Evidence map›Paper›PMID 31102479›Full record

ArticleClinical physiology and functional imaging2019

A new vessel segmentation algorithm for robust blood flow quantification from two-dimensional phase-contrast magnetic resonance images.

Sebastian Bidhult, Erik Hedström, Marcus Carlsson, Johannes Töger, Katarina Steding-Ehrenborg, Håkan Arheden, Anthony H Aletras, Einar Heiberg

Open access · hybridAbstract readValidation Study
In one paragraph

Article in Clinical physiology and functional imaging, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.0field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 25 citations in OpenAlex.

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  13. Comparison of 2D and 4D Flow MRI in Neonates Without General Anesthesia.Journal of magnetic resonance imaging : JMRI · 2023
    Article
  14. Imaging gravity-induced lung water redistribution with automated inline processing at 0.55 T cardiovascular magnetic resonance.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 2 countries.

Sebastian BidhultDepartment of Clinical Sciences Lund, Clinical Physiology, Skane University Hospital, Lund University, Lund, Sweden.ORCID https://orcid.org/0000-0001-8023-5026
Erik HedströmDepartment of Clinical Sciences Lund, Clinical Physiology, Skane University Hospital, Lund University, Lund, Sweden.ORCID https://orcid.org/0000-0003-0041-9357
Marcus CarlssonDepartment of Clinical Sciences Lund, Clinical Physiology, Skane University Hospital, Lund University, Lund, Sweden.ORCID https://orcid.org/0000-0002-9480-5250
Johannes TögerDepartment of Clinical Sciences Lund, Clinical Physiology, Skane University Hospital, Lund University, Lund, Sweden.
Katarina Steding-EhrenborgDepartment of Clinical Sciences Lund, Clinical Physiology, Skane University Hospital, Lund University, Lund, Sweden.
Håkan ArhedenDepartment of Clinical Sciences Lund, Clinical Physiology, Skane University Hospital, Lund University, Lund, Sweden.
Anthony H AletrasDepartment of Clinical Sciences Lund, Clinical Physiology, Skane University Hospital, Lund University, Lund, Sweden.
Einar HeibergDepartment of Clinical Sciences Lund, Clinical Physiology, Skane University Hospital, Lund University, Lund, Sweden.
Lund University · SE

Funding

Hjärt-LungfondenKnut och Alice Wallenbergs StiftelseMedicinska Fakulteten, Lunds UniversitetSkane University Hospital, Region of ScaniaSwedish Medical SocietyVetenskapsrådet 2011-3916Vetenskapsrådet 2011-4078Vetenskapsrådet 2012-4944
6 · The paper itself

Abstract

Blood flow measurements in the ascending aorta and pulmonary artery from phase-contrast magnetic resonance images require accurate time-resolved vessel segmentation over the cardiac cycle. Current semi-automatic segmentation methods often involve time-consuming manual correction, relying on user experience for accurate results. The purpose of this study was to develop a semi-automatic vessel segmentation algorithm with shape constraints based on manual vessel delineations for robust segmentation of the ascending aorta and pulmonary artery, to evaluate the proposed method in healthy volunteers and patients with heart failure and congenital heart disease, to validate the method in a pulsatile flow phantom experiment, and to make the method freely available for research purposes. Algorithm shape constraints were extracted from manual reference delineations of the ascending aorta (n = 20) and pulmonary artery (n = 20) and were included in a semi-automatic segmentation method only requiring manual delineation in one image. Bias and variability (bias ± SD) for flow volume of the proposed algorithm versus manual reference delineations were 0·0 ± 1·9 ml in the ascending aorta (n = 151; seven healthy volunteers; 144 heart failure patients) and -1·7 ± 2·9 ml in the pulmonary artery (n = 40; 25 healthy volunteers; 15 patients with atrial septal defect). Interobserver bias and variability were lower (P = 0·008) for the proposed semi-automatic method (-0·1 ± 0·9 ml) compared to manual reference delineations (1·5 ± 5·1 ml). Phantom validation showed good agreement between the proposed method and timer-and-beaker flow volumes (0·4 ± 2·7 ml). In conclusion, the proposed semi-automatic vessel segmentation algorithm can be used for efficient analysis of flow and shunt volumes in the aorta and pulmonary artery.

Indexed as

AlgorithmsMagnetic Resonance ImagingAdultAgedAged, 80 and overAortaBlood Flow VelocityFemaleHeart FailureHeart Septal Defects, AtrialHumansImage Interpretation, Computer-AssistedMaleMiddle AgedObserver VariationPerfusion Imagingascending aortainterobserver variabilityPC-MRIphantom experimentspulmonary arterysemi-automatic analysis

Identifiers

PMID31102479
PMCPMC6852024
OpenAlexW2945307126

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.