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Machine Learning-Based Segmentation of the Thoracic Aorta with Congenital Valve Disease Using MRI
KTH, School of Engineering Sciences (SCI), Centres, Linné Flow Center, FLOW. KTH, School of Engineering Sciences (SCI), Engineering Mechanics, Fluid Mechanics and Engineering Acoustics.ORCID iD: 0000-0002-0543-5148
KTH, School of Engineering Sciences (SCI), Centres, Linné Flow Center, FLOW. KTH, School of Engineering Sciences (SCI), Engineering Mechanics, Fluid Mechanics and Engineering Acoustics, Marcus Wallenberg Laboratory MWL.ORCID iD: 0000-0003-2153-9630
2023 (English)In: Bioengineering, E-ISSN 2306-5354, Vol. 10, no 10, article id 1216Article in journal (Refereed) Published
Abstract [en]

Subjects with bicuspid aortic valves (BAV) are at risk of developing valve dysfunction and need regular clinical imaging surveillance. Management of BAV involves manual and time-consuming segmentation of the aorta for assessing left ventricular function, jet velocity, gradient, shear stress, and valve area with aortic valve stenosis. This paper aims to employ machine learning-based (ML) segmentation as a potential for improved BAV assessment and reducing manual bias. The focus is on quantifying the relationship between valve morphology and vortical structures, and analyzing how valve morphology influences the aorta’s susceptibility to shear stress that may lead to valve incompetence. The ML-based segmentation that is employed is trained on whole-body Computed Tomography (CT). Magnetic Resonance Imaging (MRI) is acquired from six subjects, three with tricuspid aortic valves (TAV) and three functionally BAV, with right–left leaflet fusion. These are used for segmentation of the cardiovascular system and delineation of four-dimensional phase-contrast magnetic resonance imaging (4D-PCMRI) for quantification of vortical structures and wall shear stress. The ML-based segmentation model exhibits a high Dice score (0.86) for the heart organ, indicating a robust segmentation. However, the Dice score for the thoracic aorta is comparatively poor (0.72). It is found that wall shear stress is predominantly symmetric in TAVs. BAVs exhibit highly asymmetric wall shear stress, with the region opposite the fused coronary leaflets experiencing elevated tangential wall shear stress. This is due to the higher tangential velocity explained by helical flow, proximally of the sinutubal junction of the ascending aorta. ML-based segmentation not only reduces the runtime of assessing the hemodynamic effectiveness, but also identifies the significance of the tangential wall shear stress in addition to the axial wall shear stress that may lead to the progression of valve incompetence in BAVs, which could guide potential adjustments in surgical interventions.

Place, publisher, year, edition, pages
MDPI AG , 2023. Vol. 10, no 10, article id 1216
Keywords [en]
4D-PCMRI, aortic valve disease, machine learning segmentation
National Category
Medical Imaging Cardiology and Cardiovascular Disease
Identifiers
URN: urn:nbn:se:kth:diva-339478DOI: 10.3390/bioengineering10101216ISI: 001090031900001PubMedID: 37892946Scopus ID: 2-s2.0-85175155569OAI: oai:DiVA.org:kth-339478DiVA, id: diva2:1811445
Note

QC 20231113

Available from: 2023-11-13 Created: 2023-11-13 Last updated: 2025-02-10Bibliographically approved

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Sundström, EliasLaudato, Marco

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Linné Flow Center, FLOWFluid Mechanics and Engineering AcousticsMarcus Wallenberg Laboratory MWL
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