Design of heart phantoms for ultrasound imaging of ventricular septal defects

Purpose Ventricular septal defects (VSDs) are common congenital heart malformations. Echocardiography used during VSD hybrid cardiac procedures requires extensive training for image acquisition and interpretation. Cardiac surgery simulators with heart phantoms have shown usefulness for such training...

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Veröffentlicht in:International journal for computer assisted radiology and surgery 2022, Vol.17 (1), p.177-184
Hauptverfasser: Tibamoso-Pedraza, Gerardo, Navarro, Iñaki, Dion, Patrice, Raboisson, Marie-Josée, Lapierre, Chantale, Miró, Joaquim, Ratté, Sylvie, Duong, Luc
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container_end_page 184
container_issue 1
container_start_page 177
container_title International journal for computer assisted radiology and surgery
container_volume 17
creator Tibamoso-Pedraza, Gerardo
Navarro, Iñaki
Dion, Patrice
Raboisson, Marie-Josée
Lapierre, Chantale
Miró, Joaquim
Ratté, Sylvie
Duong, Luc
description Purpose Ventricular septal defects (VSDs) are common congenital heart malformations. Echocardiography used during VSD hybrid cardiac procedures requires extensive training for image acquisition and interpretation. Cardiac surgery simulators with heart phantoms have shown usefulness for such training, but they are limited in visualization and characterization of complex VSD. This study explores a new method to build patient-specific heart phantoms with VSD, with proper tissue echogenicity for ultrasound imaging. Methods Heart phantoms were designed from preoperative imaging of three patients with complex VSDs. Each whole heart phantom, including atrial and ventricular septums, was obtained by manual segmentation and by surface reconstruction, then by molding and by casting in different materials. Heart phantoms in silicone and polyvinyl alcohol cryogel (PVA-C) were considered, and they were reconstructed in 3-D using 2-D freehand ultrasound imaging. Results An electromagnetic measurement system was used to measure the mean VSD diameters from the heart phantoms. Errors were evaluated below 1.0 mm for mean VSD diameters between 6.2 and 7.5 mm. Conclusion Patient-specific heart phantoms promise for representing complex heart malformations such as VSDs. PVA-C showed better tissue echogenicity than silicone for VSDs visualization and characterization.
doi_str_mv 10.1007/s11548-021-02406-0
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Echocardiography used during VSD hybrid cardiac procedures requires extensive training for image acquisition and interpretation. Cardiac surgery simulators with heart phantoms have shown usefulness for such training, but they are limited in visualization and characterization of complex VSD. This study explores a new method to build patient-specific heart phantoms with VSD, with proper tissue echogenicity for ultrasound imaging. Methods Heart phantoms were designed from preoperative imaging of three patients with complex VSDs. Each whole heart phantom, including atrial and ventricular septums, was obtained by manual segmentation and by surface reconstruction, then by molding and by casting in different materials. Heart phantoms in silicone and polyvinyl alcohol cryogel (PVA-C) were considered, and they were reconstructed in 3-D using 2-D freehand ultrasound imaging. Results An electromagnetic measurement system was used to measure the mean VSD diameters from the heart phantoms. Errors were evaluated below 1.0 mm for mean VSD diameters between 6.2 and 7.5 mm. Conclusion Patient-specific heart phantoms promise for representing complex heart malformations such as VSDs. PVA-C showed better tissue echogenicity than silicone for VSDs visualization and characterization.</description><identifier>ISSN: 1861-6410</identifier><identifier>EISSN: 1861-6429</identifier><identifier>DOI: 10.1007/s11548-021-02406-0</identifier><identifier>PMID: 34021458</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Computer Imaging ; Computer Science ; Design defects ; Diameters ; Echocardiography ; Electromagnetic measurement ; Health Informatics ; Heart ; Heart Defects, Congenital - diagnostic imaging ; Heart Septal Defects, Ventricular - diagnostic imaging ; Heart Septal Defects, Ventricular - surgery ; Humans ; Image acquisition ; Image reconstruction ; Image segmentation ; Imaging ; Infant ; Medicine ; Medicine &amp; Public Health ; Original Article ; Pattern Recognition and Graphics ; Phantoms, Imaging ; Polyvinyl alcohol ; Radiology ; Silicone resins ; Simulators ; Surgery ; Training ; Ultrasonic imaging ; Ultrasonic testing ; Ultrasonography ; Vision ; Visualization</subject><ispartof>International journal for computer assisted radiology and surgery, 2022, Vol.17 (1), p.177-184</ispartof><rights>CARS 2021</rights><rights>2021. 