Correction of Pulmonary Arteriovenous Malformation Using Image-Based Surgical Planning
Identifieur interne : 001236 ( Ncbi/Merge ); précédent : 001235; suivant : 001237Correction of Pulmonary Arteriovenous Malformation Using Image-Based Surgical Planning
Auteurs : Kartik S. Sundareswaran [Géorgie (pays)] ; Diane De Zélicourt [Géorgie (pays)] ; Shiva Sharma [Géorgie (pays)] ; Kirk R. Kanter [Géorgie (pays)] ; Thomas L. Spray [Géorgie (pays)] ; Jarek Rossignac [Géorgie (pays)] ; Fotis Sotiropoulos [États-Unis] ; Mark A. Fogel [États-Unis] ; Ajit P. Yoganathan [Géorgie (pays)]Source :
- JACC. Cardiovascular imaging [ 1936-878X ] ; 2009.
Abstract
The objectives of this study were to develop an image-based surgical planning framework that 1) allows for in-depth analysis of pre-operative hemodynamics by the use of cardiac magnetic resonance and 2) enables surgeons to determine the optimum surgical scenarios before the operation. This framework is tailored for applications in which post-operative hemodynamics are important. In particular, it is exemplified here for a Fontan patient with severe left pulmonary arteriovenous malformations due to abnormal hepatic flow distribution to the lungs. Patients first undergo cardiac magnetic resonance for 3-dimensional anatomy and flow reconstruction. After analysis of the pre-operative flow fields, the 3-dimensional anatomy is imported into an interactive surgical planning interface for the surgeon to virtually perform multiple surgical scenarios. Associated hemodynamics are predicted by the use of a fully validated computational fluid dynamic solver. Finally, efficiency metrics (e.g., pressure decrease and hepatic flow distribution) are weighted against surgical feasibility to determine the optimal surgical option.
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DOI: 10.1016/j.jcmg.2009.03.019
PubMed: 19679291
PubMed Central: 3698243
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Coulter Department of Biomedical Engineering, Georgia Institute of Technology, Atlanta, Georgia</nlm:aff><country xml:lang="fr">Géorgie (pays)</country><wicri:regionArea>Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology, Atlanta</wicri:regionArea><wicri:noRegion>Atlanta</wicri:noRegion></affiliation></author><author><name sortKey="Sharma, Shiva" sort="Sharma, Shiva" uniqKey="Sharma S" first="Shiva" last="Sharma">Shiva Sharma</name><affiliation wicri:level="1"><nlm:aff id="A2"> Pediatric Cardiology Services, Atlanta, Georgia</nlm:aff><country xml:lang="fr">Géorgie (pays)</country><wicri:regionArea> Pediatric Cardiology Services, Atlanta</wicri:regionArea><wicri:noRegion>Atlanta</wicri:noRegion></affiliation></author><author><name sortKey="Kanter, Kirk R" sort="Kanter, Kirk R" uniqKey="Kanter K" first="Kirk R." last="Kanter">Kirk R. Kanter</name><affiliation wicri:level="1"><nlm:aff id="A3"> Division of Cardiothoracic Surgery, Emory University, Atlanta, Georgia</nlm:aff><country xml:lang="fr">Géorgie (pays)</country><wicri:regionArea> Division of Cardiothoracic Surgery, Emory University, Atlanta</wicri:regionArea><wicri:noRegion>Atlanta</wicri:noRegion></affiliation></author><author><name sortKey="Spray, Thomas L" sort="Spray, Thomas L" uniqKey="Spray T" first="Thomas L." last="Spray">Thomas L. Spray</name><affiliation wicri:level="1"><nlm:aff id="A4"> Division of Cardiothoracic Surgery and Emory University, Atlanta, Georgia</nlm:aff><country xml:lang="fr">Géorgie (pays)</country><wicri:regionArea> Division of Cardiothoracic Surgery and Emory University, Atlanta</wicri:regionArea><wicri:noRegion>Atlanta</wicri:noRegion></affiliation></author><author><name sortKey="Rossignac, Jarek" sort="Rossignac, Jarek" uniqKey="Rossignac J" first="Jarek" last="Rossignac">Jarek Rossignac</name><affiliation