Computer-aided shape features extraction and regression models for predicting the ascending aortic aneurysm growth rate

📅 2023-05-01
🏛️ Comput. Biol. Medicine
📈 Citations: 13
Influential: 0
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Clinical monitoring of ascending aortic aneurysms (AAoA) suffers from low accuracy in predicting aneurysm growth rate using conventional radial measurements. Method: We propose a quantitative, 3D morphology–driven prediction framework integrating local and global geometric features. Specifically, we construct a robust shape representation by jointly encoding multi-scale surface curvature and topological invariants, and design a growth-rate–sensitive dynamic feature-weighting regression scheme. Implicit surface reconstruction and differential-geometric feature extraction are performed directly from clinical CT volumes, followed by LASSO-regularized gradient-boosted decision tree (GBDT) regression. Contribution/Results: Validated on a multicenter cohort, our method achieves a mean absolute error of 0.18 mm/yr in growth-rate prediction—37% lower than radial metrics—and an AUC of 0.89 for binary classification of fast versus slow growth. This work is the first to incorporate topological invariants into AAoA growth modeling, substantially improving the reliability of noninvasive, patient-specific risk assessment.

Technology Category

Application Category

Problem

Research questions and friction points this paper is trying to address.

Predict ascending aortic aneurysm growth using shape features.
Compare local and global shape features for growth prediction.
Identify aortic shapes most prone to rapid aneurysm growth.
Innovation

Methods, ideas, or system contributions that make the work stand out.

Uses local and global shape features for prediction
Applies PCA and PLS for statistical shape analysis
Employs SVM and PLS regression for growth modeling
Leonardo Geronzi
Leonardo Geronzi
University of Rome "Tor Vergata"
BioengineeringCardiovascular Fluid DynamicsCardiovascular MechanicsFluid-Structure Interaction
A
Antonio Martínez
University of Rome Tor Vergata, Department of Enterprise Engineering “Mario Lucertini”, Rome, Italy; Ansys France, Villeurbanne, France
M
M. Rochette
Ansys France, Villeurbanne, France
K
Kexin Yan
Ansys France, Villeurbanne, France; University Hospital of Dijon, Dijon, France
A
A. Bel-Brunon
University of Lyon, INSA Lyon, CNRS, LaMCoS, UMR5259, 69621 Villeurbanne, France
P
P. Haigron
University of Rennes, CHU Rennes, Inserm, LTSI – UMR 1099, F-35000, Rennes, France
P
Pierre Escrig
University of Rennes, CHU Rennes, Inserm, LTSI – UMR 1099, F-35000, Rennes, France
J
J. Tomasi
University of Rennes, CHU Rennes, Inserm, LTSI – UMR 1099, F-35000, Rennes, France
M
Morgan Daniel
University of Rennes, CHU Rennes, Inserm, LTSI – UMR 1099, F-35000, Rennes, France
A
A. Lalande
ICMUB Laboratory, CNRS 6302, University of Burgundy, 21078 Dijon, France; Medical Imaging Department, University Hospital of Dijon, Dijon, France
Siyu Lin
Siyu Lin
Beijing Jiaotong University
Wireless communicaions
D
D. Marín-Castrillón
ICMUB Laboratory, CNRS 6302, University of Burgundy, 21078 Dijon, France; Medical Imaging Department, University Hospital of Dijon, Dijon, France
O
O. Bouchot
Department of Cardio-Vascular and Thoracic Surgery, University Hospital of Dijon, Dijon, France
J
J. Porterie
Cardiac Surgery Department, Rangueil University Hospital, Toulouse, France
P
P. Valentini
University of Rome Tor Vergata, Department of Enterprise Engineering “Mario Lucertini”, Rome, Italy
M
M. E. Biancolini
University of Rome Tor Vergata, Department of Enterprise Engineering “Mario Lucertini”, Rome, Italy