditions from Phase Contrast

Magnetic Resonance Imaging

Andrea Torti

Università degli Studi di Pavia

February 26, 2014

Supervisor: Simone Morganti, PhD

Andrea Torti (unipv) Boundary Conditions from PC-MRI February 26, 2014 22 / 22