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2022 | Vol. 42, no. 4 | 1123--1136
Tytuł artykułu

Quantification of the ilio-femoral arteries tortuosity and data cluster modelling for preoperative examination

Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Detecting spatial tortuosity and atherosclerotic changes of the ilio-femoral arteries are crucial for planning endovascular access. The aim of this study was to find a reliable quantification procedure of arterial lumen and tortuosity to qualify patients for a suitable endovascular procedure. We conducted computed tomographic angiography in 76 patients. All ilio-femoral segments of the arterial tree were visualized using Osirix Dicom Viewer software to help qualify the patients to one of two groups: with possible or non-recommended vascular access. The same tomograms were then analyzed with image processing algorithms to perform ilio-femoral artery segmentation and quantification. We chose a set of arterial tortuosity and lumen measuring methods, such as the modified Gustafson-Kessel clustering algorithm and Support Vector Machine classifier, to automatically classify arterial-tree regions. The two 2D feature spaces were selected with the modified Gustafson-Kessel clusterization to create a combined model to assign around 2/3 cases to the access groups with high specificity (more than 88%) whereas the remaining patients were selected for re-evaluation. We concluded that the novel modification of the Gustafson-Kessel clustering algorithm is more suitable to the highly inseparable data than commonly used approaches. To identify ilio-femoral access limitations, we recommend more complex decision model. This study confirmed high usability of our chosen methodology in the quantitative examination of arteries for endovascular access planning.
Wydawca

Rocznik
Strony
1123--1136
Opis fizyczny
Bibliogr. 29 poz., rys., tab., wykr.
Twórcy
  • Department of the Electrical Engineering Theory, Information and Measurement Systems, Warsaw University of Technology, Warsaw, Poland, tomasz.markiewicz@pw.edu.pl
  • Department of Pathology, Military Institute of Medicine, Warsaw, Poland
  • Department of Vascular and Endovascular Surgery, Military Institute of Medicine, Warsaw, Poland, dziekiewicz@wim.mil.pl
Bibliografia
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  • [9] Koge J, Tanaka K, Yoshimoto T, Shiozawa M, Kushi Y, Ohta T, et al. Internal carotid artery tortuosity: impact on mechanical thrombectomy. Stroke 2022;53(8):2458–67.
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  • [16] Kashyap V, Gharleghi R, Li DD, McGrath-Cadell L, Graham RM, Ellis C, et al. Accuracy of vascular tortuosity measures using computational modelling. Sci Rep 2022;12(1). https://doi.org/10.1038/s41598-022-04796-w.
  • [17] Kamenskiy AV, MacTaggart JN, Pipinos II, Bikhchandani J, Dzenis YA. Three-Dimensional Geometry of the Human Carotid Artery. J Biomech Eng 2012;134(6). 0645021–0645027.
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  • [23] Markiewicz T, Dziekiewicz M, Osowski S, Boguslawska-Walecka R, Kozlowski W, Maruszynski M. Computerized system for quantitative assessment of atherosclerotic plaques in the femoral and iliac arteries visualized by multislice computed tomography. IEEE Trans Biomed Eng 2015;62(6):1490–502.
  • [24] Brummer A, Hunt D, Savage V. Improving blood vessel tortuosity measurements via highly sampled numerical integration of the frenet-serret equations. IEEE Trans Med Imaging 2021;40(1):297–309.
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  • [27] Gustafson DE, Kessel WC. Fuzzy clustering with a fuzzy covariance matrix. In: Proc. 1978 IEEE Conference on Decision and Control including the 17th Symposium on Adaptive Processes. p. 761–6.
  • [28] Song J, Kouidri S, Bakir F. Numerical study on flow topology and hemodynamics in tortuous coronary artery with symmetrical and asymmetrical stenosis. Biocybern Biomed Eng 2021;41(1):142–55.
  • [29] Weiss D, Cavinato C, Gray A, Ramachandra AB, Avril S, Humphrey JD, et al. Mechanics-driven mechanobiological mechanisms of arterial tortuosity. Sci Adv 2020;6(49).
Uwagi
PL
Opracowanie rekordu ze środków MEiN, umowa nr SONP/SP/546092/2022 w ramach programu "Społeczna odpowiedzialność nauki" - moduł: Popularyzacja nauki i promocja sportu (2022-2023)
Typ dokumentu
Bibliografia
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Identyfikator YADDA
bwmeta1.element.baztech-acff5e06-8bba-42eb-8693-8e38f090ceda
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