C. Vassanelli, G. Menegatti, G. Morando, M. Turri, G. Canali, L. Zanolla, P. Zardini
{"title":"Quantitative angiographic identification of functional left ventricular aneurysms","authors":"C. Vassanelli, G. Menegatti, G. Morando, M. Turri, G. Canali, L. Zanolla, P. Zardini","doi":"10.1109/CIC.1989.130596","DOIUrl":"https://doi.org/10.1109/CIC.1989.130596","url":null,"abstract":"Thirty-three 30 degrees RAO left-ventricular angiograms with postinfarction aneurysms were analyzed to determine whether some quantitative variables could describe their morphological characteristics. Seventeen aneurysms were classified as functional (localized without a clear neck), and 16 as true (with a saccular shape). Left-ventricular volumes and global ejection fractions did not differ between the two types. The volume of functional aneurysms as a fraction of global end-diastolic volume was significantly larger (24.4+or-10.6% versus 13.2+or-8.5%, p=0.01). The end-systolic shape of ventricles with a functional aneurysm was more circular (77+or-6 versus 71+or-7, p<0.05) and showed a significantly smoother transition between contractile and noncontractile regions in the anterior site. The anatomic characteristics of resected areas in operated patients were similar in the two types of aneurysms.<<ETX>>","PeriodicalId":161494,"journal":{"name":"[1989] Proceedings. Computers in Cardiology","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1989-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123065912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Wankling, X. Escaned, R. Perry, A. Seth, J. Newell, M. Shiu
{"title":"A computer system for the quantification of coronary artery stenoses-design of the human computer interface","authors":"P. Wankling, X. Escaned, R. Perry, A. Seth, J. Newell, M. Shiu","doi":"10.1109/CIC.1989.130506","DOIUrl":"https://doi.org/10.1109/CIC.1989.130506","url":null,"abstract":"A low-cost, clinically usable system has been developed for the objective assessment of the severity of coronary artery stenoses from single-view angiograms. The system is based on a desktop computer with incorporated frame grabber. Images are captured by means of a video camera. Both diameter and densitometric cross-sectional area measurements can be made on a selected artery segment. Particular attention has been paid to the design of an appropriate man-machine interface, suitable for clinical use. Software tools have been developed for this purpose. They facilitate an iterative approach to program development and also provide for the needs of both the experienced and inexperienced user. The stenosis analysis system has been tested by using phantoms constructed in Perspex. These are designed to simulate arteries of various diameters and also an asymmetric stenosis. Results show good agreement with measurements for videodensitometry; however, diameter measurements are hampered by the unreliability of the edge detection algorithm, particularly when severe stenoses are encountered.<<ETX>>","PeriodicalId":161494,"journal":{"name":"[1989] Proceedings. Computers in Cardiology","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1989-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121264669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Taddei, A. Biagini, G. Distante, C. Marchesi, M. Mazzei, P. Pisani, N. Roggero, C. Zeelenberg
{"title":"An annotated database aimed at performance evaluation of algorithms for ST-T change analysis","authors":"A. Taddei, A. Biagini, G. Distante, C. Marchesi, M. Mazzei, P. Pisani, N. Roggero, C. Zeelenberg","doi":"10.1109/CIC.1989.130497","DOIUrl":"https://doi.org/10.1109/CIC.1989.130497","url":null,"abstract":"In 1985, the European Community set up a 'Concerted Action on Ambulatory Monitoring', whose goal was to define an ECG (electrocardiography) database as a reference for assessing the quality of ambulatory ECG monitoring (AECG) analyzers. Since it is now recognized that ST-T changes are highly relevant for the diagnosis of ischemic heart disease, it was agreed that the project should concentrate on setting up a standard for annotating ST-T changes. The pilot study, completed at the end of 1986, set up a small prototype database. After the project ended, it was decided that the interest shown by research groups and manufacturers warranted developing the full database. Thirteen groups from eight countries agreed to provide AECG tapes and to contribute to the annotations. So far, 106 AECG records, out of 175 submitted, have been admitted to the database and 96 have each been annotated by two different groups. Disagreements between the annotations have been analyzed for estimation of reliability. The first release of the database comprises 50 annotated records stored on CD-ROM.