Nicholas S. Burris | Searcharxiv

arXiv2025

Comprehensive Analysis of Relative Pressure Estimation Methods Utilizing 4D Flow MRI

Magnetic resonance imaging (MRI) can estimate three-dimensional (3D) time-resolved relative pressure fields using 4D-flow MRI, thereby providing rich pressure field information. Clinical alternatives include catheterization and Doppler echocardiography, which only provide one-dimensional pressure drops. The accuracy of one-dimensional pressure drops derived from 4D-flow has been explored previously, but additional work is needed to evaluate the accuracy of 3D relative pressure field estimates. This work presents an analysis of three state-of-the-art relative pressure estimators: virtual Work-Energy Relative Pressure (vWERP), the Pressure Poisson Estimator (PPE), and the Stokes Estimator (STE). The spatiotemporal characteristics and sensitivity to noise were determined in silico. Estimators were then validated using a type B aortic dissection (TBAD) flow phantom with varying tear geometry and twelve catheter pressure measurements. Finally, the performance of each estimator was evaluated across eight patient cases. In silico pressure field errors were lower in STE compared to PPE, although PPE pressures were less noise sensitive. High velocity gradients and low spatial resolution contributed most significantly to local variations in 3D pressure field errors. Low temporal resolution lead to systematic underestimation of highly transient peak pressure events. In the flow phantom analysis, vWERP was the most accurate method, followed by STE and PPE. Each pressure estimator was strongly correlated with ground truth pressure values, despite the tendency to underestimate peak pressures. Patient case results demonstrated that each pressure estimator could be feasibly integrated into a clinical workflow.

physics.flu-dyn↗

arXiv2023

LitCall: Learning Implicit Topology for CNN-based Aortic Landmark Localization

Landmark detection is a critical component of the image processing pipeline for automated aortic size measurements. Given that the thoracic aorta has a relatively conserved topology across the population and that a human annotator with minimal training can estimate the location of unseen landmarks from limited examples, we proposed an auxiliary learning task to learn the implicit topology of aortic landmarks through a CNN-based network. Specifically, we created a network to predict the location of missing landmarks from the visible ones by minimizing the Implicit Topology loss in an end-to-end manner. The proposed learning task can be easily adapted and combined with Unet-style backbones. To validate our method, we utilized a dataset consisting of 207 CTAs, labeling four landmarks on each aorta. Our method outperforms the state-of-the-art Unet-style architectures (ResUnet, UnetR) in terms of localization accuracy, with only a light (#params=0.4M) overhead. We also demonstrate our approach in two clinically meaningful applications: aortic sub-region division and automatic centerline generation.

eess.IV↗