Measurement of abdominal aortic aneurysms with three-dimensional ultrasound imaging: preliminary report.

Abstract:

OBJECTIVE:Accurate measurements of abdominal aortic aneurysms (AAAs) are required for surgical planning and monitoring over time. We have examined the feasibility of using a three-dimensional (3-D) ultrasound imaging system to derive quantitative measurements of interest from AAAs. METHODS:A normal aorta, a small AAA, and an AAA repaired with an endovascular stent graft were scanned with a 3-D ultrasound imaging system. For each case, a 3-D surface reconstruction was generated from manual outlines of a sequence of two-dimensional ultrasound images, registered in 3-D space with a magnetic tracking system. The surfaces were resampled in planes perpendicular to the vessel center axis to calculate cross-sectional area and maximum diameter as a function of distance along the length of the aorta. RESULTS:Cross-sectional area and maximum diameter were plotted along the length of the aneurysmal aortas from the renal arteries to the aortic bifurcation. The overall maximum diameter was found for both aneurysms. For the small AAA, the distances of the aneurysm from the renal arteries and the bifurcation were measured. For the repaired AAA, the location of the stent graft relative to the renal arteries was measured. CONCLUSIONS:3-D surface reconstructions from ultrasound images show promise for quantitatively characterizing the geometry of AAAs both before surgery and after endovascular repair.

journal_name

J Vasc Surg

authors

Leotta DF,Paun M,Beach KW,Kohler TR,Zierler RE,Strandness DE Jr

doi

10.1067/mva.2001.112812

subject

Has Abstract

pub_date

2001-04-01 00:00:00

pages

700-7

issue

4

eissn

0741-5214

issn

1097-6809

pii

S0741-5214(01)87841-1

journal_volume

33

pub_type

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