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Quantitative Assessment of Abdominal Aortic Aneurysm Geometry
Journal article   Open access   Peer reviewed

Quantitative Assessment of Abdominal Aortic Aneurysm Geometry

Judy Shum, Giampaolo Martufi, Elena Di Martino, Christopher B. Washington, Joseph Grisafi, Satish C. Muluk and Ender A. Finol
Annals of biomedical engineering, v 39(1), pp 277-286
01 Jan 2011
PMID: 20890661
url
https://europepmc.org/articles/pmc3070409View
Accepted (AM)Open Access (License Unspecified) Open

Abstract

Engineering Engineering, Biomedical Science & Technology Technology
Recent studies have shown that the maximum transverse diameter of an abdominal aortic aneurysm (AAA) and expansion rate are not entirely reliable indicators of rupture potential. We hypothesize that aneurysm morphology and wall thickness are more predictive of rupture risk and can be the deciding factors in the clinical management of the disease. A non-invasive, image-based evaluation of AAA shape was implemented on a retrospective study of 10 ruptured and 66 unruptured aneurysms. Three-dimensional models were generated from segmented, contrast-enhanced computed tomography images. Geometric indices and regional variations in wall thickness were estimated based on novel segmentation algorithms. A model was created using a J48 decision tree algorithm and its performance was assessed using ten-fold cross validation. Feature selection was performed using the chi(2)-test. The model correctly classified 65 datasets and had an average prediction accuracy of 86.6% (kappa = 0.37). The highest ranked features were sac length, sac height, volume, surface area, maximum diameter, bulge height, and intra-luminal thrombus volume. Given that individual AAAs have complex shapes with local changes in surface curvature and wall thickness, the assessment of AAA rupture risk should be based on the accurate quantification of aneurysmal sac shape and size.

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106 citations in Scopus

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Domestic collaboration
International collaboration
Web of Science research areas
Engineering, Biomedical
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