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METHOD FOR CALCULATING CORONARY ARTERY FRACTIONAL FLOW RESERVE ON BASIS OF MYOCARDIAL BLOOD FLOW AND CT IMAGES

机译:基于心肌血流和CT图像计算冠状动脉分数流量储备的方法

摘要

A method for calculating coronary artery fractional flow reserve includes determining myocardial volume by extracting myocardial images; locating a coronary artery inlet and accurately segmenting coronary arteries; generating a grid model required for calculation by edge detection of coronary artery volume data; determining myocardial blood flow in a rest state and CFR by non-invasive measurement; calculating the total flow at the coronary artery inlet in a maximum hyperemia state; determining the flow in different blood vessels in the coronary artery tree in the maximum hyperemia state and then determining flow velocity V1 in the maximum hyperemia state; using V1 as the flow velocity at the coronary artery inlet and calculating a pressure drop ΔP from the coronary artery inlet to a distal end of a coronary stenosis, and a mean intracoronary pressure Pd at the distal end of the stenosis Pd=Pa−ΔP, and calculating fractional flow reserve.
机译:计算冠状动脉分数流量储备的方法包括通过提取心肌图像来确定心肌体积; 定位冠状动脉入口和精确分割冠状动脉; 通过边缘检测冠状动脉体积数据的边缘检测生成网格模型; 通过非侵入性测量确定休息状态和CFR中的心肌血流; 计算最大高血量状态下冠状动脉入口处的总流动; 在最大的充血状态下测定冠状动脉树中不同血管的流动,然后在最大的高血量状态下测定流速V1; 使用V1作为冠状动脉入口处的流速,并从冠状动脉入口计算冠状动脉入口的压降Δp,并且在狭窄PD = PA-ΔP的远端处的平均尖端压力Pd, 并计算分数流量储备。

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