An abdominal aortic aneurysm (AAA) carries one of the highest mortality rates among vascular diseases when it ruptures. To predict the role of surface curvature in rupture risk assessment, a discriminatory analysis of aneurysm geometry characterization was conducted. Data was obtained from 205 patient-specific computed tomography image sets corresponding to three AAA population subgroups: patients under surveillance, those that underwent elective repair of the aneurysm, and those with an emergent repair. Each AAA was reconstructed and their surface curvatures estimated using the biquintic Hermite finite element method. Local surface curvatures were processed into ten global curvature indices. Statistical analysis of the data revealed that the L2-norm of the Gaussian and Mean surface curvatures can be utilized as classifiers of the three AAA population subgroups. The application of statistical machine learning on the curvature features yielded 85.5% accuracy in classifying electively and emergent repaired AAAs, compared to a 68.9% accuracy obtained by using maximum aneurysm diameter alone. Such combination of non-invasive geometric quantification and statistical machine learning methods can be used in a clinical setting to assess the risk of rupture of aneurysms during regular patient follow-ups.
Surface Curvature as a Classifier of Abdominal Aortic Aneurysms: A Comparative Analysis
Creators
Kibaek Lee - Carnegie Mellon University
Junjun Zhu - Carnegie Mellon University
Judy Shum - Carnegie Mellon University
Yongjie Zhang - Carnegie Mellon University
Satish C. Muluk - Allegheny Health Network
Ankur Chandra - University of Rochester
Mark K. Eskandari - Northwestern University
Ender A. Finol - The University of Texas at San Antonio
Publication Details
Annals of biomedical engineering, v 41(3), pp 562-576
Publisher
Springer Nature
Number of pages
15
Grant note
R21EB007651; R21EB008804; R15HL087268 / NIH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA
R21EB007651 / NATIONAL INSTITUTE OF BIOMEDICAL IMAGING AND BIOENGINEERING; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Biomedical Imaging & Bioengineering (NIBIB)
Vlahakis Graduate Fellowship program
R15HL087268 / NATIONAL HEART, LUNG, AND BLOOD INSTITUTE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI)
Korean Government Scholarship Program for Study Overseas
Resource Type
Journal article
Language
English
Academic Unit
Cardiothoracic Surgery
Web of Science ID
WOS:000316295800010
Scopus ID
2-s2.0-84876168686
Other Identifier
991021944490304721
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Collaboration types
Domestic collaboration
Web of Science research areas
Engineering, Biomedical
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