基于已发表的心血管解剖临床数据的解剖模型生成器

Chandler P. Lagarde, Lauren R. Molaison, Clint A. Bergeron, Charles E. Taylor
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引用次数: 0

摘要

患者群体的解剖变异对医疗器械的验证和验证(V&V)过程提出了挑战。这种不一致性也存在于用于器械设计和测试的解剖模型中,导致研究结果之间的比较分析能力有限。其他行业已采用标准化模型进行基准分析,FDA已开始寻求流量分析所用分析工具的一致性。从规定分类学的中心来源生成解剖模型的能力,很像已发表文档的数字对象标识符(DOI)号,将使医疗设备领域的研究人员能够使模型开发过程同质化。这是有可能重建这些解剖作为参数模型驱动的临床测量数据。该解决方案通过实现大规模模拟,允许比较分析,并降低小型研究小组获取这些模型的成本障碍,为解剖建模提供了一种变革性的方法。构建主动脉、左心室和左心房的调查模型,设计合适的参数框架进行重建。生成的模型以用户可选择的患者类别表示,这些类别引用测量数据的查找表。使用手动生成的模型进行体积减法分析,验证该模型生成器方法显示了可接受的结果。这种方法为解剖模型的生成和测试结果的可追溯性提供了解决方案。它回答了关于比较分析的重要科学和监管问题,并创建了一种更平等的方法来开发医疗设备设计的解剖模型。
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Anatomical Model Generator Based on Published Clinical Data on Cardiovascular Anatomy
Anatomical variability in patient populations has presented a challenge to the verification and validation (V&V) process for medical devices. This lack of conformity is also present in the anatomical models used for device design and testing, leading to a limited ability for comparative analysis among study results. Other industries have adopted standardized models for benchmark analysis and the FDA has begun to seek conformity in the analytical tools used for flow analysis. The ability to generate anatomical models from a central source that prescribes taxonomy, much like a digital object identifier (DOI) number for a published document, would enable researchers in the medical device field to homogenize the model development process. It is possible to reconstruct these anatomies as parametric models driven by clinical measurement data. This solution presents a transformative approach to anatomical modeling by enabling large scale simulations, allowing comparative analysis, and lowering the cost barrier for smaller research groups to source these models. Investigatory models of the aorta, left ventricle and left atrium were constructed to design the appropriate parametric framework for reconstruction. The resulting models are presented as user selectable classes of patients, which are referencing lookup tables of the measurement data. Validation of this model generator method has shown acceptable results using volume subtraction analysis with models generated manually. This approach delivers a solution for anatomical model generation and traceability of test results derived from these geometries. It answers significant scientific and regulatory concerns regarding comparative analysis and creates a more egalitarian approach to developing anatomical models for medical device design.
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