arXivDaily arXiv每日学术速递 周一至周五更新
arXiv周末暂无论文更新,休息一下吧,周末愉快~~
arXiv 2002.01727q-bio.TOphysics.med-phq-bio.QM
收藏

根据$\textit{in situ}$心脏跳动视频计算的心脏运动学参数

Cardiac kinematic parameters computed from video of $\textit{in situ}$ beating heart

Lorenzo Fassina, Giacomo Rozzi, Stefano Rossi, Simone Scacchi, Maricla Galetti, Francesco Paolo Lo Muzio, Fabrizio Del Bianco, Piero Colli Franzone, Giuseppe Pe… 展开作者

Lorenzo Fassina, Giacomo Rozzi, Stefano Rossi, Simone Scacchi, Maricla Galetti, Francesco Paolo Lo Muzio, Fabrizio Del Bianco, Piero Colli Franzone, Giuseppe Petrilli, Giuseppe Faggian, Michele Miragoli

摘要:

开胸心脏手术期间心脏的机械功能仅由超声心动图技术监测。然而,很少有人知道局部运动学,特别是缺血事件后的再灌注区域。我们报告了一种新的成像方式,它提取局部和全局的运动学参数从视频的$\textit{in situ}$跳动的心脏,显示实时视频心电图的收缩事件。自定义算法跟踪将$\textit{ad hoc}$定位到选定区域上的视频标记的移动,并在整个记录期间分析收缩轨迹、位移、速度、加速度、动能和力。此外,通过粒子图像速度测量工具分析了整体心外膜速度和涡度。我们通过i)心脏缺血的计算建模,ii)缺血/再灌注大鼠心脏的视频记录,iii)冠状动脉旁路移植术前后跳动的人类心脏的视频,以及iv)局部Frank-Starling效应来验证我们的新技术。在大鼠中,我们观察到的运动学参数在急性缺血和再灌注后在同一地区的显着增量递减。我们在手术病人中发现了类似的行为。该模式增加了心脏结局的重要功能值,并支持无接触和无创模式的介入。此外,它不需要特定的操作员依赖的技能。

英文摘要:

Mechanical function of the heart during open-chest cardiac surgery is exclusively monitored by echocardiographic techniques. However, little is known about local kinematics, particularly for the reperfused regions after ischemic events. We report a novel imaging modality, which extracts local and global kinematic parameters from videos of $\textit{in situ}$ beating hearts, displaying live video cardiograms of the contraction events. A custom algorithm tracked the movement of a video marker positioned $\textit{ad hoc}$ onto a selected area and analyzed, during the entire recording, the contraction trajectory, displacement, velocity, acceleration, kinetic energy and force. Moreover, global epicardial velocity and vorticity were analyzed by means of Particle Image Velocimetry tool. We validated our new technique by i) computational modeling of cardiac ischemia, ii) video recordings of ischemic/reperfused rat hearts, iii) videos of beating human hearts before and after coronary artery bypass graft, and iv) local Frank-Starling effect. In rats, we observed a decrement of kinematic parameters during acute ischemia and a significant increment in the same region after reperfusion. We detected similar behavior in operated patients. This modality adds important functional values on cardiac outcomes and supports the intervention in a contact-free and non-invasive mode. Moreover, it does not require particular operator-dependent skills.

机构、总结、中文摘要均由AI分析而来,可能存在错误,请以论文正文为准。

↑