RESUMO
Image-based modeling is an active and growing area of biomedical research that utilizes medical imaging to create patient-specific simulations of physiological function. Under this paradigm, anatomical structures are segmented from a volumetric image, creating a geometric model that serves as a computational domain for physics-based modeling. A common application is the segmentation of cardiovascular structures to numerically model blood flow or tissue mechanics. The segmentation of medical image data typically results in a discrete boundary representation (surface mesh) of the segmented structure. However, it is often desirable to have an analytic representation of the model, which facilitates systematic manipulation. For example, the model then becomes easier to union with a medical device, or the geometry can be virtually altered to test or optimize a surgery. Furthermore, to employ increasingly popular isogeometric analysis (IGA) methods, the parameterization must be analysis suitable. Converting a discrete surface model to an analysis-suitable model remains a challenge, especially for complex branched structures commonly encountered in cardiovascular modeling. To address this challenge, we present a framework to convert discrete surface models of vascular geometries derived from medical image data into analysis-suitable nonuniform rational B-splines (NURBS) representation. This is achieved by decomposing the vascular geometry into a polycube structure that can be used to form a globally valid parameterization. We provide several practical examples and demonstrate the accuracy of the methods by quantifying the fidelity of the parameterization with respect to the input geometry.
RESUMO
PURPOSE: Image-based computational fluid dynamics (CFD) is widely used to predict intracranial aneurysm wall shear stress (WSS), particularly with the goal of improving rupture risk assessment. Nevertheless, concern has been expressed over the variability of predicted WSS and inconsistent associations with rupture. Previous challenges, and studies from individual groups, have focused on individual aspects of the image-based CFD pipeline. The aim of this Challenge was to quantify the total variability of the whole pipeline. METHODS: 3D rotational angiography image volumes of five middle cerebral artery aneurysms were provided to participants, who were free to choose their segmentation methods, boundary conditions, and CFD solver and settings. Participants were asked to fill out a questionnaire about their solution strategies and experience with aneurysm CFD, and provide surface distributions of WSS magnitude, from which we objectively derived a variety of hemodynamic parameters. RESULTS: A total of 28 datasets were submitted, from 26 teams with varying levels of self-assessed experience. Wide variability of segmentations, CFD model extents, and inflow rates resulted in interquartile ranges of sac average WSS up to 56%, which reduced to < 30% after normalizing by parent artery WSS. Sac-maximum WSS and low shear area were more variable, while rank-ordering of cases by low or high shear showed only modest consensus among teams. Experience was not a significant predictor of variability. CONCLUSIONS: Wide variability exists in the prediction of intracranial aneurysm WSS. While segmentation and CFD solver techniques may be difficult to standardize across groups, our findings suggest that some of the variability in image-based CFD could be reduced by establishing guidelines for model extents, inflow rates, and blood properties, and by encouraging the reporting of normalized hemodynamic parameters.
