Determination, Calculation and Representation of the Upper and Lower Sealing Zones During Virtual Stenting of Aneurysms

In this contribution, a novel method for stent simulation in preoperative computed tomography angiography (CTA) acquisitions of patients is presented where the sealing zones are automatically calculated and visualized. The method is eligible for non-bifurcated and bifurcated stents (Y-stents). Results of the proposed stent simulation with an automatic calculation of the sealing zones for specific diseases (abdominal aortic aneurysms (AAA), thoracic aortic aneurysms (TAA), iliac aneurysms) are presented. The contribution is organized as follows. Section 2 presents the proposed approach. In Section 3, experimental results are discussed. Section 4 concludes the contribution and outlines areas for future work.

Aorta Segmentation for Stent Simulation

Simulation of arterial stenting procedures prior to intervention allows for appropriate device selection as well as highlights potential complications. To this end, we present a framework for facilitating virtual aortic stenting from a contrast computer tomography (CT) scan. More specifically, we present a method for both lumen and outer wall segmentation that may be employed in determining both the appropriateness of intervention as well as the selection and localization of the device. The more challenging recovery of the outer wall is based on a novel minimal closure tracking algorithm. Our aortic segmentation method has been validated on over 3000 multiplanar reformatting (MPR) planes from 50 CT angiography data sets yielding a Dice Similarity Coefficient (DSC) of 90.67%.