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.
Quantitative Assessment of Abdominal Aortic Aneurysm Geometry
Creators
Judy Shum - Carnegie Mellon University
Giampaolo Martufi - KTH Royal Institute of Technology
Elena Di Martino - University of Calgary
Christopher B. Washington - Allegheny General Hospital
Joseph Grisafi - Allegheny General Hospital
Satish C. Muluk - Allegheny General Hospital
Ender A. Finol - Carnegie Mellon University
Publication Details
Annals of biomedical engineering, v 39(1), pp 277-286
Publisher
Springer Nature
Number of pages
10
Grant note
R21EB007651; R21EB008804; R15HL087268 / NIH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA
John and Claire Bertucci Graduate Fellowship
Carnegie Mellon University's Biomedical Engineering Department
Bill and Melinda Gates Foundation; Bill & Melinda Gates Foundation
Resource Type
Journal article
Language
English
Academic Unit
Cardiothoracic Surgery
Web of Science ID
WOS:000287213100024
Scopus ID
2-s2.0-78650871050
Other Identifier
991021944133804721
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