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Machine learning for the automatic assessment of aortic rotational flow and wall shear stress from 4D flow cardiac magnetic resonance imaging.

Juan Garrido-OliverJordina AvilesMarcos Mejía CórdovaLydia Dux-SantoyAroa Ruiz-MuñozGisela Teixido-TuraGonzalo D Maso TalouXabier Morales FerezGuillermo JiménezArturo EvangelistaIgnacio Ferreira-GonzálezJose Rodriguez-PalomaresOscar CamaraAndrea Guala
Published in: European radiology (2022)
• 4D flow CMR allows for unparalleled aortic blood flow analysis but requires aortic segmentation and anatomical landmark identification, which are time-consuming, limiting 4D flow CMR widespread use. • A fully automatic machine learning pipeline for aortic 4D flow CMR analysis was trained with data of 323 patients and tested in 81 patients, ensuring a balanced distribution of aneurysm aetiologies. • Automatic assessment of complex flow characteristics such as rotational flow and wall shear stress showed good-to-excellent agreement with manual quantification.
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