<<ETX>>","PeriodicalId":161494,"journal":{"name":"[1989] Proceedings. Computers in Cardiology","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1989-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125541595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Parameter estimation of left ventricular performance","authors":"E. Nevo, Y. Lanir","doi":"10.1109/CIC.1989.130535","DOIUrl":"https://doi.org/10.1109/CIC.1989.130535","url":null,"abstract":"Intraventricular pressure and volume measurements of the left ventricle are used to estimate the mechanical properties of the myocardium in terms of both passive (due to collagen) and active (due to muscle fibers) properties. The estimation process is based on the least squares method in terms of the intraventricular pressure, which is predicted by a dynamic model of the ventricle as a function of the measured volume. The model is based on the morphologically determined myocardial microstructure in terms of both muscle and collagen fibers. The five free parameters of the model relate to the myocardial passive and active properties and to the activation function. Good agreement between measured and predicted pressures is obtained. The estimated parameters are found to be in the expected physiological range.<<ETX>>","PeriodicalId":161494,"journal":{"name":"[1989] Proceedings. Computers in Cardiology","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1989-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126633933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J.D. Thomas, J. Newell, F. Flachskampf, C. Chen, Chun Ming Liu, A. Weyman
{"title":"Extracting ventricular and atrial compliance and mitral impedance from Doppler inflow velocity and chamber pressures: inversion of a mitral flow model","authors":"J.D. Thomas, J. Newell, F. Flachskampf, C. Chen, Chun Ming Liu, A. Weyman","doi":"10.1109/CIC.1989.130467","DOIUrl":"https://doi.org/10.1109/CIC.1989.130467","url":null,"abstract":"A lumped parameter mathematical model of left ventricular filling applicable to analysis of Doppler mitral velocity inflow patterns has been developed. As originally formulated, the model utilizes user-provided chamber compliance and mitral impedance parameters and returns the time course of chamber pressure and mitral velocity and flow. The authors describe their initial experience with an algorithm to invert the model, i.e. to analyze observed pressure and flow data and extract the compliance and impedance parameters underlying the observed curves. This algorithm repeatedly solves the forward model, adjusting the physiologic parameters using the Marquardt method until the fit to the observed pressure and flow data is optimized. This algorithm was tested against computer-generated data with up to 10% Gaussian noise. It has also been validated with data from an in vitro analog of the left heart and from a canine model of mitral stenosis. Other possible inversion schemes, such as those which utilize only noninvasive data, are also discussed.<<ETX>>","PeriodicalId":161494,"journal":{"name":"[1989] Proceedings. Computers in Cardiology","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1989-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126763812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
E. Steinmetz, R. Brennecke, N. Wittlich, F. Schon, R. Erbel, J. Meyer
{"title":"Quantitative comparison of new image processing methods for volumetric analysis of left ventricular contrast echocardiograms","authors":"E. Steinmetz, R. Brennecke, N. Wittlich, F. Schon, R. Erbel, J. Meyer","doi":"10.1109/CIC.1989.130569","DOIUrl":"https://doi.org/10.1109/CIC.1989.130569","url":null,"abstract":"An effort has been made to develop image processing methods which allow a definite and precise tracking of the borderline of the ventricle in two-dimensional echocardiograms. Experience is reported with two new methods, which are based on the gray-level rise (GL) and the signal-to-noise ratio (SNR) in combined heart-phase-triggered image series. A quantitative comparison of these time-series methods is presented with respect to the interpretation of a single native image (noncontrast image), a single contrast-material image, the corresponding subtraction image, and the corresponding color superposition image. The comparison is based on the calculation of the ejection fraction using the above-mentioned methods, interobserver variability, and intraobserver variability. The color superposition method and the two new methods described here (GL and SNR) are shown to be especially well suited for left-ventricle function evaluation.<<ETX>>","PeriodicalId":161494,"journal":{"name":"[1989] Proceedings. Computers in Cardiology","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1989-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114148607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
F. del Pozo, M. Arredondo, E. Gómez, T. Barranquero, F. Halberg
