title: In-vivo clinical validation of cardiac deformation and strain measurements from 4D ultrasound.
abstract: An important goal in clinical cardiology is the non-invasive quantification of regional cardiac deformation. While many methods have been proposed for the estimation of 3D left ventricular deformation and strains derived from 4D ultrasound, currently there is a lack of in vivo clinical validation of these algorithms on humans. In this paper, we describe the experiments used in validating cardiac deformation and strain estimates of 4D ultrasound using correlation-based optical flow tracking on two different COPD patients with normal left ventricular function. Validation of the algorithm was done by 1) validation of cardiac volume across multiple scans of the same patient and 2) validation of the repeatability of cardiac displacement and strain results from multiple scan acquisitions of the same patient. The preliminary results are encouraging with our algorithm producing consistent cardiac volume and strain results across multiple acquisitions. Furthermore, our derived 4D cardiac strains showed qualitatively correct results. We also observed particularly interesting results in the radial displacements of the posterior and lateral walls of our COPD patients.
authors.affiliation: Department of Biomedical Engineering, Columbia University, New York, NY 10027, USA.
authors.forename: Ming Jack
authors.initials: MJ
authors.lastname: Po
authors.forename: Auranuch
authors.initials: A
authors.lastname: Lorsakul
authors.forename: Qi
authors.initials: Q
authors.lastname: Duan
authors.forename: Kevin J
authors.initials: KJ
authors.lastname: Yeroushalmi
authors.forename: Eiichi
authors.initials: E
authors.lastname: Hyodo
authors.forename: Yukiko
authors.initials: Y
authors.lastname: Oe
authors.forename: Shunichi
authors.initials: S
authors.lastname: Homma
authors.forename: Andrew F
authors.initials: AF
authors.lastname: Laine
mesh_terms: D000465:Algorithms; D001696:Biomechanical Phenomena / Q000502:physiology; D016022:Case-Control Studies; D019561:Echocardiography, Four-Dimensional / Q000379:methods*; D006321:Heart / Q000503:physiopathology*; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000503:physiopathology; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000379:methods*; D029424:Pulmonary Disease, Chronic Obstructive / Q000000981:diagnostic imaging* / Q000503:physiopathology; D015203:Reproducibility of Results; D013314:Stress, Mechanical