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Main Authors: Wang, Shuo, Ren, Tong, Cheng, Nan, Zhang, Li, Wang, Rong
Format: Preprint
Published: 2025
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Online Access:https://arxiv.org/abs/2504.19401
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author Wang, Shuo
Ren, Tong
Cheng, Nan
Zhang, Li
Wang, Rong
author_facet Wang, Shuo
Ren, Tong
Cheng, Nan
Zhang, Li
Wang, Rong
contents Background: Coronary artery bypass grafting (CABG) planning requires advanced spatial visualization and consideration of coronary artery depth, calcification, and pericardial adhesions. Objective: To develop and evaluate a dynamic cardiovascular holographic visualization tool for preoperative CABG planning. Methods: Using 4D cardiac computed tomography angiography data from 14 CABG candidates, we developed a semi-automated workflow for time-resolved segmentation of cardiac structures, epicardial adipose tissue (EAT), and coronary arteries with calcium scoring. The workflow incorporated methods for cardiac segmentation, coronary calcification quantification, visualization of coronary depth within EAT, and pericardial adhesion assessment through motion analysis. Dynamic cardiovascular holograms were displayed using the Looking Glass platform. Thirteen cardiac surgeons evaluated the tool using a Likert scale. Additionally, pericardial adhesion scores from holograms of 21 patients (including seven undergoing secondary cardiac surgeries) were compared with intraoperative findings. Results: Surgeons rated the visualization tool highly for preoperative planning utility (mean Likert score: 4.57/5.0). Hologram-based pericardial adhesion scoring strongly correlated with intraoperative findings (r=0.786, P<0.001). Conclusion: This study establishes a visualization framework for CABG planning that produces clinically relevant dynamic holograms from patient-specific data, with clinical feedback confirming its effectiveness for preoperative planning.
format Preprint
id arxiv_https___arxiv_org_abs_2504_19401
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Innovative Integration of 4D Cardiovascular Reconstruction and Hologram: A New Visualization Tool for Coronary Artery Bypass Grafting Planning
Wang, Shuo
Ren, Tong
Cheng, Nan
Zhang, Li
Wang, Rong
Medical Physics
Computer Vision and Pattern Recognition
Graphics
Image and Video Processing
J.3; I.3.8
Background: Coronary artery bypass grafting (CABG) planning requires advanced spatial visualization and consideration of coronary artery depth, calcification, and pericardial adhesions. Objective: To develop and evaluate a dynamic cardiovascular holographic visualization tool for preoperative CABG planning. Methods: Using 4D cardiac computed tomography angiography data from 14 CABG candidates, we developed a semi-automated workflow for time-resolved segmentation of cardiac structures, epicardial adipose tissue (EAT), and coronary arteries with calcium scoring. The workflow incorporated methods for cardiac segmentation, coronary calcification quantification, visualization of coronary depth within EAT, and pericardial adhesion assessment through motion analysis. Dynamic cardiovascular holograms were displayed using the Looking Glass platform. Thirteen cardiac surgeons evaluated the tool using a Likert scale. Additionally, pericardial adhesion scores from holograms of 21 patients (including seven undergoing secondary cardiac surgeries) were compared with intraoperative findings. Results: Surgeons rated the visualization tool highly for preoperative planning utility (mean Likert score: 4.57/5.0). Hologram-based pericardial adhesion scoring strongly correlated with intraoperative findings (r=0.786, P<0.001). Conclusion: This study establishes a visualization framework for CABG planning that produces clinically relevant dynamic holograms from patient-specific data, with clinical feedback confirming its effectiveness for preoperative planning.
title Innovative Integration of 4D Cardiovascular Reconstruction and Hologram: A New Visualization Tool for Coronary Artery Bypass Grafting Planning
topic Medical Physics
Computer Vision and Pattern Recognition
Graphics
Image and Video Processing
J.3; I.3.8
url https://arxiv.org/abs/2504.19401