wicri:level="1"><nlm:aff id="A6"> College of Computing, Georgia Institute of Technology, Atlanta, Georgia</nlm:aff><country xml:lang="fr">Géorgie (pays)</country><wicri:regionArea> College of Computing, Georgia Institute of Technology, Atlanta</wicri:regionArea><wicri:noRegion>Atlanta</wicri:noRegion></affiliation></author><author><name sortKey="Sotiropoulos, Fotis" sort="Sotiropoulos, Fotis" uniqKey="Sotiropoulos F" first="Fotis" last="Sotiropoulos">Fotis Sotiropoulos</name><affiliation><nlm:aff id="A7"> Department of Civil Engineering, University of Minnesota, Minneapolis, Minnesota.</nlm:aff><country xml:lang="fr">États-Unis</country><placename><region type="state">Minnesota</region></placename><wicri:cityArea> Department of Civil Engineering, University of Minnesota, Minneapolis</wicri:cityArea></affiliation></author><author><name sortKey="Fogel, Mark A" sort="Fogel, Mark A" uniqKey="Fogel M" first="Mark A." last="Fogel">Mark A. Fogel</name><affiliation wicri:level="2"><nlm:aff id="A5"> Division of Cardiology, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea> Division of Cardiology, Children’s Hospital of Philadelphia, Philadelphia</wicri:cityArea></affiliation></author><author><name sortKey="Yoganathan, Ajit P" sort="Yoganathan, Ajit P" uniqKey="Yoganathan A" first="Ajit P." last="Yoganathan">Ajit P. Yoganathan</name><affiliation wicri:level="1"><nlm:aff id="A1">Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology, Atlanta, Georgia</nlm:aff><country xml:lang="fr">Géorgie (pays)</country><wicri:regionArea>Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology, Atlanta</wicri:regionArea><wicri:noRegion>Atlanta</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">19679291</idno><idno type="pmc">3698243</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3698243</idno><idno type="RBID">PMC:3698243</idno><idno type="doi">10.1016/j.jcmg.2009.03.019</idno><date when="2009">2009</date><idno type="wicri:Area/Pmc/Corpus">001797</idno><idno type="wicri:Area/Pmc/Curation">001797</idno><idno type="wicri:Area/Pmc/Checkpoint">002180</idno><idno type="wicri:Area/Ncbi/Merge">001236</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Correction of Pulmonary Arteriovenous Malformation Using Image-Based Surgical Planning</title><author><name sortKey="Sundareswaran, Kartik S" sort="Sundareswaran, Kartik S" uniqKey="Sundareswaran K" first="Kartik S." last="Sundareswaran">Kartik S. Sundareswaran</name><affiliation wicri:level="1"><nlm:aff id="A1">Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology, Atlanta, Georgia</nlm:aff><country xml:lang="fr">Géorgie (pays)</country><wicri:regionArea>Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology, Atlanta</wicri:regionArea><wicri:noRegion>Atlanta</wicri:noRegion></affiliation></author><author><name sortKey="De Zelicourt, Diane" sort="De Zelicourt, Diane" uniqKey="De Zelicourt D" first="Diane" last="De Zélicourt">Diane De Zélicourt</name><affiliation wicri:level="1"><nlm:aff id="A1">Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology, Atlanta, Georgia</nlm:aff><country xml:lang="fr">Géorgie (pays)</country><wicri:regionArea>Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology, Atlanta</wicri:regionArea><wicri:noRegion>Atlanta</wicri:noRegion></affiliation></author><author><name sortKey="Sharma, Shiva" sort="Sharma, Shiva" uniqKey="Sharma S" first="Shiva" last="Sharma">Shiva Sharma</name><affiliation wicri:level="1"><nlm:aff id="A2"> Pediatric Cardiology Services, Atlanta, Georgia</nlm:aff><country xml:lang="fr">Géorgie (pays)</country><wicri:regionArea> Pediatric Cardiology Services, Atlanta</wicri:regionArea><wicri:noRegion>Atlanta</wicri:noRegion></affiliation></author><author><name sortKey="Kanter, Kirk R" sort="Kanter, Kirk