Impact of calcification modeling to improve image fusion accuracy for endovascular aortic aneurysm repair.
calcification
endovascular aortic aneurysm repair
image registration
patient-specific
simulation
Journal
International journal for numerical methods in biomedical engineering
ISSN: 2040-7947
Titre abrégé: Int J Numer Method Biomed Eng
Pays: England
ID NLM: 101530293
Informations de publication
Date de publication:
02 2022
02 2022
Historique:
revised:
18
11
2021
received:
25
09
2021
accepted:
26
11
2021
pubmed:
3
12
2021
medline:
5
4
2022
entrez:
2
12
2021
Statut:
ppublish
Résumé
Since the 1990s, endovascular aortic aneurysm repair (EVAR) has become a common alternative to open surgery for the treatment of abdominal aortic aneurysms (AAAs). To aid the deployment of stent-grafts, fluoroscopic image guidance can be enhanced using preoperative simulation and intraoperative image fusion techniques. However, the impact of calcification (Ca) presence on the guidance accuracy of such techniques is yet to be considered. In the present work, we introduce a guidance tool that accounts for patient-specific Ca presence. Numerical simulations of EVAR were developed for 12 elective AAA patients, both with (With-Ca) and without (No-Ca) Ca consideration. To assess the accuracy of the simulations, the image results were overlaid on corresponding intraoperative images and the overlay error was measured at selected anatomical landmarks. With this approach we gained insight into the impact of Ca presence on image fusion accuracy. Inclusion of Ca improved mean image fusion accuracy by 8.68 ± 4.59%. In addition, a positive correlation between the relative Ca presence and the image fusion accuracy was found (R = .753, p < .005). Our results suggest that considering Ca presence in patient-specific EVAR simulations increases the reliability of EVAR image guidance techniques that utilize numerical simulation, especially for patients with severe aortic Ca presence.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e3556Informations de copyright
© 2021 John Wiley & Sons Ltd.
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