Abstract

Objective: The measurement of cardiac blood flow vortex characteristics can help to facilitate the analysis of blood flow dynamics that regulates heart function. However, the complexity of cardiac flow along with other physical limitations makes it difficult to adequately identify the dominant vortices in a heart chamber, which play a significant role in regulating the heart function. Although the existing vortex quantification methods can achieve this goal, there are still some shortcomings: such as low precision, and ignoring the center of the vortex without the description of vortex deformation processes. To address these problems, an optical flow Lagrangian averaged vorticity deviation (Optical flow-LAVD) method is proposed.Methodology: We examined the flow within the right atrium (RA) of the participants’ hearts, by using a single set of scans pertaining to a slice at two-chamber short-axis orientation. Toward adequate extraction of the vortex ring characteristics, a novel approach driven by the Lagrangian averaged vorticity deviation (LAVD) was implemented and applied to characterize the trajectory integral associated with vorticity deviation and the spatial mean of rings, by using phase-contrast magnetic resonance imaging (PC-MRI) datasets as a case study. To interpolate the time frames between every larger discrete frame and minimize the error caused by constructing a continuous velocity field for the integral process of LAVD, we implemented the optical flow as an interpolator and introduced the backward warping as an intermediate frame synthesis basis, which is then used to generate higher quality continuous velocity fields.Results: Our analytical study results showed that the proposed Optical flow-LAVD method can accurately identify vortex ring and continuous velocity fields, based on optical flow information, for yielding high reconstruction outcomes. Compared with the linear interpolation and phased-based frame interpolation methods, our proposed algorithm can generate more accurate synthesized PC-MRI.Conclusion: This study has developed a novel Optical flow-LAVD model to accurately identify cardiac vortex rings, and minimize the associated errors caused by the construction of a continuous velocity field. Our paper presents a superior vortex characteristics detection method that may potentially aid the understanding of medical experts on the dynamics of blood flow within the heart.

Highlights

  • The vortex formation in blood flow within the heart plays an important role in characterizing the function of the blood flow mechanism and energy transfer to the heart chamber, which are important indicators that can be used to quantify the overall heart function

  • The computation of the Lagrangian averaged vorticity deviation (LAVD) within the right atrium (RA) is based on Eq (8), and the convexity deficiency of a closed curve in the plane is defined as the ratio of the area difference between the curve and its convex hull to the area enclosed by the curve (Haller et al, 2015)

  • The volume of each Lagrangian vortex ring can be computed as the product of the area inside the delineation and the slice thickness, which is in line with an earlier study by Töger et al (2012)

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Summary

Introduction

The vortex formation in blood flow within the heart plays an important role in characterizing the function of the blood flow mechanism and energy transfer to the heart chamber, which are important indicators that can be used to quantify the overall heart function. The cardiac myocardium has inter-twined helical fibers When they contract, the heart chamber twists, and this is how blood is efficiently ejected out of the chamber. The heart chamber twists, and this is how blood is efficiently ejected out of the chamber This heart chamber twisting causes the formation of vortex rings of high vorticity in blood flow in the chamber. The formation of vortex rings is closely associated with cardiac function, and the health status of an individual. This is why, in conjunction with the structural parameters of the heart, the vortex flow analysis provides an insight into its functional analysis, and helps distinguish normal subjects from patients with heart disease (Kheradvar et al, 2019). Developing a method that can enable quantification of the vortex ring characteristics and its dynamic changes during the cardiac cycle can enable understanding of the vortex ring’s physiological functions and facilitate exploration of heart diagnostics and its pathological changes (Kräuter et al, 2020)

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