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Echocardiography used during VSD hybrid cardiac procedures requires extensive training for image acquisition and interpretation. Cardiac surgery simulators with heart phantoms have shown usefulness for such training, but they are limited in visualization and characterization of complex VSD. This study explores a new method to build patient-specific heart phantoms with VSD, with proper tissue echogenicity for ultrasound imaging. Methods Heart phantoms were designed from preoperative imaging of three patients with complex VSDs. Each whole heart phantom, including atrial and ventricular septums, was obtained by manual segmentation and by surface reconstruction, then by molding and by casting in different materials. Heart phantoms in silicone and polyvinyl alcohol cryogel (PVA-C) were considered, and they were reconstructed in 3-D using 2-D freehand ultrasound imaging. Results An electromagnetic measurement system was used to measure the mean VSD diameters from the heart phantoms. Errors were evaluated below 1.0 mm for mean VSD diameters between 6.2 and 7.5 mm. Conclusion Patient-specific heart phantoms promise for representing complex heart malformations such as VSDs. 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Public Health</topic><topic>Original Article</topic><topic>Pattern Recognition and Graphics</topic><topic>Phantoms, Imaging</topic><topic>Polyvinyl alcohol</topic><topic>Radiology</topic><topic>Silicone resins</topic><topic>Simulators</topic><topic>Surgery</topic><topic>Training</topic><topic>Ultrasonic imaging</topic><topic>Ultrasonic testing</topic><topic>Ultrasonography</topic><topic>Vision</topic><topic>Visualization</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tibamoso-Pedraza, Gerardo</creatorcontrib><creatorcontrib>Navarro, Iñaki</creatorcontrib><creatorcontrib>Dion, Patrice</creatorcontrib><creatorcontrib>Raboisson, Marie-Josée</creatorcontrib><creatorcontrib>Lapierre, Chantale</creatorcontrib><creatorcontrib>Miró, Joaquim</creatorcontrib><creatorcontrib>Ratté, Sylvie</creatorcontrib><creatorcontrib>Duong, Luc</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal for computer assisted radiology and surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tibamoso-Pedraza, Gerardo</au><au>Navarro, Iñaki</au><au>Dion, Patrice</au><au>Raboisson, Marie-Josée</au><au>Lapierre, Chantale</au><au>Miró, Joaquim</au><au>Ratté, Sylvie</au><au>Duong, Luc</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Design of heart phantoms for ultrasound imaging of ventricular septal defects</atitle><jtitle>International journal for computer assisted radiology and surgery</jtitle><stitle>Int J CARS</stitle><addtitle>Int J Comput Assist Radiol Surg</addtitle><date>2022</date><risdate>2022</risdate><volume>17</volume><issue>1</issue><spage>177</spage><epage>184</epage><pages>177-184</pages><issn>1861-6410</issn><eissn>1861-6429</eissn><abstract>Purpose Ventricular septal defects (VSDs) are common congenital heart malformations. 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subjects Computer Imaging
Computer Science
Design defects
Diameters
Echocardiography
Electromagnetic measurement
Health Informatics
Heart
Heart Defects, Congenital - diagnostic imaging
Heart Septal Defects, Ventricular - diagnostic imaging
Heart Septal Defects, Ventricular - surgery
Humans
Image acquisition
Image reconstruction
Image segmentation
Imaging
Infant
Medicine
Medicine & Public Health
Original Article
Pattern Recognition and Graphics
Phantoms, Imaging
Polyvinyl alcohol
Radiology
Silicone resins
Simulators
Surgery
Training
Ultrasonic imaging
Ultrasonic testing
Ultrasonography
Vision
Visualization
title Design of heart phantoms for ultrasound imaging of ventricular septal defects
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