arXiv:2509.12596eess.IVcs.CE2025-09被引 2

从CT影像到有限元分析,构建胸主动脉瘤个性化建模计算流程

A Computational Pipeline for Patient-Specific Modeling of Thoracic Aortic Aneurysm: From Medical Image to Finite Element Analysis

  • 基于深度学习分割CT图像,生成解剖结构体素掩膜
  • 将体素掩膜转换为高精度六面体网格,支持精确有限元模拟
  • 实现患者特异性建模,助力主动脉瘤破裂风险评估

主动脉是人体最大的动脉,为体循环中氧气血的主要输送通道。主动脉瘤在美国死亡原因中长期位居前二十。胸主动脉瘤(TAA)源于胸主动脉的异常扩张,仍是临床重要疾病,是成人主要死因之一。当主动脉壁各层完整性因血压升高而破坏时,TAA会发生破裂。目前三维计算机断层扫描(3D CT)被视为诊断TAA的金标准。从医学影像中量化获得的主动脉几何特征,以及通过有限元分析(FEA)获取的主动脉壁应力,对于评估破裂和夹层风险至关重要。基于深度学习的图像分割已成为从医学图像中提取感兴趣解剖区域的可靠方法。通常将体素化分割掩膜转换为结构化网格表示,以实现准确模拟。六面体网格因计算效率高且模拟精度优异,常用于主动脉有限元仿真。由于解剖结构存在个体差异,患者特异性建模可实现对个体解剖与生物力学行为的精细评估,支持精准模拟、准确诊断及个性化治疗策略。有限元(FE)模拟在临床研究中提供了组织与器官生物力学行为的重要洞见。构建准确的FE模型是建立基于患者特异性、生物力学的TAA破裂风险预测框架的关键第一步。

原文摘要 · Abstract (English)

The aorta is the body's largest arterial vessel, serving as the primary pathway for oxygenated blood within the systemic circulation. Aortic aneurysms consistently rank among the top twenty causes of mortality in the United States. Thoracic aortic aneurysm (TAA) arises from abnormal dilation of the thoracic aorta and remains a clinically significant disease, ranking as one of the leading causes of death in adults. A thoracic aortic aneurysm ruptures when the integrity of all aortic wall layers is compromised due to elevated blood pressure. Currently, three-dimensional computed tomography (3D CT) is considered the gold standard for diagnosing TAA. The geometric characteristics of the aorta, which can be quantified from medical imaging, and stresses on the aortic wall, which can be obtained by finite element analysis (FEA), are critical in evaluating the risk of rupture and dissection. Deep learning based image segmentation has emerged as a reliable method for extracting anatomical regions of interest from medical images. Voxel based segmentation masks of anatomical structures are typically converted into structured mesh representation to enable accurate simulation. Hexahedral meshes are commonly used in finite element simulations of the aorta due to their computational efficiency and superior simulation accuracy. Due to anatomical variability, patient specific modeling enables detailed assessment of individual anatomical and biomechanics behaviors, supporting precise simulations, accurate diagnoses, and personalized treatment strategies. Finite element (FE) simulations provide valuable insights into the biomechanical behaviors of tissues and organs in clinical studies. Developing accurate FE models represents a crucial initial step in establishing a patient-specific, biomechanically based framework for predicting the risk of TAA.

医学影像有限元分析主动脉瘤个性化建模

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