Development and application of enhanced, high-resolution physiological features in XCAT phantoms for use in virtual clinical trials
2023
Online
Hochschulschrift
Zugriff:
Virtual imaging trials (VITs) are a growing part of medical imaging research. VITs are a powerful alternative to the current gold-standard for determining or verifying the efficacy of new technology in healthcare: the clinical trial. Prohibitively high expenses, multi-site standardization of protocols, and risks to the health of the trial’s patient population are all challenges associated with the clinical trial; conversely, these challenges highlight the strengths of virtualization, particularly with regard to evaluating medical imaging technologies.Virtual imaging requires a combination of virtual subjects, physics-based imaging simulation platforms, and virtual pathologies. Currently, most computational phantom organs and pathologies are segmented or generated from clinical CT images. With this approach, most computational organs and pathologies are necessarily static, comprising only a single instantaneous representation. Further, this static-anatomy–static-pathology approach does not address the underlying physiological constraints acting on the organs or their pathologies—making some imaging exams (e.g., perfusion, coronary angiography) difficult to simulate robustly. It also does not provide a clear path toward including anatomical and physiological (functional) detail at sub-CT resolution. This project aims to integrate high-resolution, dynamic features into computational human models. The focus is primarily an advanced model known as XCAT. These additions include healthy and progressive-disease anatomy and physiology, micron-level–resolution coronary artery lesions, and an array of pathologies. In particular, we focus on the physiology needed for CT perfusion studies, dynamic lesions, or coronary artery disease (CAD), and means to integrate each of these features into XCAT via custom software. The outcome is further to demonstrate the utility of each of these advances with representative simulated imaging. Chapter 1 presents a method using clinical information and physiological theory to develop a ...
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Development and application of enhanced, high-resolution physiological features in XCAT phantoms for use in virtual clinical trials
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Autor/in / Beteiligte Person: | Sauer, Thomas ; Samei, Ehsan ; Segars, Paul |
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Veröffentlichung: | 2023 |
Medientyp: | Hochschulschrift |
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