학술논문

Patient-Specific Biomechanical Model for the Prediction of Lung Motion From 4-D CT Images
Document Type
Periodical
Source
IEEE Transactions on Medical Imaging IEEE Trans. Med. Imaging Medical Imaging, IEEE Transactions on. 34(2):599-607 Feb, 2015
Subject
Bioengineering
Computing and Processing
Lungs
Biological system modeling
Computational modeling
Thorax
Biomechanics
Deformable models
Computed tomography
Biomechanical modeling
lung
motion prediction
personalization
respiratory motion
Language
ISSN
0278-0062
1558-254X
Abstract
This paper presents an approach to predict the deformation of the lungs and surrounding organs during respiration. The framework incorporates a computational model of the respiratory system, which comprises an anatomical model extracted from computed tomography (CT) images at end-expiration (EE), and a biomechanical model of the respiratory physiology, including the material behavior and interactions between organs. A personalization step is performed to automatically estimate patient-specific thoracic pressure, which drives the biomechanical model. The zone-wise pressure values are obtained by using a trust-region optimizer, where the estimated motion is compared to CT images at end-inspiration (EI). A detailed convergence analysis in terms of mesh resolution, time stepping and number of pressure zones on the surface of the thoracic cavity is carried out. The method is then tested on five public datasets. Results show that the model is able to predict the respiratory motion with an average landmark error of $3.40 \pm 1.0$ mm over the entire respiratory cycle. The estimated 3-D lung motion may constitute as an advanced 3-D surrogate for more accurate medical image reconstruction and patient respiratory analysis.