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Main Authors: Morales, Xabier, Elsayed, Ayah, Zhao, Debbie, Loncaric, Filip, Aguado, Ainhoa, Masias, Mireia, Quill, Gina, Ramos, Marc, Doltra, Ada, Garcia, Ana, Sitges, Marta, Marlevi, David, Young, Alistair, Nash, Martyn, Bijnens, Bart, Camara, Oscar
Format: Preprint
Published: 2025
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Online Access:https://arxiv.org/abs/2505.09746
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author Morales, Xabier
Elsayed, Ayah
Zhao, Debbie
Loncaric, Filip
Aguado, Ainhoa
Masias, Mireia
Quill, Gina
Ramos, Marc
Doltra, Ada
Garcia, Ana
Sitges, Marta
Marlevi, David
Young, Alistair
Nash, Martyn
Bijnens, Bart
Camara, Oscar
author_facet Morales, Xabier
Elsayed, Ayah
Zhao, Debbie
Loncaric, Filip
Aguado, Ainhoa
Masias, Mireia
Quill, Gina
Ramos, Marc
Doltra, Ada
Garcia, Ana
Sitges, Marta
Marlevi, David
Young, Alistair
Nash, Martyn
Bijnens, Bart
Camara, Oscar
contents The left atrium (LA) plays a pivotal role in modulating left ventricular filling, but our comprehension of its hemodynamics is significantly limited by the constraints of conventional ultrasound analysis. 4D flow magnetic resonance imaging (4D Flow MRI) holds promise for enhancing our understanding of atrial hemodynamics. However, the low velocities within the LA and the limited spatial resolution of 4D Flow MRI make analyzing this chamber challenging. Furthermore, the absence of dedicated computational frameworks, combined with diverse acquisition protocols and vendors, complicates gathering large cohorts for studying the prognostic value of hemodynamic parameters provided by 4D Flow MRI. In this study, we introduce the first open-source computational framework tailored for the analysis of 4D Flow MRI in the LA, enabling comprehensive qualitative and quantitative analysis of advanced hemodynamic parameters. Our framework proves robust to data from different centers of varying quality, producing high-accuracy automated segmentations (Dice $>$ 0.9 and Hausdorff 95 $<$ 3 mm), even with limited training data. Additionally, we conducted the first comprehensive assessment of energy, vorticity, and pressure parameters in the LA across a spectrum of disorders to investigate their potential as prognostic biomarkers.
format Preprint
id arxiv_https___arxiv_org_abs_2505_09746
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle A Computational Pipeline for Advanced Analysis of 4D Flow MRI in the Left Atrium
Morales, Xabier
Elsayed, Ayah
Zhao, Debbie
Loncaric, Filip
Aguado, Ainhoa
Masias, Mireia
Quill, Gina
Ramos, Marc
Doltra, Ada
Garcia, Ana
Sitges, Marta
Marlevi, David
Young, Alistair
Nash, Martyn
Bijnens, Bart
Camara, Oscar
Computer Vision and Pattern Recognition
The left atrium (LA) plays a pivotal role in modulating left ventricular filling, but our comprehension of its hemodynamics is significantly limited by the constraints of conventional ultrasound analysis. 4D flow magnetic resonance imaging (4D Flow MRI) holds promise for enhancing our understanding of atrial hemodynamics. However, the low velocities within the LA and the limited spatial resolution of 4D Flow MRI make analyzing this chamber challenging. Furthermore, the absence of dedicated computational frameworks, combined with diverse acquisition protocols and vendors, complicates gathering large cohorts for studying the prognostic value of hemodynamic parameters provided by 4D Flow MRI. In this study, we introduce the first open-source computational framework tailored for the analysis of 4D Flow MRI in the LA, enabling comprehensive qualitative and quantitative analysis of advanced hemodynamic parameters. Our framework proves robust to data from different centers of varying quality, producing high-accuracy automated segmentations (Dice $>$ 0.9 and Hausdorff 95 $<$ 3 mm), even with limited training data. Additionally, we conducted the first comprehensive assessment of energy, vorticity, and pressure parameters in the LA across a spectrum of disorders to investigate their potential as prognostic biomarkers.
title A Computational Pipeline for Advanced Analysis of 4D Flow MRI in the Left Atrium
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2505.09746