R" uniqKey="Kanter K" first="Kirk R." last="Kanter">Kirk R. Kanter</name><affiliation wicri:level="1"><nlm:aff id="A3"> Division of Cardiothoracic Surgery, Emory University, Atlanta, Georgia</nlm:aff><country xml:lang="fr">Géorgie (pays)</country><wicri:regionArea> Division of Cardiothoracic Surgery, Emory University, Atlanta</wicri:regionArea><wicri:noRegion>Atlanta</wicri:noRegion></affiliation></author><author><name sortKey="Spray, Thomas L" sort="Spray, Thomas L" uniqKey="Spray T" first="Thomas L." last="Spray">Thomas L. Spray</name><affiliation wicri:level="1"><nlm:aff id="A4"> Division of Cardiothoracic Surgery and Emory University, Atlanta, Georgia</nlm:aff><country xml:lang="fr">Géorgie (pays)</country><wicri:regionArea> Division of Cardiothoracic Surgery and Emory University, Atlanta</wicri:regionArea><wicri:noRegion>Atlanta</wicri:noRegion></affiliation></author><author><name sortKey="Rossignac, Jarek" sort="Rossignac, Jarek" uniqKey="Rossignac J" first="Jarek" last="Rossignac">Jarek Rossignac</name><affiliation wicri:level="1"><nlm:aff id="A6"> College of Computing, Georgia Institute of Technology, Atlanta, Georgia</nlm:aff><country xml:lang="fr">Géorgie (pays)</country><wicri:regionArea> College of Computing, Georgia Institute of Technology, Atlanta</wicri:regionArea><wicri:noRegion>Atlanta</wicri:noRegion></affiliation></author><author><name sortKey="Sotiropoulos, Fotis" sort="Sotiropoulos, Fotis" uniqKey="Sotiropoulos F" first="Fotis" last="Sotiropoulos">Fotis Sotiropoulos</name><affiliation><nlm:aff id="A7"> Department of Civil Engineering, University of Minnesota, Minneapolis, Minnesota.</nlm:aff><country xml:lang="fr">États-Unis</country><placename><region type="state">Minnesota</region></placename><wicri:cityArea> Department of Civil Engineering, University of Minnesota, Minneapolis</wicri:cityArea></affiliation></author><author><name sortKey="Fogel, Mark A" sort="Fogel, Mark A" uniqKey="Fogel M" first="Mark A." last="Fogel">Mark A. Fogel</name><affiliation wicri:level="2"><nlm:aff id="A5"> Division of Cardiology, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea> Division of Cardiology, Children’s Hospital of Philadelphia, Philadelphia</wicri:cityArea></affiliation></author><author><name sortKey="Yoganathan, Ajit P" sort="Yoganathan, Ajit P" uniqKey="Yoganathan A" first="Ajit P." last="Yoganathan">Ajit P. Yoganathan</name><affiliation wicri:level="1"><nlm:aff id="A1">Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology, Atlanta, Georgia</nlm:aff><country xml:lang="fr">Géorgie (pays)</country><wicri:regionArea>Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology, Atlanta</wicri:regionArea><wicri:noRegion>Atlanta</wicri:noRegion></affiliation></author></analytic><series><title level="j">JACC. Cardiovascular imaging</title><idno type="ISSN">1936-878X</idno><idno type="eISSN">1876-7591</idno><imprint><date when="2009">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P1">The objectives of this study were to develop an image-based surgical planning framework that 1) allows for in-depth analysis of pre-operative hemodynamics by the use of cardiac magnetic resonance and 2) enables surgeons to determine the optimum surgical scenarios before the operation. This framework is tailored for applications in which post-operative hemodynamics are important. In particular, it is exemplified here for a Fontan patient with severe left pulmonary arteriovenous malformations due to abnormal hepatic flow distribution to the lungs. Patients first undergo cardiac magnetic resonance for 3-dimensional anatomy and flow reconstruction. After analysis of the pre-operative flow fields, the 3-dimensional anatomy is imported into an interactive surgical planning interface for the surgeon to virtually perform multiple surgical scenarios. Associated hemodynamics are predicted by the use of a fully validated computational fluid dynamic solver. Finally, efficiency metrics (e.g., pressure decrease and hepatic flow distribution) are weighted against surgical feasibility to determine the optimal surgical option.