Skip to main content

Automated Quantification of Blood Flow Velocity from Time-Resolved CT Angiography

  • Conference paper
  • First Online:
Intravascular Imaging and Computer Assisted Stenting and Large-Scale Annotation of Biomedical Data and Expert Label Synthesis (LABELS 2018, CVII 2018, STENT 2018)

Abstract

Contrast-enhanced computed tomography angiography (CE-CTA) provides valuable, non-invasive assessment of lower extremity peripheral arterial disease (PAD). The advent of wide beam CT scanners has enabled multiple CT acquisitions over the same structure at a high frame rate, facilitating time-resolved CTA acquisitions. In this study, we investigate the technical feasibility of automatically quantifying the bolus arrival time and blood velocity in the arteries below the knee from time-resolved CTA. Our approach is based on arterial segmentation and local estimation of the bolus arrival time. The results are compared to values obtained through manual reading of the datasets and show good agreement. Based on a small patient study, we explore initial utility of these quantitative measures for the diagnosis of lower extremity PAD.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Barfett, J.J., Fierstra, J., Mikulis, D.J., Krings, T.: Blood velocity calculated from volumetric dynamic computed tomography angiography. Investig. Radiol. 45, 778–781 (2010)

    Article  Google Scholar 

  2. Barfett, J.J., et al.: Intra-vascular blood velocity and volumetric flow rate calculated from dynamic 4D CT angiography using a time of flight technique. Int. J. Cardiovasc. Imaging 30, 1383–1392 (2014)

    Article  Google Scholar 

  3. Chan, D., Anderson, M.E., Dolmatch, B.L.: Imaging evaluation of lower extremity infrainguinal disease: role of the noninvasive vascular laboratory, computed tomography angiography, and magnetic resonance angiography. Tech. Vasc. Interv. Radiol. 13(1), 11–22 (2010). Infrainguinal Interventions

    Article  Google Scholar 

  4. Cimminiello, C., et al.: The PANDORA study: peripheral arterial disease in patients with non-high cardiovascular risk. Intern. Emerg. Med. 6(6), 509–519 (2011)

    Article  Google Scholar 

  5. Conte, M.S., et al.: Society for vascular surgery practice guidelines for atherosclerotic occlusive disease of the lower extremities: management of asymptomatic disease and claudication. J. Vasc. Surg. 61, 2S–41S (2015)

    Article  Google Scholar 

  6. Fronek, A., Coel, M., Berstein, E.F.: Quantitative ultrasonographic studies of lower extremity flow velocities in health and disease. Circulation 53(6), 957–960 (1976)

    Article  Google Scholar 

  7. Harloff, A., Zech, T., Wegent, F., Strecker, C., Weiller, C., Markl, M.: Comparison of blood flow velocity quantification by 4D flow MR Imaging with ultrasound at the carotid bifurcation. Am. J. Neuroradiol. 34(7), 1407–1413 (2013)

    Article  Google Scholar 

  8. Johnson, H.J., McCormick, M.M., Ibanez, L., the Insight Software Consortium: The ITK Software Guide Book 1: Introduction and Development Guidelines (2016)

    Google Scholar 

  9. Markl, M., Wallis, W., Strecker, C., Gladston, B.P., Vach, W., Harlof, A.: Analysis of pulse wave velocity in the thoracic aorta by flow sensitive four dimensional MRI: reproducibility and correlation with characteristics in patients with aortic atherosclerosis. J. Magn. Reson. Imaging 5, 1162–1168 (2012)

    Article  Google Scholar 

  10. Mascarenhas, J.V., Albayati, M.A., Shearman, C.P., Jude, E.B.: Peripheral arterial disease. Endocrinol. Metab. Ism Clin. N. Am. 43(1), 149–166 (2014). Diabetes Mellitus: Associated Conditions

    Article  Google Scholar 

  11. Met, R., Bipat, S., Legemate, D.A., Reeker, J.A., Koelemay, M.J.W.: Diagnostic performance of computed tomography angiography in peripheral arterial disease: a systematic review and meta-analysis. JAMA 301(4), 415–424 (2009)

    Article  Google Scholar 

  12. Mouser, J.G., et al.: Blood flow restriction and cuff width: effect on blood flow in the legs (2018)

    Article  Google Scholar 

  13. Norgren, L., Hiatt, W., Dormandy, J., Nehler, M., Harris, K., Fowkes, F.: Inter-society consensus for the management of peripheral arterial disease (TASC II). J. Vasc. Surg. 45, S5–67 (2007)

    Article  Google Scholar 

  14. Perona, P., Malik, J.: Scale-space and edge detection using anisotropic diffusion. IEEE Trans. Pattern Anal. Mach. Intell. 12, 629–639 (1990)

    Article  Google Scholar 

  15. Prevrhal, S., Forsythe, C.H., Harnish, R.J., Saeed, M., Yeh, B.M.: CT angiographic measurement of vascular blood flow velocity by using projection data. Radiology 261, 923–929 (2011)

    Article  Google Scholar 

  16. Sethian, J.: Level Set Methods and Fast Marching Methods. Cambridge University Press, Cambridge (1999)

    MATH  Google Scholar 

  17. Sommer, W.H., et al.: Diagnostic value of time-resolved CT angiography for the lower leg. Eur. Radiol. 20, 2876–2881 (2010)

    Article  Google Scholar 

  18. Staring, M., Klein, S.: Itk::transforms supporting spatial derivatives, September 2010

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Pieter Thomas Boonen .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Boonen, P.T. et al. (2018). Automated Quantification of Blood Flow Velocity from Time-Resolved CT Angiography. In: Stoyanov, D., et al. Intravascular Imaging and Computer Assisted Stenting and Large-Scale Annotation of Biomedical Data and Expert Label Synthesis. LABELS CVII STENT 2018 2018 2018. Lecture Notes in Computer Science(), vol 11043. Springer, Cham. https://doi.org/10.1007/978-3-030-01364-6_2

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-01364-6_2

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-01363-9

  • Online ISBN: 978-3-030-01364-6

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics