arXiv:2502.02728eess.IV2025-02被引 2

用4DCT动态对比增强数据,量化心房颤动患者左心耳血流参数。

Estimation of Blood Flow Parameters in the Left Atrial Appendage from 4DCT Dynamic Contrast Enhancement

  • 通过4DCT时序信号拟合伽马分布,生成血流动力学图谱。
  • 首次实现对左心耳多心动周期内血流滞留区域的可视化与定量分析。
  • 适用于房颤患者血流风险评估,临床影像决策支持。

心脏CT常用于电生理学中评估心脏解剖结构,尤其在心房颤动(AF)患者中。AF可能导致左心耳(LAA)出现血流缓慢甚至停滞,因此评估其血流特性具有重要意义。尽管CT无法直接测量血流,但可借助计算流体力学等建模方法,结合心脏几何结构模拟血流。随着CT技术进步,现已可在低辐射剂量下实现全心高分辨率成像。在造影剂注射过程中进行多心动周期采集,可获得4维CT(4DCT)图像,直接测量动态对比增强。本研究利用高分辨率4DCT获取多个心动周期内造影剂在左心耳中的增强信号,通过每个体素随时间变化的信号,采用伽马变量拟合生成动态对比增强图谱,从而实现对左心耳内血流参数空间-时间特征的定量与可视化分析。

原文摘要 · Abstract (English)

Cardiac CT is often used clinically in electrophysiology to evaluate cardiac morphology. One such case is to evaluate patients with Atrial Fibrillation (AF). AF can cause regions of slow blood flow and blood stasis through the left atrial appendage (LAA), and therefore, it may be preferable to evaluate blood flow through the LAA in addition to morphology. Although CT cannot measure flow directly, CT data has been used to estimate flow using modeling approaches such as Computational Fluid Dynamics, which take into account the cardiac geometry to simulate flow. Advances in CT technology now enable high-resolution imaging of the whole heart with low radiation doses. With multi-heartbeat imaging during a contrast injection, we can obtain 4-dimentional CT (4DCT) images to measure dynamic contrast enhancement directly. In this study, we use high-resolution 4DCT to acquire images of contrast enhancement across the LAA over multiple heartbeats. The CT contrast signal at each voxel over time is used to create dynamic contrast enhancement maps of parameters derived from a gamma-variate fit. These contrast enhancement maps enable quantification and visualization of spatial-temporal characteristics of flow parameters across the LAA.

心血管影像4DCT血流分析房颤

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