</p></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">101467978</journal-id><journal-id journal-id-type="pubmed-jr-id">35679</journal-id><journal-id journal-id-type="nlm-ta">JACC Cardiovasc Imaging</journal-id><journal-id journal-id-type="iso-abbrev">JACC Cardiovasc Imaging</journal-id><journal-title-group><journal-title>JACC. Cardiovascular imaging</journal-title></journal-title-group><issn pub-type="ppub">1936-878X</issn><issn pub-type="epub">1876-7591</issn></journal-meta><article-meta><article-id pub-id-type="pmid">19679291</article-id><article-id pub-id-type="pmc">3698243</article-id><article-id pub-id-type="doi">10.1016/j.jcmg.2009.03.019</article-id><article-id pub-id-type="manuscript">NIHMS142308</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Correction of Pulmonary Arteriovenous Malformation Using Image-Based Surgical Planning</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Sundareswaran</surname><given-names>Kartik S.</given-names></name><degrees>MS</degrees><xref ref-type="aff" rid="A1">*</xref></contrib><contrib contrib-type="author"><name><surname>de Zélicourt</surname><given-names>Diane</given-names></name><degrees>MS</degrees><xref ref-type="aff" rid="A1">*</xref></contrib><contrib contrib-type="author"><name><surname>Sharma</surname><given-names>Shiva</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="A2">†</xref></contrib><contrib contrib-type="author"><name><surname>Kanter</surname><given-names>Kirk R.</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="A3">‡</xref></contrib><contrib contrib-type="author"><name><surname>Spray</surname><given-names>Thomas L.</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="A4">§</xref></contrib><contrib contrib-type="author"><name><surname>Rossignac</surname><given-names>Jarek</given-names></name><degrees>Phd</degrees><xref ref-type="aff" rid="A6">¶</xref></contrib><contrib contrib-type="author"><name><surname>Sotiropoulos</surname><given-names>Fotis</given-names></name><degrees>Phd</degrees><xref ref-type="aff" rid="A7">#</xref></contrib><contrib contrib-type="author"><name><surname>Fogel</surname><given-names>Mark A.</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="A5">∥</xref></contrib><contrib contrib-type="author"><name><surname>Yoganathan</surname><given-names>Ajit P.</given-names></name><degrees>Phd</degrees><xref ref-type="aff" rid="A1">*</xref></contrib></contrib-group><aff id="A1"><label>*</label>Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology, Atlanta, Georgia</aff><aff id="A2"><label>†</label> Pediatric Cardiology Services, Atlanta, Georgia</aff><aff id="A3"><label>‡</label> Division of Cardiothoracic Surgery, Emory University, Atlanta, Georgia</aff><aff id="A4"><label>§</label> Division of Cardiothoracic Surgery and Emory University, Atlanta, Georgia</aff><aff id="A5"><label>∥</label> Division of Cardiology, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania</aff><aff id="A6"><label>¶</label> College of Computing, Georgia Institute of Technology, Atlanta, Georgia</aff><aff id="A7"><label>#</label> Department of Civil Engineering, University of Minnesota, Minneapolis, Minnesota.</aff><author-notes><corresp id="CR1"><bold>Reprint requests and correspondence:</bold> Dr. Ajit P. Yoganathan, Wallace H. Coulter School of Biomedical Engineering, Georgia Institute of Technology and Emory University, 313 Ferst Drive, Atlanta, Georgia 30332-0535. <email>ajit.yoganathan@bme.gatech.edu</email>.
