Model based non-invasive estimation of PV loop from echocardiography

Annu Int Conf IEEE Eng Med Biol Soc. 2014:2014:6774-7. doi: 10.1109/EMBC.2014.6945183.

Abstract

We introduce a model-based approach for the non-invasive estimation of patient specific, left ventricular PV loops. A lumped parameter circulation model is used, composed of the pulmonary venous circulation, left atrium, left ventricle and the systemic circulation. A fully automated parameter estimation framework is introduced for model personalization, composed of two sequential steps: first, a series of parameters are computed directly, and, next, a fully automatic optimization-based calibration method is employed to iteratively estimate the values of the remaining parameters. The proposed methodology is first evaluated for three healthy volunteers: a perfect agreement is obtained between the computed quantities and the clinical measurements. Additionally, for an initial validation of the methodology, we computed the PV loop for a patient with mild aortic valve regurgitation and compared the results against the invasively determined quantities: there is a close agreement between the time-varying LV and aortic pressures, time-varying LV volumes, and PV loops.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aortic Valve Insufficiency / diagnostic imaging*
  • Aortic Valve Insufficiency / physiopathology*
  • Heart Ventricles / diagnostic imaging
  • Humans
  • Models, Cardiovascular*
  • Regression Analysis
  • Stroke Volume
  • Ultrasonography
  • Ventricular Pressure