Learning the Hidden Signature of Fetal Arch Anatomy: a Three-Dimensional Shape Analysis in Suspected Coarctation of the Aorta.


Journal

Journal of cardiovascular translational research
ISSN: 1937-5395
Titre abrégé: J Cardiovasc Transl Res
Pays: United States
ID NLM: 101468585

Informations de publication

Date de publication:
06 2023
Historique:
received: 09 06 2022
accepted: 13 10 2022
medline: 29 6 2023
pubmed: 28 10 2022
entrez: 27 10 2022
Statut: ppublish

Résumé

Neonatal coarctation of the aorta (CoA) is a common congenital heart defect. Its antenatal diagnosis remains challenging, and its pathophysiology is poorly understood. We present a novel statistical shape modeling (SSM) pipeline to study the role and predictive value of arch shape in CoA in utero. Cardiac magnetic resonance imaging (CMR) data of 112 fetuses with suspected CoA was acquired and motion-corrected to three-dimensional volumes. Centerlines from fetal arches were extracted and used to build a statistical shape model capturing relevant anatomical variations. A linear discriminant analysis was used to find the optimal axis between CoA and false positive cases. The CoA shape risk score classified cases with an area under the curve of 0.907. We demonstrate the feasibility of applying a SSM pipeline to three-dimensional fetal CMR data while providing novel insights into the anatomical determinants of CoA and the relevance of in utero arch anatomy for antenatal diagnosis of CoA.

Identifiants

pubmed: 36301513
doi: 10.1007/s12265-022-10335-9
pii: 10.1007/s12265-022-10335-9
pmc: PMC10299929
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

738-747

Subventions

Organisme : British Heart Foundation
ID : FS/ICRF/22/26028
Pays : United Kingdom
Organisme : Wellcome Trust
ID : 102431
Pays : United Kingdom
Organisme : British Heart Foundation
ID : TA/F/20/210021
Pays : United Kingdom
Organisme : Wellcome Trust
ID : WT203148/Z/16/Z
Pays : United Kingdom
Organisme : Wellcome Trust
Pays : United Kingdom
Organisme : Department of Health
Pays : United Kingdom
Organisme : Wellcome Trust
ID : 209450/Z/17/Z
Pays : United Kingdom

Informations de copyright

© 2022. The Author(s).

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Auteurs

Uxio Hermida (U)

Department of Biomedical Engineering, School of Biomedical Engineering and Imaging Sciences, King's College London, St Thomas' Hospital, 5Th Floor Becket House, 1 Lambeth Palace Road, London, SE1 7EH, UK.

Milou P M van Poppel (MPM)

Department of Cardiovascular Imaging, School of Biomedical Engineering and Imaging Sciences, King's College London, St Thomas' Hospital, London, SE1 7EH, UK.

David F A Lloyd (DFA)

Department of Perinatal Imaging, School of Biomedical Engineering and Imaging Sciences, King's College London, St Thomas' Hospital, London, SE1 7EH, UK.
Department of Congenital Heart Disease, Evelina London Children's Hospital, London, SE1 7EH, UK.

Johannes K Steinweg (JK)

Department of Cardiovascular Imaging, School of Biomedical Engineering and Imaging Sciences, King's College London, St Thomas' Hospital, London, SE1 7EH, UK.

Trisha V Vigneswaran (TV)

Department of Congenital Heart Disease, Evelina London Children's Hospital, London, SE1 7EH, UK.
Harris Birthright Centre, Fetal Medicine Research Institute, King's College Hospital, London, UK.

John M Simpson (JM)

Department of Congenital Heart Disease, Evelina London Children's Hospital, London, SE1 7EH, UK.
Harris Birthright Centre, Fetal Medicine Research Institute, King's College Hospital, London, UK.

Reza Razavi (R)

Department of Cardiovascular Imaging, School of Biomedical Engineering and Imaging Sciences, King's College London, St Thomas' Hospital, London, SE1 7EH, UK.
Department of Congenital Heart Disease, Evelina London Children's Hospital, London, SE1 7EH, UK.

Adelaide De Vecchi (A)

Department of Biomedical Engineering, School of Biomedical Engineering and Imaging Sciences, King's College London, St Thomas' Hospital, 5Th Floor Becket House, 1 Lambeth Palace Road, London, SE1 7EH, UK.

Kuberan Pushparajah (K)

Department of Cardiovascular Imaging, School of Biomedical Engineering and Imaging Sciences, King's College London, St Thomas' Hospital, London, SE1 7EH, UK.
Department of Congenital Heart Disease, Evelina London Children's Hospital, London, SE1 7EH, UK.

Pablo Lamata (P)

Department of Biomedical Engineering, School of Biomedical Engineering and Imaging Sciences, King's College London, St Thomas' Hospital, 5Th Floor Becket House, 1 Lambeth Palace Road, London, SE1 7EH, UK. pablo.lamata@kcl.ac.uk.

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