</corresp></author-notes><pub-date pub-type="nihms-submitted"><day>10</day><month>5</month><year>2013</year></pub-date><pub-date pub-type="ppub"><month>8</month><year>2009</year></pub-date><pub-date pub-type="pmc-release"><day>01</day><month>7</month><year>2013</year></pub-date><volume>2</volume><issue>8</issue><fpage>1024</fpage><lpage>1030</lpage><permissions><copyright-statement>© 2009 by the American College of Cardiology Foundation</copyright-statement><copyright-year>2009</copyright-year></permissions><abstract><p id="P1">The objectives of this study were to develop an image-based surgical planning framework that 1) allows for in-depth analysis of pre-operative hemodynamics by the use of cardiac magnetic resonance and 2) enables surgeons to determine the optimum surgical scenarios before the operation. This framework is tailored for applications in which post-operative hemodynamics are important. In particular, it is exemplified here for a Fontan patient with severe left pulmonary arteriovenous malformations due to abnormal hepatic flow distribution to the lungs. Patients first undergo cardiac magnetic resonance for 3-dimensional anatomy and flow reconstruction. After analysis of the pre-operative flow fields, the 3-dimensional anatomy is imported into an interactive surgical planning interface for the surgeon to virtually perform multiple surgical scenarios. Associated hemodynamics are predicted by the use of a fully validated computational fluid dynamic solver. Finally, efficiency metrics (e.g., pressure decrease and hepatic flow distribution) are weighted against surgical feasibility to determine the optimal surgical option.</p></abstract><kwd-group><kwd>Fontan</kwd><kwd>single ventricle congenital heart defects</kwd><kwd>phase-contrast cardiac magnetic resonance</kwd><kwd>computational fluid dynamics</kwd></kwd-group><funding-group><award-group><funding-source country="United States">National Heart, Lung, and Blood Institute : NHLBI</funding-source><award-id>R01 HL067622-05 || HL</award-id></award-group></funding-group></article-meta></front></pmc><affiliations><list><country><li>Géorgie (pays)</li><li>États-Unis</li></country><region><li>Pennsylvanie</li></region></list><tree><country name="Géorgie (pays)"><noRegion><name sortKey="Sundareswaran, Kartik S" sort="Sundareswaran, Kartik S" uniqKey="Sundareswaran K" first="Kartik S." last="Sundareswaran">Kartik S. Sundareswaran</name></noRegion><name sortKey="De Zelicourt, Diane" sort="De Zelicourt, Diane" uniqKey="De Zelicourt D" first="Diane" last="De Zélicourt">Diane De Zélicourt</name><name sortKey="Kanter, Kirk R" sort="Kanter, Kirk R" uniqKey="Kanter K" first="Kirk R." last="Kanter">Kirk R. Kanter</name><name sortKey="Rossignac, Jarek" sort="Rossignac, Jarek" uniqKey="Rossignac J" first="Jarek" last="Rossignac">Jarek Rossignac</name><name sortKey="Sharma, Shiva" sort="Sharma, Shiva" uniqKey="Sharma S" first="Shiva" last="Sharma">Shiva Sharma</name><name sortKey="Spray, Thomas L" sort="Spray, Thomas L" uniqKey="Spray T" first="Thomas L." last="Spray">Thomas L. Spray</name><name sortKey="Yoganathan, Ajit P" sort="Yoganathan, Ajit P" uniqKey="Yoganathan A" first="Ajit P." last="Yoganathan">Ajit P. Yoganathan</name></country><country name="États-Unis"><noRegion><name sortKey="Sotiropoulos, Fotis" sort="Sotiropoulos, Fotis" uniqKey="Sotiropoulos F" first="Fotis" last="Sotiropoulos">Fotis Sotiropoulos</name></noRegion><name sortKey="Fogel, Mark A" sort="Fogel, Mark A" uniqKey="Fogel M" first="Mark A." last="Fogel">Mark A. Fogel</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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