arXiv subjects

Ludovic Minvielle

Publications and source records attributed to Ludovic Minvielle.

5 recordsLinked to original sources

arXiv2025

Towards personalised assessment of abdominal aortic aneurysm structural integrity

Abdominal aortic aneurysm (AAA) is a life-threatening condition characterized by the progressive dilation of the aorta, which can lead to rupture if undetected or untreated. Stress-based rupture risk estimation using computational biomechanics has been widely studied; however, it requires wall strength data that cannot be measured in humans in vivo. To overcome this limitation, the goal of this study is to present a new method for biomechanical assessment of AAA via simultaneous consideration of tension and strain in AAA wall. We present a patient-specific, non-invasive method for assessing the structural integrity of the AAA wall using only time-resolved 3D computed tomography angiography (4D-CTA) images and blood pressure data. The proposed approach integrates wall strain (throughout the cardiac cycle) and wall tension analysis to compute a novel index, the Relative Structural Integrity Index (RSII), which quantifies local wall stiffness independently of wall thickness, wall material properties, and blood pressure measurement conditions. We applied our method to twenty patients from three different hospitals to extract visual RSII maps over the AAA wall of each individual patient and to compare the RSII values between aneurysmal and non-aneurysmal aortas in one patient. Our results primarily show similar RSII values across all patients, indicating the consistency of the method. Additionally, we observed patterns consistent with experimental findings reported in the literature: AAA walls exhibited higher stiffness than healthy aortic walls, while localized low-stiffness zones in the AAA wall were predominantly found in the most dilated regions.

cs.CE↗

arXiv2025

4D-CTA Image and geometry dataset for kinematic analysis of abdominal aortic aneurysms

This article presents a dataset used in the article "Kinematics of Abdominal Aortic Aneurysms", published in the Journal of Biomechanics. The dataset is publicly available for download from the Zenodo data repository (https://doi.org/10.5281/zenodo.15477710). The dataset includes time-resolved 3D computed tomography angiography (4D-CTA) images of abdominal aortic aneurysm (AAA) captured throughout the cardiac cycle from ten patients diagnosed with AAA, along with ten patient-specific AAA geometries extracted from these images. Typically, the 4D-CTA dataset for each patient contains ten electrocardiogram (ECG)-gated 3D-CTA image frames acquired over a cardiac cycle, capturing both the systolic and diastolic phases of the AAA configuration. For method verification, the dataset also includes synthetic ground truth data generated from Patient 1's 3D-CTA AAA image in the diastolic phase. The ground truth data includes the patient-specific finite element (FE) biomechanical model and a synthetic systolic 3D-CTA image. The synthetic systolic image was generated by warping Patient 1's diastolic 3D-CTA image using the realistic displacement field obtained from the AAA biomechanical FE model. The images were acquired at Fiona Stanley Hospital in Western Australia and provided to the researchers at the Intelligent Systems for Medicine Laboratory at The University of Western Australia (ISML-UWA), where image-based AAA kinematic analysis was performed. Our dataset enabled the analysis of AAA wall displacement and strain throughout the cardiac cycle using a non-invasive, in vivo, image registration-based approach. The use of widely adopted, open-source file formats (NRRD for images and STL for geometries) facilitates broad applicability and reusability in AAA biomechanics studies that require patient-specific geometry and information about AAA kinematics during cardiac cycle.

cs.CE↗

arXiv2025

Abdominal aortic aneurysm wall stress: A 7-line code in MATLAB and a one-click software application

An abdominal aortic aneurysm (AAA) is a life-threatening condition characterized by the irreversible dilation of the lower aorta, usually detected incidentally during imaging for other health issues. Current clinical practice for managing AAA relies on a one-size-fits-all approach, based on the aneurysm's maximum diameter and growth rate, which can lead to underestimation or overestimation of AAA rupture risk. Patient-specific AAA wall stress, computed using biomechanical models derived from medical images without needing patient-specific material properties, has been widely investigated for developing individualized AAA rupture risk predictors. Therefore, AAA wall stress, determined reliably and quickly, has the potential to enhance patient-specific treatment plans. This paper presents a 7-line code, written in MATLAB using the Partial Differential Equation Toolbox, for AAA wall stress computations via finite element analysis. The code takes AAA wall geometry as input and outputs stress components over the AAA wall domain. Additionally, we present a one-click standalone software application for AAA wall stress computation, developed based on our 7-line code using MATLAB Compiler. After verification, we used our code to compute AAA wall stress in ten patients. Our analysis indicated that the 99th percentile of maximum principal stress across all patients ranged from 0.307 MPa to 0.466 MPa, with an average of 0.380 MPa and a standard deviation of 0.048 MPa. Moreover, for every case, the MATLAB simulation time was less than a minute on a laptop workstation.

cs.CE↗

arXiv2025

Towards Full Automation of Geometry Extraction for Biomechanical Analysis of Abdominal Aortic Aneurysm; Neural Network-Based versus Classical Methodologies

Background: For the clinical adoption of stress-based rupture risk estimation in abdominal aortic aneurysms (AAAs), a fully automated pipeline, from clinical imaging to biomechanical stress computation, is essential. To this end, we investigated the impact of AI-based image segmentation methods on stress computation results in the walls of AAAs. We compared wall stress distributions and magnitudes calculated from geometry models obtained from classical semi-automated segmentation versus automated neural network-based segmentation. Method: 16 different AAA contrast-enhanced computed tomography (CT) images were semi-automatically segmented by an analyst, taking between 15 and 40 minutes of human effort per patient, depending on image quality. The same images were automatically segmented using PRAEVAorta2 commercial software by NUREA (https://www.nurea-soft.com/), developed based on artificial intelligence (AI) algorithms, and automatically post-processed with an in-house MATLAB code, requiring only 1-2 minutes of computer time per patient. Aneurysm wall stress calculations were automatically performed using the BioPARR software (https://bioparr.mech.uwa.edu.au/). Results: Compared to the classical semi-automated segmentation, the automatic neural network-based segmentation leads to equivalent stress distributions, and slightly higher peak and 99th percentile maximum principal stress values. However, our statistical analysis indicated that the differences in AAA wall stress obtained using the two segmentation methods are not statistically significant and fall well within the typical range of inter-analyst and intra-analyst variability. Conclusions: Our findings are a steppingstone toward a fully automated pipeline for biomechanical analysis of AAAs, starting with CT scans and concluding with wall stress assessment.

cs.CE↗

arXiv2020

Robust Kernel Density Estimation with Median-of-Means principle

In this paper, we introduce a robust nonparametric density estimator combining the popular Kernel Density Estimation method and the Median-of-Means principle (MoM-KDE). This estimator is shown to achieve robustness to any kind of anomalous data, even in the case of adversarial contamination. In particular, while previous works only prove consistency results under known contamination model, this work provides finite-sample high-probability error-bounds without a priori knowledge on the outliers. Finally, when compared with other robust kernel estimators, we show that MoM-KDE achieves competitive results while having significant lower computational complexity.

math.ST↗