Deep Learning Coronary Pressure Drop Estimation
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Solution Overview
Problem
Existing methods for estimating fractional flow reserve (FFR) in coronary arteries, such as 3D computational fluid dynamics (CFD) models, require significant computation time, while 1D models often involve approximations leading to less accurate predictions.
Innovation Solution
A deep neural network is trained using synthetic vessels and 3D CFD data to predict pressure drops across image patches, allowing for the estimation of FFR with comparable accuracy to 3D CFD but with drastically lower computation times.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Measurement precision
If 3D computational fluid dynamics (CFD) models are used to estimate FFR, then measurement precision is improved, but computation time increases
Solution Approach 1:
The patent pre-computes FFR values using accurate 3D CFD models for a comprehensive set of synthetic coronary vessel geometries and stenosis configurations before clinical use. These pre-computed results are stored in a database that serves as training data for a machine learning model. During actual clinical application, the trained ML model instantly predicts FFR for patient-specific CTA images, eliminating the need for time-consuming 3D CFD computations while maintaining accuracy through the pre-established relationship between vessel geometry and FFR values.
2Productivity
If 1D models are used to reduce computation time, then productivity is improved, but measurement precision deteriorates
Solution Approach 1:
The patent creates a comprehensive database by generating synthetic coronary vessel geometries that replicate the diversity and complexity of real patient anatomy through randomized parameters including vessel diameter, length, curvature, and stenosis characteristics. These synthetic copies are then processed through accurate 3D CFD models to establish ground-truth FFR values, which train a machine learning model capable of accurately predicting FFR for real clinical cases without requiring complex 3D computations.
3Reliability
If synthetic vessels are generated and 3D CFD is performed for training, then reliability of the model is improved, but use of energy increases
Solution Approach 1:
The patent performs the computationally intensive and energy-consuming 3D CFD simulations in advance during an offline training phase using synthetic vessel data. This pre-computation establishes a robust training dataset that captures the complex relationship between vessel geometry and FFR values. Once trained, the machine learning model requires minimal computational energy during clinical deployment, as it only needs to process patient-specific CTA images through the already-established predictive framework, thereby achieving high reliability with low operational energy consumption.
Data Source
AI summary
A computer-implemented method includes obtaining, via a processor, clinical images including vessels and generating, via the processor, straightened-out images for each coronary tree path within respective clinical images, The method also includes extracting, via the processor, segmented 3D image patches, determining, via the processor, overlapping binary mask volumes for each segment, and predicting, via the processor, pressure drops across the segmented image patches using a trained deep neural network.