{"title":"A work-station to study blood pressure ambulatory profiles","authors":"F. del Pozo, M. Arredondo, E. Gómez, T. Barranquero, F. Halberg","doi":"10.1109/CIC.1989.130589","DOIUrl":"https://doi.org/10.1109/CIC.1989.130589","url":null,"abstract":"To facilitate and automate the analysis of blood pressure (BP) profiles from relatively dense ambulatory BP recordings, a BP work station, which is supported by a PC-compatible system to which many ambulatory monitors can be serially interfaced, has been developed. The BP time series manipulation procedure is a menu-driven collection of software packages which produce graphs in the time and phase domains, allowing the assessment of BP profile features for individuals and different populations.<<ETX>>","PeriodicalId":161494,"journal":{"name":"[1989] Proceedings. Computers in Cardiology","volume":"130 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1989-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128486187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Correlation of heart rate variability with ST changes during 24 hour Holter monitoring","authors":"D. Sapoznikov, M. Luria, Y. Mahler, M. Gotsman","doi":"10.1109/CIC.1989.130557","DOIUrl":"https://doi.org/10.1109/CIC.1989.130557","url":null,"abstract":"Heart rate variability (HRV), which is related to the activity of the automatic nervous system, was monitored during 24-h Holter recordings in 26 normal subjects. The power spectrum (PS) was obtained and the fluctuations in heart rate in three frequency bands were correlated with ST segment changes. Significant variations in HRV and ST segment amplitude were found during the night. ST level and the power of the HRV in the low- (0-0.05 Hz) and high- (0.2-0.35 Hz) frequency bands were increased significantly during the night in the majority of the subjects. The PS in the mid- (0.05-0.2 Hz) frequency range was significantly reduced at night. The heart rate and its global variability also decreased significantly during the night. The nocturnal changes in the PS in the low-frequency band and in the ST level may be related to alterations of the autonomic nervous system.<<ETX>>","PeriodicalId":161494,"journal":{"name":"[1989] Proceedings. Computers in Cardiology","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1989-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123925815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Analysis of the ventricular fibrillation ECG with methods from nonlinear dynamics","authors":"F. Ravelli, R. Antolini","doi":"10.1109/CIC.1989.130605","DOIUrl":"https://doi.org/10.1109/CIC.1989.130605","url":null,"abstract":"Ventricular fibrillation (VF) ECGs (electrocardiograms) show rapid and irregular oscillations described by cardiologists as 'chaotic'. To investigate whether the observed chaotic rhythm reflects a model of deterministic chaos, a dimensional analysis of four VF ECGs obtained from the American Heart Association Database has been carried out. The correlation dimension D calculated at embedding dimension equal to 20 gives values ranging from 7.7 to 9.5. Since D, as a function of the embedding dimension does not show a complete saturation, it turns out that low-dimensional models cannot account for the dynamics of the fibrillation ECG. A comparison between correlation dimensions obtained during VF and sinus rhythm (literature data range from 3.6 to 5.2) suggests a potential relevance of this new parameter in a comparative sense.<<ETX>>","PeriodicalId":161494,"journal":{"name":"[1989] Proceedings. Computers in Cardiology","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1989-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123938670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Interactive measurement of three-dimensional cardiac morphology","authors":"Shawn C. Becker, William A. Barrett","doi":"10.1109/CIC.1989.130586","DOIUrl":"https://doi.org/10.1109/CIC.1989.130586","url":null,"abstract":"Techniques have been developed for extracting three-dimensional (3-D) measurements directly and interactively from 3-D representations of cine CT (computer tomography) images. In order for 3-D measurements to be obtained, the anatomical surface is interrogated directly through the use of a 3-D graphical 'probe' (line). The probe is interactively positioned and stretched between any visible surface points to allow direct capture of 3-D (linear) distance. Distance measurements are updated in real time as the probe dynamically 'penetrates' any intervening anatomy while providing valuable depth cuing for visual feedback and probe placement. Curvilinear distance is obtained by stretching the probe over multiple surface points. The probe is implemented by a general z-buffer and is therefore applicable to a variety of 3-D imaging techniques.<<ETX>>","PeriodicalId":161494,"journal":{"name":"[1989] Proceedings. Computers in Cardiology","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1989-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124193320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}